Douglas Jacinta M
School of Human Communication Sciences, La Trobe University, Victoria, Australia.
Brain Inj. 2013;27(1):60-74. doi: 10.3109/02699052.2012.722254.
To explore how adults who have sustained severe traumatic brain injury (TBI) conceptualize self several years after injury.
Self-conceptualization was explored from the perspective of the injured individual within a constructivist Grounded Theory approach using in-depth interviews. Qualitative analysis moved through a process of data-driven open and focused coding, identification of emergent self-related categories and exploration of relations between these categories.
Sixteen men and four women with severe-very severe injury participated in the study. Severity of injury was indexed by either a Glasgow Coma Scale (GCS) score ≤8 or duration of post-traumatic amnesia (PTA) ≥14 days. At the time of interview, the average age of participants was 35.2 years and a minimum of 5 years had elapsed since injury.
Three main themes emerged from the data. The first two themes together described a model of self-concept. The third theme captured the insider's perspective on factors that had helped to create and maintain a sense of connection between self and society.
Conceptualization of self after brain injury is a dynamic and multi-faceted process. Insight into the process can guide the development of therapeutic endeavours to facilitate the ongoing construction of self after severe TBI.
探讨遭受严重创伤性脑损伤（TBI）的成年人在受伤数年之后如何对自我进行概念化。
采用建构主义扎根理论方法，通过深度访谈，从受伤个体的角度探讨自我概念化。定性分析经历了数据驱动的开放式和聚焦式编码、识别新出现的与自我相关的类别以及探索这些类别之间关系的过程。
16名男性和4名女性参与了该研究，他们均遭受了严重至极严重的损伤。损伤严重程度通过格拉斯哥昏迷量表（GCS）评分≤8或创伤后遗忘症（PTA）持续时间≥14天来衡量。在访谈时，参与者的平均年龄为35.2岁，自受伤以来至少已过去5年。
数据中出现了三个主要主题。前两个主题共同描述了一个自我概念模型。第三个主题体现了内部人士对有助于建立和维持自我与社会之间联系感的因素的看法。
脑损伤后的自我概念化是一个动态且多方面的过程。深入了解这一过程可为治疗努力的发展提供指导，以促进严重创伤性脑损伤后自我的持续构建。
