Body Richard, Muskett Tom, Perkins Mick, Parker Mark
Department of Human Communication Sciences, University of Sheffield , Sheffield , UK and.
Brain Inj. 2013;27(12):1356-63. doi: 10.3109/02699052.2013.831125. Epub 2013 Sep 26.
To explore how traumatic brain injury (TBI) rehabilitation staff and adults who have sustained TBI refer during clinical interaction to the precipitating event.
Interviews conducted during the initial assessment phase of TBI rehabilitation were examined using Conversation Analysis.
Participants were nine men and one woman, all of whom had sustained TBI of sufficient severity to warrant referral for community rehabilitation. Age range was 24-50 years (mean 35 years). The period between injury and interview was between 9 months and 20 years.
Analysis of interactions between rehabilitation staff and people with TBI indicated discrepancies in the way they refer to the original event. Staff tended to use 'head/brain injury' in contrast to the use by people with TBI of 'accident/crash'. There were also differences of expression in terms of 'ownership' (e.g., your injury vs. the injury) and 'agency' (the degree to which the person with TBI was portrayed as having been part of the process of sustaining the TBI).
The implications of these discrepancies are discussed in relation to self-identity and insight after TBI. The possible impact of this terminological tension on the rehabilitation process is also discussed.
探讨创伤性脑损伤（TBI）康复工作人员以及遭受TBI的成年人在临床互动中如何提及引发事件。
使用会话分析方法对TBI康复初始评估阶段进行的访谈进行研究。
参与者包括9名男性和1名女性，他们均遭受了严重程度足以使其被转介至社区康复的TBI。年龄范围为24至50岁（平均35岁）。受伤至访谈的时间间隔为9个月至20年。
对康复工作人员与TBI患者之间互动的分析表明，他们提及原始事件的方式存在差异。工作人员倾向于使用“头部/脑部损伤”，而TBI患者则倾向于使用“事故/碰撞”。在“所属关系”（例如，你的损伤与损伤）和“施事”（将TBI患者描绘为TBI发生过程一部分的程度）方面也存在表达差异。
针对这些差异对TBI后自我认同和洞察力的影响进行了讨论。还讨论了这种术语上的紧张关系对康复过程可能产生的影响。
