Buzan Randall D, Kupfer Jeff, Eastridge Dixie, Lema-Hincapie Andres
University of Colorado School of Medicine, CO, USA.
Learning Services Neuro-behavioral Institute - West, CO, USA.
NeuroRehabilitation. 2014;34(4):601-11. doi: 10.3233/NRE-141071.
Patients and their families struggle with accepting changes in personality after traumatic brain injury (TBI). A neuroanatomic understanding may assist with this process.
We briefly review the history of the Western conceptualization of the Self, and discuss how neuroscience and changes in personality wrought by brain injuries modify and enrich our understanding of our selves and our patients.
The sense of self, while conflated with the concept of a "soul" in Western thinking, is more rationally considered a construct derived from neurophysiologic structures. The self or personality therefore often changes when the brain changes. A neuroanatomic perspective can help patients, families, and clinicians accept and cope with the sequellae of TBI.
创伤性脑损伤（TBI）后，患者及其家属难以接受人格的变化。神经解剖学方面的理解可能有助于这一过程。
我们简要回顾西方对自我概念化的历史，并讨论神经科学以及脑损伤所导致的人格变化如何改变并丰富我们对自我和患者的理解。
自我意识在西方思想中与“灵魂”概念混为一谈，但更合理地应被视为源自神经生理结构的一种构建。因此，当大脑发生变化时，自我或人格往往也会改变。神经解剖学视角有助于患者、家属和临床医生接受并应对创伤性脑损伤的后遗症。
