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Updated: Jul 14, 2026

Motor Imagery Brain-Computer Interface in Rehabilitation of Upper Limb Motor Dysfunction After Stroke
Published on: September 1, 2023
Metaphor shifts in stroke recovery.
Craig Boylstein1, Maude Rittman, Ramon Hinojosa
1Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Administration Center, Gainesville, FL 32608, USA. craig.boylstein@med.va.gov
Stroke recovery involves reconstructing self-identity through personal metaphors. Shifts in these metaphors correlate with changes in physical function, self-identity, and depression levels during recovery.
Area of Science:
- Neuroscience
- Psychology
- Sociology
Background:
- Stroke often causes biographical disruption, necessitating self-identity reconstruction.
- Personal metaphors are a key method for narrative reconstruction after illness.
- Limited research exists on how illness metaphors evolve during stroke recovery.
Purpose of the Study:
- To investigate the relationship between stroke recovery, personal metaphors, and self-identity.
- To explore how changes in physical functioning and depression relate to metaphorical language used by stroke survivors.
Main Methods:
- Longitudinal study tracking stroke survivors' recovery.
- Analysis of personal metaphors used to describe the stroke and recovery experience.
- Assessment of physical functioning and self-reported depression levels.
Main Results:
- A significant connection exists between physical functioning, depression, self-identity, and metaphor use.
- Shifts in personal metaphors for stroke experience are linked to changes in self-identity.
- Changes in self-identity can correlate with increased self-reported depression levels.
Conclusions:
- Metaphorical language is integral to the stroke recovery process and self-identity reconstruction.
- The evolution of personal metaphors reflects and influences psychological adjustment post-stroke.
- Understanding metaphor shifts can offer insights into managing depression during stroke recovery.
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