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Examining Personal Identity and the Influence of an Occupation-Based Prevocational Program Following Traumatic Brain
Lindy Tiedemann1, Jeni Dulek1, Rik Lemoncello2
1School of Occupational Therapy, Pacific University College of Health Professions, Hillsboro, OR, USA.
Occupational Therapy in Health Care
|December 11, 2024
Summary
Traumatic brain injury (TBI) survivors experience lifelong impacts, including identity changes. Participation in community programs can help reform personal identity during recovery, highlighting the role of occupational therapy.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Science
Background:
- Traumatic brain injury (TBI) leads to persistent physiological, psychological, and social challenges.
- Changes in personal identity are a significant long-term consequence for individuals with TBI.
- Understanding the role of community programs in identity reformation is crucial for TBI recovery.
Purpose of the Study:
- To explore the lived experiences of individuals with TBI.
- To examine how participation in occupation-based community programming influences their post-injury sense of self.
- To identify the relationship between occupational engagement and identity reformation after TBI.
Main Methods:
- Qualitative multiple-case study design.
- In-depth examination of the experiences of four individuals with brain injuries.
- Analysis of the interaction between occupational participation and personal identity.
Main Results:
- A dynamic interplay exists between occupational participation and personal identity.
- Community-based occupational programming facilitates engagement and supports self-concept.
- Participants demonstrated shifts in their sense of self through meaningful activities.
Conclusions:
- Ongoing post-acute occupational therapy is vital for TBI recovery.
- Occupational participation plays a key role in identity reformation for TBI survivors.
- Community programming offers a valuable avenue for supporting long-term TBI rehabilitation and identity development.

