"你现在是另一个人":创伤性脑损伤后的身份和职业身份破坏的自我民族学
Andi Brown1, Devin C Barth2, Amanda R Leslie3
1Andi Brown, MS, OTR, is Occupational Therapist, Boston, MA; andibwrites@gmail.com.
概括
创伤性脑损伤 (TBI) 幸存者由于身体和认知变化而经历身份破坏. 重新从事有意义的职业有助于重建他们的自我意识和职业认同.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 在创伤性脑损伤 (TBI) 后,身份破坏和职业身份破坏很普遍.
- 这些干扰之间的相互作用仍然未被充分探索.
- 职业治疗从业者需要了解TBI后的身份挑战.
研究的目的:
- 阐明身份破坏和职业身份破坏的经验.
- 描述这些经验的相互关联和交易性质.
- 强调职业在身份重建中的作用.
主要方法:
- 采用了自动民族学方法,优先考虑了内部人士的观点.
- 与TBI幸存者的家人和朋友进行了采访.
- 数据分析涉及手工编码转录来识别主题并构建叙事.
主要成果:
- 创伤后的身份障碍源于生理,心理和认知方面的变化.
- 被打断的职业参与显著影响了幸存者的身份.
- 恢复写作促进了TBI幸存者的职业身份和自我重建.
结论:
- 职业参与是形成身份的基础.
- 职业治疗师应该解决TBI幸存者的身份和职业身份破坏问题.
- 合作确定关键职业对于支持客户身份至关重要.
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