Ego‐identity: Can it be reconstituted after a brain injury?

Biderman, Dan; Daniels-Zide, Ellen; Reyes, Anny; Marks, Bonnie C.

doi:10.1080/00207590500345963

Cited by 15 publications

(9 citation statements)

References 23 publications

(22 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been reported that the terms self, sense of self, selfidentity, ego identity, personal identity, and identity are used fairly interchangeably in the literature, with no clear distinctions between them (Biderman et al, 2006;Coetzer, 2008); our findings concur with this viewpoint. For example, in the general psychology literature, the term self has been attributed with at least five distinct meanings (Leary & Tangney, 2012).…”

Section: Overview Of Findingssupporting

confidence: 93%

Self-Reflective Meaning Making in Troubled Times

2014

View full text Add to dashboard Cite

Our aim with this article is to clarify the concept of change in self-identity following traumatic brain injury (TBI). We used concept analysis methodology-predominantly concept clarification. We identified 110 articles using a systematic literature search, and used critical appraisal, content analysis, and analytical questioning to explore attributes and boundaries. A reported change in self-identity is the ultimate expression of a variety of cognitive, psychological, and social sequelae of TBI. We present an integrative model of this process, identifying three potential levels of change: (a) component parts (egocentric self, sociocentric self, and "identity as shared with others"); (b) integral processes (self-awareness and expression via meaningful occupation and narratives); and (c) whole-system disruption. Change in self-identity after TBI is a highly individualistic process. The driver of this process is "self-reflective meaning making," giving a purpose and direction in life, providing motivation and goals for future behavior.

show abstract

Section: Overview Of Findingssupporting

confidence: 93%

Self-Reflective Meaning Making in Troubled Times

2014

View full text Add to dashboard Cite

show abstract

“…As a positive self-concept after neurological injury is associated with increased quality of life (Vickery et al, 2005) and reduced likelihood of Nordic Journal of Music Therapy 3 experiencing depressive symptoms (Carroll & Coetzer, 2011), effective reconstruction of an organized, compelling, and realistic identity is considered an important goal of rehabilitation (Biderman, Daniels-Zide, Reyes, & Marks, 2006). However, there are currently no evidenced-based treatments that can successfully address this important rehabilitation need.…”

Section: Self-concept and Acquired Neurological Impairmentsmentioning

confidence: 99%

A theoretical framework and therapeutic songwriting protocol to promote integration of self-concept in people with acquired neurological injuries

Tamplin

Baker

MacDonald

et al. 2015

Nordic Journal of Music Therapy

View full text Add to dashboard Cite

A positive self-concept after neurological injury is associated with enhanced quality of life and good mental health. Therefore, effective reconstruction of identity is heralded as an important goal of rehabilitation. We have developed and tested a songwriting protocol for people with acquired brain injury and/or spinal cord injury (SCI) that focuses on six domains of self-concept (physical, personal, social, family, academic/work, and moral). Over 12 music therapy sessions, people create three songs that reflect their perception of their past, present, and future selves. The therapeutic process of creating these songs aims to integrate residual components of the past self with that of the present injured self. This article outlines the theoretical foundations for the use of songwriting as a medium for change and describes the protocol in detail. We then present a case study of a man with SCI to illustrate the application of the protocol and the ensuing changes in self-concept.

show abstract

“…The growing literature on identity after brain injury converges on two critical themes: (1) identity or sense of self is often shattered by the effects of the injury on the individual's abilities and roles, and (2) effective reconstruction of an organised, compelling, and reasonably realistic identity is central to the process of rehabilitation (Biderman, Daniels-Zide, Reyes, & Marks, 2006). Goals set by rehabilitation professionals for individuals with brain injury as well as strategies to achieve the goals may be rejected out of hand by the person simply on grounds that, "What you are proposing is not me!"…”

Section: Identity and Goal Setting After Brain Injurymentioning

confidence: 99%

Metaphoric identity mapping: Facilitating goal setting and engagement in rehabilitation after traumatic brain injury

Ylvisaker

McPherson

Kayes

et al. 2008

Neuropsychological Rehabilitation

123

View full text Add to dashboard Cite

Difficulty re-establishing an organised and compelling sense of personal identity has increasingly been identified as a critical theme in outcome studies of individuals with severe traumatic brain injury (TBI) and a serious obstacle to active engagement in rehabilitation. There exists little empirical support for approaches to identity reconstruction that address common impairments associated with TBI. Similarly, there is as yet little empirical support for theoretically sound approaches to promoting engagement in goal setting for this population. This article has two purposes. First, theory and procedures associated with metaphoric identity mapping are discussed in relation to goal setting in TBI rehabilitation. Second, the results of a qualitative pilot study are presented. The study explored metaphoric identity mapping as a facilitator of personally meaningful goal setting with five individuals with significant disability many years after their injury. Drawing on principles of grounded theory, the investigators extracted data from semi-structured interviews with clients and clinicians, from focus groups with the clinicians, and from observation of client-clinician interaction. Analysis of the data yielded five general themes concerning the use of this approach: All clients and clinicians found identity mapping to be an acceptable process and also useful for deriving meaningful rehabilitation goals. Both clients and clinicians saw client-centred goals as important. Cognitive impairments posed obstacles to this goal-setting intervention and mandated creative compensations. And finally, identity-related goal setting appeared to require a "mind shift" for some clinicians and demanded clinical skills not uniformly distributed among rehabilitation professionals.

show abstract

Ego‐identity: Can it be reconstituted after a brain injury?

Cited by 15 publications

References 23 publications

Self-Reflective Meaning Making in Troubled Times

Self-Reflective Meaning Making in Troubled Times

A theoretical framework and therapeutic songwriting protocol to promote integration of self-concept in people with acquired neurological injuries

Metaphoric identity mapping: Facilitating goal setting and engagement in rehabilitation after traumatic brain injury

Contact Info

Product

Resources

About