A Relational Approach to Rehabilitation

Bowen, Ceri; Yeates, Giles; Palmer, Sylvain

doi:10.4324/9780429471483

Cited by 14 publications

(21 citation statements)

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“…This observation is relevant for two reasons. Firstly, it supports the idea that neuropsychological deficits are not static, for they can be modulated by contextual elements ( Bowen et al, 2010 ), in this case by the level of emotional salience. Secondly, because it suggests that mental time travel, or the capacity to move backward and forward in time, is a cognitive process mediated by important non -cognitive factors ( D’Argembeau and Van der Linden, 2006 ).…”

Section: The Structure and Dynamics Of The Therapeutic Processsupporting

confidence: 68%

Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

et al. 2017

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Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

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Section: The Structure and Dynamics Of The Therapeutic Processsupporting

confidence: 68%

Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

et al. 2017

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“…The concept of continuity of self is one which has been usefully applied in a relational approach to rehabilitation ( Bowen et al, 2010 ). Extending this line of thought, the concept of self-continuity may provide a focal point where meaning, belonging, and doing can be understood as coming together.…”

Section: Introductionmentioning

confidence: 99%

“…Extending this line of thought, the concept of self-continuity may provide a focal point where meaning, belonging, and doing can be understood as coming together. Furthermore, this coming together of meaning, belonging, and doing may be fundamental to mental health, specifically anxiety, following ABI ( Bowen et al, 2010 ). Previous research has shown that higher levels of pre to post injury self-discrepancy (i.e., ‘who I am now’ vs. ‘who I was before my injury’) are associated with higher levels of anxiety in survivors of traumatic brain injuries ( Cantor et al, 2005 ).…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has shown that higher levels of pre to post injury self-discrepancy (i.e., ‘who I am now’ vs. ‘who I was before my injury’) are associated with higher levels of anxiety in survivors of traumatic brain injuries ( Cantor et al, 2005 ). In contrast to self-discrepancy, continuity of self, defined as the experience of oneself as continuous with ‘who I was before’ ( Secrest and Zeller, 2003 , p. 244) has been linked to adjustment following traumatic brain injury ( Bowen et al, 2010 ). The research presented in this paper applies a specific framework for understanding identity and selfhood, that of the social identity approach, to a longitudinal investigation of relationships between self-categorisation, continuity of self, and anxiety following ABI.…”

Section: Introductionmentioning

confidence: 99%

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A Longitudinal Study of Relationships between Identity Continuity and Anxiety Following Brain Injury

et al. 2017

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Objective: Anxiety is of particular importance following acquired brain injury (ABI), because anxiety has been identified as a significant predictor of functional outcomes. Continuity of self has been linked to post ABI adjustment and research has linked self-discrepancy to anxiety. This longitudinal study investigates the impact of affiliative and ‘self as doer’ self-categorisations anxiety.Materials and Methods: Data was collected at two time points. Fifty-three adult ABI survivors participating in post-acute community neuro-rehabilitation participated at time one and 32 of these participated at time two. Participants completed a 28-item identity questionnaire based on Leach et al.’s (2008) multicomponent model of ingroup identification which measured the strength of affiliative and self as doer identities. Anxiety was measured using the Hospital Anxiety and Depression Scale.Results: Analysis indicates a significant mediated relationship between affiliative identification and anxiety via self as doer identification. Contrary to initial prediction, this relationship was significant for those with consistency in affiliative self-categorisation and inconsistency in ‘self as doer’ self-categorisation.Conclusion: These findings can be interpreted as evidencing the importance of identity continuity and multiplicity following ABI and contribute to the understanding of these through the use of a social identity approach.

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“…These ideas were later influential to Yeates and colleagues, who proposed a relational (epistemological) turn in neuropsychological rehabilitation. In their book A Relational Approach to Rehabilitation (Bowen et al, 2010 ) they argue that brain damage does not occur inside people's skulls, but in the space between people, often infiltrating and amplifying personal distance and disconnection. Thus, brain injury and its socio-emotional consequences can be understood as socially constructed and modulated by social context.…”

Section: Four Key Psychoanalytic Ideas In Neuropsychological Rehabilitationmentioning

confidence: 99%

The Historical Influence of Psychoanalytic Concepts in the Understanding of Brain Injury Survivors as Psychological Patients

Salas

2021

Front. Psychol.

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A Relational Approach to Rehabilitation

Cited by 14 publications

References 0 publications

Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

A Longitudinal Study of Relationships between Identity Continuity and Anxiety Following Brain Injury

The Historical Influence of Psychoanalytic Concepts in the Understanding of Brain Injury Survivors as Psychological Patients

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