Reconstructing self-narratives in coping with traumatic brain injury

Nochi, Masahiro

doi:10.1016/s0277-9536(00)00111-8

Cited by 160 publications

(108 citation statements)

References 17 publications

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“…The number of participants in this study, while relatively small, is comparable with similar studies [6,38,40,41,53,54,101]. Further, undertaking multiple interviews with participants supported the generation of rich qualitative data, from which several key themes clearly emerged and the relationship between decision-making participation and self-conceptualization was developed.…”

Section: Methodological Considerations and Future Directionssupporting

confidence: 59%

“…[35] Self-conceptualization after TBI There is a growing body of literature investigating the self after TBI. [1,6,[36][37][38][39][40][41] Researchers have noted a lack of agreement relating to how the self is defined and conceptualized, including imprecise distinctions between a number of related terms and concepts (such as sense of self, self-identity, self-knowledge, and self-concept). [42] Despite this, literature within psychological and sociological fields generally describes two separate characterizations of self.…”

Section: The Impact Of Tbi On Decision Makingmentioning

confidence: 99%

“…[3] There is a growing consensus that major and unexpected life events, such as traumatic brain injury (TBI), resonate in one's personal narrative. [4][5][6][7][8] The subsequent changes in an individual's self-concept are then reflected in the decisions they make and act upon. This study explores the interface between the experience of decision making and the process of self-conceptualization after TBI.…”

Section: Introductionmentioning

confidence: 99%

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“I’ve never been a yes person”: Decision-making participation and self-conceptualization after severe traumatic brain injury

Knox

Douglas

Bigby

2016

Disability and Rehabilitation

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Purpose: Although adults who sustain a severe traumatic brain injury (TBI) require support to make decisions in their lives, little is known about their experience of this process. The aim of this study was to explore how participation in decision making contributes to self-conceptualization in adults with severe TBI. Method: We used constructivist grounded theory methods. Data included 20 in-depth interviews with adults with severe TBI. Through a process of constant comparison, analysis involved open and focused coding until clear categories emerged and data saturation was achieved. Results: Self-conceptualization emerged as a complex and multifaceted process, as individuals with TBI aimed to reestablish a sense of autonomy. We describe a recursive relationship in which decision-making participation assists the dynamic construction of self, and self-concept contributes to the experience of making decisions. The role of an individual's social support network in acting as a bridge between participation and self-conceptualization is presented. Conclusions: Findings emphasize that contributing to decisions about one's own goals across a range of life areas can reinforce a positive self-concept. It is vital that supporters understand that participation in decision making provides a pathway to conceptualizing self and aim to maximize the person's participation in the decision-making process. ä IMPLICATIONS FOR REHABILITATIONPrevious research has identified that the experience of sustaining TBI has a significant impact on a person's conceptualization of self. This study identified that decision-making experiences play an important role in the ongoing process of self-conceptualization after injury. Decision-making experiences can reinforce a person's self-concept or lead them to revise (positively or negatively) their sense of self. By maximizing the person's decision-making participation, those around them can support them to develop positive self-attributes and contribute to shaping their future goals. ARTICLE HISTORY

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Section: Methodological Considerations and Future Directionssupporting

confidence: 59%

Section: The Impact Of Tbi On Decision Makingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“I’ve never been a yes person”: Decision-making participation and self-conceptualization after severe traumatic brain injury

Knox

Douglas

Bigby

2016

Disability and Rehabilitation

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“…People with acquired disabilities often swing back and forth like pendulums between the non-disabled and the disabled aspects of themselves (Yoshida, 1993). Nochi (2000) found that some people with traumatic brain injuries considered their disabilities temporary, even when they recognized them as not being easily cured. Similarly, people with SCIs indicated that their post-injury lives contain both "good days and bad ones" (Smith & Sparkes, 2004, p. 623).…”

Section: Meanings Of Disability From a Long-term And Sociocultural Pementioning

confidence: 99%

Narratives of Ambivalent Meanings of Acquired Physical Disability in Japan

Tagaki

2016

Sage Open

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Experiences of people with disabilities cannot be simply examined from positive aspects or negative ones; both aspects are required. This study examines the ambivalent meanings of acquired disability through a qualitative analysis of the life stories of Japanese men with spinal cord injuries. Semi-structured interviews were conducted with 10 men who had sustained the injury over 10 years ago, at around the age of 20. The participants valued job and welfare or social activities, by managing their impairments. They regarded their personal disability issues as social ones and actively promoted social awareness. However, some of them recounted ambivalent experiences; they maintained the vision that they would become able-bodied people again, or were reluctant to participate in social activities, because they felt inferior to more socially active peers. Examination of ambivalent meanings of acquired disability is necessary for an understanding of the actual situation of people with disabilities.

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“…It is the case that Susan Smith released the handbrake of her car on an incline that led to a lake (a ramp), thus allowing her two sons to drown while strapped in their car seats. A narrative approach is adopted in this article (Nochi 2000;Lysaker et al 2002;Hall 2003;Patriotta 2003). According to Kaye (1996), narratives provide a particular applied theoretical perspective for assisting individuals in gaining deeper insights into behavior (Kaye 1996).…”

mentioning

confidence: 99%

Susan Smith and Her Children: A Reasoning Dialectic

Kjeldal

2004

Crit Crim

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Human judgment and decision making has been demonstrated by several contemporary researchers to be comprised of both rational and emotive/intuitive cognitive systems; a single decision can involve both rational thinking and intuition. In the present article, a narrative approach is utilized to analyze the Susan Smith case, and this is interlaced with contemporary decision theory in an attempt to more fully understand the seemingly nonrational act (murder/attempted suicide) committed by Susan Smith in October, 1994. The ethical, legal and social implications of using an approach of this nature are discussed.Contemporary decision theorists postulate that, in most circumstances, the decision making processes that are employed by individuals and groups are not entirely rational or analytical in nature. These theorists suggest, rather, that intuition and analytic thought processes are juxtaposed to produce what has been termed a 'quasirational' decision (Hammond, 1996). These ideas are contrary to the assumptions, commonly accepted until recently by economic theorists, that humans employ a purely rational approach to decision making. The inclusion of intuition in the decision process is an approach that has been adopted by many, and this expansive view of decision making can be used to great effect in determining why individuals behave as they do.In the present article, the seemingly inexplicable behavior of Susan Smith in October, 1994 is analyzed in detail. It is the case that Susan Smith released the handbrake of her car on an incline that led to a lake (a ramp), thus allowing her two sons to drown while strapped in their car seats. A narrative approach is adopted in this article (provide a particular applied theoretical perspective for assisting individuals in gaining deeper insights into behavior (Kaye 1996). It is argued that using this theoretical paradigm comprises a useful exercise that will provide an alternative means of discerning factors underlying the decision processes used by Susan Smith when she killed her two children.

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Reconstructing self-narratives in coping with traumatic brain injury

Cited by 160 publications

References 17 publications

“I’ve never been a yes person”: Decision-making participation and self-conceptualization after severe traumatic brain injury

“I’ve never been a yes person”: Decision-making participation and self-conceptualization after severe traumatic brain injury

Narratives of Ambivalent Meanings of Acquired Physical Disability in Japan

Susan Smith and Her Children: A Reasoning Dialectic

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