TY  - JOUR
PY  - 2014//
TI  - Self-reflective meaning making in troubled times: change in self-identity after traumatic brain injury
JO  - Qualitative health research
A1  - Thomas, Emily J.
A1  - Levack, William M. M.
A1  - Taylor, William J.
SP  - 1033
EP  - 1047
VL  - 24
IS  - 8
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1049-7323
UR  - http://dx.doi.org/10.1177/1049732314542809
ID  - ref1
ER  -