title: Metaphor shifts in stroke recovery.
abstract: An illness event like stroke is generally believed to produce a biographical disruption in the individual, resulting in a reconstruction of one's self identity. One method of narrative reconstruction is the use of personal metaphor. Although previous research has illustrated a variety of illness metaphors, including that of war, there has been little research conducted on how these metaphors shift throughout a person's recovery period. The authors present data that indicate an intricate connection exists among changes in individuals' physical functioning, self-reported depression level, self-identity, and the metaphors they use to describe the stroke and stroke recovery experience. As the metaphor one uses to describe one's stroke experience shifts, so does one's sense of self. As one's self-identity changes, one's level of self-reported depression may also increase.
authors.affiliation: Rehabilitation Outcomes Research Center, North Florida/South Georgia Veterans Administration Center, Gainesville, FL 32608, USA. craig.boylstein@med.va.gov
authors.forename: Craig
authors.initials: C
authors.lastname: Boylstein
authors.forename: Maude
authors.initials: M
authors.lastname: Rittman
authors.forename: Ramon
authors.initials: R
authors.lastname: Hinojosa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003863:Depression; D005431:Florida; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D019365:Metaphor; D008875:Middle Aged; D011647:Puerto Rico; D012649:Self Concept; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D014728:Veterans