title: The adaptation process after traumatic brain injury an individual and ongoing occupational struggle to gain a new identity.
abstract: The aim of this study is to understand better how individuals with traumatic brain injury make sense of their adaptation process and their performance of occupations within this process. For this study, four participants were interviewed twice. Thereafter analyses following a narrative approach led to the construction of four individual narratives. The results indicate that the adaptation process following traumatic brain injury is (1) a necessary struggle to gain a new identity; (2) facilitated by engagement in familiar occupations in familiar environments; (3) a protracted learning process that continues long after rehabilitation ends; (4) individual and situated. The results suggest that healthcare professionals including occupational therapists should: allow individuals with traumatic brain injury to test and practise their abilities within their own home environments; provide them with the necessary space to practise on their own; guide them in using their own and new strategies in a way that is both efficient and personally satisfying. Finally, this study discusses whether rehabilitation services should be offered over a protracted period of time. Professional support following the rehabilitation period-precisely the period in which they are trying to establish a meaningful existence with their disabilities-could be a more useful path to follow.
authors.affiliation: Rehabilitation Centre Heliomare, Department of Occupational Therapy, Wijk aan Zee, The Netherlands. b.hoogerdijk@heliomare.nl
authors.forename: Barbara
authors.initials: B
authors.lastname: Hoogerdijk
authors.forename: Ulla
authors.initials: U
authors.lastname: Runge
authors.forename: Jette
authors.initials: J
authors.lastname: Haugboelle
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D011613:Psychotherapy / Q000379:methods; D012649:Self Concept; D055815:Young Adult