title: Pirandello's analogy: a source for a better understanding of the social impact of stroke.
abstract: BACKGROUND
  Suffering a stroke has major implications for the patient. To understand human suffering, one should understand society. Pirandello described society as a higher entity than the individual, thereby justifying human adaptability to society. We explore a qualitative finding that suggests that social trends may influence how stroke patients prioritize aspects of their rehabilitation.
  
  
  METHODS
  We compare a contemporary patient's experience of stroke recovery with that of a fictional character from the works of Luigi Pirandello. Both patients had two main residual symptoms: hemiparesis and aphasia.
  
  
  RESULTS
  The rehabilitation priorities of the two patients differed, and appeared to reflect the contemporaneous demands of society. Mobility was prioritized in 1910; communication was prioritized in 2010. However, essential aspects of 'being a stroke patient' remained unchanged; both patients retained a sense of self and both coped emotionally by being hopeful.
  
  
  CONCLUSIONS
  We conclude that stroke patients respond to society's contemporaneous demands and expectations. Currently, society demands participation in a large social environment and this is reflected in stroke patients' priorities. This analogy could enable medical professionals to better understand the social impact of stroke, and consequently offer appropriate interventions to improve rehabilitation outcomes for individual patients.
authors.affiliation: Department of Medical Psychology, Leiden University Medical Center, Leiden, The Netherlands. m.a.c.van.haaren@umail.leidenuniv.nl
authors.forename: M A C
authors.initials: MA
authors.lastname: van Haaren
authors.forename: M
authors.initials: M
authors.lastname: Lawrence
authors.forename: P H
authors.initials: PH
authors.lastname: Goossens
authors.forename: B
authors.initials: B
authors.lastname: van den Bossche
authors.forename: M J H
authors.initials: MJ
authors.lastname: Wermer
authors.forename: A A
authors.initials: AA
authors.lastname: Kaptein
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D004324:Drama / Q000266:history*; D005197:Famous Persons; D005260:Female; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008513:Medicine in Literature; D012922:Social Change / Q000266:history*; D020521:Stroke / Q000266:history* / Q000523:psychology*; D000071939:Stroke Rehabilitation