title: Grief, Anger, and Relationality: The Impact of a Research-Based Theater Intervention on Emotion Work Practices in Brain Injury Rehabilitation.
abstract: BACKGROUND
  Therapeutic emotion work is performed by health care providers as they manage their own feelings as well as those of colleagues and patients as part of efforts to improve the physical and psychosocial health outcomes of patients. It has yet to be examined within the context of traumatic brain injury rehabilitation.
  
  
  OBJECTIVE
  To evaluate the impact of a research-based theater intervention on emotion work practices of neurorehabilitation staff.
  
  
  METHODS
  Data were collected at baseline and at 3 and 12 months postintervention in the inpatient neurorehabilitation units of two rehabilitation hospitals in central urban Canada.
  
  
  METHODS
  Participants (N = 33) were recruited from nursing, psychology, allied health, recreational therapy, and chaplaincy.
  
  
  METHODS
  Naturalistic observations (N = 204.5 hr) of a range of structured and unstructured activities in public and private areas, and semistructured interviews (N = 87) were conducted.
  
  
  RESULTS
  Preintervention analysis indicated emotion work practices were characterized by stringent self-management of empathy, suppression of client grief, adeptness with client anger, and discomfort with reactions of family and spouses. Postintervention analysis indicated significant staff changes in a relationality orientation, specifically improvements in outreach to homosexual and heterosexual family care partners, and support for sexual orientation and intimacy expression. No improvements were demonstrated in grief support.
  
  
  CONCLUSIONS
  Emotion work has yet to be the focus of initiatives to improve neurorehabilitative care. Our findings suggest the dramatic arts are well positioned to improve therapeutic emotion work and effect cultures of best practice. Recommendations are made for interprofessional educational initiatives to improve responses to client grief and potential intimate partner violence.
authors.affiliation: Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada pia.kontos@uhn.ca.
authors.forename: Pia
authors.initials: P
authors.lastname: Kontos
authors.affiliation: Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Karen-Lee
authors.initials: KL
authors.lastname: Miller
authors.affiliation: Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.
authors.forename: Angela
authors.initials: A
authors.lastname: Colantonio
authors.affiliation: Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Department of Physical Therapy at the University of Toronto, Toronto, Ontario, Canada.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Cott
keywords: client-centered care; dementia; interprofessional education; intimate partner violence; relationality; sexual orientation
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