Harvey, Jordan Karl;
(2022)
How do people with brain injury understand the interaction between mind, brain, self and injury?
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
This thesis explores the conceptual models adults with acquired brain injury (ABI) use to understand changes following injury, particularly those reflecting the relationships between mind, brain and self. Part one is a conceptual introduction on how philosophical perspectives impact clinical models and clinicians’ understandings in this area. Research into the self was also outlined indicating how adults with ABI understand changes. Biopsychosocial models were presented to demonstrate holistic understandings before an argument for the inclusion of service user accounts in our understandings. This paper concludes that there is a dearth of research exploring the conceptualisations adults with ABI use to understand changes, particularly regarding relationships between mind, brain and self. Part two is a qualitative empirical paper exploring the conceptual models adults with ABI use to understand changes following injury. This was conducted jointly with Alice Chesterfield, although we have separate thesis with separate populations. Semi-structured interviews were conducted with 15 participants with ABI. Grounded theory guided the analysis. Results indicated that participants generally centred their brain injury, within a more holistic understanding, to understand changes. Changes in the self and the mind were indicated following brain injury and were generally attributed to ABI. Furthermore, these understandings were sometimes incomplete or indescribable. The clinical implications are outlined regarding how we should speak with adults with ABI about changes. Part three is a reflective paper which critically appraises the process of conducting the research with regards to my assumptions, considerations of conducting research with adults with ABI and outsider research.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | How do people with brain injury understand the interaction between mind, brain, self and injury? |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2022. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10156654 |
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