IDENTITY DISTURBANCES IN A PATIENT WITH SEVERE TRAUMATIC BRAIN INJURY: A CASE STUDY
Journal Title: Acta Neuropsychologica - Year 2009, Vol 7, Issue 1
Abstract
Background Patients aroused from a long -term coma after severe TBI oftenexhibit identity disorders, which are connected with discontinu-ity of the life story, and in consequence with the existence of two different autobiographies, one before and one after the accident.Material/Methods: The research group included 4 women and 4 men (average age 26.7 years), aroused from a long-term coma (average 67.5 days). The methods used included clinical observation, clinical interview with the patient and his family, and the Multidimensional Identity Assessment Scale.Results: The patients demonstrated little sense of their own identity, with a tendency towards identity diffusion, in consequence of having acquired features of deferred or mirror identity. 7 patients de -monstrated disorders of time awareness, and one patient was fixated in the past. Conclusions: In the case of TBI patients aroused from a long-term coma there can be identity disturbances, including disorders of iden-tity congruence, creating a false identity, and inadequate per-ception of reality, leading to social isolation.
Authors and Affiliations
Aleksandra Błachnio, Mariola Bidzan, Anna Pufal, Beata Łukaszewska
Keywords
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