"Jag har förlorat den jag var" : hur självbilden förändras hos människor med förvärvad hjärnskada
Sammanfattning: Each year about 25 000 people in Sweden contract brain injuries. The aim of my study was to find out how people with an acquired brain injury change their self- consciousness, because of changed relations to the networks. The network was divided into the social network: family and self-chosen relations, and the professional network: Human Service Organizations based upon occupation and characterized by an asymmetric state of power. My primary data were eight in-depth interviews with people suffering from permanent cognitive injuries. My secondary data were the approach of symbolic interactionism, coping theory, the concepts of Human Service Organizations (Hasenfeld) and of power (Foucault). The conclusion of my study was that all braininjured suffered from losses of family relationships, friendships and vocational relations and that all social roles had become asymmetric. The absence of knowledge about the consequences of the injury made it hard to adapt. Furthermore, the braininjured individuals experienced how their self-confidences deteriorated. Thus they had to fight negative self-esteem. Moreover, the relations to the professional network were negative, characterized by feelings of confusion, agony and alienation - a consequence of the fact that the co-ordination of different actions performed by Human Service Organizations had been put on the braininjured themselves. Negative was also a sense of loss of identity, created partly because the HSO held them in disbelief, partly because HSO officials were frequently replaced. Finally, it is obvious that Human Service Organizations create a context in which the braininjured feels even more handicapped and frustrated.
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