Masculine Identity and Traumatic Brain Injury
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Men are twice as likely to experience a traumatic brain injury (TBI) as women (Cassidy et al. in Journal of Rehabilitation Medicine 36: 28–60, 2004). This difference indicates that aspects of masculinity whether biological, psychological or social contribute to how people acquire brain injuries. Research also suggests that the experience of illness and disability are affected by a person’s identity and this means that men will experience TBI differently from women because of gender identity in its biological, psychological and social aspects. TBI can result in changes to capacities such as strength, autonomy and independence. These capacities also relate to the expression of masculine identity and this means that an individual’s personal sense of masculine identity will also play a major role in the process of adjustment, recovery and rehabilitation. This chapter reviews the experience of men in relation to their day-to-day life, social roles and rehabilitation following TBI. As the rehabilitation process includes helping individuals with their sense of identity and self, the implications arising from research in relation to improving engagement and outcomes for men in neuropsychological therapy and rehabilitation are also considered.
KeywordsTraumatic brain injury Masculine identity Neurorehabilitation Adjustment
- Ashworth, F. (2014). Soothing the injured brain with a compassionate mind: Building the case for compassion focused therapy following acquired brain injury. Neuro-Disability and Psychotherapy, 2(1–2), 41–79.Google Scholar
- Brewin, J., & Lewis, P. (2001). Patients’ perspectives of cognitive deficits after head injury. British Journal of Therapy and Rehabilitation, 8(6), 218–227.Google Scholar
- Cassidy, J., Carroll, L., Peloso, P., Borg, J., Von Holst, H., Holm, L., et al. (2004). Incidence, risk factors and prevention of mild traumatic brain injury: Results of the WHO collaborating centre task force on mild traumatic brain injury. Journal of Rehabilitation Medicine, 36, 28–60. https://doi.org/10.1080/16501960410023732.Google Scholar
- Colantonio, A., Harris, E., Ratcliff, G., Chase, S., & Ellis, K. (2010). Gender differences in self-reported long term outcomes following moderate to severe traumatic brain injury. BMC Neurology, 10. https://doi.org/10.1186/1471-2377-10-102.
- Evans-Roberts, C., Weatherhead, S., & Vaughan, F. (2014). Working with families following brain injury. Revista Chilena de Neuropsicología, 9(1), 21–30.Google Scholar
- Gerschick, T., & Miller, A. (1994). Gender identities at the crossroads of masculinity and physical disability. Masculinities, 2, 34–35.Google Scholar
- Good, G., Schopp, L., Thomson, D., Hathaway, S., Sanford-Martens, T., Mazurek, M., et al. (2006). Masculine roles and rehabilitation outcomes among men recovering from serious injuries. Psychology of Men & Masculinity, 7(3), 165.Google Scholar
- Good, G., Schopp, L., Thomson, D., Hathaway, S., Mazurek, M., & Sanford-Martens, T. (2008). Men with serious injuries: Relations among masculinity, age, and alcohol use. Rehabilitation Psychology, 53(1), 39–46.Google Scholar
- Hayes, S., Strosahl, K., & Wilson, K. (2011). Acceptance and commitment therapy: The process and practice of mindful change. New York and London: Guilford Press.Google Scholar
- Headway. (2014). Key facts and statistics. Retrieved August 28, 2015, from https://www.headway.org.uk/key-facts-and-statistics.aspx.
- Health and Safety Executive. (2017). Fatal injuries arising from accidents at work in Great Britain 2017. Retreived from www.hse.gov.uk/statistics/fatals.htm.
- Hutchinson, S., & Kleiber, D. (2000). Heroic masculinity following spinal cord injury: Implications for therapeutic recreation practice and research. Therapeutic Recreation Journal, 34(1), 42.Google Scholar
- Jones, J., Haslam, S., Jetten, J., Williams, W., Morris, R., & Saroyan, S. (2011). That which doesn’t kill us can make us stronger (and more satisfied with life): The contribution of personal and social changes to well-being after acquired brain injury. Psychology & Health, 26(3), 353–369. https://doi.org/10.1080/08870440903440699.Google Scholar
- Lennon, A., Bramham, J., Carroll, I., Mcelligott, J., Carton, S., Waldron, B., et al. (2014). A qualitative exploration of how individuals reconstruct their sense of self following acquired brain injury in comparison with spinal cord injury. Brain Injury, 28(1), 1362–301. https://doi.org/10.3109/02699052.2013.848378.Google Scholar
- MacQueen, R., Fisher, P., & Williams, D. (2018). A qualitative investigation of masculine identity after traumatic brain injury. Neuropsychological Rehabilitation, 1–17. https://doi.org/10.1080/09602011.2018.1466714.
- Meyers, N. (2012). The effect of traditional masculine gender role adherence on community reintegration following traumatic brain injury in military veterans. Doctoral thesis, American University, Washington, DC.Google Scholar
- Morriss, E., Wright, S., Smith, S., Roser, J., & Kendall, M. (2013). Parenting challenges and needs for fathers following acquired brain injury (ABI) in Queensland, Australia: A preliminary model. Special Issue: Family Support and Adjustment Following Acquired Brain Injury: An International Perspective, 19(2), 119–134. https://doi.org/10.1017/jrc.2013.15.Google Scholar
- Ownsworth, T. (2014). Self-identity after brain injury. Hove: Psychology Press.Google Scholar
- Sander, A., Maestas, K., Pappadis, M., Sherer, M., Hammond, F. M., & Hanks, R., et al. (2012). Sexual functioning 1 year after traumatic brain injury: Findings from a prospective traumatic brain injury model systems collaborative study. Archives of Physical Medicine and Rehabilitation, 93(8), 1331–1337.Google Scholar
- Seel, R., Kreutzer, J., Rosenthal, M., Hammond, F., Corrigan, J., & Black, K. (2003). Depression after traumatic brain injury: A National Institute on Disability and Rehabilitation Research Model Systems multicenter investigation. Archives of Physical Medicine and Rehabilitation, 84(2), 177–184.PubMedGoogle Scholar
- Segal, D. (2010). Exploring the importance of identity following acquired brain injury: A review of the literature. International Journal of Child, Youth and Family Studies, 1(3/4), 293–314.Google Scholar
- Shadden, B. (2005). Aphasia as identity theft: Theory and practice. Aphasiology, 19(3–5), 211–223.Google Scholar
- Stergiou-Kita, M., Mansfield, E., Bezo, R., Colantonio, A., Garritano, E., Lafrance, M., et al. (2015). Danger zone: Men, masculinity and occupational health and safety in high risk occupations. Safety Science, 80, 213–220. https://doi.org/10.1016/j.ssci.2015.07.029.PubMedPubMedCentralGoogle Scholar
- Sullivan, L. (2011). Men, masculinity and male gender role socialisation: Implications for men’s mental health and psychological help seeking behaviour. Doctoral Thesis, Salomons, Canterbury Christ Church University.Google Scholar
- Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. The Lancet, 304(7872), 81–84.Google Scholar
- Tyerman, A. (2009). Facilitating psychological adjustment. In A. Tyerman & N. King (Eds.), Psychological approaches to rehabilitation after traumatic brain injury (pp. 320–347). Oxford, UK: BPS Blackwell.Google Scholar
- United Kingdom Acquired Brain Injury Forum. (2016). About brain injury. Retrieved from http://ukabif.org.uk/data/.
- World Health Organisation. (2006). Neurological disorders: Public health challenges. Retrieved from http://www.who.int/mental_health/neurology/neurodiso/en/.
- Yanos, P., Roe, D., West, M., Smith, S., & Lysaker, P. (2012). Group-based treatment for internalized stigma among persons with severe mental illness: Findings from a randomized controlled trial. Psychological Services, 9(3), 248–258. https://doi.org/10.1037/a0028048.PubMedPubMedCentralGoogle Scholar