Constructing robust selves after brain injury: positive identity work among members of a female self-help group

ABSTRACT

Despite common experiences of identity damage, decline, and deterioration, many brain injury survivors succeed in reconstructing robust identities in the wake of injury. Yet, while this accomplishment greatly benefits survivors’ quality of life, little is known about how positive identity work might be facilitated or enhanced in therapeutic institutions. Drawing on data from a women’s self-help group, we argue that an egalitarian, reflective, strength-focused, and gender-segregated environment can provide female ABI (acquired brain injury) survivors with a fertile scene for identity enhancement and offer unique opportunities for collective identity development. Sociolinguistic interactional analysis revealed four types of positive identity work undertaken within the group: constructing competent selves; tempering the threat of loss and impairment; resisting infantilisation and delegitimisation; and asserting a collective gender identity. This identity work was facilitated by specific programme attributes and activities and contributed to the global project of decentring disability and destigmatising impairments and losses. We call for increased attention to identity issues in brain injury rehabilitation and argue that gender-segregated programming can provide a unique space for female survivors to construct empowering individual and collective identities after injury.

KEYWORDS:

• Self
• identity work
• brain injury
• female
• gender-specific interventions

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes

1 For a full description of the women’s self-help group, see Gelech et al. (2014).

2 Of course, it is reasonable to assume that such comparative processes also have the capacity to negatively impact the self-image of those who find themselves disadvantaged in various ways relative to their peers. This possibility warrants greater attention in future research.