联系:故事而不是统计数据

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY Brain Impairment Pub Date : 2022-02-11 DOI:10.1017/BrImp.2021.37
C. Rixon
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Within the journal, I have read the work of many researchers on this topic; fancy-pants people with lots of degrees, who know a lot about brain injury. I am not a researcher; I am not an academic. I am a stroke survivor, a storyteller and a community mobiliser with firsthand experience of empowerment built through story-sharing. Sharing (and listening to) stories is important, but the challenge for health professionals is to use these stories to improve their practice and the experiences for survivors. Through their research, Tevendale and Armstrong (2015) found that when survivors shared their stories with health professionals, it improved the health professionals’ understanding of issues affecting people with lived experience and helped to refocus their beliefs of what mattered most in assisting people living with brain injury. Stories invite an emotional response and offer a narrative that likely differs from the patient history engaged by some health professionals. 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引用次数: 1

摘要

当卫生专业人员和系统将脑损伤幸存者的症状和“幸存者叙述”减少到孤立行业时,他们创造了一个孤立行业,这个行业延续了一种差异和缺陷感,限制了他们寻求帮助的人的潜力。那么,故事是如何破坏这一点的呢?我觉得分享生存故事应该很性感。不要与性混淆,我说的是让脑损伤的生活经历变得美味、相关和可投资。能引起共鸣、理解和兴奋的叙述能消除耻辱,结束孤立。这篇论文从与脑损伤研究一致的价值观中得出了熟悉的主题;倾听有过脑损伤经历的人的故事的重要性。在这本杂志上,我读到了许多研究人员关于这个主题的研究成果;有很多学位,对脑损伤很了解的人。我不是研究人员;我不是学者。我是一名中风幸存者,一个讲故事的人,一个社区动员者,通过分享故事获得了赋权的第一手经验。分享(和倾听)故事很重要,但卫生专业人员面临的挑战是利用这些故事来改善他们的做法和幸存者的经历。通过他们的研究,Tevendale和Armstrong(2015)发现,当幸存者与卫生专业人员分享他们的故事时,它提高了卫生专业人员对影响有生活经验的人的问题的理解,并有助于重新关注他们在帮助脑损伤患者方面最重要的信念。故事会引起情绪反应,并提供一种可能不同于一些卫生专业人员所从事的患者病史的叙述。这项工作是试图用我早期的故事来关注在康复过程中可能发生的脱节。通过分享这些,我希望开启一场对话,讨论有过脑损伤生活经历的人所遭受的孤立,以及卫生专业人员、政策制定者和系统是如何促成这种孤立的。我想创造一个足够响亮的对话,激励你停下来,反思你在建立一个更紧密的康复之旅中可以发挥的作用。让我们建立更紧密的联系;它是通过故事而不是数据建立起来的。我们使用的修辞和我们采用的家长式方法减少了幸存者的残疾;剥夺参与能力会导致更多的孤立,并增加心理健康问题。我们可以通过以下方式改变这些结果:为同行创造安全的空间,让他们相互联系并增强能力;使用支持性和赋权性的语言;认可有生活经验的人所拥有的智慧;我知道这一点,因为我生活在其中,这是我过去13年的旅程。一些最令人压抑的互动阻止了我的康复之旅,涉及到我的医疗团队成员,尤其是那些照顾我声音的人。我的声音是我自我表达的主要工具:唱歌。唱歌是我逃避和自我安慰的源泉。它是我经济上和精神上的货币。这就是我。然而,我的脑损伤和挽救生命的插管导致单侧声带瘫痪,我的声音被切断了。
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Connection: stories not statistics
When health professionals and systems reduce people who survive brain injury to their symptoms and “survivor narratives” they create The Isolation Industry an industry that perpetuates a feeling of difference and deficit that caps the potential of those who they seek to help. So, how might stories disrupt this? I think the sharing of survival stories should be sexy. Not to be confused with sexual I’m talking about making lived experiences of brain injury palatable, relatable and investible. Narratives that evoke empathy, understanding and excitement eliminate stigma and end isolation. This paper holds familiar themes drawn from values consistent with research found in Brain Impairment; the importance of listening to the stories of people with lived experience of brain injury. Within the journal, I have read the work of many researchers on this topic; fancy-pants people with lots of degrees, who know a lot about brain injury. I am not a researcher; I am not an academic. I am a stroke survivor, a storyteller and a community mobiliser with firsthand experience of empowerment built through story-sharing. Sharing (and listening to) stories is important, but the challenge for health professionals is to use these stories to improve their practice and the experiences for survivors. Through their research, Tevendale and Armstrong (2015) found that when survivors shared their stories with health professionals, it improved the health professionals’ understanding of issues affecting people with lived experience and helped to refocus their beliefs of what mattered most in assisting people living with brain injury. Stories invite an emotional response and offer a narrative that likely differs from the patient history engaged by some health professionals. This work is an attempt to use my early stories to cast a spotlight on the disconnection that can occur in the rehabilitation process. By sharing these, I hope to start a conversation about the isolation that occurs for people with living experience of brain injury and how health professionals, policymakers and the system contribute to this. I want to create a dialogue loud enough to inspire you to pause and reflect on the part you could play in building a more connected rehab journey. Let us create a stronger connection; one built through stories, not statistics. The rhetoric we use and the paternalistic approach we engage reduces survivors to their disability; disempowering engagement leads to more isolation and increases mental health problems. We can change these outcomes by creating safe spaces for peers to connect and build capacity, using supportive and empowering language, recognising the wisdom people with lived experience hold, and by making collaboration, not compliance, an industry standard. I know this because I live it and it has been my journey for the past 13 years. Some of the most oppressive interactions that halted my recovery journey involved members of my healthcare team, particularly those looking after my voice. My voice was my primary vehicle for self-expression: singing. Singing was my source of escape and self-soothing. It was my financial and spiritual currency. It was who I was. However, my brain injury and lifesaving intubation resulted in unilateral vocal fold paralysis and my voice was cut off.
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来源期刊
Brain Impairment
Brain Impairment CLINICAL NEUROLOGY-NEUROSCIENCES
CiteScore
1.10
自引率
0.00%
发文量
30
审稿时长
>12 weeks
期刊介绍: The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.
期刊最新文献
Feasibility of accelerometry in a self-directed upper limb activity program of a subacute setting with stroke survivors. Health literacy after traumatic brain injury: characterisation and control comparison. Perceptions and experiences of health professionals when supporting adults with stroke to engage in physical activity. Editorial: Clinical implementation to optimise outcomes for people with brain conditions. The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen.
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