Contradictions and conflicts in brain injury rehabilitation. A systematic inquiry into models of rehabilitation

Chalotte Glintborg; Nuri C. Mateu; Kjeld Høgsbro

doi:10.1080/15017419.2016.1182943

Contradictions and conflicts in brain injury rehabilitation. A systematic inquiry into models of rehabilitation

Scandinavian Journal of Disability Research

Volume 18 (2016): Issue 4

By: Chalotte Glintborg, Nuri C. Mateu and Kjeld Høgsbro

Open Access

|May 2016

Abstract

The approach of addressing biology as the sole process to recovery after a brain injury has been criticized since the 1980s. Based on the bio-psycho-social model (BPSM), new national guidelines stipulate that brain injury rehabilitation should be based on dynamic approaches and interactive principles. Proceeding from a Systematic Inquiry into Models for Rehabilitation (SIMREB) and Institutional Ethnography approach, we identify possible contradictions, barriers and conflicts hampering the implementation of the BPSM with reference to basic discourse conflicts within the field of acquired brain injury rehabilitation. We find four main barriers within practice that may hamper the implementation of the new paradigm: institutional premises that sustain biological discourses, difficulty of predicting recovery, lack of interdisciplinary collaboration and a general ignorance regarding the life-world of people with ABI. The analysis is based on fieldwork in a Danish Neuro-Rehabilitation Centre.

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Articles in this issue

DOI: https://doi.org/10.1080/15017419.2016.1182943 | Journal eISSN: 1745-3011

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Language: English

Page range: 369 - 383

Submitted on: Mar 11, 2015

Accepted on: Apr 21, 2016

Published on: May 4, 2016

Published by: Stockholm University Press

In partnership with: Paradigm Publishing Services

Keywords:

Acquired brain injury,

institutional ethnography,

discourse analysis,

rehabilitation,

bio-psycho-social model,

professionals,

disabilities

© 2016 Chalotte Glintborg, Nuri C. Mateu, Kjeld Høgsbro, published by Stockholm University Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 18 (2016): Issue 4