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Neurol Rehabil 2015; 21 (6): 347-352 SCHWERPUNKTTHEMA
The narrative hinge between the neurology and the psychology of neurotraumatic responses
M. I. Medved1,2, J. Brockmeier2
1 Departments of Psychology and Psychiatry, University of Manitoba, Canada
2 Department of Psychology, American University of Paris
Abstract
In recent years, Goldstein’s neuropsychological approach to brain trauma has enjoyed a renaissance. One rehabilitation topic grounded in his work is how people come to terms with traumatic reactions following brain injuries. The new interest in Goldstein’s ideas stems from a growing appreciation of his clinical vision, one that holistically integrates the neurological and psychological sides of neurotraumatic responses. In this paper, we suggest that narrative is a hinge binding these two sides. The narrativization of the experience of cerebral damage is particularly difficult due to the breakdown of many narrative functions themselves, which can result in traumatic reactions like those Goldstein called catastrophic. We discuss neurotrauma narratives in terms of five specific (dys)functions: coherence, distancing, evaluation, communication, and exploration. Interventions that bolster narrative functioning and support the restorying of traumatic experiences are increasingly recognized for use in brain rehabilitation and treatment programs.
Keywords: catastrophic reaction, Kurt Goldstein, narrative, trauma
© Hippocampus Verlag 2015
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