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Using stroke to explore the Life Thread Model: an alternative approach to rehabilitation

Using stroke to explore the Life Thread Model: an alternative approach to rehabilitation
Using stroke to explore the Life Thread Model: an alternative approach to rehabilitation
The purpose of this paper is to introduce the Life Thread Model, which incorporates established psychological and social theory related to identity change following an acquired disability. It is supported by a growing body of empirical evidence and can be used to broaden our understanding of service provision in rehabilitation. We suggest that a limited appreciation of social and psychological processes underpinning rehabilitation has led to different agendas for patients and professionals, lack of recognition of power relationships, negative views of disability, and insufficient professional knowledge about the management of emotional responses. The Life Thread Model, based on narrative theory and focusing on interpersonal relationships, has been developed following ten years of empirical research. Using the model, the balance of power between professionals and patients can be recognized. We suggest that positive emotional responses can be supported through (a) endorsing a positive view of self, (b) 'being' with somebody as well as 'doing' things for them; and (c) seeing acquired disability as a time of transition rather than simply of loss. This model highlights the usually hidden social processes which underpin clinical practice in acquired disability. Recognition of the importance of discursive as well as physical strategies widens the possibilities for intervention and treatment.
0963-8288
150-159
Ellis-Hill, Caroline
8869242e-5047-4127-a63e-00858ff5a993
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc
Ward, Christopher
c5061210-240b-4388-a34f-734554224212
Ellis-Hill, Caroline
8869242e-5047-4127-a63e-00858ff5a993
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc
Ward, Christopher
c5061210-240b-4388-a34f-734554224212

Ellis-Hill, Caroline, Payne, Sheila and Ward, Christopher (2008) Using stroke to explore the Life Thread Model: an alternative approach to rehabilitation. Disability and Rehabilitation, 30 (2), 150-159. (doi:10.1080/09638280701195462).

Record type: Article

Abstract

The purpose of this paper is to introduce the Life Thread Model, which incorporates established psychological and social theory related to identity change following an acquired disability. It is supported by a growing body of empirical evidence and can be used to broaden our understanding of service provision in rehabilitation. We suggest that a limited appreciation of social and psychological processes underpinning rehabilitation has led to different agendas for patients and professionals, lack of recognition of power relationships, negative views of disability, and insufficient professional knowledge about the management of emotional responses. The Life Thread Model, based on narrative theory and focusing on interpersonal relationships, has been developed following ten years of empirical research. Using the model, the balance of power between professionals and patients can be recognized. We suggest that positive emotional responses can be supported through (a) endorsing a positive view of self, (b) 'being' with somebody as well as 'doing' things for them; and (c) seeing acquired disability as a time of transition rather than simply of loss. This model highlights the usually hidden social processes which underpin clinical practice in acquired disability. Recognition of the importance of discursive as well as physical strategies widens the possibilities for intervention and treatment.

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Published date: 2008

Identifiers

Local EPrints ID: 72483
URI: https://eprints.soton.ac.uk/id/eprint/72483
ISSN: 0963-8288
PURE UUID: b9d506a9-96fd-469c-b8c6-a8c386ebe4de

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Date deposited: 16 Feb 2010
Last modified: 19 Jul 2019 23:43

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Contributors

Author: Caroline Ellis-Hill
Author: Sheila Payne
Author: Christopher Ward

University divisions

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