Using narrative therapy to improve self-continuity and relationship continuity in couples after a brain injury

Gajewska, Urszula (2023). Using narrative therapy to improve self-continuity and relationship continuity in couples after a brain injury. University of Birmingham. Clin.Psy.D.

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Abstract

This thesis focused on couples therapy for couples with one partner who survived a brain injury. It consists of a scoping review, an empirical paper, and two press releases.

The scoping review outlines the current state of the literature on interventions made available to couples following a brain injury. It focused on publications which aim to improve an aspect of the couple’s relationship, rather than the general coping of individual partners. The review found that while interest in this area is increasing, there is an overall lack of robust research. The findings discuss how research could improve, including by ensuring that the relational aspect to be targeted is clearly outlined and measured appropriately.

The empirical paper describes a case series where three couples were offered ten structured sessions of narrative therapy, adapted specifically to target the self-continuity of the injured partner and relationship continuity of the uninjured partner. The paper details the contents of the interventions and the reasons for their inclusion. Findings are then presented for each couple on how the intervention impacted their continuity and associated concepts such as self-esteem, relationship satisfaction, and wellbeing. Overall, the intervention showed positive results for injured partners who struggled with self-identity. Uninjured partners showed at least some improvement in relationship continuity and most benefitted in associated wellbeing and relationship satisfaction.

The press releases provide accessible summaries of both papers.

Type of Work: Thesis (Doctorates > Clin.Psy.D.)
Award Type: Doctorates > Clin.Psy.D.
Supervisor(s):
Supervisor(s)EmailORCID
Riley, GerardUNSPECIFIEDUNSPECIFIED
Licence: Creative Commons: Attribution-Noncommercial 4.0
College/Faculty: Colleges (2008 onwards) > College of Life & Environmental Sciences
School or Department: School of Psychology
Funders: None/not applicable
Subjects: B Philosophy. Psychology. Religion > BF Psychology
URI: http://etheses.bham.ac.uk/id/eprint/14195

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