Changes to Family Dynamics When Living With Invisible Symptoms of Acquired Brain Injury

Abstract

The purpose of this thesis is to explore the changes to family dynamics that result from invisible symptoms of acquired brain injury The perspective put forth is that of individuals living with invisible symptoms of acquired brain injury. This study is based on a thematic analysis of the findings from nine semi-structured interviews with individuals (aged 24-64 yrs.; 6 men, 3 women) who have been formally diagnosed with an acquired brain injury. The data is interpreted and discussed using a critical framework, specifically, Critical Disability Theory. The findings from this analysis illustrate how invisible symptoms such as cognitive impairments, memory loss, mood changes etc., of acquired brain injury affect family dynamics in relation to emotional roles, domestic roles, financial roles, and perception and treatment of the affected individual. These changes were either exacerbated or minimized by the assumptions, misconceptions and knowledge level of the individual’s family in relation to understanding brain injury and the ways in which disability can manifest. Also important to family relations are the perceptions of participants that they must prove that they do have a disability; the roles healthcare professionals play in the validation of the injuries, both to the individual and the family; and how powerfully dominant constructions of disability – and invisible acquired brain injury in particular – are ingrained in social discourse and impact upon family dynamics for people living with invisible acquired brain injury. Lastly, an important part of this research is a compilation of recommendations put forth by the participants for healthcare professionals to keep in mind when working with individuals who either are suspected of having or have an acquired brain injury.