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Nycklar till Kommunikation: Kommunikation mellan vuxna personer med grav förvärvad hjärnskada och personernas närstående, anhöriga och personal
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
2007 (Swedish)Doctoral thesis, monograph (Other academic)Alternative title
Keys to Communication : Communication between persons with severe acquired brain damage and their caregivers, relatives and personnel (English)
Abstract [sv]

Studien fokuserar kommunikation mellan vuxna personer med grav förvärvad hjärnskada och deras närstående. Syftet är att med utgångspunkt från de närståendes berättelser beskriva hur kommunikationen manifesteras, samt att ge en teoretisk beskrivning av vilka faktorer som understödjer respektive motverkar kommunikationen. Elva gravt hjärnskadade personer ingår i studien. Orsaken till hjärnskadan är stroke, traumatisk hjärnskada eller syrebristskada. Personernas ålder varierar från 16 till 64 år vid skadetillfället. Samtliga har som en följd av hjärnskadan grava språkstörningar och kognitiva funktionshinder. Datamaterialet baseras på intervjuer och videofilm. Den teoretiska utgångspunkten är symbolisk interaktionism och den metod som används är grundad teori.

Resultatet presenteras i en empiriskt grundad teoretisk modell för hur kommunikation hos studiens aktörer manifesteras. Kommunikationsmodellen innehåller kärnprocessen, kommunikationsnycklar. De öppnande nycklarna består av inledande och vidmakthållande faktorer, samt av den betryggande faktorn. Den senare får stor betydelse, utan den kommer inte kommunikationen till stånd. Resultatet diskuteras i förhållande till sociala kommunikationsteorier och begreppet kommunikativ kompetens. Teorin förväntas ge de närstående stöd i hur de förhåller sig i mötet med en person som har ett kommunikativt funktionshinder.

Abstract [en]

This study focuses on communication between adults with severe acquired brain damage and persons close to them. The purpose of the study is to describe, on the basis of accounts given by caregivers, the caregivers are referred to as relatives and personnel, how communication is manifested and to provide a theoretical description of the factors that facilitate or hinder communication. Eleven persons with severe brain damage are included in the study along with their caregivers. The brain damage has been caused by stroke, traumatic brain injury or lack of oxygen and in all cases has resulted in severe language impairment and cognitive disabilities. Age at time of injury varies from 16 to 64 years. The empirical material consists of interviews and video film. The theoretical framework applied is Symbolic Interactionism and the method used is Grounded Theory.

The results are presented in the form of an empirically grounded theoretical model of how communication is manifested in the context of the study. This model comprises the core process and the communication keys. The keys are the introductory and maintaining factors as well as the confidence factor. The confidence factor has great significance; without it, communication cannot be established. The results are discussed in relation to theories of social communication and the term communicative ability. It is expected that application of the theory can make it easier for caregivers to interact with persons with severe communicative disability.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2007. , 183 + bilagor 1-7 p.
Series
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 380Studies from the Swedish Institute for Disability Research, ISSN 1650-1128 ; 21
Keyword [en]
Communication, social interaction, communicative impairment, communicative ability, acquired severe brain damage, global aphasia, language impairment, friends and family, caregivers
Keyword [sv]
kommunikation, social interaktion, kommunikationsstörning, kommunikativ kompetens, förvärvad grav hjärnskada, global afasi, språkstörning, anhöriga, personal
National Category
Social Work
Identifiers
URN: urn:nbn:se:liu:diva-8418ISBN: 978-91-85715-88-6 (print)OAI: oai:DiVA.org:liu-8418DiVA: diva2:23209
Public defence
2007-03-15, Sal 101, Hus E, Campus Valla, Linköpings universitet, Linköping, 13:00 (English)
Opponent
Supervisors
Available from: 2007-02-26 Created: 2007-02-26 Last updated: 2014-09-12Bibliographically approved

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Käcker, Pia

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Citation style
  • apa
  • harvard1
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  • Other style
More styles
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  • de-DE
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  • sv-SE
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