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  4. Lessons for spinal cord injury rehabilitation taken from adult developmental psychology: 2011 Essie Morgan Lecture

Lessons for spinal cord injury rehabilitation taken from adult developmental psychology: 2011 Essie Morgan Lecture

The Journal of Spinal Cord Medicine, 2012 · DOI: 10.1179/2045772312Y.0000000006 · Published: January 1, 2012

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

Threats to self, like those from spinal cord injury (SCI/D), can cause either mental health problems or psychological growth. How people deal with these threats depends on where they are in their adult development and their personality. Rehabilitation teams can use ideas from psychology to help people with SCI/D grow personally, work well, and stay healthy as they go through life. Understanding different stages of adult development, as described by thinkers like Erikson, Gutmann, and Baltes, can help professionals tailor treatments to what patients need most.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Author’s theoretical model informed by literature review and personal experience

Key Findings

  • 1
    People with SCI/D may face challenges to their self-image and abilities, which can occur at the time of injury or later with complications.
  • 2
    An individual's interpretation of these threats is influenced by their current developmental needs, which can affect how they cope with their condition.
  • 3
    Interdisciplinary rehabilitation teams can use an integrated model of adult psychological development to help patients achieve personal growth, optimal functioning, and physical health as they navigate normal developmental challenges throughout their lifetimes.

Research Summary

Spinal cord injury/disease (SCI/D) can present multiple threats across the lifespan, challenging self-image, abilities, and life itself. Individuals interpret each of these threats in the context of current developmental needs, and their coping mechanisms are influenced by developmental factors and personality traits. An integrated model of adult psychological development based on the works of Erikson, Gutmann, and Baltes can provide insights for interdisciplinary rehabilitation teams to facilitate personal growth, optimal functioning, and physical health as adults with SCI negotiate normal developmental challenges throughout their lifetimes.

Practical Implications

Tailored Interventions

Understanding adult psychological development allows SCI professionals to tailor interventions to positively impact patient outcomes.

Address Developmental Conflicts

Rehabilitation teams can assess which developmental conflict is most salient to their patient and synchronize rehabilitation and developmental goals.

Maximize Collaboration

Tailoring interventions to the patient's developmental press minimizes resistance, maximizes collaboration, and facilitates optimal outcomes.

Study Limitations

  • 1
    The literature indicates that aging with an SCI/D is more difficult for women.
  • 2
    Adult development is particularly complex because humans become increasingly diverse with age.
  • 3
    Adults develop at varying rates, and sometimes not in the expected order.

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