Severe 
                Brain Injury and the Occupational Therapist
              This web site describes the work done by an Occupational 
                Therapist and a young man with severe brain injury. 
                An account is given of their progress through four simple tasks 
                over a period of a few months, annotated by the later reflections 
                of the practitioner. 
              The diagnosis of this man was severe brain injury, but his dilemma 
                was that he did not know what to do with his life. This dilemma 
                is taken as the starting point for the thesis, using a framework 
                centred on occupation. 
              Rehabilitation is always going to be relevant to the person with 
                brain injury, but it is not possible to frame the whole of life 
                in the context of rehabilitation. There comes a time when it is 
                more appropriate to get on with life, taking the brain injury 
                into account. The brain injury does not go away, which means that 
                support is still necessary, this thesis attempts to describe the 
                different kind of practice which is necessary in this case. 
              The writer is an occupational therapist who was employed by, 
                and directly responsible to, the family of the young man who had 
                the head injury. This was a unique situation which arose from 
                a political and funding context in the mid nineties. The context 
                has changed, but the work described here is still being done by 
                carers and families of people with brain injury.  
                
              Note: all identifying features have been changed in this web 
                site. 
                 
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