This thesis explores the presence of paranoid ideation after Traumatic Brain Injury (TBI). Personality change following brain injury is a common theme within the literature. Paranoid thinking may be part of this sequelae of post-injury changes. However, little attention has been given in exploring the factors that may be related to post- TBI paranoid ideation. This is in contrast to the heavy focus on the literature relating to cognitive impairment and its management after TBI. This thesis consists of three components. The first paper reviews and critiques the recent literature relating to the application of psychotherapeutic approaches for emotional difficulties following TBI. The review suggests that there is a paucity of robustly designed evaluations of psychotherapy post-TB I. Furthermore, the use of CBT based approaches outweighs psychotherapies of other theoretical modalities. Some positive findings are reported for a range of psychotherapies. The second, empirical, paper reports on the exploration of factors relating to the presence of paranoid ideation post injury. Between group comparisons are made between a group of TBI participants who reported relatively high levels of paranoid ideation and a group of TBI participants who reported relatively low levels of paranoid ideation. The high paranoid group were found to have significantly poorer self esteem, an external locus of control and were more self-aware. Finally, the third paper discusses the wider implications of paranoid ideation post-TBI focusing on future research and theory development. It also describes the potential role of psychotherapeutic approaches in managing paranoid ideation for individuals with TBI.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:573117 |
| Date | January 2012 |
| Creators | Kinsella, Peter James |
| Publisher | Bangor University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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