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SPINAL CORD INJURY: IMAGE AND IDENTITY
As the inpatient rehabilitation stay draws to a close, or perhaps in the period just after leaving the hospital, the overall changes in your image may lead to questions about personality and identity. How can you incorporate new self-perceptions, images, and feelings into the sense of yourself as a unique person? Will your past personality and identity endure, or will this experience change who you are?
For many people, psychological adjustment involves two seemingly contradictor}^ processes: on the one hand, developing an identity as disabled or having a spinal cord injury, and on the other, separating the physical consequences of injury from one’s true or core self. Put another way, adjustment requires making a distinction between the losses associated with the injury and the positive aspects of your personality. In finding a way to “repackage” yourself to incorporate both limitations and strengths, you may also discover some unexpected, positive consequences of the changes brought about by your injury.
The end of inpatient rehabilitation signals the resumption of “real life.” The future must be faced. You may wonder who you are now and who you may become. At first your identity may seem to be in limbo, and you may feel anxious and unsure about how your identity will change. You may need to focus for a time on losses, either by grieving or by simply acknowledging them. By this point it’s probably clear, at least on an intellectual level, that some functions, sensations, or images are permanently lost or changed.
Some people find it helpful to cement the reality of these changes with some sort of practical or ritual action. The sale of a previously prized bicycle that you’ll never ride again, or the move from your “dream house” that has three unmanageable flights of stairs, can become metaphors for saying goodbye to lost abilities. Well-meaning friends or family may urge you to hold onto these possessions longer, “just in case.” But selling the bike or making the move can be both an acknowledgment and a letting go of loss. This type of action can help you move on to new and different activities, to forge a new image based on what you can do rather than what you can’t. Putting your energy into discovering, reviving, or developing your individual strengths and interests will help you develop a new identity, a healthy sense of self-worth and self-esteem, and an attitude of self-acceptance.
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