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RATIONAL UNDERSTANDING OF SPINAL CORD INJURY
Rehabilitation, in the broadest sense, combines physical, emotional, cognitive, and spiritual changes. But hospital rehabilitation is primarily a learning process. Alterations or limitations in one’s ability to perform once mastered tasks – dressing, walking, eating and socializing – require the learning of new ways. Adopting a student’s approach to rehabilitation can help you view each “problem” or “loss” as a mystery to be worked out or a blank page to be filled with your own imagination and ingenuity. Observing, trying new approaches, and getting positive results are a rewarding process. Not only does it keep you from drowning in misery, but it focuses your attention on the creative process of rebuilding your life.
Journalist John Hockenberry’s description of his own encounter with rehabilitation emphasizes the intellectual challenge of problem-solving: “my body now presented an intriguing puzzle of great depth and texture . . . The future seemed like an adventure on some frontier of physical possibilities. Each problem – getting up, rolling over, balancing in a chair, getting from here to there – needed a new solution. I was physically an infant endowed with the mind of an adult . . . Solving each problem offered a personal authorship to experience that had never before seemed possible.”
The benefits of an individualized problem-solving model in rehabilitation have been described by physiatrists (specialists in physical medicine and rehabilitation). Through independent thinking, self-directed behavior, and experimentation, persons with spinal cord injury can regain a healthy sense of personal effectiveness and develop solutions that are tailor-made to their environment, activity preferences, and other individual needs.
A rational approach to recovery shifts your focus away from the questions of “Why?” toward the issue of “How?” It helps you to limit your handicaps by finding ways of changing the environment or making use of devices that compensate for your disabilities. When you ask yourself, first, “What do I want/need to do?” and then, “How can I get it done?” you’ll find practical solutions specific to your situation. Setting goals and inventing or discovering ways to meet them gives a sense of direction, purpose, and personal effectiveness. The ends become more important than the different means by which you achieve them. “Please don’t say that I’m . . . ‘confined to a wheelchair,’” says Ralf Hotchkiss, a designer of wheelchairs who is paraplegic. “I’ve been liberated by a wheelchair.” This sentiment applies equally well to other assistive devices, to personal care assistants, to structural or organizational, modifications at your workplace, and so on. As you gain a rational understanding of your spinal cord injury, meaning and purpose will emerge: you discover what works for you, what makes you more functional, and what lets you reach your goals.
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