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Cited by 126Stroke Rehabilitation and RecoveryTraumatic Brain Injury ResearchMedical Practices and Rehabilitation

The DOI matches its Crossref record; 52 of the 54 references it cites were found in a registry or an index.

The Cognitive, Emotional, and Social Sequelae of Stroke: Psychological and Ethical Concerns in Post-Stroke Adaptation

Mukherjee, Debjani, Levin, Rebecca L., Heller, Wendy·2006·Topics in Stroke Rehabilitation
DOI 10.1310/tsr1304-26
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Abstract

In the clinical domain, ethical analyses involve examination of complex individual responses, psychological processes, and social context. Psychological aspects of stroke adaptation include the risk for depression and anxiety, changes in identity and personality processes, and potential for social isolation. Depression and anxiety are heterogeneous constructs and can affect individuals' emotional functioning and cognitive abilities. Executive function, self-agency, and volition may be affected. Alterations in identity and personality may also result from the interaction of fluctuating emotional, cognitive, and physical abilities as well as from changes in social context and family dynamics. Social isolation, or lack of access to social contact or resources, can be a consequence of difficulties in cognitive and emotional function that influence interpersonal relationships, changes in social roles, communication difficulties, and challenges in transportation and employment. Social stigma and marginalization also contribute to isolation. The authors describe these psychological phenomena in the context of brain damage and recovery and raise ethical concerns including impact on decision-making capacity, pre- and postinjury selves and interests, and the social milieu in which strokes are experienced.

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Crossref · 10.1310/tsr1304-26

Cites

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Citations

Cites

Show all 54 references

Research works printed but not linked: 15

  1. 2002, Self-Determination Framework for People with Psychiatric Disabilities
  2. Heller W, 1997, Cognition Emotion, 11, 638
  3. Levin RL, Cognit Ther Res
  4. Banich MT, 1992, I Neuropsychol Neuropsychiatry Behav Neurol, 5, 20
  5. Grace J, 2002, Frontal Systems Behavior ScaleTM
  6. Roth RM, 2005, Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A). Odessa
  7. Heller W, 2003, Brain Inj Source, 6, 30
  8. Stewart JE, 2000, Dissertation Abstracts International, 63, 5538
  9. Heller W, I Rehabil
  10. Gordon RM, 1999, Treatment Resource, 45
  11. 10.1037/0090-5550.46.1.82 · DOI
  12. Magasi S, 2004, Dis Studies Q, 24
  13. 10.1001/jama.1995.03530200027032 · DOI
  14. Parfit D, 1984, Reasons and Persons
  15. Gerhart KA, 1994, Ann Intern Med, 23, 807

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Metadata

Authors
Mukherjee, D., Levin, R. L., & Heller, W.
Affiliations
  • Northwestern University (US)
  • University of Illinois Urbana-Champaign (US)
ORCID
Venue
Topics in Stroke Rehabilitation
Publisher
Informa UK Limited
Published
2006-10
Volume
13
Issue
4
Pages
26-35
ISSN
  • 1074-9357 (ISSN-L)
  • 1945-5119
DOI
10.1310/tsr1304-26
OpenAlex
W2060791700
Cited by
126
References
54
Citations by year
2026: 7 · 2025: 7 · 2024: 10 · 2023: 13 · 2022: 8 · 2021: 4 · 2020: 11 · 2019: 7 · 2018: 4 · 2017: 7 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 7
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Locations
  • Topics in Stroke Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
stroke, depression, anxiety, executive function, self-agency, volition, personal transformation, personality change, social isolation, social stigma, marginalization, decision-making capacity, family dynamics, ethical considerations, psychological sequelae
MeSH terms
Mental Disorders, Humans, Personality, Social Isolation, Mental Competency, Stroke, Ethics, Clinical

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