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Exploring the transformation in occupational identity: Perspectives from brain injury survivors

ABSTRACT Background and Purpose: When life disruptions occur, people's occupational identity shifts to reflect their changed abilities and health. There may also be changes in the range of occupations judged as meaningful. The purpose of this study was to clarify the nature of the process that underpins shifts in occupational identity following a traumatic brain injury (TBI). Data Collection and Analysis: Participants were adults with TBI recruited from a centre for brain injury survivors. Interview data were analyzed through an objectivist grounded theory approach to uncover emergent categories. Findings: The nine participants suggested that the shift in occupational identity was impacted by occupational choices, re-engagement in occupations, and the development of competence. The shift was marked by Facing the Reality of Limitations and Challenges (returning to previous occupations, reflecting on changed abilities or performance), Grappling with Negative Labels (encountering labels and walls, discontinuing occupations), and Disconnecting from One Sub-Group within Society and into Another (shifting vocational or occupational repertoires). Conclusion: The results are discussed in relation to the influence of contextual factors, occupational adaptation, and the implications for occupational science.