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Narcissistic injury in patients with traumatic brain injury

This article will amalgamate the theoretical input of self psychology as proposed by H. Kohut with a current model of rehabilitation of patients with documented brain injury. The juxtaposition of this theoretical framework with the catastrophic reactions experienced by neurologically impaired individuals can facilitate a better appreciation of the effects of narcissistic injury on self-esteem. It is proposed that Individuals with a history of narcissistic problems that predate acquired brain injury show a course of recovery marked by intensified problems with accepting and coping with the effects of the brain injury. They also show a less positive outcome related to problems with realistic vocational/academic planning.