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Minding Behavior
Challenges in adults after brain injury
By Harvey Jacobs ~ 2005
Introduction
Many people talk about “behavior problems” after brain injury. Sometimes the person with the brain injury complains of feeling anxious, depressed, or frustrated. Often somebody else recognizes the problem. For example, a wife feels that her husband is more moody than before his injury. A supervisor notes that a worker no longer follows through on orders. Friends learn that they can’t disagree with Ralph anymore because he loses his temper.
Problems often occur when a person is not aware of or has trouble monitoring behavior. For example, the person may take over a conversation, continue telling jokes that others find offensive, or mistake an innocent gaze as an invitation for flirtation. The kitchen may be a mess after a “cooking episode” because the person got frustrated that the cake did not rise, and went to pieces when an ingredient wasn’t on hand, or did not clean up afterwards being “unaware” of the mess.
It is too easy to simply blame the brain injury. There are many other factors to consider, including:
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what the person was like before the brain injury
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current skills and abilities
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what is now expected of the person
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the daily living environment
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resources and supports in the person’s life
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behavior of other people, and
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normal changes over the lifespan.
Brain injury may change a person’s life, but it should never define a person’s life!
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