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Meaning Making in the Aftermath of a Spinal Cord Injury

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Abstract

Spinal cord injury (SCI) is an example of an acute life-changing event. Meaning making is an important part of the lived experience and the adjustment process following SCI. In this chapter, we introduce the meaning-making model and its two overarching components, global meaning and situational meaning. Using the model as the frame of reference, we then provide an overview on the role of global beliefs, goals, and sense of purpose in the aftermath of SCI (global meaning). We further elucidate the current state of knowledge regarding cognitive appraisals, distinct factors of the meaning-making process such as coping, as well as potential meanings made by individuals with SCI (situational meaning). Open issues in the study of the meaning-making model and its domains will be identified next. We then discuss the efficacy of the psychosocial interventions that have been adopted in the SCI rehabilitation context. We will then expand our view and present interventions that have been tested in other populations. Finally, we suggest directions for future research and provide summary points.

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Authors and Affiliations

  1. Environment, Participation and Social Integration Unit, Swiss Paraplegic Research (SPF), Guido A. Zäch-Strasse 4, 6207, Nottwil, Switzerland

    Peter Claudio Ph.D. & Simon Kunz M.Sc.

  2. Department of Health Sciences and Health Policy, University of Lucerne, Frohburgstrasse 3, 6002, Lucerne, Switzerland

    Peter Claudio Ph.D. & Simon Kunz M.Sc.

  3. Swiss Paraplegic Center (SPZ), Guido A. Zäch-Strasse 1, 6207, Nottwil, Switzerland

    Andreas Hegi lic. phil.

  4. Spinal Cord Injury Center, Balgrist University Hospital, Forchstrasse 340, 8008, Zürich, Switzerland

    Daniel Stirnimann M.Sc.

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  1. Peter Claudio Ph.D.
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  2. Simon Kunz M.Sc.
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  3. Andreas Hegi lic. phil.
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  4. Daniel Stirnimann M.Sc.
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Correspondence to Peter Claudio Ph.D. .

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Editors and Affiliations

  1. Department of Counseling and Human Development, University of Haifa, Haifa, Israel

    Pninit Russo-Netzer

  2. Department of Psychology Clinical-Disaster Research Center (UM-CDRC), University of Mississippi, University, Mississippi, USA

    Stefan E. Schulenberg

  3. International Academy of Philosophy, University in the Principality of Liechtenstein, Vienna, Austria

    Alexander Batthyany

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Claudio, P., Kunz, S., Hegi, A., Stirnimann, D. (2016). Meaning Making in the Aftermath of a Spinal Cord Injury. In: Russo-Netzer, P., Schulenberg, S., Batthyany, A. (eds) Clinical Perspectives on Meaning. Springer, Cham. https://doi.org/10.1007/978-3-319-41397-6_13

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