Article
Vishneva Anastasia E. (2016). Features of self-esteem in patients with various speech disorders. National Psychological Journal. 1, 53-61.
Abstract
The paper presents the results of the self-assessment study in patients with aphasia and dysarthria after stroke or traumatic brain injury. All the patients were neurorehabilitation course. Self-esteem is considered as important parameter in the study of the psychological status of patients. This article describes the differences in the quantitative and qualitative parameters of self-esteem in patients with various speech defect (motor aphasia, temporal aphasia, dysarthria). The actual self-esteem is evaluated in the retrospective (before disease) and is compared with the ideal indicators. Self-esteem is studied using three methods that allow to reveal both quantitative and qualitative characteristics of self-esteem.
To obtain a complete picture of self-esteem changing in the disease situation, the actual self-confidence state in the retrospective (to disease) and an ideal self-evaluation are studied. Patients with logaphasia are characterized by low self-esteem in the present and in the ideal plane on a background of retrospective self-esteem. Patients with temporal aphasia showed the opposite picture of self-evaluation at present and in the ideal plane. Violation of the speech expressive aspect is the most debilitating factor which places significant restrictions on such social sectors as career, friendships, physical attractiveness. Restrictions on communicative possibilities in patients with compensated logaphasia first choice of moral and ethical qualities to characterize themselves at the time of illness are observed. Comparing the results of different methods revealed the declared self-esteem (for others) and self-esteem for oneself. The results indicate that the quality of the speech defect is a significant factor in the study of self-esteem.
Accepted: 12/12/2015
Pages: 53-61
DOI: 10.11621/npj.2016.0107
Sections: Psychophysiology;
PDF: Download
Keywords: neurorehabilitation; self-estimation; self-reportble self-esteem; self-esteem for oneself; real-self; ideal-self; social significance of the disease;
Available Online 06.07.2016
|
|
Health |
General State |
Character |
Happiness |
Health |
General State |
Character |
Happiness |
Health |
General State |
Character |
Happiness |
|
Before Disease |
Present |
Ideal I-Image |
||||||||||
|
Dysarthria N-27 |
82.67 |
82.33 |
71.56 |
75.67 |
55.74 |
66.48 |
67.93 |
71.22 |
77.41 |
83.27 |
80.15 |
85.85 |
|
Temporal Aphasia N-30 |
85.80 |
84.23 |
71.66 |
81.61 |
61.87 |
69.87 |
72.55 |
69.00 |
85.93 |
88.23 |
80.34 |
91.41 |
|
Logaphasia N-13 |
89.62 |
91.92 |
82.69 |
81.15 |
61.15 |
62.54 |
70.08 |
56.92 |
80.36 |
77.75 |
80.00 |
72.18 |
Table 1. Average values of self-evaluation in the present, in retrospect, in ideal by Dembo-Rubinstein procedure.
Figure 1. Differences in self-esteem in patients with different neuropsychological diagnosis.
|
|
Before Disease |
Present |
Ideal I- Image |
Before Disease |
Present |
Ideal I- Image |
|
|
Honesty |
Ease of Communication |
||||
|
Dysarthria |
2.55 |
4.05 |
3.41 |
3.95 |
3.23 |
3.14 |
|
Temporal Aphasia |
4.68 |
4.48 |
4.00 |
5.25 |
3.76 |
4.36 |
|
Logaphasia |
3.62 |
6.55 |
5.27 |
5.25 |
2.64 |
5.18 |
|
|
Activeness |
Ability to Attract People |
||||
|
Dysarthria |
4.50 |
3.45 |
4.36 |
2.00 |
2.00 |
1.86 |
|
Temporal Aphasia |
3.00 |
3.12 |
3.68 |
2.78 |
2.24 |
2.60 |
|
Logaphasia |
5.55 |
5.82 |
2.64 |
1.82 |
0.09 |
1.18 |
|
|
Will Power |
Independence of Judgment and Estimates |
||||
|
Dysarthria |
3.32 |
3.91 |
4.68 |
1.68 |
2.14 |
1.73 |
|
Temporal Aphasia |
3.08 |
3.72 |
5.24 |
1.52 |
1.48 |
2.24 |
|
Logaphasia |
5.00 |
6.55 |
4.18 |
1.09 |
0.36 |
1.45 |
|
|
Fairness |
Broadmindedness |
||||
|
Dysarthria |
2.86 |
2.59 |
2.00 |
1.50 |
2.18 |
1.05 |
|
Temporal Aphasia |
3.40 |
4.04 |
2.20 |
1.92 |
1.60 |
1.08 |
|
Logaphasia |
3.74 |
5.27 |
4.00 |
2.09 |
0.82 |
3.09 |
|
|
Self-Criticism |
Creative Approach to Favorite Jobs |
||||
|
Dysarthria |
2.36 |
3.41 |
1.05 |
3.68 |
2.23 |
1.77 |
|
Temporal Aphasia |
1.16 |
1.36 |
0.36 |
2.16 |
1.64 |
2.04 |
|
Logaphasia |
1.45 |
2.27 |
1.36 |
2.64 |
0.73 |
3.00 |
|
|
Advertance |
Optimism |
||||
|
Dysarthria |
1.18 |
2.59 |
2.77 |
2.41 |
3.82 |
1.86 |
|
Temporal Aphasia |
2.32 |
3.08 |
1.92 |
2.68 |
3.96 |
2.48 |
|
Logaphasia |
0.36 |
2.09 |
1.64 |
2.27 |
2.82 |
2.36 |
|
|
Realist Approach |
Organizational Skills |
||||
|
Dysarthria |
1.95 |
4.27 |
1.91 |
2.55 |
1.55 |
2.05 |
|
Temporal Aphasia |
2.48 |
3.64 |
1.28 |
2.00 |
0.60 |
1.61 |
|
Logaphasia |
2.73 |
3.36 |
2.00 |
2.82 |
0.90 |
0.73 |
|
|
Practical Approach |
Physical Perfection |
||||
|
Dysarthria |
2.82 |
2.91 |
1.77 |
2.18 |
0.45 |
3.50 |
|
Temporal Aphasia |
2.76 |
3.08 |
1.60 |
1.60 |
1.32 |
3.24 |
|
Logaphasia |
2.55 |
2.55 |
0.45 |
0.73 |
1.09 |
2.18 |
|
|
Smartness |
Self-Confidence |
||||
|
Dysarthria |
2.95 |
2.75 |
3.36 |
5.32 |
3.73 |
4.64 |
|
Temporal Aphasia |
2.56 |
2.60 |
3.24 |
3.40 |
3.92 |
5.00 |
|
Logaphasia |
3.36 |
2.45 |
2.09 |
4.36 |
3.64 |
5.45 |
|
|
High Overall Culture |
Good Temper |
||||
|
Dysarthria |
0.77 |
1.00 |
2.14 |
2.23 |
1.91 |
4.00 |
|
Temporal Aphasia |
1.44 |
0.88 |
1.88 |
4.36 |
3.64 |
4.48 |
|
Logaphasia |
0.91 |
0.64 |
3.55 |
3.00 |
2.55 |
3.09 |
Table 2. Results of "Ranking of Definitions" method.
|
|
Dysarthria |
Temporal Aphasia |
Logaphasia |
Value |
|
1. Limiting the sense of power and energy. |
3.60 |
3.46 |
3.45 |
Tendency |
|
2. Deteriorating attitude to the sick person in the family. |
3.52 |
3.46 |
4.00 |
Tendency |
|
3.Limiting entertainment. |
6.16 |
5.96 |
5.45 |
Tendency |
|
4. Deteriorating attitude to the sick person at work. |
3.4 |
4.19 |
4.54 |
Tendency |
|
5.Limiting spare time. |
5.12 |
5.19 |
5.63 |
Tendency |
|
6.Career restrictions. |
6.44 |
6.57 |
7.54 |
Tendency |
|
7. Reduced physical attractiveness. |
4.52 |
4.15 |
4.90 |
Tendency |
|
8. Developing the feeling of inferiority. |
4.76 |
4.07 |
4.54 |
Tendency |
|
9.Communication restrictions. |
3.96 |
4.42 |
4.36 |
Tendency |
|
10.Physical and financial damage. |
6.60 |
6.53 |
6.45 |
Tendency |
Table 3. Average values in of "Assessment of Social Significance of the Disease" method.
References:
Borozdina, L. V., & Volkova, N. N. (2014) The experience of correction of “Risk Triad”. Moscow University Psychology Bulletin [Vestnik Moskovskogo universiteta]. Series 14. Psychology, 1, 72–86 DOI: 2079-6617/2013.0114.
Vishneva, A.E. (2013). Dynamics of coping strategies in patients after stroke and traumatic brain injury. National Psychological Journal [Natsional’nyy psikhologicheskiy zhurnal], 1, 103–109. DOI: 2079-6617/2013.0114
Bratus’, B.S., & Pavlenko, V.N. (1986) The ratio of self-regulation of the target structure and activity in normal and abnormal development. Issues of psychology [Voprosy psikhologii]. 4, 146-154.
Vygotsky, L.S. (2003) Fundamentals of Defectology. St. Petersburg, Lan’, - 654.
Glozman, Zh.M. (2002) Community and health of the individual. Moscow, Akademiya.
Grigoryeva, V.N. (2012) Cognitive rehabilitation of patients with stroke and traumatic brain injury: Monograph. Nizhny Novgorod, Izdatel’stvo Nizhegorodstkoy gosudarstvennoy meditsinskoy akademii, 324.
Kaminskaya, Natalia A., Ailamazyan, Aida M. (2015). Studies of the body image in various psychological approaches. National Psychological Journal [Natsional’nyy psikhologicheskiy zhurnal], 3 (19), 45-55. DOI: 10.11621/npj.2015.0305
Mezzich, J.E., Zinchenko, Y.P., Krasnov, V.N., Pervichko, E.I., & Kulygina, M.A. (2013). Person-centered approaches in medicine: Clinical tasks, psychological paradigms, and postnonclassic perspective. Psychology in Russia: State of the Art, 6(1), 95-109. doi: 10.11621/pir.2013.0109
Malkin-Pykh, I.G. (2005) Psychosomatics: A Handbook of Practical Psychology. Moscow, Eksmo, 992.
Mezzich, J.E., Zinchenko, Y.P., Krasnov, V.N., Pervichko, E.I., & Kulygina, M.A. (2013). Person-centered approaches in medicine: Clinical tasks, psychological paradigms, and postnonclassic perspective. Psychology in Russia: State of the Art, 6(1), 95-109. doi: 10.11621/pir.2013.0109
Nikolaeva, V.V. (1987) The impact of chronic disease on the psyche. Moscow, Izdatel’stvo MGU, 167.
Rubinstein, S.Ya. (1999) Experimental methods psychopathology. Moscow, Eksmo-Press.
Sokolova, E.T. Self-awareness and self-esteem of the individual anomalies. Moscow: Moscow State University, 1989.
Sokolova, E.T., & Nikolaeva, V.V. (1995) Features of the individual with borderline disorders and somatic diseases. Moscow, 352.
Khomskaya, E.D. (2010) Neuropsychology: textbook for universities. St. Petersburg, Piter, 496.
Tsvetkova, L.S. (2004) Neuropsychological rehabilitation of patients. Voronezh, MODEK, 424.
Tsvetkova, L.S., Akhutina, T.V., & Pylaeva, N.M. (1981) Method of evaluating speech in aphasia: practice File for psychology students. Moscow, MGU.
Tkhostov, A. Sh., & Stepanovich, D.A. (1987) Influence of crisis situations in the self-structure. Issues of psychology [Voprosy psikhologii]. 128-133.
Chesnokova, I.I. (1977) The issue of consciousness in psychology. Moscow, Nauka, 143.
Shklovsky, V.M. (2002) Systemic organization neurorehabilitation of patients with sequelae of craniocerebral trauma. Clinical guidelines for traumatic brain injury [Klinicheskoe rukovodstvo po cherepno-mozgovoy travme]. Vol. 3. Moscow, Antidor, 543-557.
Tyerman, A. (2004) Intervention for psychological problems after brain injury. In A. Tyerman, & N.S. King. Clinical neuropsychology. A practical guide to assessment and management for clinicians. Eds. L.H. Goldstein, & J.E. McNeil. John Wiley&Sons, Ltd., England, 73-82.
Wilson B.A. (2004) Theoretical approaches to cognitive rehabilitation. Clinical neuropsychology. A practical guide to assessment and management for clinicians. Eds. L.H. Goldstein, & J.E. McNeil. John Wiley&Sons, Ltd., England, 345-366.
Wylie R. (1979) The self concept. Lincoln, 433
For citing this article:
Vishneva Anastasia E. (2016). Features of self-esteem in patients with various speech disorders. National Psychological Journal. 1, 53-61.
