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
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.
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For citing this article:
Vishneva Anastasia E. (2016). Features of self-esteem in patients with various speech disorders. National Psychological Journal. 1, 53-61.
