Change in Relationship Perhaps Related to Frontal Changes After Brain Injury

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It is difficult to assess frontal lobe deficits in survivors without collateral interviews, as one of the most prevalent frontal lobe deficits is insight into those deficits. Many of our interviews have included interviews of family members or friends, to help us assess those issues. As a result of the travel involved in doing Zach’s interview, we didn’t have the benefit of that here.
We haven’t talked about frontal lobe issues and I want to discuss those to some degree. You went through this transition from being the cool homecoming king through the honorary of every homecoming king. Did you have challenges being grown up enough when you were with your friends?
Can you talk to me about that?
Well I don’t, I don’t know how much is this is my injury but I feel like (I might say something) to have fun, you know. I might say to you something like that’s inappropriate and, but I think it’s funny and they think it’s funny. So, I don’t see the harm in it.
Part of what is lost when a survivor is described as having “disinhibition” is the filter that is developed as to what is appropriate to not just think but say, gets thrown off. As you age, you get more and more sense of what might offend someone – what seems funny to you, but isn’t going to be felt to be funny. This maturing sense of the appropriate occurs progressively as the frontal lobes develop, and continues even into the 20’s.

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Tesha Mc says:

This really help, my son is in the coma program now. He was in hospital for 3 mo in a rehab now 2 wks. What was Zach accident

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