Most people don't realize this,but this part of the brain has a lot to do with everyday life.
This is what hit me pretty hard I had to share. I have been researching why I have such low self esteem after the coma. None of you know this and this is very VULNERABLE INFORMATION, but yes I have VERY LOW SELF WORTH or ESTEEM.
Been reading this thing called, " Understanding how the brain works," I think everyone should read it just to understand in general how it works. If you want to read it here http://www.tbiguide.com/howbrainworks.html I am going to pick out some things that I deal with on a daily basis, or weekly basis. The Pink wording is what I think applies mostly to me.
WORD-FINDING
Word-finding is a common,
and often annoying, problem. Almost every head-injured person has this problem
to some degree. Head-injured people may talk normally; speech flows evenly and
it's easy to understand. But they'll have this very odd problem--they'll know
the word they want to say but just can't come up with it. Professionals call
this "anomia," which means "can't name". Everyone has an occasional anomia;
those with a head injury have it frequently. It is particularly annoying if you
are dealing with people all day long. For example, it will stand out if you've
got to give a lecture to 100 people and you stumble over words. You develop poor
self-esteem because you're just not sure of what you're saying anymore. A
variation on this problem is that you say the wrong word. Instead of saying,
"pass me the spoon", you might say "pass me the noon." Or, instead of using a
similar sounding word, you may use an entirely wrong word. Instead of "pass me
the spoon," you may say, "pass me the car." You may not even recognize that you
said the wrong word until people point it out to you.
(This tends to bug the SHIT of of me especially when people notice)
FRONTAL
LOBES--Planning, Organizing, Controlling
The biggest and most
advanced part of the brain is the frontal lobe. (It's called the frontal
lobe because it's in the front part of brain.) One job of the frontal lobe is
planning. You have probably heard of "frontal lobotomies." At the turn of the
century, this surgery was done on people who were very violent or who were in a
psychiatric hospital because they were very agitated. Doctors used surgery to
damage this area of the brain. Following this surgery, people became very
passive and less violent. At first, scientists saw this as a great thing.
Neurosurgery could stop behavioral problems such as violence. The problem was
that the patients stopped doing a lot of other things. They didn't take care of
themselves and they stopped many activities of daily living. They basically sat
there. In head injury, individuals with frontal lobe impairment seem to lack
motivation and have difficulty doing any task that requires multiple steps
(e.g., fixing a car or planning a meal). They have problems with
planning.
The frontal lobe is also
involved in organizing. For a lot of activities, we need to do step A, then step
B, then step C. We have to do things in order. That's what the frontal lobes
help us do. When the frontal lobe is injured, there is a breakdown in the
ability to sequence and organize. A common example is people who cook and leave
out a step in the sequence. They forget to add an important ingredient or they
don't turn the stove off. I've met a lot of patients who've burned or melted a
lot of pans. (Yes, even I burn things now and leave steps out and have even ruined whole dinners)
Additionally, the frontal
lobes also play a very important role in controlling emotions. Deep in the
middle of the brain are sections that control emotions. They're very primitive
emotions that deal with hunger, aggression, and sexual drive. These areas send
messages to other parts of the brain to DO SOMETHING. If you're mad, hit
something or someone. If you're hungry, grab something and eat it. The frontal
lobes "manage" emotions. In general, the frontal lobe has a NO or STOP function.
If your emotions tell you to punch your boss, it's the frontal lobes that say
"STOP or you are going to lose your job." People have often said to me "a
little thing will set me off and I'm really mad." The frontal lobes failed
to stop or turn off the emotional system.
On the other hand, we have
talked about how the frontal lobes plan activities. The frontal lobes may fail
to plan for some types of emotion. For example, sexual interest involves some
level of planning or preparation. Without this planning, there is a lack of
sexual interest. A lack of planning can also affect the expression of anger.
I've had some family members say "You know, the head injury actually improved
him, he's not such a hot-head anymore." If you listen very carefully, you're
also going to hear "he's not as motivated anymore." Remember, the frontal
lobe plans activities as well as controls emotions. (Will add more on a later note)
FYI: I will be very random and jump around. I will TRY my HARDEST to STAY on the TIMELINE I told you, however I might derail too.)
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I'm a tbi survivor, too. All of these difficulties make it very hard to interact with people and either the head injury survivor or the friends and family pull away. The result is isolation. These deficits are also the reason I prefer to communicate with others through emails or writing - it gives me time to find the right words.
ReplyDeletemaybe thats why this blog helps, I start posts and save them and go and read them and fix then write more. True I have pushed a lot of peopel away throught the yrs and I hate myself for it.
DeleteYou have to give the other people some credit for allowing themselves to be pushed away, too. It's not all your fault.
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