After an endless winter, and a spring that consisted of a long series of wet and overcast days, this is the fifth day in a row that has arrived with bright evidence of the sun. I am in the grip of a strange desperation. Once I have come downstairs, and placed the water on to boil, I sit and commence to keyboard. There is a hidden force behind this impulse to text; a compulsion, an attempt to write myself to “wellness” and recovery.
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Monthly Archives: May 2014
Death of the Self
I have been doing spring cleaning. In the process I am encountering something I believe to be called death of the self.
A milestone was reached with post number 100. There was a minor sense of elation, the growing confidence that I might actually accomplish something. In place of a human vegetable there is now a human vegetable with 100 blog posts to his credit. Believe me. In the psychological places I have been, that is a genuine accomplishment, not simply a weak attempt at a joke.
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2010 TBI Inventory – Part 3
The 2010 TBI inventory Part 3 contains four sections.
- Section 1 provides a key to the scoring of the TBI Inventory
- Section 2 contrasts 2010 scores with post accident scores
- Section 3 considers the TBI Inventory scores in a work context
- Section 4 provides links to all posts dealing with this topic
Section 1 – TBI Inventory Scoring Key
The TBI Inventory is scored according to the following key:
On a scale of 0 to 4, rate the effect of the impairment on you during the past 24 hours. For example:
- 0 = not present
- 1 = minimal, present but does not interfere with activities
- 2 = mild, some effect, interferes with activities but not disabling
- 3 = moderate, greatly interferes with activities
- 4 = extremely disabling, unable to function
Section 2 – Summary of the 2010, 2012, and 2013 TBI Inventory Scores
| Prior to Accident | 18 months Post Accident | 30 months Post Accident | |||
| 2010 | 2012 | 2013 | |||
| Section 1 | 1 | 59 | 73 | ||
| Section 2 | 8 | 35 | 34 | ||
| Section 3 | 0 | 6 | 6 | ||
| Section 4 | 0 | 19 | 25 | ||
| Section 5 | 0 | 18 | 26 | ||
| Section 6 | 0 | 19 | 11 | ||
| Total | 9 | 155 | 175 |
Notes on the Table Data
The 2010 pre-accident events occurred in the 2007 to 2008 time period largely within the context of therapy sessions. These were acute events, not chronic, and did not persist through the years 2009 and 2010. The 2012 data under counts actual events as inventory items were scored with question marks, or missed entirely and left blank. The reason random items were omitted is unknown. The increase associated with 2013 reflects an assessment which incorporates all items, including all those missed in 2012. The higher 2013 total also reflects increased scores for items associated with depression and discouragement.
Section 3 – Review of the TBI Inventory data
There is a clear distinction between the TBI inventory scores from before and after the accident. A review of the notes associated with each 2010 TBI Inventory item clearly shows that if the subject had experienced these deficits prior to the accident he would not have been capable of performing to the mandated occupational requirements and likely would have had his employment terminated.
This was not the case. The subject was a valued employee and delivered excellent performance until the date of the MVA on March 06th 2011. It was his misfortune to suffer the loss of his work routine immediately after the accident. Combined with other circumstances, this made it extremely difficult for him to gain awareness of his injury, or its severity.
Section 4 – TBI Inventory Associated Posts
The following posts deal with the subject of the TBI Inventory
The initial post was made on August 27th 2013. This August post reproduces verbatim the entries made in a September 2012 spreadsheet listing of the TBI Inventory Items. This post may be found here:
The following posts describe the provenance of the TBI Inventory and its diagnostic validity.
Thoughts on September 2012 Inventory
Provenance and Scoring Key for TBI Inventory
Validity of the TBI Inventory
The next set of links connect to each section of the 2013 TBI Inventory. Each section includes detailed notes on the changes between the 2012 and 2013 review dates. Note that this sequence of posts are not in chronological, or ordinal sequence. When viewing a specific section, clicking the NEXT button on the page will not take you to the next section of the analysis. You are better advised to click the browser BACK button, return to this page, and select the next section of the analysis that you wish to review.
2013 TBI Inventory Section 1 Analysis
2013 TBI Inventory Section 2 Analysis
2013 TBI Inventory Section 3 Analysis
2013 TBI Inventory Section 4 Analysis
2013 TBI Inventory Section 5 Analysis
2013 TBI Inventory Section 6 Analysis
The final set of links are associated with posts made subsequent to the discovery of the draft copy of section 1 of the 2013 TBI Inventory. These posts discuss the rationale for the 2010 TBI Inventory, describe the 2010 TBI Inventory and supplement it with notes which examine it within a work context. This series on the 2010 TBI Inventory concludes with a Part 3 summary post (this post).
2010 TBI Inventory Part 1 – Discussion of a 2010 TBI Inventory
2010 TBI Inventory Part 2 – The 2010 TBI Inventory Document