This is a tricky area. It may be useful to think about habits in terms of intentional and non-intentional, but also to distinguish between habits of either kind and learned behavioural responses.I agree with that - and in almost any TBI the frontal lobes are likely to get damaged. It could be argued that the main purpose of the brain is to detect threats and respond to them, so the habits (safety behaviours) developed post injury can easily become fixed responses to anxiety.
For example, consider note-taking to compensate for poor(er) post-TBI memory. It all sounds easy - just take a pen and notebook with you everywhere and write everything down.
Problem number is remembering to take both of them with you. Weelll, if circumstances allow buy another. Problem 1 a - growing collection of notebooks. Could be mitigated by having a disciplined regime of checklists and copying any new notebooks out at the end of the day. Except, of course, this kind of organization can be difficult if prospective memory is damaged or standard TBI fatigue sets in. Consequence is that such habits are hard to make but easy to break.
Problem 2 is remembering that you need to take notes. Then there's remembering you've got note making material with you. And even then, attentional problems can kick in - you can either attend to note taking or keep track of what you're listening to / observing; doing both is an adjunct of successful note-taking, but a TBI can make this very difficult. An additional problem with notes is that abbreviations and terse comments may make sense at the time, but can be utterly meaningless later on, especially if you have little to no memory of even being there when you took them.
Not that neurotypicals don't have most of these problems, but there can be a profound difference in both the frequency and scale by of such things. However, the main point is that a good note-taking habit can be almost impossible to create with some form of external backup / motivation. As implied earlier, about the only thing that becomes habituated is not taking notes!
The behavioural aspects can creep in through reaction to failure to create effective habits. The constant failures can be frustrating and further contribute to low self-assessment. It can be especially problematic if the TBI is undiagnosed and you are unaware of the reasons why it's such a problem, which can lead to yet further demotivation. Knowledge of a TBI is a double-edged sword; ignorance is bliss sometimes because you think a bit of extra effort will crack the problem and you just innocently stag on or, alternatively it can lead to increased demoralisation because you keep failing and think you're just stupid. Similarly knowledge can help by stopping you heating your head against a brick wall and to find other ways around a problem, or it can make you feel even more despondent and worthless. Being human, most individuals will probably swing between such feelings, anyway. Isolation isn't so much a habit as a learned behaviour.
Indeed.The injured child faces the additional problems of rejection by their peer group, which means their opportunities to develop things like social skills are limited. Add to that a bullying culture and ignorant teachers...
It's not necessarily during childhood that significant problems will start to occur, you may still be able to get along with school friends and sort of cope with the lower work, admin demands, and the more structured environment. It's when getting out into the adult world that things gang awry: less structure, new social demands, and a domestic life to organise in all of its tedious detail.
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