Description et but. Cette étude qualitative porte sur le processus d'adaptation d'adultes présentant des séquelles de traumatisme cranio-cérébral. Ce processus et ses particularités ont été peu étudiés jusqu'à maintenant et l'amélioration des connaissances pourrait contribuer à améliorer la qualité des interventions. Méthodologie. Cinquante-trois adultes vivant dans la communauté et ayant subi un traumatisme cranio-cérébral ont participé à une entrevue individuelle et ont répondu à des questions ouvertes. Résultats. L'analyse qualitative, inspirée de la phénoménologie, rapporte des résultats qui révèlent un processus d'adaptation en six étapes. De plus, les éléments qui ont influencé ce processus ainsi que les stratégies d'adaptation efficaces selon la perception des participants sont décrits. Les particularités de ce processus réfèrent, entre autre, à la nature des séquelles cognitives ainsi qu'aux circonstances de l'événement traumatique. Conséquences cliniques. La réalisation d'occupations significatives est un des éléments clés de ce processus, parfois associée à une transformation intérieure importante sur le plan des normes et des valeurs.
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