The influence of couple relationships on neurorehabilitation: Development of a practice-oriented concept based on empirical and theoretical foundations / Einfluss von Paarbeziehungen auf die Neurorehabilitation: Entwicklung eines praxisorientierten K

Abstract Background Couple relationships of patients and relatives play a central, insufficiently recognised role in neurorehabilitation. The challenge lies in the systematic recording and utilisation of psychosocial couple dynamics in the course of therapy. This paper proposes a theory-based, practice-oriented conceptualisation for dealing with different types of couple relationships. This helps health professionals to recognise relationship dynamics and develop therapeutic strategies to address couples' psychosocial needs and thereby promote therapeutic success. Methods In an underlying study, 15 biographical-narrative couple interviews were analysed using the documentary method in order to identify couple relationship types and their influence on the rehabilitation process. The combination of empirical data with theoretical models, such as the triangular model and the couple relationship model, enables a differentiated analysis of relationship dynamics. Results The analysis shows that every couple is characterised by individual life stories and communicative patterns. These influence both the relationship and the effect of therapeutic measures. Professionals can recognise these dynamics and adapt the therapy to the needs of the couple. Different relationship types can be identified: Maintainers prefer a stable, habitual relationship that builds on the familiar. Transformers are open to change and are constantly developing their relationship. Disengagers experience alienation and distance in the couple relationship. Targeted therapeutic strategies can be developed for these types to utilise the relationship as a resource in the rehabilitation process. Conclusions This study shows that the combination of theory, empiricism and practice provides a sound basis for the development of individualised therapeutic concepts. The strategies derived can improve rehabilitation outcomes and enhance the quality of life of those affected. Continuous evaluation and further development of these approaches are necessary in order to further optimise their effectiveness.