It is difficult to imagine what it must be like for someone following the personal crisis and catastrophe that ensues as a result of a serious traumatic brain injury (TBI). The individual is confronted with a huge range of alterations in his or her normal functioning, operating at the biological, psychological and social levels. All of these changes are also occurring to an individual who has just had a near-death experience, culminating not too surprisingly in the reflections "Who am I?" and "Why am I here?"

As a result, these individuals can develop a wide range of behavioural,...