When distress gives way to possibility: the relevance of leisure in adjustment to disability.

Previous research has suggested that leisure assists in coping with and adjusting to negative life events in at least four different ways: by being diverting, by generating hope, by restoring some aspects of self, and by affording a context for personal transformation. An assault to the brain, whether due to a stroke, chronic disease, injury or trauma, would be such an event and would likely by served by leisure in the same way. This paper reviews the supporting evidence regarding the value and utility of leisure in coping with and adjusting to living with a disability. The concept of posttraumatic growth is then examined and related research is reviewed with particular attention to the relevance of leisure. Finally, considerations are offered for incorporating leisure as an aspect of treatment and care for those working in neurorehabilitation settings.