On-line version ISSN 0038-2337
S. Afr. j. occup. ther. vol.38 n.3 Pretoria 2008
(BA Social Work (Stellenbosch), MSc, Occupational Therapy; Occupational Therapist in Private Practice - Psychiatry and Paediatrics; Director: Acting Thru Ukubuyiselwa 017/119 NPO-Occupational therapy for trauma survivors and sensory integration dysfunction
Occupational therapy today needs to re-position itself in context to be relevant to the traumatised psyche of the South African nation. The social atom of the profession needs to relate more congruently to groups, communities and populations. Addressing the secondary causal issues underlying impairment, means our practice will increasingly become multi-modal, using experience and theory from medical, social, environmental, phenomenological and ethnographic models. Occupational therapy in South Africa needs to take the imperative of contextual relevance forward by attending to the traumatic subtexts of practice. Four propositions are suggested.
1. Inclusive, holistic practice applies to both individuals and collectives.
2. Occupational therapy is located in a social atom that enables it to be a significant role-player for social change.
3. The social atom of occupational therapy paves the way for working with the traumatised individuals and communities.
4. Service providers should manage vicarious traumatisation proactively.
My hope is that these four propositions will galvanise debate about the contribution of occupational therapy to the healing of a society traumatised by violence and other forms of oppression and abuse.
Key words: Creative participation, Social Atom, Sensory integration, Trauma survivors, Compassion fatigue
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1. Du Toit V. Patient volition and action in occupational therapy. 2nd rev. ed. Pretoria: Vona and Marie du Toit Foundation, 1991. [ Links ]
2. Hudgins KM. Experiential Treatment for PT.S.D. The Therapeutic Spiral Model. New York: Springer Publishing Company, 2002. [ Links ]
3. World Health Organisation. International classification of functioning, disability and health. Geneva. W.H.O. 2001. <http://www.who.int/classifications/icf/site/onlinebrowser/icf.cfm> (7 July 2008). [ Links ]
4. American Psychiatric AAssociation. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, D.C.: The American Psychiatric Association. 1994. [ Links ]
5. WHO. International Statistical Classification of Diseases and Related Health Problems. 10th Revision. (ICD -10). 2007. <http://www.who.int/classifications/apps/icd/icd10online/> (7 July 2008). [ Links ]
6. Fisher AG, Murray EA, Bundy AC. eds. Sensory integration theory and practice. Philadelphia: FA. Davis Company. 1991. [ Links ]
7. Bundy AC, Lane SJ, Murray EA. Sensory Integration Theory and Practice 2nd ed. Philadelphia: F.A.Davis Company, 2002. 496p (with permission). [ Links ]
8. Kielhofner G. A model of human occupation theory and application. 2nd ed. Baltimore: Williams and Wilkins. 1995. [ Links ]
9. Ayres AJ. Sensory integration and learning disorders. Los Angeles, California: Western Psychological Services.1980. [ Links ]
10. Townsend L, Wilcock AA. Occupational justice and client-centred practice: a dialogue. Canadian Journal of Occupational Therapy, 2004: 71(2): 75-87. [ Links ]
12. Van der Kolk B. The Body Keeps the Score. Memory and the Evolving psychobiology of Post Traumatic Stress. 1994; Harvard Review of Psychiatry, 1(5): 253-265. [ Links ]
13. Blatner A. Blatner A. Foundations of Psychodrama History, Theory and Practice. 3rd ed. New York: Springer Publishing Company, 1988. [ Links ]
14. Max-Neef M. Human Scale Development: Conception, Application and Further Reflections. New York: Apex Press, 1991. [ Links ]
15. Kronenberg F Algado S, Pollard N. Occupational Therapy Without Borders: Learning From The Spirit of Survivors. London: Elsevier Churchill Livingstone, 2005. [ Links ]
16. Watson R, Swartz L. eds. Transformation through occupation. London: Whurr, 2004. [ Links ]
17. Duncan M. The 18th Vona du Toit Memorial Lecture: Our bit in the calabash. South African Journal of Occupational Therapy, 1999; 29(2): 3-9. [ Links ]
19. Sinani. Model of Violence and Model of Peace. In: Crouch RB, Alers VM, editors. Occupational Therapy in Psychiatry and Mental Health 4th ed. London: Whurr Publishers. 2005: page 316. [ Links ]
20. Kellerman PF Hudgins MK. Psychodrama with Trauma Survivors Acting Out Your Pain. London: Jessica Kingsley Publishers, 2000. [ Links ]
21. Wiley MS. "The Limits of Talk. Bessel van der Kolk wants to transform the treatment of trauma." Jan/Feb Psychotherapy Networker 2004. <http:www.traumacenter.org/products/pdf_files/Networker.pdf> (7 July 2008). [ Links ]
23 Hudnall - Stamm B. Secondary Traumatic Stress - Self Care Issues for Clinicians, Researchers and Educators. Maryland: Sidran Press, 1999. [ Links ]
24 Moreno J.L. Psychodrama. Vol. I. New York: Beacon House, Beacon. 1946. [ Links ]
25 Alers VM. Sensory Integrative Therapy with Chronic Schizophrenic Patients. M.Sc. dissertation, University of the Witwatersrand. Unpublished, 2004. [ Links ]