軽度知的障害と発達障害がある若年成人の就労意思決定過程

Employment decision-making of young adults with mild intellectual disabilities and neurodevelopmental disorders

要旨：本研究は軽度知的障害と発達障害がある若年成人のナラティブより，学齢期に就労に対する意思決定をどのように形成したか明らかにすることを目的とした．就労支援事業所の職員らをインフォーマントとし段階的かつ合目的的に5名の研究参加者を選出し半構造化面接を行った．分析は複線径路等至性アプローチを用いた．研究参加者は必須通過点となる就労経験から就労意思を形成していた．しかし，心情も含め自身で，時間的・因果的につなげ組織化し語るには課題があった．作業療法士はセルフ・ナラティブを支援し，クライエントが作業経験を通した信念・価値観の変容を明確化し，意思決定できるようガイドする必要がある．

　This study aimed to clarify the narratives of young adults with mild intellectual disabilities and neurodevelopmental disorders regarding their decision-making processes for employment during their school years. We conducted stepwise and purposeful semi-structured interviews with five participants using staff members of an employment support office as informants. Verbatim data were analyzed using the Trajectory Equifinality Approach (TEA). The participants made employment decisions based on their work experience, which was an obligatory passage point. However, they needed to better link and organize their work experiences, including their feelings, both temporally and causally. Some crucial roles of occupational therapists include supporting self-narratives, guiding clients in clarifying belief/value transformations, and aiding them in making decisions based on work experience.