旅行までの過程とその経験が今の自分を受け入れるきっかけとなった一事例

Achieving self-acceptance through travel and experience: A case study

要旨：脳出血による左片麻痺を呈し，意欲や活動性が低下した高齢者が，自ら「同窓会に出席する」という思いを目標にすることで，作業療法に主体的に参加し，意欲や活動性の向上がみられた．本氏にとって，目標に向けて作業療法に心を燃やして取り組んだことと実際の旅行の経験を通し，自分自身の価値と妻の支えを再認識できたことが，障害と年齢を踏まえた今の自分を受け入れるきっかけとなった．作業療法士は，利用者の心身の状態を把握し，思いに添った作業療法を提供することや，日々の生活の中での努力を認めることで利用者の支えとなること，生きがいのある生活を一緒に探すことで，前を向き歩み始めるための支援ができるのではないかと考える．

　An elderly male with left hemiplegia following cerebral hemorrhage had compromised activity and motivation, and experienced pain and lack of sleep. Activity and motivation were increased by setting a goal to “attend the Alumni Association's meeting”. Gradually, he has been able to accept his condition by working hard in occupational therapy to achieve his goal and by redeeming his self-worth and re-connecting with his wife more intimately through travel. It is important that the occupational therapist understand the conditions of the clients and provide services according to their preferences. To positively influence the clients' attitudes, it is important to support them in exploring their self-worth for improving their quality of life.