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Japanese

A study of the process of "the Concealing the Passive Attitude" toward "the Effort to Recover One's Body" : A fieldwork study in a rehabilitation hospital Ayako Goishi 1 1Department of Occupational Therapy, Fuji Rehabilitation Institute Keyword: 身体障害 , エスノグラフィー , (回復期) , (相互行為) , Physical disability , Ethnography , Postacute stage , Interaction pp.239-248
Published Date 2006/6/15
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 Occupational therapists often adopt the recovery model in their therapy for clients with physical disabilities in post-acute stages—and/or in another situation, the therapists don't agree with regard to the recovery of body functions as the primary goal. Although therapists are hoping to share appropriate therapeutic techniques, they often fail to do so.

 This study addressed the disagreements between clients and therapists. The purpose of this study was to investigate how the disagreements occur by exploring their attitudes toward "the Effort to Recover One's Body".

 After completing 10 months of fieldwork in a rehabilitation hospital, the data were collected and analyzed, using a micro-ethnography approach. The data included the attitudes toward "the Effort to Recover One's Body" expressed by 11 clients and 7 occupational therapists.

 In the interviews conducted by the author, both clients and therapists represented "the Active Attitude" and "the Passive Attitude" toward "the Effort to Recover One's Body". Simultaneously, they represented "the Wavering" between the two attitudes.

 In the participant observations in occupational therapy sessions, "the Passive Attitudes" was represented just as the deviation from the context, which coincided with "the Active Attitude". This phenomenon was named "the Concealing the Passive Attitude".

 Once a client or a therapist had concealed "the Passive Attitude", the other also developed an attitude of concealment, and this phenomenon occurred continuously. This paper suggests that this cycle might explain the inappropriate interaction between occupational therapists and their clients with regard to shared motives.


Copyright © 2006, Japanese Association of Occupational Therapists. All rights reserved.

基本情報

電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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