通所リハビリテーションにおいて詩吟の先生の役割を再獲得した1症例

An occupational role reacquisition as a master of the Chinese-poem recitation at a rehabilitation center for the elderly

要旨：通所リハビリテーション施設において，身体的な機能維持にこだわっていたパーキンソン病をもつ後期高齢者に，詩吟の先生というかつての役割を再獲得することを目的に個別リハビリテーションを実施した．約3ヵ月間，クライアントと作業療法士は詩吟を教える・習うという関係をとりながら，目標を明確化していった．その結果，クライエントは役割を再獲得した．さらに，「わしはもうじき動けんようになる．でも，それまで詩吟はする」と衰えゆく自己と折り合いをつけながら，クライアントは残された人生に，詩吟を教えるという作業を位置づけていった．今回の事例を通し，後期高齢者の役割再獲得に向けた作業療法プログラムの重要性が示唆された．

　At a rehabilitation center for the elderly, an occupational therapist provided an older elderly client, who had Parkinson's disease, with an occupational role, wherein the client taught the therapist to recite a Chinese-poem. Over a period of about three months, the client and the therapist built up a relationship of a teacher and a student and were focusing on the client's aim of teaching. As a result, the client reacquired the occupational role. In addition, the client said, "I might be able to move in the near future. But, I want to teach while I can still move," and he regarded the role, teaching the recitation of Chinese-poems, as one of the great loves of his life. Through this client, a program of occupational role reacquisition for the older elderly clients seems to be important for occupational therapists.