発達障害のある受刑者の「思い」に寄り添った刑務所での作業療法

Occupational therapy at a prison: Consideration of the "thoughts" of a prisoner with a developmental disorder

要旨：今回，刑務所という制限が多い特別な環境下で，対人相互的反応の障害のある発達障害受刑者（以下，A氏）に対して，A氏の「思い」に寄り添った作業療法が実施できた．結果，出所までに必要な職業訓練や改善指導を受講し，改善更生の意欲や態度が大きく変わった．このような作業療法が展開できた要因として，作業療法士が医療職として個別で柔軟な関わりができたこと，作業療法でA氏の「思い」が表現しやすい方法を探索し続けたこと，作業療法士が医療職でありながら職業訓練や改善指導の担当者と連携しやすい部門に所属し，記録の工夫でタイムリーな情報共有ができたこと等が考察された．

　Occupational therapy was provided to a prisoner (A) with a developmental disorder and disabilities in interpersonal interaction by considering A's “thoughts.” Therapy was conducted at the prison, which is a unique environment with many restrictions. The treatment resulted in A being able to undergo job training and guidance reform before being released, and his attitudes and motivation for reform changed remarkably. The factors that facilitated A's treatment included the occupational therapists' (OT) individualized and flexible interactions with A as a medical professional, the OT's search for ways by which A could easily express his thoughts, and the timely sharing of information between OT and the staff in charge of job training and reform guidance through improving recording methods. The factors were facilitated because the OT worked in a section that supported collaboration between staff members.