Vamos brincar? Do ingresso da criança com deficiência física na terapia ocupacional à facilitação da participação social / Lets play? From the ingress of physically disabled children in the occupational therapy to facilitation of social participation

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

In this thesis playing is considered as an area for creative happenings and experiences in which a person´s genuine gestures can be seen. It takes D. W. Winnicott´s (1896-1971) way of understanding playing, as an intermediate area of experience and relaxation for an individual engaged in the human task of keeping the internal and external realities separated and interrelated. Playing, understood as a daily activity that is spontaneous, shared and creative and that has a purpose in itself, is a field for the occupational therapist´s procedures, as well as one of the aims of the therapeutic process in those cases in which the children either do not play or have difficulties to do it. It is not considered possible to separate playing from physical, social and psychic development and investment, if the therapist wants the child to have experience so as to develop wholly and from a singular path. The aim was to present and think about a way of understanding playing in the occupational therapy process with physically disabled children. Playing is one of the purposes of that process a lot of times, and it is always an area in which healthy, creative and cultural experiences may happen, and such experiences favor those children´s social participation. A bibliography survey of the studies related to childhood, disability, playing, culture and occupational therapy was done, and it was linked with the clinical experience of attending disabled children in the occupational therapy. It considered the subjectivity of the researcher who was directly involved throughout the investigation. Such subjectivity was both formed and due to the relationship between the individual who was the researcher and the individual who was attended in the occupational therapy. The investigation followed a proposal of research from the epistemological point of view, subject-subject and their activities, the formation of the triad relationship in occupational therapy. Four children and their personal histories were parts of the study. Their histories were partly built in the occupational therapy process, and they made it possible to collect data to illustrate the discussion related to the use of playing activities by the therapist, as well as to remember other passages of the clinical experience. A book to register what happened in the clinic, the open interview with some members of the family and documentary reading were used. Three aspects present in the occupational therapist´s procedures were discussed: the teaching, the environment and the acknowledgement, in the context of playing as an area to experience the accomplishment of activities. As a result, it showed the importance of using playing to evaluate the necessity of taking occupational therapy, to evaluate the patient both initially and continually and to evaluate the occupational therapist´s caring actions to facilitate the social participation of the person who is being attended.

ASSUNTO(S)

terapia ocupacional privação cultural physically disabled brincar (winnicott) playing (winnicott) deficiente físico occupational therapy cultural deprivation participação participation

ACESSO AO ARTIGO

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