Kawa-(Fluss)-Modell - Überwinden kultureller Begrenzungen der zeitgenössischen Theorie der Ergotherapie

Zusammenfassung

Einleitung: Wie relevant sind die Kernideen und -konzepte der Theorie der Ergotherapie, die sich vor allem mit den kulturellen Eigenheiten und Normen nordamerikanischer soziokultureller Kontexte befasst haben, für andere soziokulturelle Kontexte der Praxis?

Methode: Eine Gruppe japanischer Ergotherapeuten ging dieser Frage nach und konstatierte ein allgemeines Gefühl der Anspannung in anderen Teilen der Welt im Hinblick auf Fragen der Kultur und des Kontinuums der Theorie-Praxis der Ergotherapie. Sie nahmen ein anspruchsvolles Projekt in Angriff, die Entwicklung eines neuen Modells der Praxis der Ergotherapie. Das Kawa-Modell ist die erste nicht im Westen entstandene substanzielle theoretische Arbeit unseres Berufs. Sie zwingt die Ergotherapie, sich über ihre vertrauten Grundlagen wie individuelle Autonomie und Selbstbestimmung hinaus zu entwickeln in Richtung am Kollektiv orientierter, interdependenter Sichtweisen der menschlichen Betätigung. Durchdrungen von östlichen philosophischen Perspektiven und Weltsichten, bringt das Modell die Aspekte Natur und Ökologie in die sich entwickelnde rationalistische Dialektik unseres Berufs ein. Das Kawa-Modell verwendet eine allen vertraute Naturmetapher als Medium für die effektive Übersetzung subjektiver Ansichten über das Selbst, das Wohlergehen und die Bedeutungen der Betätigung. Die Vertrautheit mit dieser Metapher in vielen Teilen der Welt trägt dazu bei, dass das Modell als ein viel versprechendes Projekt betrachtet werden kann.

Ergebnisse: Die Arbeit umfasst eine einleitende Zusammenfassung des Kawa-Modells, erläutert seine grundlegende Struktur und Komponenten und macht Vorschläge für die Anwendung des Modells in verschiedenen Settings. Sie schließt mit einer Diskussion über die wichtigsten Punkte des Modells und neuere Erkenntnisse hinsichtlich seiner Nützlichkeit sowie einer Untersuchung seines Potenzials, die europäische Ergotherapie anzuregen, ihre Praxis zu optimieren.

Abstract

Introduction: How relevant are the core ideas and concepts of occupational therapy theory which have predominantly held the cultural features and norms of North American socio-cultural contexts, for other diverse socio-cultural contexts of practice?

Method: A group of Japanese occupational therapists considered this question, identifying a common tension experienced in other parts of the world pertaining to culture and the occupational therapy theory-practice continuum. They embarked on a landmark project of developing a new model of occupational therapy practice. The Kawa Model is the profession’s first substantial theoretical work to emerge outside of the West that impels occupational therapy to progress beyond its familiar bases of individual autonomy and agency, toward collective-oriented, interdependent views of human occupation. Infused with Eastern philosophical perspectives and world views, the model brings nature and ecology to the profession’s evolving rational dialectic. The Kawa Model uses a familiar metaphor of nature as an effective medium to translate subjective views of self, life, well-being and the meanings of occupations. The familiarity of the metaphor in various parts of the world, appears to give the model promise.

Results: The article gives an introductory summary of the Kawa Model, its philosophical underpinnings, its basic structure and components and suggestions for its application across a variety of settings. It concludes with a discussion of the model’s main points and recent insights into its utility, as well as an examination of its potential to inform best practice in European occupational therapy applications.

Kawa-Modell - Ergotherapie - Kultur - Theorie - Modelle - Metapher

Kawa Model - occupational therapy - culture - theory - models - metaphor

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