„Use of Self” in der Ergotherapie: Beziehungen bewusst gestalten

Zusammenfassung

Einleitung: Verschiedene Forschungsstudien hoben die Bedeutung der Rolle des Use of self in der Ergotherapie hervor. Die zunehmende Zahl derartiger Studien deutet auf die Beziehung zwischen Klienten und Therapeuten als Schlüsseldeterminante für den Behandlungserfolg hin.

Methode: Im Rahmen der geschichtlichen Entwicklung der Ergotherapie werden ein Überblick der ergotherapeutischen Fachliteratur zum Thema Use of self erstellt, Wissenslücken in diesem Bereich identifiziert und ein konzeptuelles Praxismodell vorgeschlagen, das sich mit den von der Fachliteratur unbeantworteten Fragen auseinandersetzt. Der Schwerpunkt des nicht systematischen Reviews liegt auf der Sichtweise der Autorin.

Ergebnisse: Auf der Grundlage eines Literaturreviews wurden Lücken im existierenden Wissen über den Use of self identifiziert. Die Auseinandersetzung mit diesen Fragen erfolgte anhand des Modells der intentionalen Beziehungen, eines vorläufigen konzeptuellen Praxismodells, das als Richtlinie für das Clinical Reasoning in diesem vernachlässigten Bereich dienen soll.

Schlussfolgerung: Obwohl das Modell der intentionalen Beziehungen nicht alle Aspekte des Use of self in der Ergotherapie berücksichtigt, wird es zu neuen Konzepten und konkreten, einsetzbaren klinischen Fertigkeiten führen, die zur Pflege bzw. Verbesserung von Beziehungen in der Ergotherapie erforderlich sind.

Abstract

Introduction: Different research studies emphasised the important role of use of self in occupational therapy. The growing number of such studies indicates that the client-therapist relationship is a key determinant of overall treatment success.

Method: Within the history of the field of occupational therapy an overview of the most prominent theoretical and scientific contributions regarding use of self is given, gaps in the field’s knowledge are identified and a conceptual practice model that addresses unanswered questions within the literature is proposed. This unsystematic literature review emphasises the author’s viewpoint.

Results: Based on the literature review gaps in existing knowledge about use of self were identified. These questions were discussed by proposing the intentional relationship model, a preliminary conceptual practice model to guide clinical reasoning in this neglected area.

Conclusion: Though the intentional relationship model does not address all questions related to use of self in occupational therapy, it provides new concepts and concrete usable clinical skills that are necessary to foster and improve relationships in occupational therapy.

Schlüsselwörter

Beziehung - use of self - Clinical reasoning - Modell der intentionalen Beziehungen

Key words

relationship - use of self - clinical reasoning - intentional relationship model

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