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:: Issue 4
ADL Assessor
What is Occupational Therapy?
 

The occupational therapist's role is to improve patients' ability to perform daily tasks, to help them adapt to disruptions in lifestyle and prevent loss of function. Principles of energy conservation and joint protection, as well as techniques for stress management, are taught to minimize fatigue, reduce stress on joints, reduce pain and increase performance in the activities of daily living.

Occupational therapy intervention may include remediation and restoration of performance abilities that are limited due to impairment in biological, physiological and psychological processes. Clients are trained in alternative methods and the use of adaptive equipment for performance in daily self-care, work, school or leisure and recreational tasks. Emphasis is placed on evaluating the client within the context of their home, work or school setting so as to provide interventions that will enhance their capabilities. Adaptation of environments and processes include the application of ergonomics principles especially for clients with sedentary lifestyle is emphasized to enhance performance and safety in daily life roles. With stress on health promotion, strategies and practices are also taught to ensure autonomy over one's condition. As our society becomes aware of the paradigms in preventive health, with a focus of health as opposed to disease, health promotion principles through public consultations/ talks are actively advocated.

 
       
 

A Word from the Expert
 
An Introduction to Projective Art Therapy Debbie Boey Shu Ying
MOH PSC Scholar    Occupational Therapy
 

 

 

 

 

 

 

The classroom was neatly arranged for the session. 4 tables were joined together with the necessary materials laid out: crayons, paints, paint brushes, water in plastic cups and drawing block. Everything that was not needed was cleared. The murmur of soft sea waves played in the background, creating a relaxed ambience. 12 of us sat around the tables with the art materials within easy reach. It evoked nostalgic memories of my primary school art lessons. I was curious to see how art could be used as a therapeutic medium in Occupational Therapy.

Projective art can be used to explore the meaning in objects and relationships through the drawings. Clients may gain insight into their conditions, come to terms with personal problems and reconnect with the present. Issues that arise can help the OT to understand the client’s motivation and plan appropriate treatment. This ultimately improves their performance in daily activities. It is useful with clients who are withdrawn, as art allows them to express themselves non-verbally. As the painting is unique to the individual, it also builds a sense of self efficacy. Such a group activity provides support and helps clients to develop interpersonal skills. It is commonly used in mental health settings.

The session began with a brief introduction of projective art therapy. The facilitator then gave us a theme, ‘Clock”, and told us to draw whatever that came to our mind. I drew an apple shaped clock that had always been at home since my childhood. When everyone had finished, the facilitator asked each person to talk about what they had drawn if they felt comfortable to do so. One group member drew a clock which stopped at a time when he was late for the navy and described how he was running frantically to the dock. Another drew a Mickey Mouse watch that her father gave her when she was a child. As I listened to their stories, I learnt about an incident that had meaning to the individual. It was interesting how a simple theme brought out such stories.

The second theme was “Friendship”. I drew a telephone and computer on top of a globe to represent the way I kept in contact with my friends in Singapore. One group member drew lots of beer mugs and the TV, and explained how his friends and he enjoy a pint of beer while watching soccer. There was a moment of tearfulness when one group member, while talking about her friends, mentioned her father who had passed away. The facilitator apologized that the session evoked sad memories, and the other members were very supportive and comforting.

As the session drew to an end, the facilitator thanked us for participating and sharing. I appreciated art therapy as a creative activity not concerned with the outcome but the process. Also, I began to understand the potential for it to uncover stories and themes. I think the role of the facilitator is very challenging as he/she needs to hold the emotions that may arise and not be affected personally. Although the workshop was rather short and only gave a glimpse of art therapy, it left me intrigued and fascinated. It is definitely an area that I will want to explore in future.

 

  Debbie can be contacted at shuying.boey@students.plymouth.ac.uk

 
   
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