Gerlach Alison
Can J Occup Ther. 2008 Feb;75(1):18-25. doi: 10.1177/000841740807500107.
For occupational therapy to be meaningful for all families who have a child with a developmental disability, the profession needs to consider and integrate into practice alternative and more inclusive epistemologies. A greater understanding and respect of a First Nations worldview may help reduce the risk of inadvertently perpetuating oppression and assimilation.
To describe raising a child with a developmental disability from the perspective of five members of the Lil'wat Nation.
Data were obtained from in-depth interviews and analysed using a constant comparative approach.
Within the category of family the subcategories identified were extensive support network, intergenerational learning and doing, and influence of the residential school system. Within the category of raising a child the subcategories identified were health and spirituality, causation beliefs, and a sense of knowing.
Occupational therapists need to be cognizant of alternative worldviews on child rearing, family, and health that may differ significantly from their own personal and professional beliefs and practices.
为了使职业治疗对所有有发育障碍儿童的家庭都具有意义，该专业需要考虑并将替代性的、更具包容性的认识论融入实践。对原住民世界观有更深入的理解和尊重，可能有助于降低无意中延续压迫和同化的风险。
从利尔瓦特民族的五名成员的角度描述养育一名发育障碍儿童的情况。
通过深入访谈获取数据，并采用持续比较法进行分析。
在家庭类别中，确定的子类别包括广泛的支持网络、代际学习与实践以及寄宿学校系统的影响。在养育孩子的类别中，确定的子类别包括健康与灵性、因果信念以及认知感。
职业治疗师需要认识到在养育孩子、家庭和健康方面可能与他们自己的个人和专业信念及实践有显著差异的替代性世界观。
