Humphry R
Division of Occupational Therapy, University of North Carolina, Chapel Hill 27599-7120, USA.
Am J Occup Ther. 1995 Jul-Aug;49(7):687-93. doi: 10.5014/ajot.49.7.687.
Family-centered occupational therapy services are based on a collaborative relationship that does not always come easily. Role performance in parenting a child with special needs and being a consumer of occupational therapy services can be partially understood in terms of environmental context. Although occupational therapists recognize the need to adjust services to the cultural and economic backgrounds of families, most of the available literature has examined the contribution of ethnic differences. A particular challenge for occupational therapists may be treating clients and their families who live in chronic poverty. This article examines chronic poverty as it shapes parenting the child with special needs and subsequently the caregiver's participation in occupational therapy services. A framework for understanding cultural differences is used to suggest contrasting value orientations between families who live with persistent poverty and occupational therapists. A family-centered approach challenges the professional to understand varied influences on caregiving. Suggestions are offered to enhance communication between therapists and caregivers.
以家庭为中心的职业治疗服务基于一种并非总是轻易就能建立的合作关系。养育有特殊需求孩子的角色表现以及作为职业治疗服务消费者的角色表现，可以从环境背景的角度得到部分理解。尽管职业治疗师认识到有必要根据家庭的文化和经济背景调整服务，但大多数现有文献都研究了种族差异的影响。职业治疗师面临的一个特殊挑战可能是治疗生活在长期贫困中的客户及其家庭。本文探讨了长期贫困如何影响养育有特殊需求的孩子，以及随后照顾者对职业治疗服务的参与情况。一个理解文化差异的框架被用来揭示长期贫困家庭和职业治疗师之间截然不同的价值取向。以家庭为中心的方法促使专业人员去理解对照顾行为的各种影响。文中还提供了一些建议，以加强治疗师与照顾者之间的沟通。
