Thursday, 15 November 2012
Schizophrenia shouldn't be a life sentence. But it will be
Patients used to be given only pills. They respond far better when asked about their lives – that's the bit that costs, though.
Read the article here>>>>http://www.guardian.co.uk/commentisfree/2012/nov/14/schizophrenia-recovery-nhs-cuts
Monday, 5 November 2012
The effect of technology on children
While surfing the net I stumbled accross a very interesting blog titled Moving to Learn, which looks at the effect of technology on children, by a leading child development expect.
Follow the links below to see some of her interesting blog posts. It is a must read for all parents.
http://movingtolearn.ca/2012/child-mental-disorders-illness-or-environment
http://movingtolearn.ca/2012/early-technology-use-limits-imagination
http://movingtolearn.ca/2012/video-games-linked-to-attention-problems
Follow the links below to see some of her interesting blog posts. It is a must read for all parents.
http://movingtolearn.ca/2012/child-mental-disorders-illness-or-environment
http://movingtolearn.ca/2012/early-technology-use-limits-imagination
http://movingtolearn.ca/2012/video-games-linked-to-attention-problems
Negative perceptions on mental illness
A
mental illness is a medical condition that disrupts a person's thinking,
feeling, mood, ability to relate to others and daily functioning. Just as
diabetes is a disorder of the pancreas, mental illnesses are medical conditions
that often result in a diminished capacity for coping with the ordinary demands
of life. But many people do not see it this way. Rather than viewing a mental
illness just like a physical illness, people tend to view it as 'their own
fault' and not as a result of an illness. According to
research, social stigma associated with mental disorders is a widespread
problem. Some people believe those with serious mental illnesses cannot
recover, or are to blame for problems. Media coverage
of mental illness comprises predominantly negative and pejorative depictions,
for example, of incompetence, violence or criminality, with far less coverage
of positive issues such as accomplishments or human rights issues.
Although I was aware
of all of these facts, I recently I find myself reflecting more deeply on the
stigma people with mental illness experience. Maybe it is because within my own
communities I now clearly see many negative connotations and perceptions associated
with having a mental illness. People feel they are 'mad' , 'retarded' or
because they have this disability they cannot work or be part of society. In
fact within our Indian community of South Africa it is common to label someone
as "having nerves" because they may behave in socially inappropriate
ways. I myself was initially scared and a little nervous to
work in a psychiatric unit. Reflecting on that, my fear and nervousness
probably stems from the stigma we have in our societies.
Brain Injury Linked To Crime In Young People
A new UK report finds there is a link between brain injury in childhood and
crime in young people, and points to evidence that brain trauma can cause
maturing brains to "misfire" and disrupt the development of self-restraint,
social judgement and impulse control. It calls for more collaboration among
health and criminal justice authorities to spot brain injuries early, treat them
properly, and ensure they are taken account of throughout the criminal justice
process.
Read the rest of the article here>>>> http://www.medicalnewstoday.com/articles/251798.php
Read the rest of the article here>>>> http://www.medicalnewstoday.com/articles/251798.php
Bullies twice as likely to have disorder- ABC News
Mental disorders plague many adults who were bullied as children, but a new study suggests that those who had mental health disorders during childhood are three times more likely to become bullies. Researchers at Brown University analyzed survey responses from parents of nearly 64,000 children ages 6 to 17 who were identified as having a mental health disorder, and those who were identified as bullies. An estimated 15 percent of U.S. children in 2007 were identified as bullies by a parent or guardian, according to the responses, which were part of the 2007 National Survey of Children's Health.
Friday, 19 October 2012
"Blog it"
My reflections on my first ever blog
So at the start of
the semester when we were asked to create a blog to share our experiences, I
must admit I was slightly apprehensive. Not that I hadn't used social media
before, but the idea of pouring out my inner most thoughts and feelings on a
public platform was not exactly attractive to me! Nevertheless I decided to
give it a try, and… wow! I'm addicted to blogging! I'm constantly thinking
about new and interesting blog posts, and when anything significant occurs my
first thought is, " I'm so blogging that!'. Frankly, I am a very talkative
person and I feel as though countless ideas and thoughts are constantly running
through my head that I just have to get out. And I've now found the perfect
outlet.. Blog it!
Thursday, 18 October 2012
Prac Reflections
I have quite an
honest confession to make. For the first time in my 3 years of studying OT, I
have really enjoyed working as an OT at my practical venue. As 2nd years we
were a bunch of nervous and unsure students, blundering through with great
ideas but poor implementation. I admit I often questioned myself repeatedly on
the 'point of it all'. It becomes really difficult to gain from something when
you cannot see the progress. Last year we did mainly assessments with our
patients and did not observe the great impact treatment has on patients.
Group Games - Resources
As explained in my previous post, growth games are a good way of building rapport and cohesion within a group. Here are some links to growth games and warm-up activities to use in your sessions.
Activities for recreation therapy groups
Youth games
youth group games
40_icebreakers_for_small_groups.pdf
Activities for recreation therapy groups
Youth games
youth group games
40_icebreakers_for_small_groups.pdf
Reflection on Growth Games
As a class we
participated in a few growth games to develop group cohesion and grow as a
class. I think it was a great experience because it helped us develop
relationships with our classmates who we had to work with at our practical
venues. It was also a learning experience because we had to analyse each game
and see if it would be appropriate for patients and at what level.
Review on Girl, Interrupted
As an addition to our lectures on Personality Disorders, we were required to watch the movie Girl, Interrupted. Below are some of my views on the movie, as well as the trailor.
The movie "Girl, Interrupted" takes place in the late 60's, starring Wynonna Ryder as Susanna Kaysen, who gets put into Claymore, a psychiatric hospital. After staying in the hospital ward for a few months, she gets diagnosed with Borderline Personality Disorder (BPD). The film is not so much about the recovery process as it is about what makes a person choose to recover (or not), and all the factors leading to one's choice to recover. In my opinion the film provides a worthwhile exploration of mental illness and the effectiveness of the mental health care system.
Tuesday, 9 October 2012
DISABILITY ALL SORTS
A DIRECTORY OF ORGANISATIONS AND RESOURCES FOR PEOPLE WITH DISABILITIES IN SOUTH AFRICA
The link below leads to a directory of organisations and resources for people with disabilities in South Africa.It is a comprehensive directory that would be of value to all South Africans with disabilities, and all those working with people with disabilities.
Link >>> DISABILITY ALL SORTS
Simple home modifications for the disabled
As an Occupational Therapist, our intervention often involves adapting the home environment for those with disabilities, especially those on wheelchairs. For those of you interested in architecture or design for the disabled please check the link below:
Simple home modifications for the disabled
Simple home modifications for the disabled
Tuesday, 2 October 2012
Values Clarification
Values are basically
one's sense of right and wrong, and tend to influence your attitude and
behaviour. So where do our values come from? Are they influenced by our
culture, religion, friends or society? I think it’s a combination of all four.
Most of our values
are engrained from early childhood into adolescence. Firstly from our parents
and family who teach us what is acceptable and what is not. By adolescence we
start getting influenced by our friends and other elements in our lives. Negative
behaviours may be encouraged, and the values engrained by the parents may be
challenged. Culture and religion plays a major role as well. Our roles in
society and acceptable behaviours are defined mostly by the cultural and
religious norms instilled by our parents. But again societal norms gained from
school or friends challenge these
cultural and religious norms.
Wheelchair Training- 2011
Above is a picture of our wheelchair training on campus last year. In order to teach others how to use a wheelchair we have to be familiar with them ourselves. We had to learn the parts, how to assemble a wheelchair and what regular maintenance entails. We also had to learn how to navigate on different terains like grass and concrete, how to go up and down ramps, and how to do 'wheelies' to get up stairs. It was a great learning experience, and after an hour we were all extremely exhausted! I really learnt how difficult life can be for a person with a disability.
Monday, 1 October 2012
Movie Recommendation
Like Stars on Earth
Taare Zameen Par (original title)
An eight year old boy is thought to be lazy and a troublemaker, until the new art teacher has the patience and compassion to discover the real problem behind his struggles in school. Although I watched this movie many years back, it still sticks out in my mind because I cried continuously. It really touches you deeply, and is a must watch for anyone wanting to work with children. Watch the trailor below:
Exclusive Video Interview: Steven Spielberg on his Dyslexia
In this exclusive interview, Steven Spielberg discusses his dyslexia for the first time ever, with Quinn Bradlee of Friends of Quinn.
"When I felt like an outsider, movies made me feel inside my own skill set."Remarkably, the world famous director of E.T. - The Extra-Terrestrial, Jaws, Schindler's List, The Color Purple, and Raiders of the Lost Ark was diagnosed with dyslexia only a few years ago. While he wishes that there had been more awareness of LDs in the 50s, he acknowledges the impact of his supportive parents who helped him endlessly with his studies, making sure he did add well as he possibly could in school.
Watch the video here >exclusive-video-interview-steven-spielberg-on-his-dyslexia
Quadriplegic receives computer to help with everyday tasks
Baltimore shooting victim controls device with her eyes to connect, communicate
Read the article here > Paraplegic receives computer
Disabled remain marginalised
Disabled remain marginalised - News24
Employers are struggling to meet targets for
disabled people in the workplace, the advocacy group I CAN said on
Tuesday.
"There is a lack of knowledge on how to include disabled people in the workplace, and coupled with ignorance and fear, companies are just not making the effort," said I CAN head Alison Smeeton.
"There is a lack of knowledge on how to include disabled people in the workplace, and coupled with ignorance and fear, companies are just not making the effort," said I CAN head Alison Smeeton.
Casual Day 2012
Some of my amazing OT class, and our supervisors |
In September this year, we raised awareness for people with disabilities, by buying and wearing a casual day sticker. Every year there is a different theme for Casual Day. This year it was "All Aboard", where we were encouraged dress up like sailors and pirates, and show our support for those with disabilities. At our practical venue we had a special day planned for the residents, involving special games and food according to the theme. It was great to see all residents joining in, even those who don't regularly attend our group. The fun and activities were a great way to improve the mood of the residents, and gave them something to look forward to. It was over all a great success. Have a look at some of the pictures below to view the fun activities we engaged in.
Autonomy and Culture
Autonomy is a
fundamental concept of Occupational Therapy. As OT's we hope that our patients
can achieve functional independence to the maximum. Independence doesn't mean
being able to perform all tasks without assistance. Sometimes independence can
mean performing little tasks or part of a task independently. Just achieving
this little independence can make a huge difference to the quality of life of a
disabled person. It is activities, or as we call it in OT 'occupation', that
adds meaning to our lives.
Before I became
accustomed to the OT way of life, I did not realize how vital gaining that
little bit of independence can be. Brought up in a traditional Muslim and
Indian household, elders and those who are physically or mentally disabled are
considered to be of great value to the family, as they bring God's blessing and
mercy onto the household. As a result many traditional families such as mine,
emphasis the importance of caring for these people as it will earn us great
reward. 'Caring' can be quite objective. Often we do what makes us feel good
instead of doing what makes the patient feel good. As we feel great sympathy
for them, we overcompensate by assisting them in all tasks. Helping makes us
feel good, but for the patient loss of independence and relying on others for
their every need can become terribly distressing.
"Assistive Devices"
Today I realized how
much we as able bodied people rely on "assistive devices". As a
student and a wife, I find it necessary to make use of various devices that
make my life so much easier. For example the washing machine and dishwasher are
devices that give me much more time to concentrate on OT. For life as a student
on the go, I cannot do without my netbook. Smaller than your conventional
laptop, it is easier and lighter to carry around, as well as convenient to pop
out at any time. Even in the kitchen we cannot do without essentials like the
Fryer, food processor, Kenwood chef, and various other beaters and grinders. My
new kitchen dream is a pressure cooker- Curries and dolls done in 10 minutes
tops! A housewives fantasy! It is now simply a life of convenience. If our
ancestors saw us today, they would be horrified at our laziness to say the
least! Traditional Indian women back in India, cooked squatting on the floor,
beat, ground and washed everything by hand. They kept active right until they
were elderly. This learned helplessness
through overreliance on assistive devices and modern technology, has severely
disabled us. And then we wonder how did they live longer and healthier lives
than us??
A day as a disabled person
The following post
is a reflection on spending the day as a disabled person. As a personal growth
exercise, we as OT 3rd years were each given a disability to act as closely as
possible. We were then required to spend the day at Pavilion Shopping Centre and
carry out a list of activities as a person with a disability, to experience the
difficulties and stigma people with disabilities experience daily.
The wonderful sound
of laughter, the comforting tone of a friend, the warning sound of danger, and
the beautiful sound of music; these are just a few things missing in the life
of a deaf person. Above all else, communication is a daily struggle! If they are
not fortunate enough to be educated in sign language, communication is limited
to a few basic gestures, or writing to express one’s needs. In the day I spent
trying to understand the struggles of a deaf person, one thing was
overwhelmingly clear: life for the deaf is lonely!
Wednesday, 26 September 2012
From an Autistic point of view
JOURNEY WITH AUTISM: From an autistic point of view:
"I liked the sound of flowing water and enjoyed pouring water back and forth between orange juice cans; whereas another child may avoid the sound of flowing water. I liked the visual stimulation of watching automatic sliding doors; whereas another child might run and scream when he or she sees an automatic sliding door. ........................ ............ "
"I liked the sound of flowing water and enjoyed pouring water back and forth between orange juice cans; whereas another child may avoid the sound of flowing water. I liked the visual stimulation of watching automatic sliding doors; whereas another child might run and scream when he or she sees an automatic sliding door. ........................
Says Temple Grandin, A 64 year old autistic person, Doctor of animal science and a professor in Colorado state University, USA. In her articles she explains about the sensory, language, social communication and learning issues that she experienced as a person with autism.. It would provide a good insight to parents and professionals about the struggles or voices of autistic children... For a better understanding, follow the link...
Resources: Play materials and games for infants and toddlers
JOURNEY WITH AUTISM: Play materials and games for infants and toddler:
Play materials and games for infants and toddler
Age : 0-4 months
Ø Colourful mobile items
Ø Dangling toys
Ø Music carousals
Ø Finger play
Ø Rattles
Ø Rubber or plastic rings
Library at Hillcrest
Last semester I did my practical block at Hillcrest Hospital. Below is an article I wrote for our OT Newsletter, describing my personal venture with my supervisor to create a library for the patients.
The third year
students doing their practical block at Hillcrest Hospital this year, put
together an excellent initiative of creating a functional library for the
hospital.
Through interaction
with their patients and learning of their interests, many students realized the
need for an in-hospital library system that is easily accessible for all
patients. Together with the help of Helga Koch(3rd year supervisor) the
students requested for shelves to be donated from the University of Kwa-Zulu
Natal to Hillcrest Hospital. The shelves had to then be transported from Howard
Campus to Hillcrest Hospital. Patients at the hospital assisted in varnishing
the shelves and began with the process of data capturing the books onto a data
base. With the help of the OT Technician and fellow students the shelves were
assembled and the books were separated into genres. The library is now fully
functional and already being utilized by the patients.
Many thanks to
Claire Jamison(OT3) who assisted in transportation. Also thanks to Felicity
Crouch from Tafta and Helga Koch who donated books towards the library, and the
students who assisted in setting up the library. It was a brilliant effort and
we are hoping this project will be a motivator for future students to create
wonderful initiatives at their practical venues
Tuesday, 25 September 2012
Occupational Therapy vs. Physiotherapy
So what is the difference? Have a look at the article below which provides a brief overview.
Study: Head Lag in Infants Could Mean Autism
*An interesting article I came across*
9-5-12
9-5-12
Study: Head Lag in Infants Could Mean Autism
Findings from Kennedy Krieger study published in the American Journal of Occupational Therapy
BETHESDA, MD—Delays in an infant’s motor
control may be an early indicator for an autism spectrum disorder (ASD).
Researchers at the Kennedy Krieger Institute in Baltimore examined the
association between head lag—poor postural control during a pull-to-sit motion—
and autism risk in a sample of 20 high-risk infants (siblings of children with
autism) and 21 low-risk infants age 6 months, and a sample of 40 high-risk
infants followed prospectively from 6 to 36 months of age.
Role of OT
Have a look at the following link to better understand the vast roles of OT's in various areas, courtesy of the American Occupational Therapy Association. Happy Reading:)
http://www.aota.org/Consumers.aspx
http://www.aota.org/Consumers.aspx
Wednesday, 29 August 2012
Psychiatric Analysis of Black Swan
The following post was composed as an assignment for my Psychopathology Module, where we were required to watch a movie portraying someone with a Psychiatric Disorder. We were then required to submit an analysis about the presentation of the disorder in the movie. I chose the movie Black Swan as it was intriguing on many levels, and the protagonist had many layers to her disorder, making it all the more interesting to analyse.
“I had the craziest dream last night.
I was dancing the White Swan”. Nina Sayers is a fragile and repressed ballerina, who strives for the
lead in Tchaikovsky's "Swan Lake," a role that will require her to
play both the gentle white and the seductive black swans. Nina lives with her
controlling mother and constantly strives for perfection. However, this is not
enough for her demanding and sexually aggressive director who wants her to ‘lose herself’ in order to dance the seductive
black swan to perfection. As the film progresses we see Nina’s descent into
psychosis, as the stresses of being the lead ballerina and her mother’s emotional
abuse become too much for her fragile state of mind. We see her embracing her
role to the fullest and transforming from the virginal, pure white swan into a
dark, ominous black swan.
Looking at Nina from a psychiatric
point of view, she displayed many psychotic features associated with
Schizophrenia. According to the DSM-IV-TR
the diagnostic criteria for schizophrenia are as follows. The person must
experience two (or more) of the following symptoms, each present for a
significant portion of time for 1month and lasting more than 6 months:
delusions; hallucinations; disorganized speech; grossly disorganized or
catatonic behaviour; negative symptoms, i.e., affective flattening, alogia
(poverty of speech), or avolition. They must also experience social or occupational
dysfunction, and mood disorders and substance abuse must not be present.
A Reflective look at my visit to St. Thomas Children's Home
It was a sunny
winters morning when the OT 3rd year students took a trip to the St Thomas
Children's Home. Situated in the heart of Sydenham, St Thomas is a safe haven
for underprivileged children who may be orphans or may have been removed from
their homes due to lack of finances or an abusive relationship. Working with these children was an
interesting and enlightening experience. More than ever it makes you grateful
for what you have. Our morning was spent
with boys and girls between the ages of 6-7 years old. We tried to engage them
in some physical and competitive activity.
Many of them have developmental delays and some are also delayed in
their physical development.
As with kids that
age, they have much extra energy and as the weather was in our favour
we decided to do an outdoor activity. We divided them into groups of 6 aside
with boys and girls separately, and had them participate in relay races for fun
and friendly competition. The warm up was a game of popping balloons where each
person had a balloon tied to their leg and the aim was to win by popping as
many balloons as you can but keeping your balloon safe. This was a great way for the children to run
around and release all their pent up energy. We
had many laughs and it really got everyone in the mood for a fun and
exciting morning.
Welcome to my Blog:)
Hi! A huge welcome
to my first blog! I am a 3rd year Occupational Therapy student studying at the
University of Kwa-Zulu Natal in Durban, South Africa. For 3 years I have been
juggling married life and OT student life, which has been very challenging to say
the least. This blog will serve as an insight into the world of Occupational
Therapy through my reflections on all OT related aspects of my life. I will try
my best to keep it fun by adding interesting pictures and quotes I may come
across. I hope to change many perceptions and attitudes about OT, as well as
provide a good resource for other
Occupational Therapists around the world.
I'm sure many of
you, like the many people I meet, will be wondering what Occupational Therapy
is all about. Simply put Occupational therapy is a health profession whose goal
is to help people achieve independence, meaning and satisfaction in all aspects
of their lives. OT's treat anyone with injury, illness, disability or
psychological dysfunction. Helping to
achieve independence is the main aim of OT. Most humans need independence to
boost their self confidence and self esteem. Losing the ability to cope
independently in simple activities can be extremely demeaning especially those
activities which have meaning to the client. Someone with a physical or
psychiatric disability will have difficulty performing basic activities of
daily life such as self care, domestic, leisure and/or work tasks. OT's will look to
improve components causing the dysfunction(example; treating decreased muscle
strength or poor attention and concentration), and if this is not achieved we
may teach new methods, make adaptations to the environment or provide assistive
devices to ensure the client achieves maximal independence in their activities
of daily living. In OT each client is treated holistically. What roles the
client plays in his/her life, what activities have meaning for them, and their
physical and social environment plays a key role in determining the direction
of treatment.
What many people
don't realize is that OT's have just as important role to play as the other
health professionals. The personal satisfaction that comes from helping someone
achieve some independence ,even by something simple like learning to eat or
dress independently, can be extremely fulfilling. Providing purpose to their otherwise
meaningless existence can be life changing. With all the stresses we experience
as OT students as well as the negative perceptions of other professionals out
there, being an OT can be a tough career in South Africa. However, I personally
love my profession and I would not want to be anything else for the rest of my
life.
Remember a doctor
may save your life, but an OT will teach you how to live!
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