Comments
Description
Transcript
こちらをご覧ください - 日本作業科学研究会
第 15 回作業科学セミナー The 15th Ｏccupational Science Seminar in Mihara ∼作業科学と社会∼ Ｏccupational Science and Society 日時：2011 年９月 24 日（土）25 日（日） 会場：県立広島大学 三原キャンパス 主催：日本作業科学研究会 後援： 三原市 ⋡ᰴ ⎇ⓥળળ㐳ᜦ 3 ታⴕᆔຬ㐳ᜦ 4 ࡊࡠࠣࡓ 5 ⮮⸥ᔨ⻠Ṷ 7 ․⻠Ṷ 9 ၮ⺞⻠Ṷ13 Ꮢ᳃㐿⻠ᐳ15 ࡢ࡚ࠢࠪ࠶ࡊ17 Ṷ㗴⊒ࡊࡠࠣࡓ19 Ṷ㗴⊒㧝 ᛞ㍳ 20 Ṷ㗴⊒㧞 ᛞ㍳ 27 ෳടߦߚߞߡߩ߅㗿37 ೋቇ⠪ะߌෳ⠨⾗ᢱ38 ᙣⷫળߩߏ᩺ౝ45 ࠠࡖࡦࡄࠬ᩺ౝ࿑46 ⚕ߩࠗࠬ࠻㧦ࠗࠬ࠻ߩ߅ߦ߉ࠅߪ㧘ᬺߩቯ⟵ߢ ࠆ Chunks of meaningful activities ߆ࠄ⊒᩺ߒ߹ߒߚߏޕ㘵☸߭ߣߟ ߭ߣߟ߇ activity ߢ㧘߹ߣ߹ߞߚᤨߦ߅ߦ߉ࠅߣ߁ᗧߩࠆ߹ ߣ߹ࠅ㧔ᬺ㧕ߣߥࠆߎߣࠍߒߡ߹ߔ⛗ޕፉፒ૫ሶ -1－－ Contents Greetings 3 Program 6 Tsuyoshi Sato Memorial Lecture 8 Special Lecture11 Keynote Lecture 14 Open Seminar 16 Workshop 18 Oral Presentations Program19 Oral PresentationsΣAbstracts22 Oral PresentationsΤ Abstracts 28 General Information 37 Reference data for Beginners38 Get-together Party 45 On-campus Guide MAP 46 Illustration of the cover: A rice ball represents “chunks of activities”. Occupation is defined chunks of meaningful activities in occupational science. When pieces of rice have meaning, the rice ball must be delicious. This illustration was drawn by Yoshiko Shimazaki. -2－－ ⎇ⓥળળ㐳ᜦ ᣣᧄᬺ⑼ቇ⎇ⓥળળ㐳 President Japanese Society for Study of Occupation ᷼ ⟤㔐 Miyuki MINATO ᧲ᣣᧄᄢ㔡ἴߦࠃࠅ㧘ߊߥࠄࠇߚᣇߏߩޘࠍ߅ࠅ⥌ߒ߹ߔߣߣ߽ߦ㧘ⵍἴߐࠇߚ⊝᭽ߦᔃ ࠃࠅ߅⥰ࠍ↳ߒߍ߹ߔߩߎޕ㔡ἴߦࠃࠅ㧘㕖Ᏹߦᄙߊߩᣇߩޘᬺ߇ᅓࠊࠇ߹ߒߚߢ߹ࠇߘޕ ᣣᏱ⊛ߦᬺࠍⴕߞߡߚߔߴߡߩ႐ᚲ߇ᅓࠊࠇߚߩߢߔߚ߹ޕ㧘ߊߥࠄࠇߚᣇߩޘᄙߐߪ㧘ߦ ᬺࠍߔࠆੱࠍᅓࠊࠇߚᣇߩޘᄙߐࠍᗧߒ߹ߔ߃ߣߚޕㆱ㔍ᚲߢ㧘߹ߚߪᣂߒߊ↢ᵴࠍㅍࠆ႐ᚲߢ㧘 ቇᩞߦㅢ㧘⾈‛ߦⴕ߈㧘⺆ࠅว㧘㘩ࠍࠅ㧘หߓ㧔ฬ೨ߩ㧕ᬺࠍⴕߞߡߚߣߒߡ߽㧘ߘ ߩᬺ߇߆ߦ㆑߁ᬺߢࠆߩ߆㧘ߘߒߡዷᦸߩ⏕┙ߦะߌߡߤߩࠃ߁ߥᬺ߇ᔅⷐߢࠆߩ߆ߩ ℂ⸃ࠍᷓࠆ߇ࠆߩߪ㧘⑳ߚߜߢߪߥߢߒࠂ߁߆ޕᬺߩ⌀ታߦㄭߠ߈㧘⓭߈ᱛ㧘ߘߩ⍮ ⼂ࠍੱߦޘવ߃ࠆߎߣߪ㧘␠ળߦ߅ߌࠆ⺖㗴⸃ߦะߌߚࠕ࡚ࠢࠪࡦߦߟߥ߇ࠆߪߕߢߔޕ ߘߒߡ߹ߚᐢߊ␠ળߦ߅ߡ߽㧘ᗧࠆᬺߩᯏળ߇ᅓࠊࠇߡࠆ⁁ᴫ߇ࠅ߹ߔ ╙ޕ15 ࿁ ᬺ⑼ቇࡒ࠽ߩ࠹ࡑߪ㧘ᬺ⑼ቇߣ␠ળߢߔߦ࠽ࡒᧄޕෳടߐࠇߚ⊝᭽߇㧘ߎߩ 2 ᣣ㑆ࠍㅢ ߒߡᬺߩ⍮⼂ࠍᷓ㧘ᰴߩࠕ࡚ࠢࠪࡦߦߟߥ߇ࠆᯏળߦߒߡ㗂ߌ߹ߔߎߣࠍᦼᓙ⥌ߒ߹ߔ㧚߹ߚ㧘 ⊝᭽ߩᾲᕁࠍળ႐ߦߚߞ߲ࠅߣᵈ߉ㄟࠎߢߚߛߌ߹ߔࠃ߁㧘߅㗿↳ߒߍ߹ߔޕ I would like to pray from the bottom of my heart for those who suffered a great deal of damage by the March 11 earthquake. Many people's occupation were taken away by this disaster. the places where people had their daily occupation were lost. All Moreover, the fact that numerous people lost their lives means numerous people also lost people who engaged in co-occupations. Even if one has an evacuation shelter to live and goes to a school, goes shopping, has conversations with someone, prepares for a meal, and has the same occupation as before, it has to be us who have mission to understand how the occupation is different from the previous one and how important it is for us to deepen our understanding toward establishing a new perspective. We approach to the reality of the occupation and pass the knowledge onto people will lead to solving problems in the whole society. There is the condition where opportunity of meaningful occupation has been deprived. The theme of the 15th Occupational Science Seminar is Occupational Science and Society. I hope all of you who participate in the seminar will deepen your understanding on occupation and make it an opportunity for your next action. I would also deeply appreciate your active and enthusiastic participation in each session of the seminar. 㧔NPO ࡂࡇࡀࠬߚ߆ߪߒળ㧕 -3－－ ታⴕᆔຬ㐳ᜦ ╙ 15 ࿁ᬺ⑼ቇࡒ࠽ ታⴕᆔຬ㐳 Committee Chairperson ศᎹ ߭ࠈߺ Hiromi YOSHIKAWA ⑳ߚߜߩⴕ߁ᬺߪ㧘⑳ߚߜ߇ࠄߔ␠ળߩ⚵ߺ߿ଔ୯ⷰ߆ࠄᄢ߈ߥᓇ㗀ࠍฃߌߡ߹ߔࠇߘޕ ߢ߽ੱ㑆ߪ㧘ᄖ⊛⚂ߦߒߟ߱ߐࠇࠆߎߣߥߊ㧘⥄ಽߩᬺࠍߒߡߊߎߣ߇ߢ߈ࠆࠃߩߎޕ ߁ߦੱߣ␠ળߣᬺߩ㑐ଥࠍ⠨߃ࠆਛߢ㧘࿁ߩ࠹ࡑ߇ޟᬺ⑼ቇߣ␠ળޕߚߒ߹ࠅߥߦޠ ᬺ⑼ቇࡒ࠽ࠍᆎߚ⮮᳁ࠍ⸥ᔨߔࠆ⻠Ṷߪ㧘ฎߊ߆ࠄ⮮వ↢ߣⷫ߇ࠅ㧘ᧅᏻߢߩ ᬺ⑼ቇࡒ࠽ߦ߽ෳടߐࠇߡߚㄭ⮮ᢅ᳁ߦ߅㗿ߒ߹ߒߚ․ޕ⻠Ṷߢߪ㧘 ޟᐔ߽⺕߁ߣޠ ߇⍮ߞߡࠆᔨࠍត᳞ߔࠆᐔቇߦߟߡጟᧄਃᄦ᳁ߦ߅ߚߛ߈߹ߔޕᬺ߽ᐔߣห᭽ߦᐔ ᤃߦℂ⸃ߢ߈ࠆࠃ߁ߦ߃ࠆ৻ᣇߢታᘒࠍߣࠄ߃ࠆߎߣ߇㔍ߒߣ⠨߃ߚ߆ࠄߢߔޕၮ⺞⻠Ṷߪ㧘ࠝ ࠬ࠻ࠕ߆ࠄࠥࠗ࡞ࡎࡢࠗ࠻ࡈࠜ࠼᳁ࠍ߅ㄫ߃ߒ㧘ੱߢߪߤ߁ߦ߽ߢ߈ߥ␠ળ⊛ⷐ࿃ߦ ࠃࠅ㧘ᗧߩࠆᬺߩታࠍ㒖߹ࠇߡࠆ⁁ᘒߣ㧘ߤ߁ะ߈ว߁߆ࠍ⠨߃ߚߣᕁߞߡ߹ߔޕ Ṷ㗴ߪ 7 㗴ࠅ߹ߔ∛ޕ㒮㧘ᣉ⸳㧘ၞߥߤᄙ᭽ߥ⁁ᴫߦࠆੱߩᬺࠍ⠨߃ࠆߎߣ߇ߢ߈ߘ߁ߢ ߔߪߢࡊ࠶࡚ࠪࠢࡢޕ㧘ෳട⠪ోຬ߇⊒⸒⠪ߣߥߞߡߚߛ߈߹ߔ⥄ޕಽߥࠅߩᬺ⑼ቇߣߩะ߈ วᣇࠍᭂߡߊߛߐޕ㐿⻠ᐳߢߪ㧘␠ળߩਛߢᬺࠍਛᔃߦᵴേߒࠃ߁ߣ߁⹜ߺ߇⚫ߐ ࠇ߹ߔޕၞ↢ᵴߩਛߦᢔࠅ߫ࠄࠇߡࠆᬺߩノ߈ߦ᳇ߠߡߚߛߌࠆ߆߽ߒࠇ߹ߖࠎޕ ߐ⊝ߐࠎ㧘⥄ಽࠄߒߊᬺ⑼ቇࡒ࠽ߦෳടߒߡߊߛߐޕ Occupations we engage in are influenced by social systems and values. Human beings also find out their own occupations instead of simply being overwhelmed by external restrictions. The theme, Occupational Science and Society, was decided through thinking about the relationships among humans, societies, and occupations. Dr. Kondo, the lecturer for the Sato Go memorial lecture, was a friend of Dr. Sato and attended the occupational science seminar in Sapporo. Dr. Okamoto presents about peace studies. is known by everyone, but difficult to comprehend -- actually like occupation. Whiteford from Australia as a keynote speaker. Peace We have invited Dr. We will think together about conditions in which people are excluded from doing meaningful occupations because of external factors. There are 7 presentations. Occupations in hospitals, institutions, and community are discussed. In the workshop, you are encouraged to think and talk about how to engage with occupational science. Some trials of occupations in their own community will be introduced in the open seminar. Hopefully you will find some fantastic occupations embedded in the community Please participate in the occupational science seminar in your own favorite way. 㧔⋵┙ᐢፉᄢቇ ᢎ Professor, Prefectural University of Hiroshima㧕 -4－－ ࡊࡠࠣࡓ 9 24 ᣣ㧔㧕 9:15㨪 9:50㨪10:00 ฃઃ ታⴕᆔຬ㐳 ᜦ 10:00㨪11:45 ⮮⸥ᔨ⻠Ṷ ⻠Ꮷ㧦ㄭ⮮ ᢅ มળ㧦⌀↱⟤㧔⠧ੱஜᣉ⸳ ᗲߣ⚿ߩⴝ㧕 11:45㨪12:15 ✚ળ 12:15㨪13:15 ᤤ㘩 13:15㨪13:45 ᧲ᣣᧄ㔡ἴၮ㊄⻠Ṷ ⻠Ꮷ㧦ࠥࠗ࡞ࡎࡢࠗ࠻ࡈࠜ࠼ 13:45㨪14:45 Ṷ㗴⊒ 1∛ޣ㒮ߦ߅ߌࠆᬺ㧦20 ಽ×3 Ṷ㗴ޤ ᐳ㐳㧦ဈ ⌀ℂ㧔ᧅᏻක⑼ᄢቇ㧕 14:45㨪15:00 ભᙑ 15:00㨪17:00 ࡢ࡚ࠢࠪ࠶ࡊ㧔࠹ࡑዊࠣ࡞ࡊ࠺ࠖࠬࠞ࠶࡚ࠪࡦ㧕 มળ㧦↰ਭᓼ㧔ട⨃บ⸰⋴⼔ࠬ࠹࡚ࠪࡦ㧕 18㧦30㨪 ᙣⷫળ 9 25 ᣣ㧔ᣣ㧕 9:00㨪10:20 10:20㨪10:30 10:30㨪12:00 12:00㨪13:00 13:00㨪14:45 Ṷ㗴⊒ 2ޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺ㧦20 ಽ×4 Ṷ㗴ޤ ᐳ㐳㧦ㄭ⮮ ⍮ሶ ભᙑ ․⻠Ṷ ⻠Ꮷ㧦ጟᧄ ਃᄦ มળ㧦᷼ ⟤㔐㧔NPO ࡂࡇࡀࠬߚ߆ߪߒળ㧕 ᤤ㘩 ၮ⺞⻠Ṷ ⻠Ꮷ㧦ࠥࠗ࡞ࡎࡢࠗ࠻ࡈࠜ࠼ มળ㧦ศᎹ߭ࠈߺ ㅢ⸶㧦ศ㊁ ⧷ሶ㧔⠡⸶ኅ㧕 14:45㨪15:00 ભᙑ 15:00㨪16:30 Ꮢ᳃㐿⻠ᐳ ⻠Ꮷ㧦㜞ᧁ 㓷ਯ ߟߊࠈ߁ਃේߩࡔࡦࡃ 16:30㨪16:45 㐽ળᑼ －－ Program September 24㧔Saturday㧕 9:15㨪 9:50㨪10:00 Reception Greeting 10:00㨪11:45 SATO Tsuyoshi Memorial Lecture Speaker: Satoshi KONDO Chairperson: Mayumi MURAI 11:45㨪12:15 General Meeting 12:15㨪13:15 Lunch 13:15㨪13:45 Presentation to Japanese Earthquake Fund Speaker: Gail WHITEFORD 13:45㨪14:45 Research Presentations Session Iޣ3 presentations; 20min.eachޤ Chairperson: Mari SAKAUE 14:45㨪15:00 Break 15:00㨪17:00 Workshop Chairperson: Hisanori FUKUDA 18:30㨪 Get-together Party September 25㧔Sunday㧕 9:00㨪10:20 Research Presentations Session IIޣ4 presentations; 20min.eachޤ Chairperson: Tomoko KONDO 10:20㨪10:30 Break 10:30㨪12:00 Special lecture Speaker: Mitsuo OKAMOTO Chairperson: Miyuki MINATO 12:00㨪13:00 Lunch 13:00㨪14:45 Keynote lecture Speaker: Gail WHITEFORD Chairperson: Hiromi YOSHIKAWA 14:45㨪15:00 Break 15:00㨪16:30 Open Seminar Speaker㧦Masayuki TAKAGI and members of “Go for Mihara” 16:30㨪16:45 Closing Ceremony －－ ⮮⸥ᔨ⻠Ṷ 9 24 ᣣ㧔㧕10:00㨪11:45 ᚒ㧘ᬺߔࠆ㧘ࠁ߃ߦᚒࠅ ㄭ⮮ ᢅ ⋵┙ᐢፉᄢቇ ᢎ ⮮వ↢ߪ㧘1966 ᐕ㧘ഭᬺ࿅ߩᆔབྷࠍฃߌᷰ☨ߒᬺ≮ᴺ჻⾗ᩰࠍขᓧޕ1970 ᐕߩᏫ ࿖ᓟ㧘Ꮊࡂࡆ࠹࡚ࠪࡦᄢቇᩞߩ⻠Ꮷߦ⌕છߪ⑳ޕ㧘ߘߩᤨߩቇ↢ߩ৻ੱߢࠆޕ⮮వ↢ߪ㧘 ☨࿖ߩකቇࡕ࠺࡞ߩᬺ≮ᴺࠍቇࠎߢ᧪ࠄࠇߚࠃ߁ߢ㧘⣶∩∝߿ಾᢿߩᬺ≮ᴺࠍᢎ߃ߡ㗂ߚ⸥ᙘ ߇ࠆߩߘޕᓟ㑆߽ߥߊ㧘J. Ayres ߩឭ໒ߒߚᗵⷡ⛔ว≮ᴺߦୟߒ㧘߿߇ߡߎߩಽ㊁ߩ࠳ߣ ߒߡ㐳ߊᓟヘߩᜰዉߦᒰߚࠄࠇߚޕ⮮వ↢߇ᣣᧄߩᬺ⑼ቇࠍផㅴߔࠆಾߞដߌߪ㧘ᬺ⑼ቇࠍឭ ໒ߒߚ F. Clark ߇ J. Ayres ߩห⎇ⓥ⠪ߩ৻ੱߢߞߚߎߣ߇ᄢ߈ߩߢߪߥ߆ߣᕁ߁ޕ ̍ᚒᕁ߁㧘ࠁ߃ߦᚒࠅ̍㧘ߔߥࠊߜ㧘⥄ಽߪߥߗߎߎߦࠆߩ߆ߣ⠨߃ࠆ⥄㧘⥄ಽ߇ሽߔࠆ ⸽ߢࠆߣ࠺ࠞ࡞࠻ߪ⺑ߚޟߩߎޕᚒᕁ߁ޟࠍޠᚒᬺߔࠆߣࠆߔߦޠ㧘ᬺߔࠆߣߎࠈ߇⑳ߥ ߩߢࠆ㧘ߣߥࠅᬺ⊛ሽߣߒߡߩੱ㑆ߣ৻⥌ߔࠆࠃ߁ߦᕁߞߚޕᬺ߇ߢ߈ࠆࠃ߁ߦߥࠆߎߣࠍ ⋡ᜰߔߣ߁ࠪࡦࡊ࡞ߥᬺ≮ᴺࠍ⼂ߒߚᤨ߆ࠄ㧘⑳⥄りߩ⣖ߩᕁ⠨࿁〝߇ᄢ߈ߊᄌൻߒߚޕADL ߣ߁ࡂࡆ࠹࡚ࠪࡦߩવ⛔⊛ਛᩭᔨࠍ߹ࠅࠊߥߊߥߞߚߎߣ㧘ᬺ߇ߢ߈ࠆߎߣࠍஜᐽ ߣߺߥߔஜᐽⷰߩォ឵ߩᔅⷐᕈࠍᗵߓߚߎߣߢࠆߚ߹ޕ㧘↢ᵴ㕙ߢߪ㧘ᤋ↹ࠍ⋉ޘ㕙⊕ߊࠆࠃ߁ ߦߥߞߚߎߣ㧘ᐕ⾐⁁ࠍᦠߊߩ߇⽶ᜂߢߥߊߥߞߚߎߣߢࠆ⎇ޕⓥߢߪ㧘㜞㦂⠪ߩォୟ੍㒐ߦ㐳ᐕ ៤ࠊߞߡࠆ߇㧘ᬺߩ᜔᧤ߦߥࠆࠃ߁ߥォୟ੍㒐ߢߪᗧ߇ߥߎߣࠍ⏕ାߒߡࠆޕ ᬺߣஜᐽߣߩ㑐ଥߪ㧘ᬺࠍ㒰ߔࠆߣಽ߆ࠆߎߣ߆ࠄᬺᅓߦ㑐ᔃ߇ߞߚޕᣣᧄᗵⷡ⛔ว 㓚ኂ⎇ⓥળ㧔ᣣᧄᗵⷡ⛔วቇળ㧕߇ 1985 ᐕߦਥߒߚࡢ࡚ࠢࠪ࠶ࡊߦ߅ߌࠆ L. King㧔⚻⊒㆐ ⎇ⓥࡦ࠲ᚲ㐳㧕ߩ⻠Ṷߩߥ߆ߢ㧘㜞㦂⠪ߩᗵⷡᅓߩ㗴ࠍ⍮ߞߚߩ߇ߘߩಾߞដߌߢߞߚޕ ࿁ߩࡒ࠽ߩၮ⺞⻠Ṷߩ⻠Ꮷߢࠆ G. Whiteford ߇ 1997 ᐕ㧘ᬺ⑼ቇࠫࡖ࠽࡞ߦឝタߒߚޟ ᬺᅓߣᛩₐߡߖ߹⺒߽ޠ㗂ߚޕ㧞ᐕ೨ߩቇ↢ߩතᬺ⎇ⓥߢߪ㧘ᬺᅓታ㛎ࠍⴕ㧘ቇ↢ߥࠄߢ ߪߩᔋ⠴ᒝ⎇ⓥ߇ߢ߈ߚޕᄢቇ㒮↢߇ขࠅ⚵ࠎߛ࠹ࡑޟ㓸ਛᴦ≮ቶߦ߅ߌࠆᬺ≮ᴺࡕ࠺࡞ߩ᭴ ▽ߪߢޠ㧘ᗵⷡᅓ߿ᗵⷡㆊ⽶⩄㧘ᤨ㑆⊛፣უ㧘ᬺᅓߩᔨࠍ↪ߡ㧘ICU ߦ߅ߌࠆᬺ≮ᴺߩ ℂ⺰⊛ၮ⋚ࠍ␜ߒߚ⻠ᧄޕṶߢߪ㧘⮮వ↢ߣߩળ㧘⑳ߩ⿰ߣ⎇ⓥࠍᬺߩⷞὐߢ߅ߔࠆޕ ⇛ᱧ 1972 ᐕ㧘Ꮊࡂࡆ࠹࡚ࠪࡦᄢቇᩞතᬺ㧚ᬺ≮ᴺ჻ߩ⸵ขᓧޕ㐳ፒഭἴ∛㒮ࡂࡆ ࠹࡚ࠪࡦ⸻≮⑼㧘Ꮊࡂࡆ࠹࡚ࠪࡦᄢቇᩞࠍ⚻ߡ㧘1995 ᐕࠃࠅᐢፉ⋵┙ஜ ⍴ᦼᄢቇൕോޕᐢፉᄢቇᄢቇ㒮කቇ♽⎇ⓥ⑼ඳ჻⺖⒟ୃੌ㧔ஜቇඳ჻㧕ޕ2005 ᐕࠃࠅ⡯ޕ ⎇ⓥ࠹ࡑߪ㧘੍㒐⊛ᬺ≮ᴺࡋ࡞ࠬࡊࡠࡕ࡚ࠪࡦ㧘⣖තਛࠢࠗࠕࡦ࠻ߩ㐳ᦼฃ≮ⴕ േ㧔Research out-patients on the need for continuing to Occupational Therapy sessions by Stroke patients in the prime of ਃේᏒᏒ᳃දផㅴᆔຬળળ㐳㧘ਃේᏒ⍮∝ࠤࠕળ⼏ળ㐳ޕ ⿰ߪ㧘ᱧผ㧘㊁㧘ᣣᧄᤋ↹㧘ߟࠅ㧘ᩰ⸒ޕ -7－－ their life㧕 SATO Tsuyoshi Memorial Lecture 10:00㨪11:45 September 24 I do occupation therefore I am Satoshi KONDO Prof., Prefectural University of Hiroshima In 1966, Tsuyoshi Sato went to the USA to get an OT license with support of Labor welfare project cooperation. In 1970, he came back to Japan, and became a teacher in the OT department of Kyushu College of Rehabilitation. I am one of his first students. I remember his first lecture was OT for low back pain and amputees. I think the reason was his learned the 1960s’ medical model OT in the USA. However, soon, he studied Sensory Integrative therapy enthusiastically and led many therapists for a long time as president of The Japanese Academy of Sensory Integration. Tsuyoshi Sato also led Occupational Science. Jean Ayres and Florence Clark were his co-researchers in SI for a long time. Descartes said “I think, therefore I am”. If use ”I do” instead of “I think”, it helps us to understand humans as occupational beings. When I discovered that enabling occupation was OT’s simple and significant role, my ideas changed widely. ADL is a traditional and core concept in rehabilitation, but recently I don’t use so much because it’s included in occupation. With the point of view of occupation, OT provides a new idea of health. In my life, I enjoy movies more than before and don’t feel mental stress when writing new year cards. In studying prevention of elderly falls I have come to understand that if programs to prevent falls restrain occupations, they are of dubious value. From my interest in occupational deprivation, I have discovered that the deprivation of occupation is one of the best ways to understand the relation between occupation and health. In 1985, Lorna King, the director of the Center for Neuro-developmental Studies, presented in the sensory integrative therapy workshop about sensory deprivation of elderly people. It was the first time that I learned about sensory deprivation. Of course, I then read “Occupational deprivation and incarceration” by this seminar’s keynote speaker, Gail Whiteford in the Journal of Occupational Science, 1997. Two years ago, four students tried an experiment in occupational deprivation as the theme of their graduate paper. They needed a lot of time and had to be patient. A master course student tried a model of occupational therapy in intensive care units using four concepts: sensory deprivation, sensory overload, temporal disruption, occupational deprivation. It provides basic theory and motivation for therapists worrying about their work in ICUs. In this lecture, I will present about my former teacher, Tsuyoshi Sato, my interests and studies from an occupational point of view. Satoshi Kondo graduated from Kyusyu Rehabilitation College and worked in Nagasaki Workers’ Accident Hospital as an occupational therapist. He has been a faculty of his current university since 1995. He obtained a doctoral degree of health science from Hiroshima University. His research themes are the need for continuing occupational therapy out-patients sessions for stroke patients in the prime of their life. He is chair of the committee of Mihara city for collaboration and care of people with dementia. History, -8baseball, Japanese movies, fishing, and proverbs are his favorite things to do. －－ ․⻠Ṷ 9 25 ᣣ㧔ᣣ㧕10:30㨪12:00 ᐔቇ̆ߘߩᚑ┙ߣዷᦸ ጟᧄ ਃᄦ ጟᧄ㕖ജᐔ⎇ⓥᚲ ᚲ㐳 ╙ੑᰴ⇇ᄢᚢᓟߦ߅ߌࠆᚢߣᐔߦߟߡߩ⎇ⓥߣᢎ⢒㧔ᐔቇ㧘ᐔ⎇ⓥ㧕߇↢߹ࠇߚℂ↱ ߪਃߟࠆߪ৻╙ߩߘޕ㧘☨࠰ᩭᚢߪߤ߁ߒߚࠄ࿁ㆱߢ߈ࠆ߆ߣ߁㧘಄ᚢᤨઍߦ߅ߌࠆಾ⠀ߟ߹ ߞߚታሽ⊛ߥ㗴ᗧ⼂ߛߞߚ╙ޕੑߪ㧘⇇ฦߢ߈ߡࠆၞ⚗ߩ㕖ァ⊛ᣇᴺߦࠃࠆ⸃╷ ߩᮨ⚝ߛߞߚ╙ߡߒߘ ޕਃߩℂ↱ߪ㧘⇇ߩንߩਇဋⴧߥ㈩ಽ㧘ߔߥࠊߜㅜ࿖ߩ⽺࿎߇ὶὐߢࠆ ධർ㗴ߩജ㕟ߦࠃࠄߥ⸃ᣇᴺߩតⓥߛߞߚޕ ߽ߒ㧘☨࠰಄ᚢߩ⚳⚿ߦࠃߞߡⷙᮨߩᩭᚢߩน⢻ᕈߪ߶ߣࠎߤߥߊߥߞߚߣ⠨߃ࠆߎߣ߇ߢ ߈ࠆߥࠄ߫㧘ᐔ⎇ⓥ㧔ᐔቇߩห⟵⺆ߣߒߡ↪ߔࠆ㧕߇↢߹ࠇߚ╙৻ߩ⋥ធ⊛ℂ↱ߪߥߊߥߞߚ ߎߣߦߥࠆߒ߆ߒޕ㧘߹ߥ߅⤘ᄢߥ㊂ߩᩭེ߇ሽߒߡࠆࠊߌߢࠆ߆ࠄ㧘ࡅࡠࠪࡑ࠽ࠟࠨ ࠠⷙᮨߩᩭེߦࠃࠆࡠࠞ࡞ߥᖤߪߟߢ߽ߎࠅᓧࠆࠊߌߢࠅ㧘ߎߩ㗴ߦ㑐ߔࠆᐔቇߩ ขࠅ⚵ߺߪߒߡ⚳ߞߡߥޕ ╙ੑߩℂ↱ߦ㑐ߒߡߪ㧘৻ᣇߢၞ⚗ߪ⏕߆ߦჇടߒߡࠆ߇㧘ઁᣇߢߪ㕖ァ⊛ᣇᴺߦࠃࠆ⸃ ߩน⢻ᕈ߽ታ⊛ߣߥࠅߟߟࠅ㧘ᐔቇߩ⋡ᜰߔᣇะᕈ߇ᴦ⊛ߦ߽ߐࠇߡࠆߎߣ߇ ࠄࠇࠆ╙ޕਃߩℂ↱ߦ㑐ߒߡ߽㧘৻ᣇߢߪࠣࡠࡃ࡞ߥ⁁ᴫߪᖡൻߔࠆ߫߆ࠅߛ߇㧘ઁᣇߢߪജ㕟 ߦࠃࠆ⸃ߩਇᲫߣ㕖ታᕈ߇ࠄ߆ߣߥߞߡ߈ߡ߅ࠅ㧘ജࠍᇦߣߒߥ⸃ᣇᴺࠍᮨ⚝ߔࠆ ᐔቇߩ⽿છߪ߹ߔ߹ߔ㊀߽ߩߣߥߞߡࠆޕ ᐔ⎇ⓥᐔቇ߇⸃ࠍ⋡ᜰߒߡࠆߎࠇࠄߩ⺖㗴ߪ㧘ᴦቇ㧘⚻ᷣቇ㧘࿖㓙㑐ଥ⺰㧘␠ળቇߥ ߤߩಽ㊁ߢ߽ขࠅߍࠄࠇߡ߅ࠅ㧘ᐔ⎇ⓥᐔቇߩ⁛භ⊛㗔ၞߢߪߥޕታ㓙㧘ᐔ⎇ⓥᐔ ቇߣߪోߊή㑐ଥߦߎࠇࠄߩ⺖㗴ߪ⎇ⓥߣᢎ⢒ߩኻ⽎ߣߥߞߡ߅ࠅ㧘߹ߚਔ⠪ߪࠝࡧࠔ࠶ࡊߔ ࠆߎߣ߇ዋߥߊߥޕ ࠗࡦ࠼ߩᐔ⎇ⓥ⠪ S࠳ࠬࠣࡊ࠲ߪ㧘ᚢߣᐔߣ߁ੑಽᴺࠍㅌߌ㧘ᐔߩኻᭂߦࠆߩߪᚢ ߢߪߥߊ㧘㕖ᐔ(peacelessness)ߢࠆߣߒߡ㧘ㅜ࿖ߩ⁁ᴫࠍ․ᓽߠߌࠆᐔᔨࠍឭ␜ߒߚޕ వㅴ࿖ߢߪᚢ߇ߥߌࠇ߫ᐔߛ߇㧘ㅜ࿖ߢߪޛᚢ߇ߥߊߡ߽ᐔߢߪߥࠄ߆ޜᚢߣᐔߣ ߁ੑ㗄ኻ⟎ߪᅷᒰߒߥߣ߁ߩߢࠆޕ ⏕߆ߦ㧘ࠗࡦ࠼ࠍߪߓᄙߊߩㅜ࿖ߢߪᴦ⊛⁛┙ߪ㆐ᚑߒߚ߽ߩߩ㧘ᢙ⊖ᐕߦ߅ࠃࠎߛᬀ᳃ ᡰ㈩ߩ⚿ᨐ㧘࿖ߩንߪߔߢߦᵹߒ㧘ᘟᕈ⊛⽺࿎㧘ή⒎ᐨ㧘ਇቯ㧘ਇᱜ⟵㧘ਇᐔ㧘ᒢ㧘ਇᐔ╬㧘 Ვ்㧘㘫㙈㧘∔∛㧘ਇⴡ↢㧘ᩕ㙃ᄬ⺞㧘ක≮ᣉ⸳ߩਇ㧘ૐ⼂ሼ₸㧘ᢎ⢒ᢥൻߩṛ㧘ᄬᬺ㧘‽ ⟋ߥߤߩ⋧ਸ਼ലᨐߩߚ㧘ᚢߩήߦ߆߆ࠊࠄߕ㕖ᐔ⊛⁁ᴫߪߘߩᭂߺߦ㆐ߒߡࠆޕ -9－－ ߎ߁ߒߡޛᚢߩਇߕࠄ߹⇐ߦޜ㧘㧨㕖ᐔ㧪߇ㅜ࿖ߦ․ᓽ⊛ߥ㗴ߢࠆߎߣ߇⼂ߐࠇ㧘 ᐔᔨߩౣቯ⟵ߩߚߦਇนᰳߩᣂߒ೨ឭߣߥߞߚ ߩࠚ࠙࡞ࡁޕJ.ࠟ࡞࠻࠘ࡦࠣߪޛᚢ߽ߥ ߇ᐔ߽ߥ⁁߁ߣޜᴫࠍ․ᓽߣߔࠆ㕖ᐔ⊛⁁ᴫࠍޛ᭴ㅧ⊛ജߣޜࠎߢ㧘ᚢ߿࠹ࡠߩࠃ ߁ߥ⋥ޛធ⊛ജߣޜߒ㧘࠳ࠬࠣࡊ࠲ߩ⌕ᗐࠍᔨ⊛ߦߨࠅߍ㧘ߘߩ⚿ᨐ㧘ᚢߣᐔߣ߁ વ⛔⊛ੑ㗄ኻ⟎ߣߪߦജߣᐔߣ߁ੑ㗄ኻ⟎ߢಽᨆߔࠆ߇㐿߆ࠇ㧘ᣂߒᤨઍߩቇ⊛ⷐ⺧ ߢࠆᐔቇߦኻᔕߔࠆߎߣ߇ߢ߈ࠆࠃ߁ߦߥߞߚߩߢࠆޕ ዷᦸߦߟߡߪᣣᧄ࿖ᙗᴺߦ࿁╵ߩ♻ญࠍ᳞ߚߜࠊߥߔޕ㧘ᣣᧄ࿖ᙗᴺߪ㧘 ޠߥߒޟᐔਥ⟵ ߣޠࠆߔޟᐔਥ⟵ߩ㧞ߟߩኻᔕࠍ᳞ߡࠆߣ⸒ࠊࠇߡࠆ߇㧔ำፉ᧲ᒾ㧕㧘ੱ⊛ෂᯏ㧘⚗ߦኻ ߒߡ㧘ߊ߹ߢ߽ᱞജⴕߒߥ㧘☨࿖ߩᱞജⴕߦടᜂߒߥ㧘⥄ⴡ㓌ࠍ⚗ߦᵷ㆜ߒߥߣ ߁ޠߥߒޟᐔਥ⟵ߪ㧘ᣣᧄ࿖ᙗᴺߩᐔਥ⟵ߩඨಽߢࠅ㧘߽߁ඨಽߪޠࠆߔޟᐔਥ⟵ߢࠆ ߆ࠄ㧘ᱜߥ⇇⒎ᐨࠍߟߊࠆߚߦᣣᧄߩᏒ᳃߿ᐭߪࠍߔࠆߩ߆ߣ߁ߎߣ߇⺖㗴ߣߥࠆ⥄ޕ ⴡ㓌ࠍᵷ㆜ߒߥߪࠇߘޕ㊀ⷐߛ߇㧘ߢߪࠍߔࠆߩ߆㧘ߘࠇ߇ࠊࠇࠆޠࠆߔޟޕᐔਥ⟵ߣߒߡ㧘 ߐ߹ߑ߹ߥ NGO ᵴേ߇ࠆޕ㐿⊒េഥ㧘ੱᮭ㓚㧘ⅣႺో㧘ᅚᕈߩᮭᠩ⼔㧘ァ❗ߥߤߩ㗔ၞߢ ᄙߊߩ NGO ߇ᵴേߒߡࠆ߇㧘ߎࠇࠄߪ߹ߐߦኾߣ㓮ᓥ㧘ㄼߣ⁜㧘ᕟᔺߣᰳਲߩߥᱜߥ ⇇ࠍߟߊࠆᵴേߢࠆߡߒߘޕ㧘㕖ജᐔ㓌㧔Non-Violent Peaceforce㧕ߩࠃ߁ߦ㧘 ੱޟ⊛ޠ ߣ߁ฬ⋡ߩᱞജⴕߢߪߥߊ㧘⚗ߩ㕖ജ⊛⸃ࠍᡰេߔࠆ NGO ᵴേ߇ࠆޕ 1999 ᐕߩࡂࠣᐔࠕࡇ࡞㧘ࠆߪ 2000 ᐕߩࡒ࠾ࠕࡓࡈࠜࡓ╬ߩᐔ NGO ߩળ ⼏ߦ߅ߡ∩ᗵߐߖࠄࠇߚߎߣߪ㧘⇇ߩᐔ NGO ߪᣣᧄ࿖ᙗᴺߩ㕖ജᐔਥ⟵ࠍήᗧ⼂ߩ߁ߜ ߦߒߡࠆߣ߁ߎߣߢࠆޕ㕖ജᐔ㓌ߣᣣᧄ࿖ᙗᴺߩᐔਥ⟵ߪߦ߁㑐ଥߦ ࠅ㧘ߎߎߦᐔ߳ߩዷᦸ߇ࠆޕ㕖ജᐔ㓌ߩ᭴ᗐߪᣣᧄ࿖ᙗᴺߩᐔਥ⟵ߣหߓᣇะᕈࠍᜬߞߡ ߅ࠅ㧘ߒߚ߇ߞߡᣣᧄߩᏒ᳃ߩⓍᭂ⊛㑐ਈ߇ᦼᓙߐࠇ㧘߹ߚหᤨߦᣣᧄ࿖ᙗᴺߩᐔਥ⟵ߪ㕖ജᐔ 㓌ߩታ〣ߦࠃߞߡߘߩᅷᒰᕈ߇ࠄ߆ߦߐࠇࠆޕએߩࠃ߁ߦ⠨߃ࠆߥࠄ߫㧘ᐔቇߦᦼᓙߐࠇࠆ ዷᦸߪ߈ࠊߡᄢ߈ߣ⸒ࠊߥߌࠇ߫ߥࠄߥޕ ⇛ᱧ ᩔᧁ⋵↢߹ࠇޕᄹᎹ⋵┙ᮮ㗇⾐㜞╬ቇᩞ㧘ᣣᧄࠢࠬ࠴ࡖࡦࠞ࠶࠵㧔᧲੩ၮ〈ᢎᄢቇ㧕 තᬺ࠲ࠬࡦࡒ࠻ࠬࠚ࠙ޕቇᩞතᬺ㧔ቇୃ჻㧕㧘ࡂࠗ࠺࡞ࡌ࡞ࠢᄢቇቇㇱືቇㇱඳ჻ ↢ਛㅌޕ੩ㇺᄢቇඳ჻㧔ᢥቇ㧕ޕ ኾ㐷ߪ㧘ᐔቇޕరᣣᧄᐔቇળળ㐳ޕᐢፉୃᄢቇฬᢎ㧘ጟᧄ㕖ജᐔ⎇ⓥᚲᚲ㐳ޕ ⪺ᦠ ޡᐔቇࠍഃࠆ̆᭴ᗐᱧผ⺖㗴ޢ㧔ᐢፉᐔᢥൻࡦ࠲, 1993 ᐕ㧕㧘 ޡᐔቇ̆ߘߩ゠〔ߣዷ㐿ޢ㧔ᴺᓞᢥൻ␠, 1999 ᐕ㧕 㧘 ޡᐔቇߪ⸷߃ࠆ̆ᐔࠍᦸߥࠄᐔߦ߃ࠃޢ㧔ᴺᓞᢥൻ␠, 2005 ᐕ㧕ߥߤ - 10 － 10 － Special Lecture 10:00㨪12:00 September 25 IRENOLOGY or PEACE STUDIES ---THE ORIGIN AND THE PERSPECTIVE-Mitsuo OKAMOTO, Ph.D. Professor Emeritus, Hiroshima Shudo University President, Okamoto Nonviolence and Peace Institution There are three reasons for the birth of the post-Second World War phenomenon of Peace Studies/Peace Research in the world. The first was an existential problem-consciousness to avoid a nuclear confrontation between the USA and USSR during the Cold War period. The second reason was the search for non-violent and peaceful solution for violent local conflict taking place in the world and the third reason was to find the reasonable way to solve the North-South problem, namely the problem of poverty in the developing nations through non-violent means. If we consider that the possibility of a global nuclear war between the two super-powers has disappeared due to the end of the Cold War, we may conclude the first reason of the invention of peace studies has disappeared as well. About the second reason, the direction of Peace Studies seems to be understood and shared by others politically also as the possibility of non-military conflict resolution is becoming realistic, although violent local conflicts are increasing. About the third reason also the responsibility of Peace Studies for non-violent solution of conflict is becoming more and more important in a context where the global situation aggravates on the one hand, but on the other the solution by violent revolution has become unrealistic and unproductive. These issues which Peace Studies deal with do not necessarily belong exclusively to the domain of Peace Research/Peace Studies, but they are addressed likewise by such disciplines as political science, economics, international relations, sociology, etc. and they often overlap with each other. S. Dasgupta, an Indian Peace Researcher, suggested the concept of “peacelessness”as the opposite of “peace” and rejected the dichotomy of “war and peace”. He says that in developing nations peace is not there although there is no war and therefore the dichotomy of peace and war does not sustain. Indeed, in a country like India and many other developing countries, although they have reached political“independence”, they are economically left in a peaceless situation regardless whether there is war or not because of the long years of colonialism which deprived them of their social wealth and instead brought in permanent poverty, disorder, instability, injustice, political repression, inequality, physical violence, famine, disease, insanity, malnutrition, absence of medical institutions, low literacy rate, stagnation of education and poor culture, joblessness, crimes, etc. - 11 － 11 － Thus, it has become apparent that not only “the absence of war ”but also “peacelessness” is the characteristic problem of developing countries. This posed the necessity of redefinition of what peace should be. Johan Galtung, a Nowegian peace researcher, coined the word “structural violence” to describe the peaceless situation where there is neither war nor peace by means of conceptual elaboration of what Dasgupta had pointed out which lead Galtung to propose the dichotomy of violence and peace instead of war and peace. Galtung revolutionarized the research area of peace and thus originated the new discipline of Peace Studies in the contemporary age. The Japanese New Constitution set forth a new perspective for the future of the world. Its characteristics is sometimes quoted as negativism in the sense that it negates militarism, use of weapons in a conflict, alliance to the US military forces, dispatch of its Self-Defense Forces to areas of violent conflict, etc. Constitution. However, this negativism reflects only a half side of the What is then the other half of the Constitution? One can perhaps describe it as the positive side of the Constitution as it addresses various activities of NGO. They are, indeed, activities of creating a just world free from tyranny, servitude, repression and prejudice, fear and want. There are also actions to be demonstrated by the group of Non-Violent Peaceforces which are characterized by NGO actions of solution by non-violent means completely different from military intervention in the name of “humanitarian intervention.” There was a strong impression felt in the Hague Peace Appeal of 1999 and/or NGO Peace Conference of Millennium Forum of 2000 that the world’s NGO has a strong but unconscious affinity to the pacifism of the Japanese Constitution. together to accomplish successfully their perspectives. It means that both organizations can work If such is the case, an expection for Peace Studies is enormous indeed. Mitsuo Okamoto, Ph.D., Professor Emeritus of Hiroshima Shudo University He has obtained Ph.D. in Peace Studies from Kyoto University. He studied also in Tokyo, Philadelphia in the USA, and Heidelberg in Germany. He is author of many books in Japanese and quite a few articles in English and German, most of them in the area of Peace Studies. He has served as President of the Peace Studies Association of Japan. He was Visiting and/or Exchange Professor at such institutions as Human Rights Program, Harvard Law School (Visiting Fellow), USA; , Senatsseminar fur Politikwissenschaft, University of Salzburg & European Peace University, Stadtschlaining, Austria; Dept of Political Science and Center for Asian Studies, Arizona State University, USA; Woodbrooke College (Quaker), Selly Oak Colleges and University of Birmingham, UK. - 12 － 12 － ၮ⺞⻠Ṷ 9 25 ᣣ㧔ᣣ㧕13:00㨪15:00 ᬺߣෳടߣ࠰ࠪࡖ࡞ࠗࡦࠢ࡞࡚ࠫࡦ ࠥࠗ࡞ࡎࡢࠗ࠻ࡈࠜ࠼ ࠝࠬ࠻ࠕ ࡑ࠶ࠦᄢቇ ᢎ ߎߩ⻠Ṷߢߪ㧘࠰ࠪࡖ࡞ࠗࡦࠢ࡞࡚ࠫࡦߩᔨߩਛߩਥߥ߽ߩߊߟ߆ࠍ⚫ߒ㧘ߎࠇࠄ߇ᐕ ࠍ߆ߌߡ⇇ߢߤߩࠃ߁ߦ⊒ዷߒߡ߈ߚ߆ߦߟߡㅀߴࠆޕᬺᅓߪ㧘ᄢ߹߆ߦߪੱߩᄖㇱߩ ജߩ․ቯߦ㑐ᔃࠍነߖࠆߎߣߢࠆߣℂ⸃ߐࠇߡࠆޕੱߩᄖㇱߩജߣߪ㧘․ቯߩᴦᣇ㊎߿ᢥൻ ⊛ାᔨߦࠃࠆࠪࠬ࠹ࡓߥߤߢࠅ㧘ߎࠇ߇ᬺㆬᛯ߿ᬺෳടߩ▸࿐ࠍࠆߩߢࠆ߇⑳ߦ․ޕ⠨ ߃ߡࠆߩߪ㧘࠰ࠪࡖ࡞ࠗࡦࠢ࡞࡚ࠫࡦߩᨒ⚵ߺߦၮߠߊᮭ߇㧘ᬺ⑼ቇ߿ᬺ≮ᴺߩᢥ₂ߢ ߎࠇ߹ߢℂ⸃ߐࠇߡ߈ߚᬺ߿ෳടߣ㧘ߤߩࠃ߁ߦ㑐ㅪߔࠆ߆ߢࠆࠄ߆ࠇߘޕ㧘2011 ᐕߦ⑳ߣ࠲࠙ ࡦࡦ࠻߇⊒ߒߚෳടဳᬺ⊛ᱜᨒ⚵ߺ㧔Participatory Occupational Justice Framework㧕ࠍ ⚫ߒࠃ߁ߣᕁ߁ࠍࠇߎޕౕߣߒߡ߁ߎߣߢ㧘ࠗࡦࠢ࡞ࠪࡉߥታ〣߿ᬺ⊛ᱜ߇⊒ዷߔࠆ߆ ߽ߒࠇߥޕ ᬺᅓߣߪ߆ߟߡ߽ㅀߴࠃ߁ߣᕁ߁ޕᔨߣߒߡߩᬺᅓߪ㧘ᐕߦ߽ࠊߚߞߡᬺ≮ᴺ ߿ᬺ⑼ቇߩᢥ₂ߢ㧘⊒ዷߒ⼏⺰ߐࠇߡࠆ⻠ߩߎޕṶߢ߽㧘⑳⥄り߿ઁߩ⎇ⓥ⠪ߩ⎇ⓥ߆ࠄࠍ ߍߡ㧘ᬺᅓߩᔨߩḮߣ⊒ዷߦߟߡㅀߴߚޕ ⇛ᱧ ࠝࠬ࠻ࠕ㧘ࡑ࠶ࠦᄢቇᢎ㧘ቇ㐳ޟޕෳടߣࠦࡒࡘ࠾࠹ࠖࠛࡦࠥࠫࡔࡦ ࠻ࡊࡠࠫࠚࠢ࠻ޠ㧘 ޟᐔ╬ߣᄙ᭽ᕈޠ 㧘 ޟේ᳃ᣖࠛࡦࠥࠫࡔࡦ࠻ߢޠᵴേߒ㧘࿖㓙⊛ߦ߽ ⻠Ṷࠍⴕߞߡࠆޕㄭᐕߪ࡛ࡠ࠶ࡄߩ 2 ߟߩᆔຬળߦᚲዻߒ㧘ࠬ࠻࠻࠴࡞࠼ࡦ㧔࠻ ࡞ࠦ㧕߿㓚ኂ⠪㧔ࡉ࡞ࠟࠕ㧕ߥߤਇߥ㓸࿅ߦ㑐ߔࠆ࠰ࠪࡖ࡞ࠗࡦࠢ࡞࡚ࠫࡦߦߟ ߡᵴേߒߡࠆޕᬺ≮ᴺಽ㊁ߩᧄߩ✬㓸߽ߒߡ߅ࠅ㧘 ޟSociety, Inclusion and Participation߁ߣޠᬺ⑼ቇߩᧄ߽ 2012 ᐕߦೀⴕߐࠇࠆ࠳࠽ࠞޕᬺ≮ᴺ჻දળ߆ࠄ Outstanding Professional Contribution ࠍ ฃ ⾨ ߒ 㧘 ᦨ ㄭ ߪ 㧘 ᄙ ᢥ ൻ ਥ ⟵ 㧔multiculturalism㧕ߣ␠ળ৻ᕈ㧔social cohesion㧕᭴▽߳ߩ⽸₂ߦኻߒ㧘national Australian award ࠍฃ⾨ߒߚޕ - 13 - － 13 － Keynote Lecture 13:00㨪15:00 September 25 Occupation, Participation and Social Inclusion Gail Whiteford Prof., Macquarie University, Australia In this presentation I will review some of the key concepts that underpin social inclusion and how they have developed internationally over time. Occupational deprivation is generally understood as being concerned with identifying those forces external to the individual including, for example, specific policies or cultural belief systems, which delimit occupational choice and participation. In particular, I will consider how a rights based framing of social inclusion relates to how occupation and participation have been understood in the occupational science and occupational therapy literature over time. I will then present the Participatory Occupational Justice Framework (Whiteford & Townsend, 2011) as a tool through which inclusive practice and occupational justice may be developed. What is occupational deprivation it and how do we deal with it? Occupational deprivation as a concept has been developed and discussed in the occupational therapy and occupational science literature for many years. In this presentation I will discuss its origins and development and provide some examples from my own and others work. We will discuss what practitioners can do to address occupational deprivation in different contexts. Professor Gail Whiteford - Pro Vice-Chancellor (Social Inclusion) currently holds the position of Pro Vice-Chancellor (Social Inclusion) at Macquarie University, a portfolio which includes the Participation and Community Engagement Project, Equity and Diversity, and Indigenous Engagement. Gail is invited presentations internationally. She has recently worked on two European Commission social inclusion projects involving disadvantaged groups such as street children (Turkey) and people with disabilities (Bulgaria). Gail is well known in her home discipline of occupational therapy with several edited books and has a new book on Occupational Science - titled Society, Inclusion and Participation due out in the beginning of 2012. Professor Whiteford received an award from the Canadian Society of Occupational Therapists for Outstanding Professional Contribution and more recently a national Australian award for her contribution to building multiculturalism and social cohesion. - 14 － 14 － Ꮢ᳃㐿⻠ᐳ 9 25 ᣣ㧔ᣣ㧕15:00㨪16:30 ⥄ಽߣ␠ળߩߚߦߢ߈ࠆߎߣ 㜞ᧁ㓷ਯ㧘ߟߊࠈ߁ਃේߩࡔࡦࡃ ⑳ߪ㧘ੱ߇⥄ಽ⥄り߿ኅᣖ㧘ၞ㧘␠ળߦߣߞߡᗧ߇ࠅᓎ┙ߟߎߣࠍ㧘⥄ಽ߇ߡⴕ߁ߎߣ ߦࠃߞߡੱ߇లታߔࠆߎߣ߇ߢ߈ࠆ␠ળࠍ⋡ᜰߒߡࠆޕ࿁ߩ⻠ᐳߢߪ㧘⑳ߚߜ৻ੱ߭ߣࠅ߇⥄ ಽߣ␠ળߩߚߦߢ߈ࠆߎߣࠍតߒ㧘ታ〣ߒߡߊᣇᴺࠍ⠨߃ߚߣᕁ߁ߦߚߩߘޕ㧘ᬺߣஜᐽ ߣ↢ᵴߩ⾰㧘ᬺߣ␠ળߩ㑐ଥߦߟߡ⺑ߒ㧘⑳ߚߜ߇⥄ಽߣ␠ળߩߚߦታ〣ߒߡࠆߎߣࠍ⚫ ߒߚޕ 㧝㧚ᬺߣஜᐽߣ↢ᵴߩ⾰ ஜᐽߪᣣߩޘᬺߦᓇ㗀ߐࠇࠆߪੱޕᬺࠍߔࠆߎߣߦࠃߞߡ㧘ㆡᐲߦり߿⣖ࠍ㧘ᔟㆡߥ᳇ ಽߦߥࠅ㧘ੱߣߩߟߥ߇ࠅࠍߟߎߣ߇ߢ߈㧘ஜᐽߦߥࠇࠆน⢻ᕈ߇ࠆߚ߹ޕஜᐽߪੱ߇ᬺࠍⴕ ߁ߚߩ⾗Ḯߢࠆߪߜߚ⑳ޕஜᐽࠍߞߡᬺࠍⴕ߁ߎߣߢ㧘ᣣ↢ߩޘᵴࠍㅍߞߡࠆߪߜߚ⑳ޕ లታߒߚ↢ᵴࠍㅍࠆߚߦ㧘ஜᐽࠍ㜞ࠆߎߣߣหߓߊࠄ㧘ஜᐽࠍߞߡࠍߔࠆ߆ߦߟߡ⌀ ߦ⠨߃ࠆᔅⷐ߇ࠆޕࠍߤߩࠃ߁ߦⴕ߁ߣ↢ᵴ߇లታߔࠆ߆ߪ㧘ੱߦࠃߞߡ⇣ߥࠆ⥄ޕಽ߇ᭉߒ ᳇ಽ߿ᐘߖߥ᳇ಽߦߥࠇࠆᬺ㧘ੱߣߩߟߥ߇ࠅࠍߡࠆᬺ㧘ᚑ㐳ߢ߈ࠆᬺ㧘ߎࠇ߹ߢߩ⚻㛎ࠍ ߆ߖࠆᬺ㧘⥄ಽࠄߒߣᗵߓࠄࠇࠆᬺߪ߆ࠍ⠨߃ߡߺࠆߣ㧘↢ᵴ߇లታߔࠆᬺ߇ߟ߆ࠆ ߆߽ߒࠇߥߡߒߘޕ㧘ߘߩᬺߩᭉߒߐ߿߿ࠅ߇ࠍᗵߓߚࠅ㧘㆐ᚑᗵ߿㆐ᗵࠍᓧߚࠅ㧘ઁ⠪ߦ ࠄࠇߚࠅ㧘ੱߩᓎߦ┙ߟߎߣ߇ߢ߈ࠆᣇᴺߢⴕ߁ߎߣߦࠃࠅ㧘↢ᵴ߇లታߔࠆ߆߽ߒࠇߥޕ 㧞㧚ᬺߣ␠ળ ੱ߇ߤߩᬺࠍߤߩࠃ߁ߦⴕ߃ࠆ߆ߪ㧘␠ળߩᓇ㗀ࠍฃߌࠆޕᬺ⊛ߦᱜߥ␠ળߢߪ㧘ੱߪ⥄ࠄ ߩẜജࠍ߆ߒߡᗧߩࠆᬺߦෳടߢ߈ࠆޕኻߦ㧘ᬺ⊛ߦਇᱜߥ␠ળߢߪ㧘ੱߪੱ⊛ ␠ળ⊛ߦᗧߩࠆᬺࠍㆬᛯߒ㧘ࡃࡦࠬࠃߊෳടߢ߈ߥޕᬺ⊛ߦᱜߥ␠ળࠍታߒߡߊ ߚߦߪ㧘᳃⥄り߇␠ળ߿ၞߩ㗴ߦ᳇ߠ߈㧘⸃ᣇᴺࠍ⠨߃㧘ⴕേࠍߎߔᔅⷐ߇ࠆ߇ੱޕ ᒰߚࠅ೨ߦߒߡࠆߎߣࠍࠆੱߪߒߡߥ㧔ߢ߈ߥ㧕ߎߣߦ᳇ߠ߈㧘ߘߩ᭴ㅧ⊛ⷐ࿃ࠍ⠨߃ࠆ ߣ㧘␠ળ߿ၞߩ㗴߇߃ߡߊࠆߩߘޕ㗴ࠍᛴ߃ߡࠆੱߚߜߣ৻✜ߦᒝߺࠍ߆ߒߚᬺࠍⴕ ߁ߎߣߢ㧘␠ળߦᄌൻࠍߎߔߎߣ߇ߢ߈ࠆޕ 㧟㧚⥄ಽߣ␠ળߩߚߩᬺ ⥄ಽ߇ᚑ㐳ߢ߈ࠆᬺ߿ஜᐽߦߥࠇࠆᬺࠍㅢߒߡ㧘ኅᣖ߿ၞߩੱߩޘᓎߦ┙ߟߎߣ߇ߢ߈ߥ ߆ࠍ⠨߃ࠆߣ㧘⥄ಽߣ␠ળߩߚߦߥࠆᬺ߇ߟ߆ࠆ߆߽ߒࠇߥߚ߹ޕၞߩ⺖㗴ࠍߟߌ㧘ߘ ࠇߦኻߒߡ⥄ಽ߇ߢ߈ࠆߎߣࠍⴕߞߡߊߎߣߢ㧘ߘࠇ߇⥄ಽߣ␠ળߩߚߩᬺߣߥߞߡߊน⢻ ᕈ߇ࠆߩࠄࠇߎޕᣇᴺࠍߞߡ㧘⥄ಽߣ␠ળߩߚߦߢ߈ࠆߎߣࠍߟߌ㧘ታ〣ߒߡߎ߁ߣߒߡ ࠆᏒ᳃࿅߁ࠈߊߟޟਃේ߁ࠈߊߟޕߚߒ⚫ࠍޠਃේߪ㧘ߔߴߡߩੱ߇ੱߣၞߦᓎ┙ߟ ᬺߦෳടߔࠆߎߣ߇ߢ߈ࠆࠃ߁ߦߒ㧘᳃ߩஜᐽߣၞߩ⊒ዷࠍଦㅴߔࠆߎߣࠍ⋡⊛ߦ㧘2011 ᐕ 4 ߦ⸳┙ߐࠇߚߪࡃࡦࡔޕㅌ⡯ᓟߩੱߚߜߣᬺ≮ᴺ჻ࠍਛᔃߣߒߚ 14 ฬߢࠆ߁ࠈߊߟޕਃේ ߢߪ㧘ၞߩߤࠎߥ㗴ߦߤߩࠃ߁ߦขࠅ⚵߆ࠍࡔࡦࡃోຬߢߒวߞߡ㧘ࡔࡦࡃߘࠇߙ ࠇ߇⥄ಽߩᓧᗧߥᬺ߿⚻㛎ࠍ߆ߖࠆᬺࠍㅢߒߡᵴേߦ⽸₂ߒߡࠆߪߜߚ⑳ޕ㧘ߎࠇ߹ߢߦ ࠲ࠗࡗࡔࡦ࠻ࡊࡦ࠾ࡦࠣ⻠ᐳ㧘ⷫሶߢቇ߱߅㊄ߩᓎഀ⻠ᐳ㧘⺰⺆ߩ⚛⺒ળ㧘᳓ዪߩ⟤ൻ㧘ၞߩ ⑂ߢߩቶ⸳⟎㧘ઁ࿅ߩ߹ߜߠߊࠅࠗࡌࡦ࠻߿⻠ᐳߩᡰេࠍⴕߞߡ߈ߚߩߜߚ⑳ޕᵴേ߇ᐢ߇ࠅ㧘 ਃේߩ⊒ዷߦ⽸₂ߒߡߌࠆߣାߓߡࠆޕ - 15 － 15 － Open Seminar 15:00㨪16:30 September 25 Things we can for do Ourselves and Society Masayuki TAKAGI and members of̌Go for Mihara̍ I envision a society that enables individuals to flourish by doing what they decide is meaningful and useful to themselves and to their families, communities, and societies. In this lecture I consider the ways that we can find and put things we can do for ourselves and society into practice. I explain the relations between occupation, health, quality of life, and between occupation and society. I then introduce things we are doing for ourselves and society. 1. Occupation, health and quality of life Health is influenced by daily occupations. People may achieve moderate body function, have comfortable feelings, connect to others and be healthier through occupation. Health is a resource to do occupation. Daily life consists of occupations we do with health. We need to think seriously about what we do with health for a fulfilling life, as well as how to promote health. Daily life is enriched by which occupation we do and how we do it individually. The clue to find occupation for a fulfilling life is thinking about what occupation promotes comfortable feelings, connects to others, develops self and relates to identity. We may make life satisfactory by doing the occupation in ways in which we feel pleasure, senses of accomplishment and development, praise and contribution to others. 2. Occupation and society Society influences occupation. In an occupationally just society, all people would participate to their potential in meaningful occupations. For the realization of an occupationally just society, people need to become aware of issues in the community and society, think about solutions and take actions. Community and society issues are clarified by finding occupations some people don’t or can’t perform ordinarily and thinking about structural factors for that. We can promote social change through asset-based occupation with people who have such issues. 3. Occupation for ourselves and society “Go for Mihara” was established to enable people to participate in useful occupation for their health and community in April, 2011. The members mainly consist of retired people and occupational therapists. The members of Go for Mihara discuss and make decisions about issues we try to coping with, take action, and contribute to group action through asset-based occupation. For example, we hold lectures for planning after retirement and learning the role of money, and improvement of the Waterworks Bureau by using their experience. We believe that our small actions can make positive changes for Mihara. ⇛ᱧ 㜞ᧁ㓷ਯ┙⋵ޕᐢፉᄢቇഥᢎޕᐢፉ⋵┙ஜᄢቇතᬺ┙⋵ޕᐢፉᄢቇᄢቇ㒮ୃ჻⺖⒟ୃੌޕ ߟߊࠈ߁ਃේޕਃේᏒߩ߹ߜߠߊࠅᏒ᳃࿅ޕ2010 ᐕࠃࠅᵴേ㐿ᆎޕ2011 ᐕ 4 ᱜᑼߦ࿅⸳┙ޕ Masayuki Takagi, Assistant Professor of Prefectural University of Hiroshima Go for Mihara, civic organization for community development in Mihara - 16 － 16 － ࡢ࡚ࠢࠪ࠶ࡊ 9 24 ᣣ㧔㧕15:00㨪17:00 ࠹ࡑዊࠣ࡞ࡊ࠺ࠖࠬࠞ࠶࡚ࠪࡦ ࡢ࡚ࠢࠪ࠶ࡊߢߪ㧘એਅߩ࠹ࡑߦࠣ࡞ࡊ࠺ࠖࠬࠞ࠶࡚ࠪࡦࠍⴕ߹ߔ߇ࠎߐ⊝ޕฦ⥄㧘⥝ ߩࠆ࠹ࡑߦෳടߒߡߊߛߐޕ㧝ࠣ࡞ࡊ㧝㧜ੱ⒟ᐲߢ㓸ߞߡⴕ߹ߔ࡞ࠣߣࡊ࠶࡚ࠪࠢࡢޕ ࡊಽߌߪ⢒㙚ߦߡⴕ߹ߔޕ ࠺ࠖࠬࠞ࠶࡚ࠪࡦ࠹ࡑ A㧦OS ࠍ⍮ߞߡᄌൻߒߚߎߣ㧔⥄ಽ㧘OT ߣߒߡ㧕 B㧦OS ࠍ OT ߦߤ߁↢߆ߔ߆ C㧦OS ᢎ⢒ߦߟߡ㧔OS ᢎ⢒ߪߤߩࠃ߁ߦㅴࠆߴ߈߆㧕 D㧦OS ⎇ⓥߦߟߡ㧔OS ⎇ⓥߪߤߩࠃ߁ߥ࠹ࡑ㧘ᣇะᕈߢㅴࠎߢߊ߆ߊߴ߈߆㧕 E㧦OS ߪ␠ળߦߤ߁⽸₂ߔࠆ߆ - 17 － 17 － Workshop 15:00㨪17:00 September 24 Free Discussion This workshop will do group discussion in each theme at the gym. Please participate your interesting theme. One group will be organized by about ten participants. Theme A: What’s your change by OS. B: How do you put knowledge of OS to practical use for OT C: About education of OS D: About research of OS E: How do OS contribute for society - 18 － 18 － Ṷ㗴⊒Σ∛ޣ㒮ߦ߅ߌࠆᬺޤ Oral PresentationsΣ㧦Occupation in a hospital 9 24 ᣣ㧔㧕13:45㨪14:45 13:45㨪 ⺆⸒ޡ⡬ⷡ≮ᴺߦ߅ߌࠆᬺߩⷞὐߩᵴ↪㧦ႎ๔ޢ How is the concept of occupation useful in speech therapy: A case report 㒙ਭᵤ ᕺሶ㧔⨆ࡩፒᣂർ㒺∛㒮㧕 Keiko AKUTSU㧔Chigasaki Shin-Hokuryou Hospital㧕 14:05㨪 ޡᕆᕈᦼ⣖ⴊ▤㓚ኂᖚ⠪߇⺆ࠆᬺߩᄌൻޢ Change of narratives in occupations of an acute stroke patient ᧲Ꮉ ື㇢㧔㊄ᴛ⣖⚻ᄖ⑼∛㒮㧕 Tetsuro HIGASHIKAWA㧔Kanazawa Neurosurgical Hospital㧕 14:25㨪 ޡᔃりᯏ⢻࿁ᓳߩ࿕ၫ߆ࠄ⣕ߒ㧘ᓎഀࠍᜂ߁ߢᬺ߇ᄢߒߚޢ The case where significant occupation was acquired again, because it did not persist in bodily functions ㋈ᧁ ජᕺ⟤㧔ࠗࡓࠬ᧼ᯅࡂࡆ࠹࡚ࠪࡦ∛㒮㧕 Chiemi SUZUKI㧔IMS Itabashi Rehabilitation Hospital㧕 Ṷ㗴⊒Τޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺޤ Oral PresentationsΤ: Occupation in various situations 9 25 ᣣ㧔ᣣ㧕9:00㨪10:20 9:00㨪 ޡ㜞㦂ᦼ߳ߩ⒖ⴕ㧦ቯᐕㅌ⡯ᓟߩ⚻㛎ޢ Transition to Old Age: Experience after Mandatory Retirement ዊ↰ේ ᖝሶ㧔⡛㓮ࠢࠬ࠻ࡈࠔᄢቇ㧕 Etsuko ODAWARA䋨Seirei Christopher University䋩㩷 9:20㨪 ޡᗧࠆᬺߩታߤߩࠃ߁ߥ↢ᵴᄌൻࠍ␠ળߦᏎ߈ߎߔߩ߆㧙ߦ↢߈㧘ߦᬺߔࠆ ⇇߳㧙ޢ How do the realizations in meaningful occupation create a social transition –Toward the world of living together and having occupations in commonర テ㧔ක≮ᴺੱߖߩ߇ࠊ㧕 Yusuke IMAMOTO㧔Senogawa㧕 9:40㨪 ޡዋᐕ㒮ߦ߅ߌࠆᬺޢ Occupations in Japanese reform schools for juveniles ᳗ศ ⟤㚅㧔⋵┙ᐢፉᄢቇ㧕 Mika NAGAYOSHI㧔Prefectural University of Hiroshima㧕 10:00㨪 ޡᬺᱜߩᨒ⚵ߺࠍ↪ߚᬺᅓޢ A case of occupational deprivation using a framework of occupational justice ᔘ⤿㧔NPO ᴺੱߜ߾ࠎߊߔ㧕 Tadaomi NISHIGAMI㧔Non-profit organization CHUNKS㧕 - 19 － 19 － Ṷ㗴⊒Σ∛ ޣ㒮ߦ߅ߌࠆᬺ ޤ ⸒⺆⡬ⷡ≮ᴺߦ߅ߌࠆᬺߩⷞὐߩᵴ↪㧦ႎ๔ 㒙ਭᵤᕺሶ¹㧕㧘㊁↱Ꮧሶ²㧕 1㧕⨆ࡩፒᣂർ㒺∛㒮 2㧕᧲੩Ꮏ⑼ᄢቇක≮ஜቇㇱᬺ≮ᴺቇ⑼ 㧨ߪߓߦ㧪 ⸒⺆⡬ⷡ≮ᴺߢߪ㧘ోߥ㘩ߩ៨ข߇৻ߟߩ⋡ᮡߣߒߡឝߍࠄࠇ㧘ߘࠇߦะߌߡߩᯏ⢻࿁ᓳ߿⛽ ᜬߩ㑐ࠊࠅ߇ㅴࠄࠇࠆޕ࿁㧘╩⠪ߪ㧘⸒⺆⡬ⷡ჻㧔ST㧕ߣߒߡ㧘ࠢࠗࠛࡦ࠻ߩᆄߩ⺆ࠅߩਛ߆ ࠄ㧘ᄦᇚߦߣߞߡᗧߩࠆᬺߩሽߦ᳇ߠ߈㧘ߘߩᬺࠍਛᔃߦᝪ߃ߚ⸒⺆⡬ⷡ≮ᴺࠍዷ㐿ߒߚޕ ᬺߪࠬࠢࠍ߁߽ߩߢߞߚ߇㧘ߘߩ㆐ᚑߪ㧘ᄦᇚߦߣߞߡྚਅᯏ⢻ߩ࿁ᓳߦჇߒߡ㊀ⷐߥ߽ߩ ߢߞߚᧄޕႎ๔ߪ㧘ߎߩ⚻㛎߆ࠄ㧘⸒⺆⡬ⷡ≮ᴺߦ߅ߡޟᬺⷞߩޠὐࠍዉߔࠆߩᗧߦߟ ߡㅀߴࠆߣߣ߽ߦ㧘ᬺߩⷞὐߩ↪ᕈࠍ⠨ኤߔࠆ߽ߩߢࠆ߅ߥޕ㧘࿁ߩႎ๔ߦ㓙ߒ㧘ߏኅᣖ ߩหᗧࠍᓧߚޕ 㧨⚫㧪 A ᳁㧘70 ᱦઍ↵ᕈޕ߿⿰ߥߤ 1 ߟߩߎߣࠍㅊ᳞ߒߡߊ࠲ࠗࡊߢࠅ㧘ᕈᩰߪ᷷ෘߢࠆޕ ᆄߣߩ 2 ੱࠄߒߢᄢᄌખ߇⦟ߊ㧘ሶଏߚߜ߆ࠄ߽㗬ࠅߦߐࠇࠆᄢ߈ߥሽߢࠆޕᐔᚑ X ᐕ Y Z ᣣߦ⣖තਛࠍ⊒∝ߒ㧘Y Z ᣣ㧗4 ࡩߢᒰ㒮࿁ᓳᦼࡂࡆ࠹࡚ࠪࡦ∛ߦ㒮ߒ㧘ᱠߡኅߦ Ꮻࠆߎߣࠍ⋡ᮡߣߒߡߚߒ߆ߒޕ㧘㒮⚂ 1 ࡩᓟࡌ࠶࠼߆ࠄォ⪭ߒߡߒ߹㧘ᗧ⼂㓚ኂ߇㊀ᐲൻ ߒ ADL ߪోഥ㧘㘩ਛᱛߣߥࠅᩕ㙃ߪߔߴߡ⢗ࠈ߁߆ࠄ៨ࠆߎߣߣߥߞߚޕ ߎߩ⁁ᘒߦኻߒ㧘ߘ߫ߢࠅ⛯ߌߡ߈ߚᆄ߇㧘⣖තਛ⊒∝ᓟߦੑੱߢ∛᳇߇ᴦߞߚࠄᄢᅢ߈ߥࠦ ࡅߣࡕࡦࡉࡦࠍ㘩ߴࠆߎߣࠍ⋡ᮡߣߒߡߚߎߣ㧘߽ߣ߽ߣᲤᐕ⚿ᇕ⸥ᔨᣣߦࠤࠠࠍ㘩ߴߡ ߅ࠍߒߡߚߎߣࠍ ST ߦ⺆ߞߚ ߢ߹ࠇߘޕST ߪ㧘ోߥᩕ㙃៨ขߦὶὐࠍ߅ߡߚ߇㧘ߘ ߩ⸷߃ࠍ⡞߈㧘⋡ᮡࠍ⚿ޟᇕ⸥ᔨᣣߦࠤࠠࠍ㘩ߴࠆߎߣߒߣޠ㧘㑐ࠊࠅࠍߘߩ⋡ᮡߦ㑐ߔࠆࠬࠢ ࠍ৻ߟߕߟ⸃ᶖߔࠆ߽ߩ߳ߣᄌᦝߒߚޕᲤ㘩ᤨߩ㘩ഥ߿ⷰኤ㧘ྚਅᯏ⢻⹏ଔࠍⴕ㧘ࠬࠢ▤ℂ ࠍߡઁ⡯⒳ߣදജߒߡኻᔕߒ㧘࿐ߩℂ⸃ࠍᓧߚ߁߃ߢࠤࠠࠍ៨ขߢ߈ࠆ⏕ାࠍਥᴦකߦႎ๔ ߒ⸵นࠍᓧࠆߎߣ߇ߢ߈ߚߩߎޕ㑐ࠊࠅߦࠃࠅ㧘A ᳁ߪ㧘⚿ᇕ⸥ᔨᣣᒰᣣ㧘ᢙ࿁ߩߖߪࠆ߽ߩߩ㧘 ᆄߦࠄࠇߥ߇ࠄ㧘1 ᤨ㑆߆ߌߡᆄ߇⾼ߒߡ߈ߚࡕࡦࡉࡦࠍో㊂៨ขߔࠆ߇ߢ߈ߚࠍࠇߎޕ ߈ߞ߆ߌߦ㧘ྚਅᯏ⢻ߘߩ߽ߩߪᄢ߈ߥᄌൻߪߥ߽ߩߩ㧘A ᳁ߩᗧ᰼߿ᗧ⼂ߦᄌൻ߇ࠄࠇࠆࠃ߁ ߦߥࠅ㧘㘩ࠍ⥄ജߢ៨ขߒࠃ߁ߣߔࠆᆫ߇ߺࠄࠇࠆࠃ߁ߦߥߞߚߚ߹ޕ㧘ߘߩᓟ߽ᆄߣ㧞ੱߢࡕ ࡦࡉࡦࠍ㘩ߴࠆߣ߁ᬺ߇⛮⛯ߐࠇߚޕA ᳁߆ࠄߪ㧘 ߥ߁ࠃߩߎޟᯏળࠍߞߡߊࠇߚߎߣߪ㧘ߎ ߩߥ߇⪲⸒߁ߣޠ⡞߆ࠇ㧘ᆄ߆ࠄߪߢࠇߎޟ㧘߇ߞߡ߽ᓟᖎߒߥ߇⪲⸒߁ߣޠવ߃ࠄ ࠇߚޕA ᳁ߪઁᣉ⸳߳ߩォ㒮ߣߥߞߚ߇㧘ߘߎߢ߽㧘ᆄߩഥߢ㧘หߓᦐᣣ㧘หߓᤨ㑆ߦ㧘หߓᐫߩ ࠤࠠࠍ㘩ߴࠆߣ߁ᬺ߇⛯ߌࠄࠇߚޕ - 20 － 20 － 㧨⠨ኤ㧪 Jackson(1999)ߪ㧘ᬺߦߪ㧘ੱ߇ⴕߞߡ߈ߚߎߣߩᗧ߇⽎ᓽ⊛ߥଔ୯ߣߥߞߡㄟࠄࠇࠆߣߒ ߡࠆ╩ޕ⠪ߪߎࠇ߹ߢ㧘ᬺߣ߁ⷞὐࠍ⸒⺆⡬ⷡ≮ᴺߩ⥃ᐥߦขࠅࠇߚߪߥߊ㧘࿁ߩ ߢ߽㧘ᬺߩⷞὐࠍೋ߆ࠄᗧ⼂ߒߡ↪ߚ⸶ߢߪߥߒ߆ߒޕ㧘ᆄߩ⺆ࠅ߿หߩᬺ≮ᴺ჻ߣߩ ળ߆ࠄ㧘↢ᵴߦࠆ᧪߿ߘࠇߦߣ߽ߥ߁⽎ᓽ⊛ߥᗧߩ㊀ⷐᕈࠍℂ⸃ߔࠆࠃ߁ߦߥࠅ㧘ߎࠇ ࠍޟᬺߡ߃ᝒߡߒߣޠ㧘ࠢࠗࠛࡦ࠻ߦ㑐ࠊࠆߩ↪ᕈࠍ⼂ߔࠆࠃ߁ߦߥߞߚޕ A ᳁ߦߣߞߡࠍࠠࠤޟ㘩ߴࠆᬺߪޠ㧘නߦㆀⴕน⢻ߢߞߚߣ߁ታߦߣߤ߹ࠄߕ㧘ᄦᇚ߇ ᄢಾߦߒߡ߈ߚߎߣߩᗧࠍౣ⏕ߐߖࠆ߽ߩߢߞߚߣ߃ࠆ߆߽ߒࠇߥޕ ߩߎޟߥޠ㧘 ࠇߎޟ ߢ߇ߞߡ߽ᓟᖎߒߥߦ߁ࠃࠆࠇߦ⪲⸒߁ߣޠ㧘නߦోࠍ㊀ⷞߒߚᩕ㙃ߩ៨ข߿ᯏ⢻࿁ᓳ ⸠✵ߦോࠆߩߢߪߥߊ㧘ߎߩࠃ߁ߥ⽎ᓽ⊛ᬺ߳ߩᓥࠍ⋡ᮡߦ߅ߚߎߣߢ㧘ᄦᇚߪౣ߮ᤨ㑆ࠍ ߒ㧘ߦᷓḩ⿷ࠍ⚻㛎ߒߚߩߢߪߥ߆ߣ⠨߃ࠆޕ ࠍࠠࠤޟ㘩ߴࠆ߁ߣޠᬺ⋡ᮡߪ߹ߚ㧘ST ߦߣߞߡ߽㧘㆐⋡ᮡࠍࠄ߆ߦߒ㧘ߘࠇߦ㑐ࠊ ࠆᯏ⢻ࠍ⏕ߦߒߡ㑐ࠊࠆߣ߁ὐߢ㧘㑐ࠊࠅߩὶὐࠍࠃࠅߪߞ߈ࠅߣߐߖࠆ߽ߩߢߞߚߦࠄߐޕ㧘 කᏧ߿⋴⼔Ꮷߥߤߩઁක≮ࠬ࠲࠶ࡈ߽߳㧘ౕ⊛ߥⷞὐ߆ࠄදജ߽ઔߋ߇ߢ߈ߚࠅࠃߦࠇߎޕ㧘A ᳁ࠍᡰ߃ࠆක≮࠴ࡓ߽㧘৻ਣߣߥߞߡ A ᳁ߦ㑐ࠊࠆ߇ߢ߈ߚߣ߃ࠆޕ ߎߩࠃ߁ߦ㧘ᬺߩⷞὐߪ㧘ࠢࠗࠛࡦ࠻ߩ⺆ࠅߩਛ߆ࠄ㧘⽎ᓽ⊛ߥᗧࠍ߽ߟᬺࠍតࠅ㧘ઁߩ ࠬ࠲࠶ࡈߣ߽⏕ߥ⋡ᮡࠍߒߥ߇ࠄᴦ≮⊛㑐ࠊࠅࠍㅴࠆߣ߁ᗧߢ㧘⸒⺆⡬ⷡ჻ߦߣߞߡ߽ ↪ߥⷞὐߢࠆߣ⠨߃ࠆޕ ᢥ₂ 1㧕Jackson J.㧧ዊ↰ේᖝሶ(⸶)㧦⠧ᐕᦼߦᗧࠆሽࠍ↢߈ࠆ, Zemke R., Clark,F.(✬⪺), ⮮(⋙ ⸶)㧦ᬺ⑼ቇ́ᬺ⊛ሽߣߒߡߩੱ㑆ߩ⎇ⓥ㧚ਃベᦠᐫ㧘pp373́396㧘1999 - 21 － 21 － Oral PresentationsΣ㧦Occupation in a hospital How is the concept of occupation useful in speech therapy: A case report Keiko AKUTSU1㧕㧘Yukiko NISHINO2㧕 1) Chigasaki Shin-Hokuryou Hospital 2) Department of Occupational Therapy, School of Health Sciences, Tokyo University of Technology 㧨Introduction㧪One of the goals of speech therapy is to help client to have meals safely. order to achieve this goal, speech therapists (ST) aim to improve functional eating. In In this report, I, as a speech therapist, introduce the case that I set the meaningful occupation as the goal. Pursuing this goal had risks, but the client and wife had the significant experience through the achievement of the goal. The purpose of this case report is to describe the role of the meaningful occupation in speech therapy setting, and to discuss the usefulness of the concept of occupation. 㧨Case㧪The case was Mr. A who was 70 year old. to our rehabilitation unit after four month. He was hospitalized dues to stroke and moved His original goal was to go back home by walking, but his health condition was declined after a month because of the fall from bed. His conscious level lowered and his dependency increased. Particularly, he was fed by tube because of lowered consciousness, as well as loss of motivation. Seeing his worsened situation, his wife confessed that they had planned to eat his favorite cake together with coffee, which was their ritual as their wedding anniversary. After hearing this episode, his goal was changed to eating a cake from having necessary nutrition safely. day of their anniversary, being watched by his wife, Mr. A was able to eat the whole cake. On the After this event. his conscious level and motivation were heighten, and his attitude for eating became active. Since then, Mr. A and his wife kept eating the cake together once a week. Even after they moved to the other institution, they continue eating the cake, purchased by the same cake shop, on the same time, in the same day. 㧨Discussion㧪Jackson(1999) stated that occupations contain the meanings that are accumulated by each experience and that become the symbolic values. For the case of Mr. A, the concept of occupation was useful for speech therapy because it possess the significant meaning of his and his wife’s life. By achieving this occupational goal, they regained the significant moment together with deep satisfaction. the focus of functional approach. The occupational goal is also helpful for ST, because it clarifies Further, it enabled all staff to work - 22 － 22 － Ṷ㗴⊒Σ∛ ޣ㒮ߦ߅ߌࠆᬺ ޤ ᕆᕈᦼ⣖ⴊ▤㓚ኂᖚ⠪߇⺆ࠆᬺߩᄌൻ ᧲Ꮉ ືᦶ¹㧕㧘㜞ᄙ ⌀⟤¹㧕㧘ศᎹ ߭ࠈߺ 2㧕 1) ක≮ᴺੱ␠࿅ᵻࡁᎹ ㊄ᴛ⣖⚻ᄖ⑼∛㒮 2) ⋵┙ᐢፉᄢቇ ޤ⊛⋡ޣᕆᕈᦼ⣖ⴊ▤㓚ኂᖚ⠪ߩᗧࠆᬺࠍ⡞߈ขࠆਛߢ㧘ᬺ߳ߩ⺆ࠅ߇ᄌൻߔࠆࠍ⚻㛎 ߒߚߚࠇࠄ⺆ޕᬺౝኈ㧘ᬺߦᓇ㗀ࠍਈ߃ߚⷐ࿃ࠍᬌ⸛ߔࠆߎߣࠍ⋡⊛ߣߔࠆޕ ޣᣇᴺޤ㕙ធࠍㅢߒߡᓧࠄࠇߚᬺߩ⺆ࠅࠍ࠺࠲ߣߒ㧘⺆ࠅߩᄌൻߩℂ↱ࠍ⠨ኤߒߚޕᓟඨߩ㕙ធ ߢߪࠞ࠽࠳ᬺㆀⴕ᷹ቯ㧔COPM㧕ࠍߞߚޕ ޣ⚫ޤߪ㧘60 ᱦบ㧘ቯᐕㅌ⡯ᓟߩ↵ᕈᖚ⠪∔ޕᖚฬߪᏀⷞᐥⴊޕりᯏ⢻ߪฝ 㤗∽ޕ 㤗∽ߩ⒟ᐲߪਛ╬ᐲߢ㧔ࡉ࡞ࡦࠬ࠻ࡠࡓࠬ࠹ࠫ⢇ᚻᜰߣ߽ stage IV㧕ߢߞߚ∛ޕౝߢߩ ᣣᏱ↢ᵴߪᏀ⢇ࠍ↪ߔࠆߎߣߦࠃࠆᵴേ㒢߇ߞߚ߇㧘ゞሶߢߩ⒖േߢࠆߎߣࠍ㒰ߌ߫ ᶎએᄖ⋙ⷞ߆ࠄ⥄┙ߢߞߚޕ ޣᬺߩ⺆ࠅᦨޤೋߪ㧘⊒∝ᒰᣣߩ⣖තਛࠤࠕ࡙࠾࠶࠻ౝߢ㧘ࠗࡦࡈࠜࡑ࡞ߥ㕙ធࠍⴕߞߚޕᄢ ߥᬺߣߒߡ⺆ࠄࠇߚߩߪ㧘ࡑ࠰ࡦ㧘⇌ߛߞߚߦ․ޕ㧘ࡑ࠰ࡦߦ㑐ߒߡߪ㧘ᐕߦᢙ࿁Ꮢ᳃ࡑ ࠰ࡦߦෳടߒߡ߅ࠅ㧘ᄢળ႐ߩὑߩ࠻࠾ࡦࠣࠍᣣ⺖ߦߒߡࠆߎߣߥߤ㧘ᾲᔃߦߘߩߎߣࠍ ߔ႐㕙߇ⷰኤߐࠇߚޕ 2 ࿁⋡ߩ㕙ធߪ COPM ࠍ㧘⊒∝߆ࠄ 1 ࡩᓟ㧘৻⥸∛ࠍ⚻ߡ㧘࿁ᓳᦼࡂࡆ࠹࡚ࠪࡦ∛ 㒮ਛߦⴕߞߚޕ ޟᱠߌࠆࠃ߁ߦߥࠆߎߣޠ㧘 ޟฝᚻ߇േ߈߿ߔߊߥࠆࠃ߁ߦߥࠆߎߣߚߞߣޠ㧘り ᯏ⢻ߦߞߚ⺆ࠅ߇ࠅ㧘⊒∝೨ᾲᔃߦⴕߞߡߚߊోࠍޠ⇌ޟ߿ޠࡦ࠰ࡑޟߍߥ߆ߞߚޕ ߘߎߢ⠉ᣣ㧘ޟ᧪⊛ߦߤࠎߥ↢ᵴࠍⴕߚ߆ⷞ߁ߣޠὐߢߩ⺆ࠅࠍଦߔߣ㧘ޟሼࠍᚻߊᦠߊ ߎߣޠ㧘ߢ▰ޟ㘩ࠍߔࠆߎߣޠ㧘ޟቊߦ㝼ࠍߐ߫ߊߚߞߣޠᬺ߇ߍࠄࠇߚޕ೨ᣣߩりᯏ⢻ߦ⊒ ⸒߇ߞߚὐࠍ⾰ߔࠆߣ㧘ޟり߇రߦᚯࠄߥߌࠇ߫㧘߽ߢ߈ߥ߇߃╵ߩߣޠ⡞߆ࠇߚޕ ޣ⠨ኤ⋥∝⊒ޤᓟߦߪ⥄りߩᬺࠍ⺆ߞߚ߇㧘1 ࡩߩ㒮↢ᵴߢりᯏ⢻ߦ㊀ߒߚᬺࠍ⺆ࠆࠃ ߁ߦߥߞߚℂ↱ߪ㧘ߩり㓚ኂ߿ᴦ≮ߦߟߡߩ⍮⼂߇Ⴧᄢߒߚߚߢߪߥ߆ߣ⠨߃ࠄࠇࠆޕ කᏧ߆ࠄߩ∛⁁ߦኻߔࠆ⺑㧘࿐ߩᖚ⠪ߩ᭽ሶࠍ⍮ࠆⅣႺߣᤨ㑆߇㧘߇⺆ࠆᬺߩᄌൻࠍ߽ߚ ࠄߒߚߩߛࠈ߁ߦ․ޕ࿁ᓳᦼࡂࡆ࠹࡚ࠪࡦ∛ߢߪ㧘⚻ㆊ߇⥄ಽࠃࠅ㐳ห∛ߩᖚ⠪ࠍ⍮ࠆᯏ ળ߇ᄙ߆ߞߚߩߛࠈ߁∛ޕ㒮ߣ߁ⅣႺߪ㧘ੱߣߒߡ⥄ಽ⥄りߩᬺߦ⋡ࠍะߌ㔍⁁ᴫࠍࠅ ߔߣ⠨߃ࠄࠇࠆᧄޕߩࡂࡆ࠹࡚ࠪࡦߩᦼ㑆ߪ㧘Clark ߇ᜰ៰ߒߚࠃ߁ߦ㧘⊒∝೨ߩ⥄ಽߣ ಾࠅ㔌ߐࠇ㧘ㅌ㒮ᓟߦ㓚ኂ⠪ߣߒߡߩੱ↢ࠍᱠߚߩㅢㆊ␞ߣߒߡᝒ߃ࠆߎߣ߇ߢ߈ࠆ߆߽ߒࠇ ߥߒ߆ߒޕ㧘⊒∝ᓟߦࠬ࠹ࠝ࠲ࠗࡊߩ㓚ኂ⠪ᓎഀࠍᒝࠆߎߣߪ㧘⁛⥄ߩᬺ⊛ሽࠍุቯߔࠆ ߆߽ߒࠇߥޕᬺ≮ᴺ჻߇㧘⊒∝⋥ᓟߦᬺ⊛ሽߣߒߡᖚ⠪ࠍℂ⸃ߒࠃ߁ߣ⹜ߺࠆߎߣߦࠃࠅ㧘 ∛᳇߿㓚ኂߦ߆߆ࠊࠄߕ㧘㚂የ৻⽾ߒߚੱߩੱ↢ࠍࠨࡐ࠻ߔࠆߎߣ߇ߢ߈ࠆߣ⠨߃ࠄࠇࠆޕ ޣᢥ₂ޤClark F: Occupation embedded in a real life: Interweaving occupational science and occupational therapy. Amer J Occup Ther 47, 1067-1077, 1993. - 23 － 23 － Oral PresentationsΣ㧦Occupation in a hospital Change of narratives in occupations of an acute stroke patient Tetsuro HIGASHIKAWA1)㧘Mayumi TAKATA1)㧘Hiromi YOSHIKAWA2) 1) Kanazawa Neurosurgical Hospital 2) Prefectural University of Hiroshima ޣPurpose ޤOccupations discussed by a case suffering from stroke changed after 1 month from the day of onset. Occupational forms and the factors influencing the change are discussed in this paper. ޣMethod ޤInformal interview and the Canadian Occupational Performance Measure (COPM) were used to gather data. The data were examined by the authors. ޣCase description ޤThe case is in his sixties and retired. He was diagnosed with a left thalamus hemorrhage. Bodily functions are the right hemi paralysis. The paralysis was moderate, Brunnstrom recovery stage IV. He used only his left hand. He was independent for activities of daily tasks except bathing in the hospital. ޣNarrative of occupationޤThe author interviewed the case in a stroke care unit informally on the day of onset. He talked about a marathon and farming. He attended marathon races several times a year. Marathon training was his daily routine. The next interview was held in a rehabilitation recovery unit using COPM. He said that he wanted to be able to walk and use his right hand. He never mentioned marathon or farming. The next day, the author asked again what he wanted to do in his future. He talked about writing, eating with chopsticks, and using chopsticks for his grandchild to eat fish. The author pointed out that his talking placed more weight on physical functions. He said that he could do nothing if his physical functions did not recover. ޣDiscussion ޤThe case talked about occupations related to physical functioning after 1 month, although he talked about his occupations on the day of onset. The reason for the change was considered to be his increasing knowledge about the disease and disabilities. His knowledge increased through explanations from a doctor, and environment and time he experienced with the other patients. Especially the rehabilitation recovery unit provided more opportunities to see various stroke patients. Environments like hospitals established a context in which it was difficult to think about individuals’ own occupations. The period of his rehabilitation may be considered a rite of passage from a normal life to a life of a person with disabilities (following Clark). The stereotype perspectives about persons with disabilities may have had a negative impact on him as an occupational being. Occupational therapists can support the coherence of his life through understanding his own occupations from the early stage of onset. - 24 － 24 － Ṷ㗴⊒Σ∛ ޣ㒮ߦ߅ߌࠆᬺ ޤ ᔃりᯏ⢻࿁ᓳߩ࿕ၫ߆ࠄ⣕ߒ㧘ᓎഀࠍᜂ߁ߢᬺ߇ᄢߒߚ ㋈ᧁජᕺ⟤㧘Ỉ↰ ㄖᓼ ࠗࡓࠬ᧼ᯅࡂࡆ࠹࡚ࠪࡦ∛㒮 A ߐࠎߪ 60 ᱦઍ೨ඨ↵ᕈ㧘⥄༡ߢᄢᎿࠍ༡ߺ㧘20 ᐕએߣߒߡ߈㧘ߘߩઁߦ߽㐳ࠍછ ߐࠇࠆ╬㧘Ᏹߦᓎഀࠍᜂ㧘␠ળ⽸₂ߔࠆߢੱߣߩ❬߇ࠅࠍߞߡ߈ߚ ߩߘޕA ߐࠎ߇㧘⥄ォゞߢ ォୟߒ㗖㜑៊்ߣ⸻ᢿߐࠇߚޕፉ⋵ౝߩᕆᕈᦼ∛㒮ߦߡᚻⴚࠍฃߌߚ߇㧘ߘߩᓟ㧘㒮ਛߦ㔡ߦ ㆣ㧘∛㒮߮⥄ቛ߇⸘↹⊛ㆱ㔍ၞߦᜰቯߐࠇ㧘ㆱ㔍ࠍߥߊߐࠇߚޕᓥߞߡ㧘ห⋵ౝߦᕷ ሶᄦᇚߩㆇォߢ 10 ᤨ㑆߆ߌߡⷫ㘃ߩࠆ᧲੩ߩ∛㒮ߦ㒮ߒߚޕ 㒮ᤨ㧘A ߐࠎߦߪ߇ࠇ߮ߒޟขࠇߥ㧘⢋߇∩ߚߞߣޠᖤⷰ⊛ߥ⊒⸒߇ߺࠄࠇߚޕᓟߩ࠾ ࠼ࠍ⡬ขߔࠆߣ㧘 ޟߦᚯࠆߩ߇৻⇟ߩᏗᦸޕߚࠇߐࠍߣޠ೨∛㒮ߩᬺ≮ᴺ㧔એਅ OT㧕ߢߪ ਥߦᚻᜰߩᏁ✺⸠✵ࠍⴕߞߡ߅ࠅ㧘OT ߦኻߒߡߪޟᚻߩ⸠✵߁ߣޠᗧ⼂߇ᒝߊ㧘ᚻߩ∽ࠇߩᡷༀ ߿╭ജะߦ㑐ᔃ߇㜞߆ߞߚޕᜂᒰᬺ≮ᴺ჻ߪ⹏ଔᓟ㧘⡯ᬺᓳᏫߩὑߩ⢇ᯏ⢻⸠✵ࠍਛᔃߦ ߒߚ߇㧘ࠄ߆ߡࠇߣ߇ࠇ∽߿ߺߊޟᄢᎿࠍߔࠆޟޠ㊉߇ᜬߡߥࠅ߇⸒⊒ߩ╬ޠ㧘ᬺ≮ᴺ჻߇ឭ ᩺ߒߚታ㓙ߩᄢᎿࠍ〯߹߃ߚᧁᎿߣ߁ᬺࠍⴕ߁ߩߦᶖᭂ⊛ߛߞߚߚ߹ޕ㧘∛↢ᵴߢ߽ A ߐࠎߪ㧘 ࿁ߩⵍἴ㒮ߢၞߩࠦࡒࡘ࠾࠹ࠖ߆ࠄቅ┙ߒ㧘ㅳᧃߦ᧪ࠆኅᣖߣࡂࡆࠬ࠲࠶ࡈߒ߆ᵹ ߇ᜬߡߥ߆ߞߚޕᖱ߽ᥧߊ㧘∛ੱ⊛ߥᓎഀࠍᜬߞߡߚޕ ᬺ≮ᴺ჻ߪ A ߐࠎ߇␠ળߩਛߢઁੱߣߩ❬߇ࠅ߿ઁ⠪ߩὑߦߊߎߣߦߟߡଔ୯ࠍ⟎ߡࠆ ߣ⠨߃㧘⢛ߩዊߐᖚ⠪᭽↪ߩ࠻ࠗߩ⿷บࠍࠆߎߣࠍឭ᩺ߒߚᦨޕೋߪᚭᖺ߽ߞߚ߇㧘 ߫ޟ ߜ߾ࠎ㆐ߪ⢛߇ߜߞߜ߾߆ࠄߥࠎ߾ߜ߫ޕ㆐ߩὑߥࠄࠆߴߣޠታ㓙ߦᧁᎿࠍⴕ㧘OT ߩᤨ㑆 ࠍߞߡ⿷บࠍቢᚑߐߖߚ∛ޕࠬ࠲࠶ࡈ߆ࠄߪ⾨⾥ߩჿ߇߇ࠅ㧘OT એᄖߩᤨ㑆߽ᧁᎿቶߦ᧪ߡ ᬺࠍⴕ߁᭽ߦߥߞߚߩߘޕᓟ㧘A ߐࠎ߆ࠄߪ⢇ᯏ⢻ߦ࿕ၫߔࠆ⊒⸒߇ήߊߥࠅ㧘㒮ਛߢߪࠆ ߇㧘એ೨ߩખ㑆ߣㅪ⛊ࠍߣߞߚࠅ㧘ㆱ㔍ᚲߦ⸰ߒߚࠅߔࠆᵴേ߇Ⴧ߃ߚޕ A ߐࠎߪ∛೨㧘ၞ␠ળߢઁ⠪ߩࠍߔࠆ╬ߩᬺߦଔ୯ࠍ⟎ߡߚߣ⠨߃ࠄࠇࠆߒ߆ߒޕ㧘 ฃ்ߦࠃࠅ⥄ಽߩ⢻ജߦ⥄ା߇ᜬߡߕ㧘ߐࠄߦ㔡ἴߦࠃࠅᘠࠇⷫߒࠎߛ␠ળߣ㓒㔌ߐࠇߡߒ߹ߞߚὑ ߦ㧘A ߐࠎߩᶖᭂ⊛ߥ∛ੱᓎഀߦߟߥ߇ߞߚߣ⠨߃ࠆޕ࿁㧘ᬺ≮ᴺ჻߇නߥࠆᓳ⡯ߣߒߡߩᧁᎿ ߩᬺߢߪߥߊ㧘A ߐࠎߩଔ୯ߣᗧߩࠆߩੱޟᓎߦ┙ߟᧁᎿߩᬺࠍޠឭ᩺ߒ㧘ⴕ߁ߎߣߢ㧘A ߐࠎߪ⥄ାࠍขࠅᚯߒ㧘⥄ࠄ᭽ߥޘᗧߩࠆᬺ߳ᓥߒߡߞߚߣ⠨߃ࠆߪߦ┵⊒ߩߘޕ㧘ઁ⠪ ߩὑߩᧁᎿ߇ࠅ㧘ߘࠇߦࠃࠅ A ߐࠎ߇∛ޟ㒮␠ળޟࠄ߆ޠరߩၞߩ␠ળߎߚߞߡߞ߇❬ߣ߳ޠ ߣ߇ផኤߐࠇߚޕ ࿁ߩ⚻㛎ࠍㅢߒ㧘ᚒߪޘᗧߩࠆᬺߦߪੱࠍᄌ߃ࠆജ߇ࠆߣᡷߡᗵߓࠆ߇᧪ߚޕ - 25 － 25 － Oral PresentationsΣ㧦Occupation in a hospital The case where significant occupation was acquired again, because it did not persist in bodily functions Chiemi SUZUKI, Tatsunori SAWADA IMS Itabashi Rehabilitation Hospital He works as a carpenter at Fukushima, and has been playing the role as the sub-chief of a ward for years. He was diagnosed as the cervical spinal cord injury. After he undergoes the operation㧘 he encountered the large earthquake in Fukushima. He took shelter from Fukushima to Tokyo with his family, and was hospitalized in this hospital. His hope was to have returned to the carpenter's work. However, only numb of the hand and pain in the shoulder worried. He was isolated from the regional society with which it was familiar, and had the sick role. The OT knew value was put on his working for others. The OT proposed to make him the footrest put on the rest room for the patient with small back. He consented, and worked on work. Gratitude was expressed by everyone for him. He did not worry about the pain in the shoulder and numb of the hand, and started to contact the co-worker, and to visit the refuge. We felt power that changed the person in significant work through the experience of this time. - 26 － 26 － Ṷ㗴⊒Τ ޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺ ޤ 㜞㦂ᦼ߳ߩ⒖ⴕ㧦ቯᐕㅌ⡯ᓟߩ⚻㛎 ዊ↰ේᖝሶ OTR㧘PHD ⡛㓮ࠢࠬ࠻ࡈࠔᄢቇ 1980 ᐕઍએ㒠㧘ᣣᧄߢߪ⇇ߦ㘃ࠍߥㅦᐲߢ㜞㦂⠪߇Ⴧടߒ㧘⠧ᓟߩᤨ㑆߇㐳ߊߥࠅ㧘ኅᣖ᭴ ᚑ߿⚻ᷣ⁁ᴫߩᄌൻ߿࠹ࠢࡁࡠࠫߩ⊒ዷߦᓇ㗀ࠍฃߌ㧘㜞㦂⠪ߩࠗࡈࠬ࠲ࠗ࡞߽ᄢ߈ߊᄌൻߒߡ ࠆޕቯᐕㅌ⡯ᓟ߽㧘ቢోߦࠍㄉߕ㧘Ბ㓏⊛ߦዞഭࠍ❗ዊߔࠆੱ߇ޘჇ߃㧘ߘߩ᭽⋧ߪ㧘✭ޟ ߿߆ߥㅌ⡯㧔࠰ࡈ࠻ࡦ࠺ࠖࡦࠣ㧕ࠆߡࠇࠊ⸒ߣޠ㧝㧕ޕ ࠬ࠙ࠚ࠺ࡦߢⴕࠊࠇߚ⎇ⓥߢߪ㧘ㅌ⡯⠪ߩ↢ᵴߪ㧘ㅌ⡯೨ߣᲧߴ㧘㐳ߊ⥄↱ߥᤨ㑆㧘ࠗࡈࠬ࠲ ࠗ࡞ߩᄌൻ㧘↢ᵴㅦᐲߩᷫㅦ㧘࡞࠹ࠖࡦߩᗧߩᄌൻ㧘ㆡᔕߩ࿎㔍ߩ․ᓽ߇ࠆߣႎ๔ߐࠇߚ㧞㧕ޕ ᬺ⑼ቇ⠪߇㜞㦂ᦼߩࠗࡈࠢࠗࠪࠬߩ⸃ࠍᬺߩⷞὐ߆ࠄಽᨆߒߚ⎇ⓥ߽ࠆ㧟㧕ߒ߆ߒޕ㧘ᚑ ੱᦼ߆ࠄ㜞㦂ᦼ߳ߩ⒖ⴕࠍੱߩⷞὐ߆ࠄត⚝ߒߚ⎇ⓥߪߥޕ 㧨⋡⊛㧪ቯᐕㅌ⡯߆ࠄ㜞㦂ᦼ߳ߩ⒖ⴕᦼ㑆ߦ߅ߌࠆㅌ⡯⠪ߩ⚻㛎ࠍੱߩⷞὐ߆ࠄℂ⸃ߔࠆޕ 㧨ᣇᴺ㧪ᧄ⊒ߪ㧘⡛㓮ࠢࠬ࠻ࡈࠔᄢቇߩ୶ℂᆔຬળߩክᩏࠍㅢㆊߒߚ㧘ㅴⴕਛߩᄢⷙᮨ⎇ ⓥߩ৻ㇱߢࠆޕኻ⽎⠪ߪ㧘ኾ㐷⡯߆ࠄቯᐕㅌ⡯ߒߚ 61-70 ᱦߩᅚᕈ 4 ฬ㧘↵ᕈ 1 ฬߢࠆޕඨ᭴ㅧ ⊛ࠗࡦ࠲ࡆࡘࠍߦᣉⴕߒ㧘↢ᵴผ㧘⚻㛎㧘ቯᐕㅌ⡯೨ߣᓟߩᣣᏱ↢ᵴߦߟߡߒߡ߽ࠄ ߞߚߩࡘࡆ࠲ࡦࠗޕᚲⷐᤨ㑆ߪ㧘⸘ 3 ᤨ㑆߆ࠄ 10 ᤨ㑆ߦࠊߚߞߚߪࡘࡆ࠲ࡦࠗޕ㍳㖸ߒ㧘ㅙ⺆ ࠍᚑߒ㧘࠽࠹ࠖࡉಽᨆࠍⴕߞߚߩࡘࡆ࠲ࡦࠗޕౝኈߪᧄੱߦ⏕ߒߚ࠽ࡒߪ㉼⸃ޕᒻᑼ ߩ⎇ⓥળߢᬌ⸛ߒߚޕ 㧨⚿ᨐ㧪Ԙቯᐕㅌ⡯ᓟ߽ోຬ߇⡯႐ࠍᄌࠊࠅߥ߇ࠄዞഭߒߡߚޕԙቯᐕㅌ⡯೨ߣᓟߢߪߩᗧ ߇ᄌൻߒߡߚޕㅌ⡯೨ࠃࠅ㧘ዞഭᤨ㑆㧘⽿છ㧘⟵ോ߇ᷫዋߒ㧘એ೨ߦ᳇ߠ߆ߥ߆ߞߚᭉߒߺࠍ⚻㛎 ߒߡߚޕԙᣣᏱ↢ᵴ߽ᄌൻߒߡߚޕᔔߒ↢ᵴ߆ࠄ㧘ࠁߞߊࠅߒߚ↢ᵴ߳ᄌൻߒߚߞ߆ߚࠅ߿ޕ ߚᵴേࠍታⴕߒߚ৻ޕᣇ㧘Ԛᣂߒ᧪߇ߎࠅ㧘ߘߩㆡᔕߦᚢߒߡߚޕᚑੱߒߚሶଏኅᣖ㧘 ⠧ⷫ㧘⥄ಽߩ߃ࠆりߩߦᓥߒߡߚޕ ᢥ₂ 㧝㧕⮮⋿৻㧦࿅႙ઍߩㅌ⡯ߣ↢߈߇㧚ᣣᧄഭ⎇ⓥ㔀㧘550㧔May㧕83-93㧘2006. 㧞㧕Jonsson, H.,Borell, L., & Sadlo, G: Retirement: An occupational transition with consequences for temporality, balance and meaning of occupations. JOS, 7, 29-37, 2000. 㧟㧕ዊ↰ේᖝሶ㧘ဈ⌀ℂ㧦㜞㦂ᦼߩෂᯏߣ᳇ߠ߈Ɇ࡙ߣࡂ࠽ߩᣂ↢ᵴ᭴▽㧚ᬺ≮ᴺࠫࡖ࠽࡞㧘 44㧘873-378㧘2010㧚 - 27 － 27 － Oral PresentationsΤ㧦Occupation in various situations Transition to Old Age: Experience after Mandatory Retirement Etsuko ODAWARA, OTR, PhD. Seirei Christopher University Since the 1980s, while the number of Japanese elderly increased and old age was prolonged as no country has experienced before, the lifestyle of elders also changed, affected by changes in family construction, the economic situation and technology. More people continue working after mandatory retirement and then gradually withdraw from working, called a “soft landing”1. Research in Sweden2 reported that retirement had more free time, a changed life style, slower daily life, changed meaning of routines and difficult adaptation. Some occupational scientists discussed the resolution of life crises in old age from the perspective of occupation3. However, the experience of transition from adult to old age hasn’t been investigated from an individual perspective. 䋼Purpose䋾 To investigate the experience of transition from mandatory retirement to full withdrawal from employment from individual’s perspectives. 䋼Methods䋾 This is study in progress which is a part of a larger project approved by the IRB at Seirei Christopher University. Five people were research participants, four women and one man, 61-70 years old. I conducted individual semi-structured interviews. Participants were asked to talk about their life history, job experience and daily life before/after mandatory retirement. Interviews totaling 3-10 hours, were recorded and transcribed verbatim. Transcripts were analyzed using narrative analysis. Content analysis was checked with the participants. Interpretation was discussed with occupational researchers in a seminar-style meeting. 䋼Results䋾 All the participants continued working after their mandatory retirement, changing their work site 1-2 times. The meaning of their jobs changed: decreased working time, responsibility and duties, awareness of unknown pleasure. Occupation in daily life changed: busy life to slow pace, realization of activities they had desired to do. Meanwhile, they were challenged to adapt to new events: care of their adult children’s family, their aged parents, and their own aged body. 1) Sato, S. (2006). Dankaisedai no taishoku to ikigai. Nihonroudoukenkyuuzasshi,550, 83-93. 2) Jonsson, H., Borell, L., & Sadlo, G. (2000). Retirement: An occupational transition with consequences for temporality, balance and meaning of occupations. JOS, 7, 29-37. 3) Odawara, E.,& Sakaue(2010), Koureikino kiki to kiduki.Sagyouryouhoujanaru, 44, 873-378㧚 - 28 － 28 － Ṷ㗴⊒Τ ޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺ ޤ ᗧࠆᬺߩታߪߤߩࠃ߁ߥᄌൻࠍ␠ળߦᏎ߈ߎߔߩ߆ ޯߦ↢߈㧘ߦᬺߔࠆ⇇߳ޯ ర テ 1)㧘ᵄ ߺߥߺ 2)㧘ᣂਛ ᶈม 3)㧘᷼ ⟤㔐 4) 1)ක≮ᴺੱߖߩ߇ࠊ㧘2) ቝᴦ߅߁߫ߊ∛㒮㧘3) ਃේ∛㒮㧘 4) ೨ศ࿖㓙ᄢቇNPO ࡂࡇࡀࠬߚ߆ߪߒળ 㧨ߪߓߦ㧪 ᗧߩࠆᬺߩታߪ㧘ߘߩੱ߳ߩᄌൻߛߌߢߥߊ㧘␠ળߦ߽ᄌൻࠍ߽ߚࠄߔߣ⸒ࠊࠇߡࠆޕ ߔߴߡߩੱ߇ஜᐽ߿ᐘߖߦߟߥ߇ࠆᗧࠆᬺࠍⴕ߁ᯏળߩࠆ␠ળࠍታߔࠆߚߦ㧘⋧ߦᓇ㗀 ߒว߁ߣ⠨߃ࠄࠇࠆੱߩᄌൻߣ␠ળߩᄌൻߦὶὐࠍᒰߡ㧘ᬺߩℂ⸃ࠍᷓࠆߎߣߪ㊀ⷐߥ⺖㗴ߩ 1 ߟߢߪߥߛࠈ߁߆╩ޕ⠪ࠄߪ㧘♖㓚ኂߩࠆᒰ⠪ߣߦᬺࠍߔࠆᯏળࠍᜬߞߚၞߩੱ߳ࠗࡦ ࠲ࡆࡘࠍⴕ㧘ᒰ⠪ߦߣߞߡߩᗧߩࠆᬺߩታࡊࡠࠬ߇㧘ߤߩࠃ߁ߦ␠ળߩᄌൻߦߟߥ߇ ࠆߩ߆ߦߟߡℂ⸃ࠍᷓࠆߎߣࠍ⋡⊛ߣߒߡᧄ⎇ⓥߦขࠅ⚵ࠎߛޕ 㧨ᣇᴺ㧪 ᧄ⎇ⓥߢߪ㧘♖㓚ኂߩࠆᒰ⠪ߣߊ⚻㛎߇ߎࠇ߹ߢߥߊ㧘࿁㧘ߦߚ⚻㛎ߦߟߡ⺆ࠆ ߎߣߦหᗧࠍᓧߚ 2 ฬࠍᖱႎឭଏ⠪ߣߒߡㆬᛯߒߚޕᖱႎឭଏ⠪ߣߦߊᒰ⠪ߪ㧘ၞߢߊߎߣ ࠍᏗᦸߒ㧘ߘߩᓟታ㓙ߦၞߢ߈㧘ᗧࠍฟ߃ߥ߇ࠄ㧘ᬺ⊛ḩ⿷ᗵࠍ㜞ߚᬺᚲߩ↪⠪ߢࠆޕ ࠺࠲㓸ߪ㧘⚂ 45 ಽ㨪㧝ᤨ㑆ߩࠗࡦ࠲ࡆࡘࠍⴕ㧘หᗧࠍᓧߡ࠹ࡊߦ㍳㖸ߒߚౝኈ߆ࠄㅙ⺆㍳ ࠍᚑߒ㧘࠺࠲ࠍࠦ࠺ࠖࡦࠣᴺߦࠃࠅಽᨆߒߚޕዏ㧘ࠗࡦ࠲ࡆࡘౝኈߪ⎇ⓥએᄖߢߪ↪ߒߥ ߎߣ㧘⎇ⓥදജߪㅜਛߢㄉㅌߢ߈ࠆߎߣࠍ⺑ߒ㧘หᗧࠍᓧߚޕ 㧨⚿ᨐ㧪 ᖱႎឭଏ⠪ࠄߪ㧘ᒰ⠪ߣߦߊએ೨ߪ㧘⥄ࠄ߇ᬺߒ㧘↢ᵴߒ㧘↢߈ߡࠆߣᗵߓࠆਥⷰ⊛ߥ ⇇ߢࠆ“ᬺࡈࠖ࡞࠼”߇⋧㆑ߒ㧘ᒰ⠪ࠍ㆑߁⇇ߢᬺߒ㧘↢߈ߡࠆሽߢࠆࠃ߁ߦᗵߓߡ ߚ৻ޕᣇ㧘ᒰ⠪ߣߦߊߎߣߪ㧘ᖱႎឭଏ⠪ࠄߦߣߞߡ㧘“ᬺࡈࠖ࡞࠼߇ᐢ߇ࠆᯏળ”ࠍᜬߟ ߎߣߦߟߥ߇ߞߡߚޕᒰ⠪߇␠ળߩਛߢߊߣ߁ᗧࠆᬺࠍㅢߒߡḩ⿷ᗵࠍ㜞ߡߊࡊࡠ ࠬߢߪ㧘ᒰ⠪ߩਥ⊛ߢ㧘ᗧᔒߦၮߠ߈೨ㅴߒߡߎ߁ߣߔࠆᆫ߇㧘ᖱႎឭଏ⠪ߦߣߞߡ㧘ੱߣ ߩߟߥ߇ࠅࠍᷓࠆߎߣߦߟߥ߇ߞߡߚߡߒߘޕᒰ⠪߇␠ળߢߊߎߣߦኻߒߡࡐࠫ࠹ࠖࡉߥᕁ ߿㧘ੱߦวࠊߖߚኻᔕࠍߒߚߣ߁ᕁࠍᛴߊࠃ߁ߦߥߞߡߚ“ߦࠄߐޕᬺࡈࠖ࡞࠼ߩ⋧㆑” ߳ߩ⇼ࠍᜬߜ㧘ߔߴߡߩੱ߇ߦᬺߒ㧘↢߈ߡߊߎߣ߇᧪ࠆ⇇߳ߣ“␠ળߩᬺࡈࠖ࡞࠼߇ ᐢ߇ࠆߎߣ”߳㑐ᔃࠍᛴߊࠃ߁ߦߥߞߡߚޕ 㧨⠨ኤ㧪 ᗧࠆᬺࠍⴕ߁ߎߣ߇ੱ߿␠ળߩᄌൻߦജࠍ⊒ើߔࠆߣ⠨߃ࠄࠇߡࠆ߇㧘ᧄ⎇ⓥߩ⚿ᨐ߆ࠄ ߽㧘ᒰ⠪߇ᗧߩࠆᬺࠍታߔࠆࡊࡠࠬߪ㧘ੱߩḩ⿷ᗵࠍ㜞㧘ஜᐽࠍଦㅴߔࠆജߦ❬߇ࠆ ߛߌߢߪߥߊ㧘ᗧࠆᬺࠍⴕ߁⠪ߣ“ᤨ㑆”“႐ᚲ”“ᬺ”ࠍߔࠆ⠪ߩ⠨߃ࠍᄌൻߐߖ㧘ߔߴߡߩੱ ߇ᗧߩࠆᬺࠍⴕ߁ߎߣߩ⢐ቯߣߘࠇࠍᡰ߃ࠆ␠ળߩᔅⷐᕈࠍᗵߓࠆߎߣ߳ߣ❬߇ߞߡߊߎߣ ߇ࠄ߆ߣߥߞߚߚ߹ޕ㧘♖㓚ኂߩࠆੱ߳ߩዞഭᡰេߦ߅ߡ㧘ታ㓙ߦߊ೨ߦ㧘ߊߎߣ߇ߢ߈ ࠆ߆ߤ߁߆ࠍᬌ⸛ߔࠆߎߣ߇ᄙߊࠆ߇㧘ᧄ⎇ⓥߩ⚿ᨐ㧘ታ㓙ߦ߈ߥ߇ࠄ㧘ᗧࠍฟ߃㧘⺖㗴ࠍ㆐ᚑ ߒߡߊߎߣ߇㧘ߘߩੱ߇߈߿ߔ␠ળ㧘ߔߴߡߩੱ߇“ߦ↢߈㧘ߦᬺߔࠆ⇇”ࠍഃㅧߔࠆ ജߦߥࠆน⢻ᕈ߇␜ໂߐࠇߚޕ ᢥ₂㧦 1) ศᎹ߭ࠈߺ㧔2008㧕㧦ޟᬺߡߞޠߛࠈ߁㧙ᬺ⑼ቇ㐷㧙㧘කᱤ⮎ ᩣᑼળ␠㧚 2) Zemke, R. & Clark, F. (Eds.). (1996). Occupational science: The evolving discipline. Philadelphia, PA: F.A. Davis Company. - 29 － 29 － Oral PresentationsΤ㧦Occupation in various situations How do the realizations in meaningful occupation create a social transition –Toward the world of living together and having occupations in commonYusuke IMAMOTO, Minami SENBA, Kouji NIINAKA, Miyuki MINATO 㧨Objective㧪 Satisfaction in meaningful occupation influences on not only personal transition, but also on social transition. For creating the society where all people have opportunity to engage in meaningful occupations promoting health and happiness, deepening understanding occupation focusing on personal transition and social transition which influence each other has been one of the important goals. We interviewed with persons who were living in the community and had opportunities to work with the persons with mental illness. Our study objective was to deepen our understanding how processes in which meaningful occupations for individuals could lead to changes in the society. 㧨Method㧪 In the present study, we chose two individuals who had never experienced working with persons with mental illness and consent to disclose the interview results for the present study. Informants had opportunities to work with people with mental illness who were visiting Kodama Co-op Workshop (NPO Happiness Takahashi) in Takahashi, Okayama, and wished to work in the community and, in reality, became occupationally satisfied with the work. For each informant, we interviewed once to three times each having 45-60 minutes and recorded them with their consent. We created the word-for-word translation from the interviews and analyzed the data using the coding methods. 㧨Results㧪 Before the working experience in the present study, those informants without mental illness who had never worked with the persons with the mental illness had felt that they had different occupational fields and considered the persons with mental illness as existence in a different world. In the processes for the informants to have the same occupational field with the persons with mental illness and also for the persons with mental illness to increase the satisfaction through experiencing meaningful occupation, those with mental illness were willing to move forward by their own wills and the informants felt that they wanted to do something for each person with mental illness to match individual needs. Moreover, everyone involved in the project had questions about the differences between their occupational fields and became interested in their own occupational fields to make their own living. 㧨Discussion㧪 As it has been considered that occupations enable individuals or society to change, our study also suggested that meaningful occupations enabled not only themselves but also people who are living in the community that supports them understand the importance of having meaningful occupations for everyone. In addition, in the past, persons with mental illness traditionally have been evaluated whether or not they were able to work. However, our study indicated that individuals with mental illness can achieve the tasks through working and that individual could possibly create the society where they can work more easily. - 30 － 30 － Ṷ㗴⊒Τ ޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺ ޤ ዋᐕ㒮ߦ߅ߌࠆᬺ ᳗ศ⟤㚅㧘ศᎹ߭ࠈߺ ⋵┙ᐢፉᄢቇ 㧨ߪߓߦ㧪 ᬺ⊛ਇᱜߪ㧘ੱߩஜᐽ߿ካࠍ㒖ኂߔࠆߣߐࠇߡࠆ߇㧝㧕㧘⥄↱ೃ㧔⥄↱ࠍᅓ߁ೃ㧕ࠍࡌࠬ ߣߔࠆೃോᚲ╬ߩ⍶ᱜᣉ⸳ߢߪ㧘ੱߦߣߞߡᗧߩࠆᬺࠍⴕ߁⥄↱ߪ㒢ߐࠇߡ߅ࠅ㧘⍶ᱜᣉ ⸳ߢߪ㧔ᬺ⊛ਇᱜߩ⚿ᨐߢࠆ㧕ᬺᅓ߇ᥧ㤩ߩ․ᓽߢࠆߣ Eggers㧞㧕߇ㅀߴߡࠆࠃ߁ߦ㧘 ᬺ⊛ਇᱜ߇Ᏹᘒൻߒ߿ߔޕWhiteford㧟㧕㧠㧕ߪ㧘࠾ࡘࠫࡦ࠼߮ࠝࠬ࠻ࠕߩೃോᚲ ߢኈ⠪ߩᬺ࠾࠭ߩ⺞ᩏࠍታᣉߒ㧘ೃോᚲౝߦሽߔࠆᬺᅓߦߟߡႎ๔ߒ㧘ኈਛߩᬺ ᅓ߇㒮ᓟߩኈ⠪ߩ␠ળㆡᔕߦᖡᓇ㗀ࠍ߷ߔน⢻ᕈࠍᜰ៰ߒߡࠆޕ ᣣᧄߩዋᐕ㒮ߪ㧘‽⟋ࠍⴕߞߚዋᐕࠍ㧘⼔ߒᢎ⢒ߔࠆߚߩᣉ⸳ߢࠅ㧘ೃ⟏ࠍ⑼ߔ႐ߢߪߥ ߎߣࠍ೨ឭߣߒߡࠆ߇㧘ዋᐕ㒮ኈ߇ㆇ↪㧘⟏ೣ⊛ߥ㕙ࠍᒝߊ߽ߞߡࠆߎߣ߿㧘♿ᓞࠍ㊀ⷞ ߒߚ㓸࿅ߢߩᢎ⢒߇વ⛔⊛ߦⴕࠊࠇߡࠆߎߣ߆ࠄ㧘ᬺ⊛ਇᱜ߇ሽߒ߿ߔߣᗐቯߐࠇࠆޕ 㧨⋡⊛㧪 ᬺ⊛ᱜߩⷞὐ߆ࠄዋᐕ㒮ౝߩᬺߦߟߡࠄ߆ߦߒ㧘ዋᐕߦߣߞߡࠃࠅࠃዋᐕ㒮ߩࠅ߆ ߚߦߟߡᬌ⸛ߔࠆߎߣࠍ⋡⊛ߦ⎇ⓥࠍⴕߞߚޕ 㧨ᣇᴺ㧪 ዋᐕ㒮⚻㛎ࠍ߽ߟ⎇ⓥදജ⠪ 8 ฬߦኻߒ㧘ዋᐕ㒮ߢߩ⚻㛎ߦ㑐ߔࠆ 30㨪60 ಽ⒟ᐲߩඨ᭴ᚑ⊛ࠗࡦ ࠲ࡆࡘࠍታᣉߒ㧘ߘߩౝኈࠍ⾰⊛ߦಽᨆߒߚޕ 㧨⚿ᨐ㧪 ߥ⇣․ޟᬺߣⅣႺޠ ޟㆡᔕᚢ⇛ޠ ޟዋᐕ㒮ߢߩᚑᨐޠ ޟዋᐕ㒮߳ߩឭ᩺ ߩޠ4 ࠹ࡑ߇ߐࠇߚޕ ߥ⇣․ޟᬺߣⅣႺޠዋᐕ㒮ౝߢߩዋᐕߩᬺߪ㧘⒳㘃߿㊂߇ߞߡ߅ࠅ㧘߿ࠄߐࠇࠆ߽ߩߢࠅ㧘 ㆬᛯߩ߇⁜ߊ㧘␠ળౝߢߩ↢ᵴߣߟߥ߇ࠅ߇ਲߒ߽ߩ߇ᄙߎߣ߇␜ߐࠇߚߚ߹ޕ㧘ᶏᄖߩೃോ ᚲߦ߅ߌࠆవⴕ⎇ⓥߣห᭽㧘⟏ߣߒߡ⺖ߐࠇࠆᬺᅓ߽ሽߔࠆߎߣ߇ࠄ߆ߦߥߞߚߩࠄࠇߎޕ ⢛᥊ߦ㧘ᢎቭߣߩਅ㑐ଥ߿㧘⚦߆ⷙೣߦࠃࠆⴕേߩ⛔ߥߤߩ⚂ߩᄙⅣႺ߇ࠅ㧘ߓ߿ ⥄Ვߥߤߩ࠻ࡉ࡞ߩ⊒↢߽ႎ๔ߐࠇߚ⚿ߩࠄࠇߎޕᨐ߆ࠄ㧘ᣣᧄߩዋᐕ㒮ߦ߽㧘ᬺ⊛ਇᱜߩ⁁ ᘒ߇ሽߔࠆߎߣ߇␜ໂߐࠇߚ ޕ ޟㆡᔕᚢ⇛ޠዋᐕߚߜߪ⥄ಽߚߜߩ߅߆ࠇߡࠆᬺ⊛ਇᱜߥ⁁ᘒࠍ㧘㕙ߩ߿ࠅㆊߏߒ߿㧘ᣂ ߚߥᬺߩ⊒ߣߞߚㆡᔕᚢ⇛ߦࠃࠅਸ਼ࠅ߃ߡࠆߎߣ߇␜ໂߐࠇߚޕ ޟዋᐕ㒮ߢߩᚑᨐޠᣂߚߥᬺࠍ⊒ߢ߈ߚዋᐕߚߜߪ৻ቯߩቇ⠌߿ᚑ㐳ࠍㆀߍߡ߽ࠆߎߣ߇␜ߐ ࠇߚޕዋᐕ㒮ߢᣂߚߦળߞߚߣ⺆ࠄࠇߚᬺߩਛߦߪ㧘หᐕઍߩ㕍ዋᐕߦߣߞߡߪ৻⥸⊛ߥᬺ߽ ᄙߊ߹ࠇߡ߅ࠅ㧘ዋᐕ㒮ᚲߦࠆ߹ߢߩ↢ᵴߩਛߢ߽㧘ዋᐕ߇ᬺ⊛ਇᱜߩ⁁ᘒߦߞߚน⢻ ᕈ߽⠨߃ࠄࠇߚޕ ޟዋᐕ㒮߳ߩឭ᩺ޠዋᐕ㒮⚻㛎⠪ߪ㧘ዋᐕ㒮ౝߩᬺ߿ࠪࠬ࠹ࡓߦߟߡ㧘ᄙߊߩ⋉ߥឭ᩺ࠍᜬߞ ߡࠆߎߣ߽ࠄ߆ߦߥߞߚߦ․ޕ㧘㒮ᓟߩ↢ᵴ߹ߢߩߟߥ߇ࠅࠍ߽ߞߚ㧘ᬺ߿ᡰេࠪࠬ࠹ࡓߩ ᭴▽ߦ㑐ߔࠆឭ᩺߇ᄙߊߺࠄࠇߚޕ - 31 － 31 － ᣣᧄߩዋᐕ㒮ߦሽߔࠆᬺ⊛ਇᱜߩᄙߊߪ㧘ᄢੱ߇⠨߃ࠆ⦟ޟᬺ⚻ࠍޠ㛎ߐߖࠆߎߣߦࠃ ࠅ㧘ᦝ↢ߩᯏળࠍਈ߃ࠃ߁ߣߔࠆᗧ࿑߆ࠄ↢ߓߡࠆߣ⠨߃ࠄࠇࠆޕᬺ⊛ਇᱜߩⷰὐ߆ࠄ㧘ዋᐕ 㒮ߢߩᢎ⢒߇ஜᐽߦᖡᓇ㗀ࠍਈ߃ࠆน⢻ᕈߦߟߡ߽ᬌ⸛ߔߴ߈ߢࠆߣ⠨߃ࠆߦࠄߐޕ㧘ዋᐕ㒮߇ ᦝ↢ߩᯏ㑐ߣߒߡലߦᯏ⢻ߔࠆߚߦߪ㧘ฦዋᐕ߇ᗧࠆᬺߦࠕࠢࠬߒߥ߇ࠄ㧘␠ળߩਛߢ ↢ᵴߢ߈ࠆࠃ߁ߦߥࠆߎߣࠍਥ⌒ߦ߅߈㧘㒮ᓟߦ⋥㕙ߔࠆ␠ળ⊛ਇᱜࠍⷞ㊁ߦࠇߟߟ㧘ዋᐕ㒮 ౝ߆ࠄ㒮ᓟ߹ߢࠍ⊛⛮⛯⊛ߦᡰេߔࠆࠪࠬ࠹ࡓࠍ᭴▽ߒߡߊߎߣ߇ᔅⷐߢࠆߣ⠨߃ࠄࠇ ࠆޕ ᢥ₂ 1) Stadnyk RL,Townsend EA,Wilcock AA: Intoduction to Occupation. the Art and Science of Living 2nd ed. Prentice Hall 2) Eggers M. Phillip J. Sciulli J. Crist A.H.: The Community Reintegration Project. Occupational Therapy in Health Care 20(1): 17-37, 2006 3) Whiteford G.: Occupational deprivation and Incarceration. Journal of Occupational Science 4(3):126-130,1997. 4) Whiteford G.: Occupational deprivation: Global challenge in the new millennium. British Journal of Occupational Therapy, 63(5): 200-204,2000 - 32 － 32 － Oral PresentationsΤ㧦Occupation in various situations Occupations in Japanese reform schools for juveniles Mika NAGAYOSHI, Hiromi YOSHIKAWA Prefectural University of Hiroshima The purpose of this study is to investigate the occupations in Japanese reform schools for juveniles, from the subjective viewpoint of those who experienced the institutions. We conducted semi-structured one-on-one interviews with 8 people who had experience of being in reform schools, and asked some questions concerning experiences at the reform schools. Interview data were analyzed using qualitative methods. We found 4 themes from the interview data. The 4 categories were (1) Characteristic occupations and environments (2) Strategies for adaptation (3) Products of experiences in the reform school. (4) Suggestions for the reform schools. The results suggested the following: There is occupational injustice in Japanese reform schools, and there is occupational deprivation used as punishment, too. Many occupations were inadequate (e.g. excessive quantity, little choice, little meaning, little connection with daily life after the juveniles had left the reform school). And environments had many restrictions (e.g. hierarchical relations with teachers, many strict rules). On the other hand, they tried to adapt to them. There were two types of adaptation strategies: one was “finding out something good”, another was “feigning ignorance”. Some of the people who used the first strategy found out new, useful, and suitable occupations. This led to learning or growth. New occupations for them included normal daily occupations for ordinary adolescents, which suggests that they had lived in occupational injustice before they were detained. People who experienced reform schools had many useful suggestions for reform school occupations and environments. These included occupations and systems which link to their future. It is hoped that a perspective of occupational justice is adopted in reform schools. - 33 － 33 － Ṷ㗴⊒Τ ޣᄙ᭽ߥ⁁ᴫߦ߅ߌࠆᬺ ޤ ᬺ⊛ᱜᨒ⚵ߺࠍ↪ߚᬺᅓ ᔘ⤿ 1)㧘᧻↰߆߶ࠆ 1)㧘ጟ↰᥏ሶ 1)㧘ᐢା㓶ノ 1)㧘ศᎹ߭ࠈߺ 2) 1)NPO ᴺੱߜ߾ࠎߊߔ㧘2)⋵┙ᐢፉᄢቇ 㧨⢛᥊㧪ᬺ⊛ᱜߩᨒ⚵ߺߪ㧘ᬺᮭ߿ᬺ⊛ਇᱜߣߞߚᬺߩ⚿ᨐࠍ⺑ߔࠆ㧔࿑㧕1)ޕᬺ ᅓߪᬺ⊛ਇᱜߩ৻ᒻᘒߢࠆޕᬺᅓߪ㧘ੱߩࠦࡦ࠻ࡠ࡞ᄖߩⷐ࿃ߩߚߦ㧘ᔅⷐᕈ߇ ࠅ㧘ᗧ߇ࠆᬺ߳ߩ⚿߮ઃ߈߆ࠄ⛮⛯⊛ߦឃ㒰ߐࠇߡࠆ⁁ᘒߢࠆߣቯ⟵ߐࠇߡࠆ 2)ߩ⺰ᧄޕ ⋡⊛ߪ㧘ᣣᧄߦ߅ߌࠆᬺᅓࠍ㧘ᬺ⊛ᱜߩᨒ⚵ߺࠍߞߡ⺑ߔࠆߎߣߢࠆ ߪߦ⊒ޕS ߐ ࠎߩหᗧࠍᓧߚޕ ᬺ⊛ᱜ䈅䉎䈇䈲ਇᱜ䉕ዉ䈒 㧨⚫㧪S ߐࠎߪ⥄㐽∝ߣ⍮⊛㓚ኂߣ ⸻ᢿߐࠇߚ 21 ᱦߩ↵ᕈߢ㧘ቯᤨ㜞ᩞࠍත ᬺᓟ㧘⡯ᬺࡂࡦ࠲ߦ 3 ߆㑆㧘ߘߩᓟ ዞഭᡰេᣉ⸳ߦ 2 ߆㑆ㅢ߁߇㧘ਔᣉ⸳ߦ ኻੱ㑐ଥߩ࠻ࡉ࡞߇ේ࿃ߢਛㅜㅌߒߚޕ ኅᐸߢߪ㧘ᅢ߈ߥᬺߦᾲਛߒߡᤤᄛㅒォߣ ᭴ㅧ⊛ⷐ࿃ ⢛᥊ⷐ࿃ ᬺቯ ࿃ሶ䈱ၮ⋚ ᬺᣇᴺ䉇 䊒䊨䉫䊤䊛 ੱ⊛䋬ᱧผ⊛䋬 ⓨ㑆⊛⢛᥊ ⚻ᷣ䈱䉺䉟䊒 ஜᐽ䈫ၞ䉴䊘䊷䉿 ዬ ᢎ⢒ 㓹↪ ㅢᯏ㑐 䊧䉪ᣉ⸳ 䊡䊆䊋䊷䉰䊦䊂䉱䉟 䊮䈫䉝䉪䉶䉴 䊁䉪䊉䊨䉳䊷 䉮䊚䊠䊆䉬䊷䉲䊢䊮䈫 䊜䊂䉞䉝 ᐕ㦂 䉳䉢䊮䉻䊷 ᕈ⊛ᔒะᕈ ⢻ജ䊶㓚ኂ 䊶⽷↥ 㓹↪⁁ᘒ ᳃ᣖ ቬᢎ り࿖ ᴦାᔨ ㇺળ䊶↰⥢ 䊖䊷䊛䊧䉴 ኅᣖ䊶ੱ䈱ᡰេ ஜᐽ⁁ᘒ 䉇࿖䉇࿖㓙 ╷ ߥࠅ㧘ߘࠇࠍᱛߒࠃ߁ߣߔࠆኅᣖߦߚߞ ╷䈱ၮ␆䈫䈭䉎 ଔ୯ ߡߒ߹㧘ኅᣖߩਛߢ߽ዬ႐ᚲ߇ή⁁ᴫߛ ᢥൻ⊛ଔ୯ ߞߚޕS ߐࠎ߇⊛ᵴേࠍ߽ߒߡߥ ⁁ᘒߪ㧘ᰴߩℂ↱߆ࠄᬺᅓߣ⠨߃ࠄࠇࠆޕ ᓐߪ㓚ኂߩߚߦࠍតߔᯏળ߇ߥ߆ߞ ߚޕᓐߩ㓚ኂߪᓐੱߩࠦࡦ࠻ࡠ࡞ᄖߩߎ ᬺ⊛⚿ᨐ ᬺᮭ ᗧ ෳട ㆬᛯ 䊋䊤䊮䉴 ᔃᖡ䈘 ᳃ᮭᅹኂ ୶ℂ፣უ ␠ળਇ⛔ว ਇᱜ ᬺ⊛ ਇဋⴧ ✼ൻ ᅓ ⇹ᄖ ࿑ ᬺ⊛ᱜ䈱ᨒ⚵䉂䋨Stadnykઁ㧘2010㪀 ߣߢࠆޕᓐߪ⥄ಽ⥄りߦߣߞߡᗧߩࠆᵴേࠍ߽ߞߡࠆࠃ߁ߛ߇㧘ߘࠇߪઁ⠪߿␠ળߦߣߞߡᗧ ߩࠆᵴേߢߪߥ߆ߞߚޕ 㧨ᄌൻߩࡊࡠࠬ㧪S ߐࠎߪ␠ળෳടᡰេࠍ⋡⊛ߣߔࠆ NPO ᴺੱߡ߅ߦޠߔߊࠎ߾ߜޟ㧘ࠬࡇࠞ ࠍᆎߚߪޠߔߊࠎ߾ߜޟޕ㧘ࠬࡇࠞ႐ᚲ㧘ౕ㧘᧚ᢱ㧘ၞ⾗Ḯࠍ⚫ߒߚ⥄ޕࠬ ࡇࠞߪ㧘ㅒࡎࡦဳࠬࡇࠞߩ⸳⸘࿑ࠍ⥄ಽߢḰߒ㧘ࡏ࠺ࠖߪᲑࡏ࡞ߣ㤗Ꮣߢ⥄ߒ㧘ࠬࡇ ࠞߩᧄㇱಽߪၞߩߏߺಣℂᣉ⸳߆ࠄࠬࡇࠞߩㇱຠࠍขࠅߒ㧘ᧄߦߟߌࠆᧁߩㇱಽߩ ടᎿߪၞߩ T ߐࠎ߇ᜂᒰߒߚޕᚑߐࠇߚࠬࡇࠞߪၞߩࠗࡌࡦ࠻ߢ⽼ᄁߐࠇߚޕ 㧨⠨ኤ㧪ߺߏ߿ޠߔߊࠎ߾ߜޟಣℂ႐ߣߞߚၞ⾗Ḯߪ᭴ㅧ⊛ⷐ࿃ߢࠆޕS ߐࠎ߿ T ߐࠎ߿߾ߜޟ ࠎߊߔߩࡈ࠶࠲ࠬߩޠੱ⊛ᕈ⾰ߪ⢛᥊ⷐ࿃ߢࠆޕᬺ⊛ᱜᨒ⚵ߺߢߪ㧘᭴ㅧ⊛ⷐ࿃ߣ⢛᥊ⷐ࿃߇ ᬺ⊛⚿ᨐࠍዉߊߣߒߡࠆⷐߚߒ߁ߎޕ࿃߇ᬺᅓ߆ࠄࠃࠅࠃᬺ⊛⚿ᨐ߳ߣᄌൻߐߖࠆߎߣࠍ น⢻ߦߒߚߣ߃ࠆޕᬺᅓߪᬺ⑼ቇ߇↢ߺߒߚ㊀ⷐᔨߩ৻ߟߢࠅ 3)㧘ᬺߩℂ⸃ࠍଦㅴߔ ࠆޕ ᢥ₂ 1) Stadnyk RL, Townsend EA, Wilcock AA: Occupational justice. In Townsend EA & Christiansen CH ed., Introduction to Occupation: the Art and Science of Living 2nd ed. Upper Saddle River, NJ, Pearson, pp.329-358, 2010. 2) Whiteford G: Occupational deprivation: Understanding limited participation. In Townsend EA & Christiansen CH ed., Introduction to Occupation. Upper Saddle River, NJ, Pearson, pp.303-328, 2010. 3) WFOT: Position statement on occupational science http://www.wfot.org/office_files/IAG-OS%20PositionPaper-subJun05%281%29.pdf - 34 － 34 － Oral PresentationsΤ㧦Occupation in various situations A case of occupational deprivation using a framework of occupational justice Tadaomi NISHIGAMI1), Kahoru MATSUDA1), Akiko OKADA1), Yuki HIRONOBU1), Hiromi YOSHIKAWA2) 1) Non-profit organization CHUNKS, 2) Hiroshima Prefectural University 㧨 Background 㧪 A framework of occupational justice explains occupational outcomes1). Occupational deprivation is one type of occupational injustice. Occupational deprivation is defined as a state of prolonged preclusion from engagement in occupations of necessity and/ or meaning due to factors which stand outside of the control of the individual2). The purpose of this paper is to describe a case of occupational deprivation in Japan using the framework of occupational justice. 㧨 Case description 㧪 21-year-old man Mr. S is a diagnosed with autism and intellectual disability. Because of interpersonal problems, he dropped out of a vocational rehabilitation center 3 months - and a supported employment institute 2 months - after graduating a special high school. family He was isolated in his because he was too concentrated on his own activity. The fact that he did not have any work-related activity is considered as occupational deprivation. disabilities. Occupational justice or injustice leading to Structural Factors Underlying occupational determinants Occupational instruments or programs Type of economy Examples: Health and community sports Income supports Housing Education Employment Transportation Recreational facilities Universal design and accessibility Technology use Communications and media Regional/ national/ international policies Values underlying policy Cultural values Examples: Age Gender Sexual preference Ability/disability Income/wealth Employment status Ethnicity Religion National origin Political beliefs Urban/ rural location Homelessness Family/friend suport Health status Occupational Rights Meaning Participation Choice Balance Dis-Ease Civic disturbance Ethics breakdown Social disintegration Injustices Occupational imbalance marginalization deprivation alienation He was deprived from opportunities to find work due to his only for him but not for other people and society. He seemed to have activities meaningful Therefore he was excluded in his community. Mr. S started to make audio speakers in a nonprofit organization named Chunks that supports social participation for people. information about community resources. a community garbage center. Personal, historical, and spatial contexts Occupational Outcomes Figure. A framework of Occupational Justice (Stadnyk et al, 2010) His disabilities are outside of his control. 㧨Change process of the case㧪 Contextual Factors Chunks provided a place, tools, and He designed and got materials for audio speakers from Mr. T was good at wood craft and helped him to make audio speakers. The audio speakers made by them were sold through community events. 㧨Discussion㧪 The community resources such as Chunks and the garbage center is a part of structural factors. The personal characteristics such as the abilities of Mr. S, Mr. T, the staff of Chunks is a part of contextual factors. Structural and contextual factors guide occupational outcomes in the frame of occupational justice. These factors enable change from occupational deprivation to better occupational outcomes. Occupational deprivation is one of important concepts from occupational science3) and facilitates understanding of occupations. - 35 － 35 － 㧺㨛㨠㨑 - 36 - － 36 － ෳടߦߚߞߡߩ߅㗿 1㧚ᣣᧄᬺ⑼ቇ⎇ⓥળળᐕળ⾌ฃઃ ᣂⷙળຬ⊓㍳㧘ᐕળ⾌ߥߤߩฃઃߪ㧘ޟᣣᧄᬺ⑼ቇ⎇ⓥળฃઃޠ㧔ෳടฃઃᮮ㧕ߢⴕ ߹ߔޕ 2㧚ᣣᧄᬺ⑼ቇ⎇ⓥળ✚ળߩ߅⍮ࠄߖ ᣣ ᤨ㧦2011 ᐕ 9 24 ᣣ㧔㧕11 ᤨ 45 ಽ㨪 ળ ႐㧦⋵┙ᐢፉᄢቇਃේࠠࡖࡦࡄࠬᄢ⻠⟵ቶ ኻ⽎⠪㧦ᣣᧄᬺ⑼ቇ⎇ⓥળળຬ ̪ ✚ળ⚳ੌᓟߦ߽ᤤ㘩ߩᤨ㑆ࠍ⏕ߒߡ߅ࠅ߹ߔޕળຬߩᣇߪ㧘ߏෳട㗂߈߹ߔࠃ ߁ࠃࠈߒߊ߅㗿⥌ߒ߹ߔޕ 3㧚ᤤ㘩ߦߟߡ ⽼ᄁ႐ᚲ㧦1 ภ㙚㧝㓏 ᑈਅ ౝኈ㧦ࠊࠊᎿᚱߩࠞࡄࡦ㧘ߣߞߣߐࠎߩ࠲ࠦ☨ᑯᒰ 㧠㧚ࠧࡒߦߟߡ ࠧࡒߪฦ⥄ߢ߅ᜬߜᏫࠅ㗂ߌࠇ߫ᐘߢߔޕᣉ⸳ౝߦ⸳⟎ߒߡࠅ߹ߔࠧࡒ▫ߪ㧘 ↪ߒߥࠃ߁㧘ߏදജࠍ߅㗿⥌ߒ߹ߔޕ ᑯᒰߩⓨ߈▫ߦ㑐ߒߡߪ㧘࿁႐ᚲࠍ⸳ߌߡ߅ࠅ߹ߔߩߢ㧘ߏ↪ߊߛߐޕ 㧡㧚ߘߩઁ 㚢ゞ႐ࠬࡍࠬߦ㒢߇ࠅ߹ߔߩߢ㧘ߢ߈ࠆߛߌㅢᯏ㑐ࠍߞߡߊߛߐޕ ਃේ㚞߆ࠄ⋵┙ᐢፉᄢቇ߹ߢߪࡃࠬ߇ㆇⴕߒߡ߹ߔޕᄢቇⴕ߈ߩࡃࠬਸ਼ࠅ႐ߪ 5 ⇟ߢ ߔޕㆇ⾓ߪ 220 ߢߔ⧓ߪ⚦ޕ㓁ࡃࠬߩࡎࡓࡍࠫ㧔http://www.geiyo.co.jp/㧕 ࠍߏⷩߊߛߐޕ ਃේ㚞䈱䉍䈳㽶⊒ ⋵┙ᐢፉᄢቇ⌕ ⋵┙ᐢፉᄢቇ⊒ ਃේ㚞⌕ 㪏㪑㪇㪉㩷 㪏㪑㪈㪋㩷 㪈㪉㪑㪊㪉㩷 㪈㪉㪑㪋㪐㩷 㪏㪑㪉㪊㩷 㪏㪑㪊㪇㩷 㪈㪊㪑㪈㪏㩷 㪈㪊㪑㪋㪌㩷 㪏㪑㪋㪋㩷 㪏㪑㪌㪍㩷 㪈㪊㪑㪌㪐㩷 㪈㪋㪑㪈㪍㩷 㪐㪑㪈㪇㩷 㪐㪑㪉㪉㩷 㪈㪋㪑㪋㪇㩷 㪈㪋㪑㪌㪎㩷 㪈㪇㪑㪊㪍㩷 㪈㪇㪑㪋㪏㩷 㪈㪌㪑㪊㪉㩷 㪈㪌㪑㪋㪐㩷 㪈㪉㪑㪈㪌㩷 㪈㪉㪑㪊㪈㩷 㪈㪍㪑㪊㪇㩷 㪈㪍㪑㪋㪎㩷 㪈㪊㪑㪇㪌㩷 㪈㪊㪑㪈㪎㩷 㪈㪎㪑㪊㪉㩷 㪈㪎㪑㪌㪉㩷 㪈㪊㪑㪋㪉㩷 㪈㪊㪑㪌㪏㩷 㪈㪏㪑㪇㪉㩷 㪈㪏㪑㪉㪉㩷 㪈㪋㪑㪈㪎㩷 㪈㪋㪑㪊㪐㩷 㪈㪏㪑㪋㪌㩷 㪈㪐㪑㪇㪉㩷 㪈㪌㪑㪈㪌㩷 㪈㪌㪑㪊㪈㩷 㪈㪐㪑㪊㪍㩷 㪈㪐㪑㪌㪊㩷 㪈㪍㪑㪇㪎㩷 㪈㪍㪑㪉㪐㩷 㪉㪇㪑㪋㪏㩷 㪉㪈㪑㪇㪌㩷 - 37 － 37 － ೋቇ⠪ะߌෳ⠨⾗ᢱ ᬺ⑼ቇߩᱧผ ᐕ 1989 1993 1996 1997 1999 2000 2006 2007 ᶏᄖߩേ߈ ධࠞࡈࠜ࡞࠾ࠕᄢቇ㧔USC㧕ߢඳ ჻⺖⒟ߣߒߡ⺀↢ Journal of Occupational Science ഃ ೀ ޟOccupational Science: The Evolving Disciplineޠ Well Elderly Study ߇ JAMA ߦឝタ ISOS㧔International Society for Occupational Science㧕ߩ೨り International Interdisciplinary Group for the Promotion of Occupational Science ߩೋߡߩળ ⼏㐿 ISOS ℂㆬ ળ㐳㧦Ann Wilcock ળ㐳㧦Florence Clark 㧘Elizabeth Townsend ╙ 1 ࿁ᬺ⑼ቇ࿖㓙ࠪࡦࠢ࠲ࡦࠢ㐿 ⇇ᬺ≮ᴺ჻ㅪ⋖㧔WFOT㧕߇ ᬺ⑼ቇჿᦠࠍណᛯ ╙ 2 ࿁ᬺ⑼ቇ࿖㓙ࠪࡦࠢ࠲ࡦࠢ㐿 㧘ISOS ᓎຬㆬ ળ㐳㧦Alison Wicks ℂ㧦Eric Asaba㧘Erna Blanche㧘 Hans Jonsson㧘Debbie Laliberte Rudman ᐕ ᣣᧄߩേ߈ 1995 ᬺ⑼ቇࠍ࠹ࡑߦᣣᧄᬺ≮ᴺ჻ දળో࿖⎇ୃળ㐿ޕUSC ࠃࠅࠢ ࠢߣࡓࠠ᧪ᣣ 1997 ᧅᏻක⑼ᄢቇᄢቇ㒮ߦᬺ⑼ቇ⸳⟎ ᧅᏻߢᬺ⑼ቇࡒ࠽㐿㧔2003 ᐕ߹ߢ㧕 Zemke & Clark ✬ޟᬺ⑼ቇޠ㧔ਃ ベᦠᐫ㧕⠡⸶ 1999 2000 ᔅୃ⑼⋡ߣߒߡᬺ⑼ቇࠍ㐿⻠㧔ᐢ ፉ⋵┙ஜᄢ㧕 2006 ᣣᧄᬺ⑼ቇ⎇ⓥળ㧔JSSO㧕⸳┙ ળ㐳㧦ች೨⃨ሶ ળ㐳㧦᷼⟤㔐㧘ศᎹ߭ࠈߺ 2008 ޡޟᬺߡߞޢߛࠈ߁ޠ 㧔කᱤ⮎ 㧕 2010 JSSO ᓎຬᡷㆬ ળ㐳㧦᷼⟤㔐 ળ㐳㧦⌀↱⟤㧘ㄭ⮮⍮ሶ ᬺ⑼ቇ㑐ㅪ࠙ࠚࡉࠨࠗ࠻ ⇇ᬺ⑼ቇදળ㧔ISOS㧕: http://www.isoccsci.org/ ᣣᧄᬺ⑼ቇ⎇ⓥળ㧔JSSO㧕: http://www.jsso.jp/ - 38 － 38 － ࠃߊࠆ⾰ߣ࿁╵ Q㧚ᬺ⑼ቇߞߡߢߔ߆ޕ A㧚ੱࠍ㧘ᬺ⊛ሽߣߒߡ⎇ⓥߒ㧘ᬺߩⷞὐ߆ࠄੱࠍ⍮ࠆቇߢߔޕᬺࠍߔࠆߎߣߢ⥄ޡ ಽࠄߒߐ߇ޢᒻᚑߐࠇߚࠅ㧘ੱ㘃ߩᱧผ߽㧘వੱߩᬺߦࠃߞߡᒻᚑߐࠇߡࠆߣᝒ߃ࠆߣ㧘 ੱ߇ᬺ⊛ሽߢࠆߎߣ߇ࠃߊࠊࠅ߹ߔޕ Q㧚ᬺߩቯ⟵ߪࠅ߹ߔ߆ޕ A㧚ᬺߩቯ⟵ߪࠈࠈࠅ߹ߔ߇㧘2 ߟ⚫ߒ߹ߔޕ ߹ߕ㧘occupational science ߣ߁⸒⪲ࠍ↢ࠎߛධࠞࡈࠜ࡞࠾ࠕᄢቇߩࠢࠢࠍೋߣ ߔࠆ⎇ⓥ⠪ߚߜߩቯ⟵ߪ㧘ޟᬺߣߪ㧘ᢥൻ⊛ੱ⊛ߦᗧࠍ߽ߟᵴേߩ৻⟲ߢ㧘ᢥൻߩ⺆ ᒵߩਛߢฬߠߌࠄࠇ㧘ੱ㑆߇ⴕ߁ߎߣߢࠆ㧔Chunks of culturally and personally meaningful activity in which humans engage that can be named in the lexicon of the culture㧕ޠ1) ᰴߦ⇇ᬺ⑼ቇදળ㧔ISOS㧕ߩቯ⟵ߪ㧘 ޟኅᣖ߿ࠦࡒࡘ࠾࠹ࠖߩਛߢੱ↢ߦᗧ⋡⊛ࠍ߽ ߚࠄߒᤨ㑆ࠍߞߡ㧘ੱ߇ੱߣߒߡᣣࠆߢߣߎ߁ⴕޘ㧔The things people do everyday as individuals, in families and with communities to occupy time and bring meaning and purpose to life㧕ޠ2) Q㧚ᬺߩᗧߞߡߢߔ߆ޕᗧߩߥᬺߞߡࠆࠎߢߔ߆ޕ A㧚ᬺߩᗧࠍߤߩࠃ߁ߦ⠨߃ߚࠄࠃ߆ߦߟߡ㧘ࠈࠈߥ⠨߃ᣇ߇ࠅ߹ߔޕߩᗵᖱ ߽ᒁ߈ߎߐߥᬺࠃࠅ߽㧘ᭉߒߣ߆ሜߒߣߞߚࡐࠫ࠹ࠖࡉߥᗵᖱࠍᒁ߈ߎߔ ᬺߩᣇ߇㧘ᗧ߇ࠆߣ⠨߃ࠆੱ߇ᄙߢߒࠂ߁ޕႎ㈽ࠍᓧࠆߚߛߌ㧘ࠆߪᴦ≮ᚻᲑ ߣߒߡߛߌߢⴕ߁ᬺࠃࠅ߽㧘ߘߩᬺࠍߔࠆߎߣߘߩ߽ߩ߇ḩ⿷ߣߥࠆ㧔⋡⊛ߣߒߡߩ㧕 ᬺߩᣇ߇㧘ᗧ߇ࠆߣ⠨߃ࠆੱ߽ᄙ߆߽ߒࠇ߹ߖࠎߦ߁ࠃߩߎޕᬺߩᗧߪᄙߊߩ 㕙߆ࠄ⠨߃ߡߊߎߣ߇ߢ߈߹ߔ 3)߽ߡߒߦࠄߜߤޕ㧘ߘߩᬺࠍⴕ߁ੱߩਥⷰ߿㧘ߘߩ ᬺ߇ⴕࠊࠇࠆ⁁ᴫࠍ㒰ᄖߒߡ㧘ᬺߩᗧࠍ⺆ࠆߎߣߪߢ߈߹ߖࠎޕ Q㧚ᬺߦὶὐࠍߡߚታ〣㧔Occupation Based Practice, OBP㧕ߪᬺ⑼ቇߢߔ߆ޕ A㧚ᬺ⑼ቇߪၮ␆⑼ቇߣߒߡ⺀↢ߒߚߩߢ㧘ᔕ↪⑼ቇߢࠆᬺ≮ᴺቇߣߪ⏕ߥ߇ߐࠇ ߡߚߣ߁ශ⽎߇ࠅ߹ߒߚߒ߆ߒޕ㧘1997 ᐕߦ⊒ߐࠇߚஜ߿߆㜞㦂⠪⎇ⓥ 㧔Well-Elderly Study㧕ߦࠃࠅ㧘ᬺ⑼ቇߩ⍮⼂ࠍ↢߆ߒߚታ〣ߩലᨐ߇ᵈ⋡ߐࠇ㧘ᬺ⑼ ቇߣᬺ≮ᴺߩኒធߥ㑐ଥ߇ࠄࠇ߹ߒߚ 4)ޕᬺ⑼ቇߩ⎇ⓥ⠪ߩߥ߆ߦߪ㧘ᬺ⑼ቇߣ ᬺ≮ᴺߩ㑐ଥࠍ߽ߞߣᷓߚߣ⠨߃ࠆੱ߽ࠆߒ㧘ᔃℂቇ߿␠ળቇߩࠃ߁ߦᄙߊߩ㗔ၞ ߢ⍮⼂ࠍ↢߆ߖࠆࠃ߁ߥቇߣߒߡߩ⊒ዷࠍᬺ⑼ቇߦ᳞ࠆੱ߽߹ߔ 5)ޕ Q㧚ࠞ࠽࠳ᬺㆀⴕࡕ࠺࡞㧔CMOP㧕㧘ੱ㑆ᬺࡕ࠺࡞㧔MOHO㧕㧘ᬺㆀⴕࡊࡠࠬࡕ࠺࡞㧔OPPM㧕㧘 ᬺ≮ᴺࡊࡠࠬࡕ࠺࡞㧔OTIPM㧕㧘ᬺ≮ᴺታ〣ᨒ⚵ߺ㧔OTPF㧕ߥߤᬺ≮ᴺߩℂ ⺰ߣᬺ⑼ቇߪߤߩࠃ߁ߥ㑐ଥߦࠆߩߢߔ߆ޕ A㧚ᬺ≮ᴺࠍ߁߹ߊㅴࠆߚߦ↪ߢ߈ࠆ⠨߃ߪ㧘ታ〣ℂ⺰㧘ታ〣ࡕ࠺࡞㧘practical theory㧘 frame of references ߥߤߣ߫ࠇࠆ߽ߩߢ㧘ቇ㧘discipline ߣߪ㆑߹ߔޕCMOP ߪࠞ࠽ ࠳ᬺ≮ᴺ჻දળ߇⠨߃ߚᬺ≮ᴺߩⷞὐࠍ␜ߒߚ߽ߩߢߔޕCMOP ߪ㧘2007 ᐕೀߩࠞ࠽ ࠳ߩࠟࠗ࠼ࠗࡦߢ㧘ᬺㆀⴕߣ⚿߮ઃ߈ߩࠞ࠽࠳ࡕ࠺࡞㧔CMOP-E㧕ߦᡷቯߐࠇ߹ߒߚ 5)ޕ MOHO ߪࠕࡔࠞߩᬺ≮ᴺ჻ߢ⇇⊛ᵴべߒߚᬺ≮ᴺ⎇ⓥ⠪ߢࠆ Kielhofner ߇⠨߃ ߚℂ⺰ߢ㧘ੱ㑆ߩᬺࠍߤ߁ℂ⸃ߒᬺ≮ᴺࠍߤ߁ዷ㐿ߔࠆ߆ࠍ⺑ߔࠆ߽ߩߢߔޕOPPM ߪ㧘ࠞ࠽࠳ߩᬺ≮ᴺ჻ Fearing ߇ࠢࠗࠛࡦ࠻ߩᬺߩ․ቯ߆ࠄᆎࠆᬺ≮ᴺߩᵹࠇࠍ ⺑ߒߚ߽ߩߢ㧘1997 ᐕߦࠞ࠽࠳ᬺ≮ᴺ჻දળ߇ࠟࠗ࠼ࠗࡦߦណ↪ߒߚ߽ߩߢߔ 6)ޕ 2007 ᐕೀߩࠟࠗ࠼ࠗࡦߢߪ㧘ࠞ࠽࠳ታ〣ࡊࡠࠬࡕ࠺࡞㧔CPPM㧕߇ឝタߐࠇߡ߹ߔޕ OTIPM ߪ㧘ㆇേߣࡊࡠࠬᛛ⢻⹏ଔ㧔AMPS㧕ࠍ㐿⊒ߒߚࡈࠖ࠶ࠪࡖ߇㧘ᬺ≮ᴺࠍࠢ ࠗࠛࡦ࠻ਛᔃߩᬺࠍၮ⋚ߣߒߚ⌀ߩ࠻࠶ࡊ࠳࠙ࡦࠕࡊࡠ࠴ߣߔࠆߚߦ⠨߃ߚࡕ࠺࡞ ߢߔ 5)ޕOTPF ߪ㧘ࠕࡔࠞᬺ≮ᴺදળ߇ 2002 ᐕߦ╙ 3 ߹ߢߒߚ⛔৻↪⺆ߩᡷቯߣ ߒߡ⊒ߒ㧘2008 ᐕߦᡷቯߒ㧘ᬺ≮ᴺߩ▸࿐ߣࡊࡠࠬࠍ⺑ߔࠆᢥᦠߢߔ 7)ޕ - 39 － 39 － Q㧚࠰ࠪࡖ࡞ࠗࡦࠢ࡞࡚ࠫࡦ㧔social inclusion㧕ߞߡߢߔ߆ޕ A㧚␠ળߥߤߩಽ㊁ߢ㧘1990 ᐕઍએ㒠⸒ࠊࠇࠆࠃ߁ߦߥߞߚᔨߢ㧘␠ળ⊛൮៨㧘␠ળ⊛൮ ߣ⸶ߐࠇࠆߎߣ߽ࠅ߹ߔߪࡦ࡚ࠫ࡞ࠢࡦࠗޕ㧘൮㧔include㧕ߩฬ⹖ᒻߢ㧘ోߡࠍ൮ ߺㄟߣ߁ᗧߢߔޕᢎ⢒ಽ㊁ߢߪ㧘ࠗࡦ࠹࡚ࠣࠪࡦ߆ࠄㅴࠎߛᲑ㓏ߣߒߡ⟎ߠߌ ࠄࠇࠆߎߣ߽ࠅ߹ߔ߇ࡦ࡚ࠪࠣ࠹ࡦࠗޕផᅑߐࠇߚᤨઍߪ㧘㓚ኂఽߪ㙃⼔ቇᩞ㧘≮⼔ ᣉ⸳㧘↥ᚲߥߤ㧘␠ળߩਛᔃ㧔ࡔࠗࡦࠬ࠻ࡓ㧕߆ࠄ㔌ࠇߚᚲߢ↢ᵴߒߡࠆߎߣࠍᛕ ್ߒ㧘ࡔࠗࡦࠬ࠻ࡓߦ⛔ว㧔integrate㧕ߒࠃ߁ߣߒ߹ߒߚ߇ࠈߎߣޕ㧘ᦨೋ߆ࠄ↢߹ࠇ ⢒ߞߚၞߢㄭᚲߩખ㑆ߣ৻✜ߦቇᩞߦⴕ߈㧘ዞ⡯ߒ㧘↢ᵴߔࠆߎߣࠍ⋡ᜰߖࠆࠃ߁ߦߥߞ ߡ߈߹ߒߚߢߎߘޕ㧘ߤࠎߥੱߢ߽ߺࠎߥࠍ൮ߺㄟࠆ␠ળࠍࠈ߁ߣ߁ࠗࡦࠢ࡞࡚ࠫ ࡦ߇ᡰᜬߐࠇࠆࠃ߁ߦߥߞߚߩߢߔޕ Q㧚ᬺ⊛ᱜ㧔occupational justice㧕ߞߡߢߔ߆ޕ A㧚߇ᱜߒ߆ߣ߁⼏⺰ߩਛߢ㧘ࠃߊ⊓႐ߔࠆ⠨߃߇ justice ߢߔޕᱜ⟵ߣ⸶ߐࠇࠆߎߣ߽ ࠅ߹ߔৼ߇ࠄߊࠇߤޕᐲࠃ㧔just㧕߆ࠍ⠨߃ࠆ߽ߩߢߔߪߢߎߎޕ㧘ᱜߣ⸶ߒ߹ߔޕ ߺࠎߥߦหߓߛߌ㘩ᢱࠍ㈩ࠇ߫ࠃ߆ߣ߁ߣ㧘ߘ߁߁߽ߩߢ߽ࠅ߹ߖࠎޕᄢ㘩ߩੱ ߦߪߚߊߐࠎ㧘ዊ㘩ߩੱߦߪዋߥߊ㈩ߞߚᣇ߇ࠃ߆߽ߒࠇ߹ߖࠎ㧔ಽ㈩ߩᱜ㧕ޕㆬߢߪ ⦟ੱߦᒰㆬߒߡ߶ߒߣᕁ߹ߔ߇㧘⺕߇⦟ੱ߆ߥ߆ߥ߆ࠊ߆ࠄߥߩߢ㧘⠪ߩ⾗ ᩰࠍߚࠅ㧘ㆬṶ⺑ࠍߒߡ߽ࠄߞߚࠅ㧘ᛩᣣࠍߚࠅߒߡ㧘᳃ਥ⊛ߥᱜߒᚻ⛯߈ ࠍࠆߎߣߢ㧘⚿ᨐߩᱜߒߐࠍฃߌࠇࠆߎߣߦߒߡ߹ߔ㧔ᚻ⛯߈ߩᱜ㧕 ߪߢ್ⵙޕห ⒟ᐲߩ⟋ࠍ‽ߒߚࠄห⒟ᐲߩ⟏ߦߥࠆࠃ߁ߦ㧘್ߦၮߠ߈ਇᐔߩߥࠃ߁ߦ߹ߔ㧔ᴺ ߩᱜ㧕ߦ߁ࠃߩߎޕ㧘ᱜࠍ⠨߃ࠆ႐㕙ߪߚߊߐࠎࠅ߹ߔ߇㧘ᱜߩ⠨߃ᣇߪ㧘ᱜߩ⎇ ⓥ⠪ߩᢙߛߌࠆߣ⸒ࠊࠇࠆߎߣ߽ࠆ߶ߤ㧘ⶄ㔀ߢߔߒ߆ߒޕ㧘◲නߦ╵߃߇ߥ߆ࠄ ߣߞߡ⠨߃ࠆߎߣࠍᱛࠆࠊߌߦߪ߈߹ߖࠎޕᅚᕈ㧘᳃ᣖ㧘ࠥࠗ㧘㓚ኂ⠪ߥߤ␠ળ⊛ߦ ਇߥੱߚߜ߇⋥㕙ߒߡࠆ㗴ࠍ⠨߃ࠆਛߢ㧘␠ળ⊛ᱜ㧔social justice㧕߇⺰ߓࠄࠇߡ ߈߹ߒߚޕᬺ⊛ᱜߪ㧘ᦨೋߪ␠ળ⊛ᱜߩ৻ᒻᘒߣߒߡ⺰ߓࠆߎߣ߇ߢ߈ࠆߩߢߪߥ ߆ߣ⠨߃ࠄࠇߡ߹ߒߚ߇㧘࠲࠙ࡦࡦ࠻ߣ࠙ࠖ࡞ࠦ࠶ࠢࠍਛᔃߦฦ࿖ߩᬺ⑼ቇ⠪߿ᬺ ≮ᴺ჻߇⼏⺰ࠍ㊀ߨࠆਛߢ㧘␠ળ⊛ᱜߣߒߡᬺ⊛ᱜࠍ⺰ߓߚᣇ߇㧘ߐ߹ߑ߹ߥ ⽎ࠍ⺑ߒߚࠅ㧘㗴⸃ࠍ࿑ߞߚࠅߔࠆߢ↪ߢߪߥ߆ߣ߁ߎߣߦߥߞߡ߈ߡ߹ ߔ 8)߇࠼ࠜࡈ࠻ࠗࡢࡎߣ࠻ࡦࡦ࠙࠲ޕᬺ⊛ᱜߩᣂߒ⠨߃ᣇࠍᐕ⊒ߒߡࠆࠃ ߁ߢߔޕ Q㧚ᬺᅓ㧔occupational deprivation㧕ߞߡߢߔ߆ޕ A㧚ᬺ⊛ᱜߩ৻ᒻᘒߢ㧘⥄ಽߦߣߞߡᗧߩࠆᬺ߇㧘⥄ಽߦߪߤ߁ߔࠆߎߣ߽ߢ߈ߥ ℂ↱ߢ㧘㐳ᦼ㑆ߦᷰߞߡⴕ߃ߥ⁁ᘒࠍᜰߒ߹ߔ 9)ߪ࠼ࠜࡈ࠻ࠗࡢࡎޕ㧘ੱߩᬺߩ⎇ ⓥࠍㅢߒߡ㧘ੱߩ↢ᵴ߆ࠄᄙߊߩᬺ߇ᄬࠊࠇߚ⁁ᴫࠍႎ๔ߒ߹ߒߚޕᴺࠍ‽ߒߡ⋙ߐࠇ ࠆ㧘ᖡߎߣࠍߒߡ⻯ᘕಣಽߥߤߪ㧘ᬺᅓ߇⟏ߣߒߡࠊࠇߚߢߔߎࠆߔߊߚߞ߹ޕ ߣ߇ߥߣ߁ᬺᅓߪ㧘ㄆߊ⧰ߒ߽ߩߛߣ߁ߎߣߪኈᤃߦᗐߢ߈߹ߔߚ߹ޕ㧘 ߢᔔߒߊ㧘ㆆ߱ᤨ㑆߽ኅᣖߣߊߟࠈߋᤨ㑆߽ߥߣ߁႐ว߽㧘ᭉߒᬺ߇ᅓߐࠇߡ ࠆߣ⠨߃ࠆߎߣ߽ߢ߈߹ߔޕ Q㧚ẜ⢻ജ㧔ࠤࠗࡄࡆ࠹ࠖ㧘capability㧕ࠕࡊࡠ࠴ߞߡߢߔ߆ޕ A㧚1998 ᐕߦࠕࠫࠕੱߢೋߡࡁࡌ࡞⚻ᷣቇ⾨ࠍฃ⾨ߒߚࠗࡦ࠼りߩࠕࡑ࡞࠹ࠖࠕࡦ߇ ឭ໒ߒߚ⠨߃ߢߔ 10)ੱޕ㑆ߪᔃりᯏ⢻ߢ↢ᵴߒߡࠆߛߌߢߥߊ㧘ኅᣖ߿ੱ㧘ၞ␠ળߥ ߤ߇߽ߟᯏ⢻ߩᕲᕺߦ㗍߆ߞߡ߹ߔߒ߆ߒޕ㧘߽ⷫኅ߽ߥߊ㧘චಽߥᢎ⢒߽ฃߌߕ㧘 ߽ߥੱߪ㧘ઁߩ⼾߆ߦࠄߒߡࠆੱߦᲧߴߡẜ⢻ജ߇ਇ⿷ߒߡࠆߣ⠨߃ࠄࠇ߹ߔޕ ẜ⢻ജ߇ᄙ߆ዋߥ߆ߪ㧘ੱએᄖߩℂ↱ߦࠃߞߡ߹ࠆߣ߁ߎߣߦ᳇ߠߌ߫㧘␠ળ ోߣߒߡ㧘ẜ⢻ജࠍ㜞ࠆขࠅ⚵ߺ߇ߢ߈߹ߔޕ - 41 － 40 － Q㧚ࠊ߆ࠄߥ⸒⪲߇ߚߊߐࠎߡ߈ߡ࿎ࠅ߹ߔࠆ߆ࠊࠅ߈ߞߔޕᣇᴺߪࠅ߹ߖࠎ߆ޕ A㧚⸒⪲ࠍ⍮ࠆߎߣߣ⸒⪲ߩᗧࠍℂ⸃ߔࠆߎߣߪ⇣ߥࠅ߹ߔߚߞ߆ࠊޕ᳇ಽߦߥࠆߎߣߣ⍮⼂ ࠍ߃ࠆࠃ߁ߦߥࠆߎߣ߽⇣ߥࠅ߹ߔ⺆⸒ޕቇߢߪᢥሼ߿㖸ࠍࠪ࠾ࡈࠖࠕࡦߣ߮㧘⸒⪲ߩ ᗧࠍࠪ࠾ࡈࠖࠛߣࠎߢߒ߹ߔޕหߓࠪ࠾ࡈࠖࠕࡦߢ߽㧘⸒⪲ߪࡄࡠ࡞㧘ᦠ߈⸒ ⪲ߪࠛࠢ࠴ࡘ࡞ߣߐࠇ߹ߔޕᢥൻੱ㘃ቇߥߤߢߪ㧘ࠛ࠹ࠖ࠶ࠢ㧔⽎㧕ߣࠛࡒ࠶ࠢ 㧔ࠗࡒ࠶ࠢ㧘ᗧ㧕ࠍߒ߹ߔߥࠈࠈޕ႐㕙ߢ㧘⠨߃߿ᔨࠍℂ⸃ߒࠃ߁ߣ⹜ߺߡ㧘 ⥄ಽߩ⚻㛎ߣᾖࠄߒวࠊߖߚࠅ㧘⥄ಽߩ⸒⪲ߢ⺑ߒߚࠅߒߡࠆ߁ߜߦ㧘એ೨ࠃࠅߪࠊ߆ ߞߚߥߣ߁᳇ಽߦߥࠅ߹ߔ߽ߢޕീᒝߔࠆߣ߁ߎߣߪ㧘ࠊ߆ࠄߥߎߣ߇Ⴧ߃ࠆߎߣ ߢ߽ࠅ߹ߔޕ ᢥ₂ 1) Clark F, et al. Occupational science㧦Academic innovation in the service of occupational therapy’s future. American Journal of Occupational Therapy, 45, 300-310, 1991. 2) International Society for Occupational Science. The Way Forward Plan for ISOS, 2007. Retrieved from http://shoalhaven.uow.edu.au/aosc/documents/isos _way_forward_july07.pdf. 4 February 2011. 3) ศᎹ߭ࠈߺ㧦ᬺߩᗧࠍ⠨߃ࠆߚߩᨒ⚵ߺߩ㐿⊒㧚ᬺ⑼ቇ⎇ⓥ 3(1), 20-28, 2009. 4) Clark F & Lawlor MC: The making and mattering of occupational science. In Crepeau EB, Cohn ES, & Schell BAB, Willard and Spackman’s Occupational Therapy 11th ed, pp. 2-14, 2008. 5) Townsend EA & Polatajko HJ ed. Enabling Occupation II. Ottawa ON㧦CAOT Publications ACE, 2007.㧔ࠛࠩࡌࠬ࠲࠙ࡦࡦ࠻,ࡋࡦࡐ࠲ࠗࠦ✬⪺, ศᎹ߭ࠈߺ, ศ㊁⧷ሶ⋙⸶, ⛯ᬺ≮ᴺߩⷞὐ㧙ᬺࠍㅢߒߡߩஜᐽߣᱜ, ᄢቇᢎ⢒ , 2011.㧕 6) Canadian Association of Occupational Therapists. Enabling occupation㧦An occupational therapy perspective. Ottawa ON㧦CAOT Publications ACE, 1997.ࠞ࠽࠳ᬺ≮ᴺ჻දળ⪺㧘 ศᎹ߭ࠈߺ⋙⸶, ᬺ≮ᴺߩⷞὐ ᬺ߇ߢ߈ࠆߣ߁ߎߣ, ᄢቇᢎ⢒ , 2000. 7) American Occupational Therapy Association: Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62, 625-683. 2008. 8) Stadnyk RL, Townsend EA, Wilcock AA: Occupational justice. In Townsend EA & Christiansen CH, Introduction to Occupation: the Art and Science of Living 2nd ed. Upper Saddle River, NJ, Pearson, pp.329-358. 9) Whiteford G: Occupational deprivation: Understanding limited participation. In Townsend EA & Christiansen CH, Introduction to Occupation: the Art and Science of Living 2nd ed. Upper Saddle River, NJ, Pearson, pp.303-328. 10) ࠕࡑ࡞࠹ࠖࠕࡦ㧘ᓟ⮮ሶ㧦ߣᱜ⟵㧚᧲੩ᄢቇ ળ㧘2008㧚 㧔ᢥ⽿ ศᎹ߭ࠈߺ㧕 - 42 － 41 － ᬺ⑼ቇߩ⺰ᢥࠍ⺒߽߁ ᬺ⑼ቇߪ㧘ᬺࠍត᳞ߔࠆቇߢ㧘⎇ⓥኻ⽎߽⎇ⓥᣇᴺ߽ᄙ᭽ߢߔޕ Journal of Occupational Science㧔JOS㧕ߦߪ⇇ߩᬺ⑼ቇ⎇ⓥ߇ឝタߐࠇߡ߹ߔ 㧔http://www.jos.edu.au/㧕 ޕJOS ߩ✬㓸㐳ߪ㧘ᤓᐕߩᬺ⑼ቇࡒ࠽ߢ᧪ᣣߐࠇߚ࠾ࡘࠫ ࡦ࠼ߩ Clair Hocking ᳁ߢߔޕ ᣣᧄᬺ⑼ቇ⎇ⓥળߢߪޟᬺ⑼ቇ⎇ⓥࠍޠ ߒߡ߹ߔޕળຬኾ↪ࠨࠗ࠻߆ࠄޟᬺ⑼ቇ ⎇ⓥޠ㔚ሶ ߿㧘JOS ߩឝタ⺰ᢥߩⷐᣦࠍ࠳࠙ࡦࡠ࠼ߢ߈߹ߔ㧔http://www.jsso.jp/㧕ޕ ᐕߩ JOS ߩឝタ⺰ᢥߩ࠲ࠗ࠻࡞ߪᰴߩㅢࠅߢߔޕ 2011 ᐕ ╙ 18 Ꮞ 3 ภ ⽎ቇߣੱ㑆ᬺߩ⎇ⓥ ࠧࠕ㧔ࠗࡦ࠼ㇱ㧕♽ࠞ࠽࠳ੱᅚᕈߩ㘩ߩ↪ᗧߣ߁ᬺߩᗧ ਛ࿖߆ࠄࠞ࠽࠳߳㧦․ᡰេ߇ᔅⷐߥሶࠍ߽ߟ⒖᳃ߩᲣߩᬺ⒖ⴕ ᣣᏱᬺߣߒߡߩࡍ࠶࠻ࠤࠕߩᔨಽᨆ ᬺߣߒߡߩଐሽߣⴣേࠦࡦ࠻ࡠ࡞ ࠕࡈࠞ♽ࠞ࠽࠳ੱᅚᕈߩࠬࡇ࠴ࡘࠕ࠹ࠖߦ㑐ㅪߔࠆᬺߩᗧߣᯏ⢻ 2011 ᐕ ╙ 18 Ꮞ 2 ภ ᬺߦ߅ߌࠆ⸒⺆ߣⴕേߩ⚻⑼ቇ㧦⣖ߣⴕേ⑼ቇ⎇ⓥߩࡆࡘ ⥄㐽∝ࠬࡍࠢ࠻ࡓ㓚ኂߩሶߩⷫߩᬺࡄ࠲ࡦ㧦Matsuka ߣ Christiansen ߩࠗࡈࠬ࠲ࠗ ࡞ࡃࡦࠬࡕ࠺࡞ߩౣ⠨ ࠻ࡦ࡚ࠩࠢࠪ࠽࡞㧔⥄Ꮖ⋭ኤࠍઁ⠪ߣߩᵹᛛ⢻㧕ߩⷞὐ㧦㊀ⷐߥ⚻㛎ࠍഃࠆߚߩᚻ Ბߣߒߡߩᬺ ᣣᏱ↢ᵴߦၒㄟ߹ࠇߚ␠ળ⊛ࠗ࠺ࠝࡠࠡ㧦㓚ኂ㧘ࠕࠗ࠺ࡦ࠹ࠖ࠹ࠖ㧘ᬺߦߟߡߩ࠽ ࠹ࠖࡉಽᨆ ߊߎߣࠍ߈ࠄߚഭ⠪ࠍ⎇ⓥߔࠆߎߣߦߟߡߩᵢኤ ᢎ߃ࠆߣ߁ᬺ㧦ᢎ⢒⠪߇ឬ߈ߛߒߚ࿑߆ࠄߺߚᗧߩⷐ⚛ 2011 ᐕ ╙ 18 Ꮞ 1 ภ ႐ᚲߣᤨ㑆ߩਛߩᬺ ᬺߣ႐ᚲߩ㑆ߩ㑐ଥ㧦ࠕࡔࠞධㇱߩේ᳃ᢥൻ ࡛ࡠ࠶ࡄႺ⇇ၞߩᬺ᥊ߣߒߡߩධ࠴ࡠ࡞㧦ᬺ㧘᥊⦡㧘᳃ᣖ ධࠕࠫࠕߩ࠺ࠖࠕࠬࡐߢߩࡃ࠲࠽࠹ࠖࡗࡓߣࠕࠗ࠺ࡦ࠹ࠖ࠹ࠖᒻᚑ㧦ᬺߩࡦ࠭ࠍ ㅢߒߡߩᢥൻ ᛶ᛫ᬺߣߒߡߩ࠶ࡊ㖸ᭉ㧦ࡄࡈࠜࡑߣ⡬ⴐߦߣߞߡߩࡉ࠶ࠢࠕࡔࠞࡦߩࠕࠗ࠺ࡦ ࠹ࠖ࠹ࠖߣᢥൻߩᒻᚑ ᬺߩᔨൻߦ߅ߌࠆஜᐽ⊛ߥᣣᏱ↢ᵴߩᵗ␠ળߩ᭴ㅧߩᓇ㗀 ᬺㆡᔕ㧦ධࠕࡈࠞߩシᐲ߆ࠄ㊀ᐲߩ㗡ㇱᄖ்ߩੱߩᓳᏫߩߣࠄ߃ᣇ - 43 － 42 － ⇇ᬺ≮ᴺ჻ㅪ⋖㧔WFOT㧕ჿᦠ㧦ᬺ⑼ቇ㧔Occupational Science㧕 ᐨᢥ 2001 ᐕߦ WFOT ߪ㧘ᬺ⑼ቇߩ࿖㓙㘈࿅ࠍ⸳┙ߒߚߪࠇߘޕ㧘⇇ߩᬺ≮ᴺ჻ߚ ߜߩℂ⸃ࠍะߔࠆߚߦ㧘ᬺ≮ᴺߦ㑐ଥ߇ࠆᬺ⑼ቇ㑐ㅪߩ㗴ߦ WFOT ળ⼏߇ഥ ⸒ߔࠆߚߦ㧘ᬺ⑼ቇಽ㊁ߦ߅ߡᬺ≮ᴺ߇㜞⾰ࠍ߽ߞߡౣ⊓႐ߔࠆߎߣࠍ⏕ታߦ ߔࠆߚߦ㧘ߢࠆޕ ᬺ⑼ቇߪ 1980 ᐕઍᓟඨߦ㧘ੱ㑆ᬺߦ㑐ߔࠆ⍮⼂ࠍ৻⥸ൻߔࠆߚߦ㧘ᬺ≮ᴺ჻ߦ ࠃߞߡഃ⸳ߐࠇߚޕᬺ⑼ቇߪ㧘ੱ߇ޘᣣᏱ↢ᵴߢⴕ߁ߎߣ߿㧘ߘߩᬺߪ㧘ஜᐽ߿ካ ߦߤߩࠃ߁ߦᓇ㗀ߔࠆ߆㧘ߤߩࠃ߁ߦᓇ㗀ߐࠇࠆ߆ߦߟߡ⎇ⓥߔࠆޕ ᬺ⑼ቇ⠪ߪ㧘ታ⸽⎇ⓥᴺߣ⸃㉼⊛⎇ⓥᴺࠍ߁ޕᬺ⑼ቇ⎇ⓥߦߪ㧘ᬺߣ⊒㆐ߩ㑐 ଥߩត⚝߿㧘ߤߩࠃ߁ߦᬺ߇৻↢ᶦࠍㅢߒߡᄌൻߔࠆ߆ߣߞߚ⎇ⓥࠍ߇ޘੱޕᣣ Ᏹߩᬺࠍߤߩࠃ߁ߦ᭴ᚑߒߡࠆ߆㧘ੱ⊛␠ળᢥൻ⊛ߥᬺߩᗧߦߟߡᒝ⺞ߔࠆ ࠃ߁ߥ⎇ⓥߢࠆޕੱ⊛߮␠ળ⊛ߥᬺߩᯏ⢻㧘ᬺߣੱߩޘ⢛᥊ߣߩ㑐ଥ㧘ߤߩࠃ ߁ߦੱ⥄ߪޘಽ߇ⴕ߁ߎߣࠍ⚻㛎ߔࠆ߆߽㧘ᬺ⑼ቇ⎇ⓥߩ㑐ᔃߣߥࠆ ᬺ⑼ቇߦ߹ߟࠊࠆߘߩઁߩ㑐ᔃߪ㧘ੱ⥄߇ޘಽߩᬺࠍߤߩࠃ߁ߦ㧘ߟ㧘ߤߎߢ㧘 ߥߗࠆ߆㧘ߣߞߚߎߣ߇ࠆᦨޕㄭᬺ⑼ቇ⠪ߪ㧘⚻ᷣ߿ⅣႺ⊛㗴㧘ᐭߩᴦ ᣇ㊎߇ੱߩޘᬺߩᯏળߣㆬᛯߦ߷ߔᓇ㗀ࠍ⼂ߒߡ߈ߡࠆޕᬺߩਛᢿ㧘ᬺ⊛ ᱜ㧘ᬺᅓ㧘ᬺ㓒㔌ߩᓇ㗀ߪ㧘ㄭᐕតⓥߐࠇߡ߈ߚᔨߢࠆޕ WFOT ߩ┙႐ WFOT ߪ㧘ੱ㑆ᬺߩ⍮⼂߇ᬺ≮ᴺࠞࠠࡘࡓߩᔅ㗇ၮ⋚ߢࠅ㧘࿖㓙⊛ߦߘ߁ߢ ࠅ㧘ᬺ≮ᴺ⎇ⓥߩℂ⺰ᨒ⚵ߺࠍឭଏߔࠆ㧘ߣ⼂ߒߡࠆޕWFOT ߪ㧘ᬺߩℂ⸃߇ ലᨐ⊛ߥᬺ≮ᴺታ〣ࠍᡰ߃ࠆߣ⼂ߒߡࠆߪࠇߘޕᴦ≮ᚻᲑߣߒߡߩᬺ㧘ᬺ≮ᴺ ߩᦨ⚳⋡ᮡߣߒߡߩᬺ㧘ߘߩᣇߣߒߡߩᬺߩ⼾߆ߥℂ⸃ࠍឭଏߔࠆߎߣߦࠃߞߡߥ ߐࠇࠆߣ߁⼂ߢࠆᦨޕᓟߦ㧘WFOT ߪ㧘ᬺ⑼ቇ߆ࠄᓧࠄࠇߚᔨߪ㧘ࠢࠗࠛࡦ ࠻ߩਥⷰ⊛⚻㛎߿⁛⥄ߩ⸃ࠍᬺ≮ᴺ჻߇ℂ⸃ߢ߈ࠆࠃ߁ߦߔࠆߣ⼂ߒߡࠆޕ WFOT ߪ㧘ᬺ⑼ቇߩ⛮⛯⊛ᚑ㐳ߣ⊒ዷ㧘ߘߩ⋡⊛ࠍࠨࡐ࠻ߒ㧘ᬺ⑼ቇ߇⇇ࠍవ ዉߒߡߊߎߣࠍᅑബߔࠆޕ 2006 ᐕ࠾ࡘࠠࡖ࠶ࠬ࡞ߢߩ WFOT ᆔຬળߦߡណ↪ Copyright©2008, by World Federation of Occupational Therapists 㧔ศᎹ߭ࠈߺ⸶㧕 World Federation of Occupational Therapists (2010). Position paper㧦Occupational science. WFOT Bulletin, 61, 17. 㧨http://www.wfot.org/documents.asp?cat=31㧪 - 44 － 43 － - 45 － 44 － 懇親会のご案内 第１５回作業科学セミナー～作業科学と社会～に， ご参加の皆様方，『作業科学』についてご一緒に語り合いませんか？ お食事とお飲み物をご用意して，皆様の参加をお待ちしております。 お誘い合わせの上，ご参加ください。 日時： 場所： 住所： 電話： 平成２３年９月２４日 18 時 30～ 三原国際ホテル 広島県三原市城町１丁目２－１ (0848) 63-2111 - 46 － 45 － ࠠࡖࡦࡄࠬ᩺ౝ࿑ ฃઃᦠ☋ᑯᒰ⽼ᄁ㧔ᑈਅ㧕 ⻠ṶṶ㗴⊒㧔ᄢ⻠⟵ቶ㧕 ࡢ࡚ࠢࠪ࠶ࡊ ⸤ఽቶ㧔 ᢎቶ㧕 ㆙㓒⻠ṶṶ㗴ળ႐ 㧔 ᢎቶ㧕 ╙ੑ㚢ゞ႐ - 47 － 46 － ╙ 15 ࿁ᬺ⑼ቇࡒ࠽ታⴕᆔຬ ో㈩ᘦᜂᒰ㧦ศᎹ ߭ࠈߺ㧔⋵┙ᐢፉᄢቇ㧕 ᐢႎળ⸘ᜂᒰ㧦ฎጊ ජ૫ሶ㧔⋵┙ᐢፉᄢቇ㧕 ⻠Ṷᜂᒰ㧦ㄭ⮮ ᢅ㧔⋵┙ᐢፉᄢቇ㧕 ↰ ᴦ㧔⸰⋴⼔ࠬ࠹࡚ࠪࡦ ߈ࠄࠄ㧕 ળ႐ᜂᒰ㧦᳗ศ ⟤㚅㧔⋵┙ᐢፉᄢቇ㧕 Ꮢ᳃㐿⻠ᐳශᜂᒰ㧦㜞ᧁ 㓷ਯ㧔⋵┙ᐢፉᄢቇ㧕 ࡢ࡚ࠢࠪ࠶ࡊᜂᒰ㧦↰ ਭᓼ㧔⾐⨃บ⸰⋴⼔ࠬ࠹࡚ࠪࡦ㧕 ෳട↳ㄟ⻠Ꮷᜂᒰ㧦ਛỈ ♿ሶ㧔ጤ࿖Ꮢක≮ࡦ࠲කᏧળ∛㒮㧕 Ṷ㗴⊒ᜂᒰ㧦ㄞ ⊓ᔒᳯ㧔ᓼፉ⋵දജ㓌ࠍ⢒ߡࠆળ㧕 ࡊࡠࠣࡓᛞ㍳㓸ᜂᒰ㧦ਛ 㓶㧔⥝↢✚ว∛㒮㧕 ࡐࠬ࠲ฃઃᜂᒰ㧦ፉፒ ૫ሶ㧔ߎ߁ߩ⣖⚻ᄖ⑼ࠢ࠾࠶ࠢ㧕 ⵝⵝ㘼ᜂᒰ㧦Ⴧ↰ ⛗㉿㧔ᐢፉᏒ┙ᐢፉᏒ᳃∛㒮㧕 ᷤᄖᜂᒰ㧦᧻↰ ߆߶ࠆ㧔NPO ᴺੱߜ߾ࠎߊߔ㧕 ⸤ఽᜂᒰ㧦⮮ጊ ᢕሶ㧔NPO ᴺੱߜ߾ࠎߊߔ㧕 ᙣⷫળᜂᒰ㧦 ᔘ⤿㧔NPO ᴺੱߜ߾ࠎߊߔ㧕 ╙ 15 ࿁ᬺ⑼ቇࡒ࠽දജ⠪ ㅢ⸶㧦ศ㊁ ⧷ሶ㧔⠡⸶ኅ㧘᧻ဈᏒ㧕 ⧷⺆ᩞ㑛දജ㧦ࡇ࠲ࠤࡀࠬࡂ࠙ࠛ࡞㧔⋵┙ᐢፉᄢቇ㧕 ╙ 15 ࿁ᬺ⑼ቇࡒ࠽ᛞ㍳㓸 ⊒ⴕᣣ ⊒ⴕ⠪ ᣣᧄᬺ⑼ቇ⎇ⓥળળ㐳 ⎇ⓥળോዪ ශ㧛ᧄ 2011 ᐕ 9 24 ᣣ ╙ 15 ࿁ᬺ⑼ቇࡒ࠽ ᷼ ⟤㔐 ဈ ⌀ℂ ࡢࠢࡎࡓ⡛ᕺ - 48 -