Literature Review During the course of research, there were many commonalities found in the literature surrounding Wilbargers’ Deep Pressure and Proprioceptive Technique. The majority of the studies that focused on the treatment of children with a primary diagnosis of sensory defensiveness. Because occupational therapists use a more holistic approach when treating clients, the perspectives of the parents and caregivers were given great value in their studies. For one study, a major instrument used to collect data was a parent/caregiver questionnaire (Bhoti & Brown, 2013). The questions provided researchers with information all of the following regarding inconvenience that the intervention may have caused, impact on daily routine, empowerment, …show more content…
However, one article was dedicated to researching the application of the Wilbarger Protocol on adult psychiatric patients. Participants in this study included three women diagnosed with depression and either Post-Traumatic Stress Disorder, Dissociative Disorder, or Borderline Personality Disorder and had histories of serious self-injurious behaviors (Moore & Henry, 2002). After one month of treatment and then a 6-9 month follow-up, the women had perceived positive outcomes from the treatment; their Sensory Defensiveness symptoms had dramatically decreased since the beginning of the study. (Moore & Henry, 2002) In the articles, there was a definitive link between the body’s central nervous system and sensory defensiveness. Sensory modulation is described as how the body’s nervous system regulates and organizes its reactions to sensory input (Kimball, Lynch, Steward, Williams, Thomas & Atwood 2007). Habituation and sensitization are two of the ways that the brain adjusts and organizes itself (Bhopti & Brown 2013). Regulation of habituation and sensitization is required for a person to remain in their individual range of optimal performance (Kimball et al., …show more content…
A. Jean Ayres. Ayres’ was an occupational therapist that was responsible for the foundation and practice of sensory integration theory (W&S). Sensory integration theory is used to explain behavior, plan intervention, and predict how behavior will change through intervention (Roley et al., 2007). Ayres’ focus was on the organization of the central nervous system and how it was involved in the process of children using sensory information. Ayres’ theory of sensory integration describes how the neurological process relates to the recognition and organization of sensation from the body and environment (Devlin et al., 2010). This disorganization can lead to problems with learning, development, and behavior and also has a negative impact on occupational performance. In relation to the topic of Wilbargers’ DPPT, the focus of the articles collected was related to theoretical research on one particular sensory modulation problem defined by Ayres: tactile defensiveness. Tactile defensiveness is exhibited through the negative influence of touch avoidance symptoms (Moore & Henry, 2002). The aim of the Wilbargers’ DPPT is to utilize the connection between the client’s tactile sensation through the skin and nervous system to improve and normalize the sensation of
At-home occupational therapy for children is quickly expanding. For this reason, it is critical for individuals to understand the importance of this form of treatment. Often, scholarly articles use jargon the layperson would not understand. For this reason, the details presented in the article, “Pediatric Occupational Therapy in the Home”, has been revised. These revisions help better explain the benefits and issues regarding at home occupational therapy sessions. Please read the document thoroughly to understand the reasoning behind the edits made to this article. This document was written to display all changes made to the design, organization, and content to make the article more comprehensive. Having a comprehension of the revision will
Occupational therapists help children make of sensory experiences involving sights, smells, touch, sounds, tastes and movement. Children with learning disabilities or autism may experience serious difficulties processing, understanding and reacting to sensory stimulation. The ability of these children to process sensory information may impacted by either hypersensitivity or hyposensitivity to stimulation. Many children who engage in problematic behaviors or anti-social tendencies may actually be experiencing difficulties processing and understanding sensory information and their environment. Occupational therapists use observation and data collection to create a plan that addresses and rectify specific behaviors.
Psychiatric research on Borderline Personality Disorder (BPD) has increased in popularity over the past few decades. It was included into the Diagnostic and Statistical Manual for Mental Disorders (Third Edition) in 1980. Over the years, professionals have found dramatically effective treatments for a disorder that was once considered disabling. Even though Borderline Personality Disorder can be hard to treat, it’s usually comorbid with other disorders like depression and anxiety. Throughout this paper, I will be focusing on background information, symptoms, and treatments of Borderline Personality Disorder.
Cahill, S. M., Egan, B. E., Wallingford, M., Huber-Lee, C., & Dess-Mcguire, M. (2015). Results of a school-based evidence-based practice initiative. American Journal of Occupational Therapy,
Throughout her extinguished career, Ayres’ number one priority remained her patients. A majority of her work included one on one, sessions with her patients, so she could evaluate their needs closer, and to build a relationship with her clients (Spdfoundation1, 2010). Her first occupational therapy career began when she treated children out of her home, which was a trailer, at the time (Spdfoundation1, 2010). Later on, Smith, Mailoux, Miller- Kuhaneck & Glennon described her first clinic setting stating, “Ayres Clinic, established in 1977 served children with autism or learning disabilities, and by conducting continuing education courses regionally, nationally, and internationally to educate others about sensory integration” (2009).
Source: Schell, B.A., Gillen G., and Scaffa M. (2014). Willard and Spackman's Occupational Therapy, 12th Edition, Lippincott, Williams & Wilkins.
Animal-assisted interventions can also be integrated into existing models of treatment for ASD by using animals for components that traditionally target sensory and affective arousal (Berry et al., 2013). The Denver Model is a therapy technique used by occupational therapists that integrates applied behavioral analysis with treatments to target developmental and relationship deficits, which also includes interventions to treat sensory issues. They suggest that therapy dogs are suitable for integration in this model because they provide a multisensory stimulus that incorporates an emotional bond and a sensory experience. The authors also recognize that because of the variances in symptoms of children diagnosed with ASD, highly individualized treatment programs must be created to accommodate multiple levels of sensory sensitivity. More research is needed to determine how children with different levels of sensory sensitivity respond to different animal therapies, potentially though using a comparative study. Perhaps children who are hypersensitive would respond better to an intervention with a dog, rather than a horse. Overall, available research indicates that therapy dogs are also a potential method for providing sensory experiences for children with
Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder (BPD) and PTSD (Cukor, 2009). The therapy focuses on a balance between change and acceptance. DBT is combined with individual psychotherapy and building skills groups to regulate emotion, mindfulness and distress tolerance. There are two stages associated with DBT. The first entails the use of DBT for individuals with BPD with significant trauma histories and PTSD (Welch & Rothbaum, 2007). Patients who have completed Stage 1 treatments targets severe behavior decontrol but must stay on Stage 1, if they continue to experience emotion dysregulation. In Stage II DBT, individuals begin exposure to their trauma experience. No data has been accumulated studying this application (Welch & Rothbaum, 2007). Dialectical behavior therapies teach the patient techniques for managing strong emotions through trauma-focused methods.
Specifically, why I chose this instrument is in reasons of being family based. As for being family based, it provides assessments with standardized mechanisms to evaluate children’s sensory patterns of processing in the environments of homes, schools, and communities. Namely, how they evaluate the child’s unique sensory processing patterns of position of strength, assisting with deeper insight to help customize the next levels of intervention is through revised questionnaires. Further, the Sensory Profile 2 will aide me in my future counseling career by noticing the child’s participation at school, the community, or at home. In addition to that, it contributes important information for myself to create a comprehensive assessment in sensory strengths. Lastly, why this will aide me is due to the fact it develops effective treatment plans, interventions, and remediation strategies for my future practice (Dunn,
Sensory integration is a condition that can be found in young children. This condition is defined as the difficulty of developing motor and cognitive skills at a typical rate(book). If the parent of a child with this condition is fully aware, most likely they will take the steps they need to better their child’s life. With that being said, the child will need an occupational therapist. The researcher has gathered information on the steps and guidelines of what an occupational therapist needs to follow for early intervention, the benefits it has for the child in need, and also the roles of an occupational therapist that will be further discussed. One of the most important role that an occupational therapist can do for a child with sensory integration is early intervention. The earlier you acknowledge the condition, the better outcome the child has at improving his/her physical and mental capabilities. Early intervention helps these children strive towards a path that improves their abilities and skills that are developed during these crucial years.
“According to the American Occupational Therapy Association (AOTA), in addition to dealing with someone's physical well-being, [Occupational therapist] practitioners address psychological, social, and environmental factors that can affect functioning in different ways” (Occupational Therapy). Through addressing these factors, an occupational therapist shows how it is important to know the emotional state of the patient to help them progress. This reveals that occupational therapist evaluate a patient’s psychological, social, and environmental health because it can change the process they take in order to improve a patient’s condition. An example of an occupational therapist using these factors is when they “work with kids who have sensory and attentional issues to improve focus and social skills” (Occupational Therapy). The occupational therapist had to evaluate the kids to understand the trouble the child is experiencing.
I have always felt that the simple action of human touch is an underrated aspect of our lives. Only now, with the advances in neuroscience, we are finally able to prove the science behind why touch is so important in our lives. For the purposes of this paper, I will be focusing on the benefits of touch for infants and small children. I think that a lot of people don’t realize how important it is to have touch in our lives. I have always been interested in the ways the simplest of human contact like a hand on a shoulder or a hug can change people’s lives for the better. It is easy for those of us who have lots of physical touch in our lives to imagine that there are people out there who don’t get any
Four year olds are still very much learning through the use of their senses (Blaustein, 2005). As well, some children may have special needs concerning sensory processing and integration (Ayers, 1994). Children with sensory processing disorders range from over-responsive, under-responsive, to sensory craving (Ayers, 1994). Nonetheless, every person encounters a plethora of sensory stimuli each day and must take in information and integrate it with prior knowledge to make meaningful responses (Ayers, 1994). Multisensory centers provide young children with and without special needs with the opportunity to seek out sensory stimulation, acquire sensory integration and motor skills, learn coping skills, and understand basic scientific concepts (Blaustein, 2005).
An example is that the therapist spends a lot of time interacting with the child. Also, the therapist has to make a deep analysis in order to help the patient. Then, I can develop a lot of activities to help children and youth overcome obstacles in their lives. It is easy to engage children and youth in simple activities that are enjoyable and profitable for them. These activities must include play that is the principal occupation for treating children. According to Bendixen and Kreider (2011), in order to achieve a good development, the Occupational Therapist must start the work with children in early childhood. Thus avoiding social isolation and help prevent transition periods in children (Bendixen and Kreider, 2011). In this way I can help children to ensure their well-being, change their behavior and make a positive impact in their lives. The Occupational Therapist plays an important role in the development of cognitive abilities in children. Improving the quality of life for patients is a plus in our profession. This profession not only works with people with disabilities. Occupational Therapist also work with teenagers that are experienced many changes in life. Some of these teenager’s problems are related with their environment. Adolescence is a period where many disorders can be triggered, such as depression, anxiety and anger problems. Occupational Therapist must employ methods to create a sense
This written assignment was based on a case study about a four year old girl previously diagnosed with a perinatal stroke, the setting was the local branch of McKenzie centre. Using the theories of Neurodevelopmental (NDT) and Sensory integration (SI), I explored contextual issues related to the case study and followed the Problem Solving Process in order to develop appropriate interventions.