This study examines Midwestern collegiate and metropolitan newspapers to explore the differences in writing about disability language, terminology and tone. Specifically, this study focused on whether referential language and tone about people with disabilities differs depending on the source of the newspaper. Data from six metropolitan papers and eight collegiate papers over forty randomly selected dates in the year 2014 was collected. The metropolitan newspapers analyzed were The Chicago Tribune, The Indianapolis Star, The Des Moines Register, Detroit Free Press, Omaha World-Herald, and the Journal Sentinel. The collegiate newspapers examined were The Daily Illini, Indiana Daily Student, The Daily Iowan, The Michigan Daily, The State News, Daily Nebraskan, The Exponent, and The Badger Herald. A list of key search terms was electronically searched in each newspaper and articles that fell on the forty dates were saved and analyzed. Each term that appeared in the article was evaluated on a Likert scale for language use and tone; the total number of pages of each article was also calculated. Statistical tests used were T-Tests and analysis of covariance (ANCOVAR). A visual analysis was also conducted using an online word generator called Wordle. The results indicated that metropolitan papers used more preferred disability language than their collegiate counterparts. Both sources used an informational tone when referencing people with disabilities. Page length differences were statistically insignificant. Specific words repeatedly appeared throughout both newspaper sources: mental, disabilities, crazy, health and illness. While metropolitan papers also displayed preference for the following terms: elderly, elder, people, wheelchair, and older adults. Collegiate newspapers highlighted these terms: students, insane, madness, elderly and wheelchair. An implication of the study is that the media sources selected represented people with disabilities in an informational tone rather than a sensationalistic manner. However, disability language needs to continue to improve and become more sensitive to people with disabilities and professionals who work with them.

This narrative inquiry explores therapeutic relationships in the practice of recreation therapy. Narratives were generated in Recreation Therapy’s self-reflective case review process at Sunnybrook Health Sciences Centre—a process developed to support team engagement in reflections on their therapeutic relationships. In total, three self-reflective case reviews were explored, and for each case review, four layers of analysis occurred. The first two layers used narrative analysis to restory reflections of the case review leader (layer one) and then reflections within the recreation therapy team (layer two). The third and fourth layers used analysis of narrative to explore theoretical ideas from person-centred care emerging inductively in the text (layer three), and then to restory the previous narratives using a relational theory lens (layer four). Exploration revealed the self-reflective case review process also strengthens therapeutic relationships within the recreation therapy team. In the recreation therapists’ narratives we hear relational notions of connection, disconnection, reconnection, mutuality, mutual empathy, authenticity, vulnerability, and support. This study engaged recreation therapists in an act of critical pedagogy as they engaged in critical self-reflection by exploring across layers of narrative that story their therapeutic relationships. The self-reflective case review process creates opportunity for the recreation therapy team to recognize, identify and name their experiences within therapeutic relationships, and to find their voices in the medical context of a hospital setting. When engaging in self-reflective processes, recreation therapy moves further away from treating individuals as objects, shifting practice toward connection and mutuality in therapeutic relationships.

This narrative inquiry explores therapeutic relationships in the practice of recreation therapy. Narratives were generated in Recreation Therapy’s self-reflective case review process at Sunnybrook Health Sciences Centre—a process developed to support team engagement in reflections on their therapeutic relationships. In total, three self-reflective case reviews were explored, and for each case review, four layers of analysis occurred. The first two layers used narrative analysis to restory reflections of the case review leader (layer one) and then reflections within the recreation therapy team (layer two). The third and fourth layers used analysis of narrative to explore theoretical ideas from person-centred care emerging inductively in the text (layer three), and then to restory the previous narratives using a relational theory lens (layer four). Exploration revealed the self-reflective case review process also strengthens therapeutic relationships within the recreation therapy team. In the recreation therapists’ narratives we hear relational notions of connection, disconnection, reconnection, mutuality, mutual empathy, authenticity, vulnerability, and support. This study engaged recreation therapists in an act of critical pedagogy as they engaged in critical self-reflection by exploring across layers of narrative that story their therapeutic relationships. The self-reflective case review process creates opportunity for the recreation therapy team to recognize, identify and name their experiences within therapeutic relationships, and to find their voices in the medical context of a hospital setting. When engaging in self-reflective processes, recreation therapy moves further away from treating individuals as objects, shifting practice toward connection and mutuality in therapeutic relationships.

Magister Artium (Sport, Recreation and Exercise Science) - MA(SRES) / The job demands of naval members are such that they experience high levels of stress. Stress is often introduced during military training so that real-world stress is more familiar and easy to mitigate. This is often referred to as “train how you fight”. In order to train a stressful task, a stressful environment is often created in the military. The aim of the study was to develop a standardised appraisal tool for the Therapeutic Recreation Stress Management Intervention Model measuring stress, stress coping and leisure behaviour of military staff in the South African context. This study utilised a qualitative research design and followed a multi stage procedure in developing the appraisal tool while making use of the model of instrument development to achieve the aim. The model identified four stages of instrument development: Phase 1, preliminary phase; Phase 2, questionnaire development, Phase 3 pilot testing, Phase 4 Evaluation phase. For the purpose and scope of this study, the researcher focused on phases 1 and 2. Phase 1, the Preliminary phase focused on the translation of the study needs into variables, current literature, interviews and focus group discussions. Three focus groups comprised of eight participants per group and were purposefully selected from military naval staff. In addition, semi-structured interview guides were used for interviews conducted with key informants. Five senior officers and two psychologists from the Institute of Maritime Medicine (IMM) were interviewed. Data was analysed deductively due to the existence of pre-determined themes. In Phase 2, based on the data collected in phase 1, the researcher developed the appraisal tool. The appraisal tool was constructed within the scope of the theoretical framework focusing on the perceptions of naval staff on stress; previous and current leisure experiences; knowledge, skills, resources, behaviour; leisure-coping beliefs; and stress- coping strategies. The literature in the present study revealed that there were six pre-determined themes. The themes included: Theme 1 – Stressors in the military, Theme 2 –support in the military, Theme 3- operational deployment of military members, Theme 4- Impact of stress on military families have been identified as theme four, Theme 5- leadership and Theme 6- sport and recreation in the military. Salient topics included the following: Stress assessment salient topics are personal stress, occupational stress, wellness and operational deployment. Leisure behaviour salient topics include social activities, passive activities, physical activities and outdoor activities. The findings in the study revealed that stress had an adverse effect on military readiness and the wellbeing of staff. This study reiterated the need for greater attention in the rendering of support services needed to military members and their families, preparing families for separation and improved communication between deployed soldiers and the home front. Job-induced separations affect not only the soldier and the spouse, but also their children. The role of the supervisor played a large part in how satisfied and committed the members were regarding their job. Sport and Recreation programs are vital to alleviate the symptoms of stress. The appraisal tool developed needs to be piloted and evaluated in order to recommend it for use in SANDF information systems.

This autoethnographic account details the author's ongoing struggle with combat-related posttraumatic stress disorder (PTSD) and how leisure was integral to his journey toward recovery. By showing the mental and emotional struggles of life with the disorder, this paper offers an alternative viewpoint from the traditional scientific studies of PTSD which bury soldier's voices under layers of analysis. The purpose of this paper is to deepen and expand an understanding of both combat-related PTSD and the power of leisure in an individual's recovery from combat trauma

The problem with which this study is concerned is the delineation of current practices in therapeutic recreation in psychiatric treatment centers in Texas, The programs of the forty-two hospitals responding to the survey questionnaire were evaluated in terms of the National Therapeutic Recreation Society's "Standards for Therapeutic Recreation in Psychiatric Facilities." It was determined that, while the use of recreation in psychiatric rehabilitation is widespread, many programs are not administratively independent., A close association between recreation and occupational therapy was found. Extensive recreation facilities and activities were reported. Use of community resources was widespread, but follow-up and leisure counseling services were rare. Most personnel had no recreation training. The evaluation showed limited compliance with the standards.

Forty spinal cord injury (SCI) patients were studied in order to determine the effects of an attribution based therapeutic recreation program on their perception of freedom in leisure. Perception of freedom in leisure of SCI patients was measured by a seventy-two item scale. This scale was translated into Spanish, adapted, revised, validated, and tested for reliability. The reliability of the Spanish Version of the scale was very similar to the English Version of the scale.

Childhood obesity and resulting secondary complications in youth with disabilities are occurring in epidemic proportions, due in part to a trend of physical inactivity. The purpose of this study is to report the prevalence of overweight, the leisure time activity patterns, and the association between frequency of physically active leisure participation and body mass index for age, in a sample of 50 youth with spina bifida, ages 4.5 to 17.9 years. Results indicate that 52% of the sample are classified as at risk of overweight or overweight; 36% were male and 16% were female. The top five leisure time activities and team sport participation are identified. Subjects who did not use a wheelchair for ambulation participated significantly more in physically active leisure than subjects who used a wheelchair. Future research and rationale for physically active leisure as an intervention for youth with spina bifida are discussed.

Military staff are repeatedly exposed to stressful and unpleasant traumatic life events. These can cause psychological injury, leading to mental and emotional stress. The stigma of mental health problems in military settings runs deeper than in civil society. Being admitted with mental health problems while serving can be a career stopper, but at times can also be associated with cowardice or malingering. It is the primary responsibility of the military to maintain and promote high military/combat readiness among staff. The change in focus of modern military forces, such as the Botswana Defence Force (BDF), with units being deployed more often, places greater demands on troops. Such operations call for increased training exercises, planning sessions and equipment inspections. Training emphasizes discipline and integrity as the core values of the BDF. These form a foundation for healthy and successful coping strategies. The morale of employees is the starting point for measuring their wellness. Morale in the military is embedded in the fitness programs. These are biased towards military training, creating physical fitness, mental alertness and the qualities of military preparedness. The programs are normally involuntary, mandated through the commander, and form part of a soldier‘s military duties. Military recreation, morale and welfare programs were introduced as a way to provide soldiers with the opportunity to relax and rejuvenate. Recreation serves as a powerful tool for achieving an optimal experience, motivating people to change and improve their health and wellness. The problem identified for this study was that members of the BDF were exposed to situations in a military context, as well as in their personal lives, which caused stress. It was postulated that BDF members had little knowledge or the resources to utilize appropriate recreation-related coping strategies. The study aimed primarily to explore the use of sport and recreation activities in military settings as means to reduce and manage stress. To achieve this goal, it was necessary first to determine the current sport and recreation participation of BDF staff members, then to assess their existing stress levels, their overall psychological well-being, and any dysfunctional behaviours resulting from stress. On the basis of these findings, a Therapeutic Recreation Stress Management Intervention Model was proposed, designed to reduce stress and promote the psychological well-being of BDF members. A survey was carried out using a questionnaire. Descriptive statistics were used to summarize the collected data, offering a basic description of the data through frequency distributions, measures of central tendency, variances and relationships. Inferential statistics were used to draw conclusions from the data collected, giving the various factors. The results revealed that the BDF was a male-dominated institution, recruiting soldiers between the ages of 18 and 44, most of whom had some level of education. Most of the staff members came from the lower ranks and had experienced one or more deployments since being recruited into the military. The results further indicated that BDF staff members participated in sport and recreation activities, reflecting an active and healthy lifestyle, with satisfactory levels of involvement. Analysis of stress responses revealed that members experienced stress and that this was related not just to operational or non-operational military stressors but also to personal stressors resulting from their social, financial or emotional conditions. Members of the BDF did not receive the necessary social support from family members and friends to cope with these stressors. The findings on stress in relation to sport and recreation participation revealed that BDF members were intrinsically motivated to embrace healthy lifestyles which could contribute to lower levels of stress. This could even lead to a decrease in stress, supporting the literature which indicates that engaging in physical activities, as part of living a healthy lifestyle, might lead to a reduction in stress levels. The results on the stress-coping measures used by BDF members revealed that recreation activities were deliberately used to cope with stress. Although physical exercise was used as a way of coping with stress, sedentary recreation activities were more prevalent among BDF members. Positive stress-coping measures were adopted by respondents, contrary to the findings of previous studies which indicated that military staff adopted dysfunctional behaviour as a coping measure (e.g. excessive drinking) that formed part of the military culture. The stress-coping abilities of BDF members differed in terms of personal and military demographics from those of previous studies, posting a new contribution to military literature. The results further revealed that BDF members were not sufficiently skilled in coping with stress during military training. This study concluded that the Botswana Defence Force is no different from other military forces, experiencing operational and non-operational stress, as well as personal stress, which need to be addressed. Recommendations were made for further research on stress in military contexts and further guidelines were suggested to the BDF on the use of sport and recreation, together with more specific therapeutic recreation, as ways to reduce stress. A Therapeutic Recreation Stress Management Intervention Model was recommended for further testing in the BDF, as well as in other military forces. / Thesis (DPhil)--University of Pretoria, 2013. / gm2014 / Biokinetics, Sport and Leisure Sciences / unrestricted