The researcher found little information in literature reviewed about how Gestalt Play Therapy is being used in the treatment of visually impaired children. The aim of the study was to expand knowledge regarding this issue. A basic qualitative research study of an exploratory and descriptive nature was undertaken to describe how this therapy may be used in the treatment of such children. A representative sample was drawn from the population, consisting of gestalt play therapists who previously provided assistance to these children, using a purposive non-probability method. Data collection took place through the execution of semi-structured telephone interviews. Collected data was analysed using the Thematic Content Analysis to search for related themes (in line with the objectives of the study) in transcribed interviews. The general conclusion drawn from the empirical data was that gestalt play therapy can be used to good effect in the treatment of visually impaired children. / Die navorser het gevind dat daar weinig inligting in die literatuur beskikbaar is oor hoe gestaltspelterapie in die hulpverlening aan visueel gestremde kinders benut kan word. Die doel van die navorsingstudie was dus om kennis uit te brei rakende die benutting van gestaltspelterapie in die hulpverlening aan visueel gestremde kinders. 'n Basiese kwalitatiewe navorsingstudie met 'n verkennende en beskrywende aard is onderneem om te beskryf hoe gestaltspelterapie benut word met betrekking tot visueel gestremde kinders. 'n Verteenwoordigende steekproef is getrek, volgens 'n doelgerigte nie-waarskynlikheidsmetode, vanuit die populasie bestaande uit gestaltspelterapeute wat al van tevore hulp aan visueel gestremde kinders verleen het. Data-insameling het plaasgevind deur middel van semi-gestruktureerde telefoniese onderhoude. Die versamelde data is volgens die Tematiese Inhoudsanalise ontleed deur verbandhoudende temas (ooreenkomstig die doel van die studie) in getranskribeerde onderhoude te soek. Die algemene gevolgtrekking wat vanuit die empiriese bevindinge gemaak kan word, is dat gestaltspelterapie wel in die hulpverlening aan visueel gestremde kinders benut kan word. / Social Work / M.Diac. (Play Therapy)

Many fields of interest, of which Pediatrics is one, exist in Occupational Therapy. In the field of Pediatrics there are also diversity fields of interest. Many diagnostic groups are treated in the field of Pediatric Occupational Therapy. The traditional Pediatric Occupational Therapy process aims at treating the child holistically with regards to his cognitive, perceptual, motor and emotional areas of development. It seems that there is a tendency to focus on the more tangible aspects of development rather than the less visible elements such as emotional needs and problems. The question that might be asked is whether Pediatric Occupational Therapists are in fact equipped to deal with emotional needs and problems. Due to the nature of their work, there is a strong possibility that Pediatric Occupational Therapists can encounter children who suffer from emotional problems. These children are more often than not seen by Occupational Therapists although the therapists might prefer to rather work on the more tangibly aspects of development. This research study was aimed at assessing the need amongst Pediatric Occupational Therapists to deal with emotional problems. After completing the study it was possible to make valuable conclusions and recommendations. Gestalt Play Therapy was also proposed as a possible approach in dealing with children's emotional needs and problems in the course of their Occupational Therapy intervention. OPSOMMING Arbeidsterapie omsluit `n breë spektrum van spesialiteitsrigtings, waarvan Pediatrie een is. Binne die veld van Pediatrie blyk daar egter verdere diversiteit te wees met betrekking tot die diagnostiese groepe wat binne hierdie veld hanteer word. Die tradisionele Pediatriese Arbeidsterapie proses het ten doel om die kind holisties te benader met verwysing na die kognitief -perseptuele, motoriese en emosionele ontwikkelingsareas van die kind. Dit blyk egter dat daar `n geneigdheid is, en moontlik ook groter gemak bestaan om eerder aan die meer sigbare aspekte soos byvoorbeeld perseptuele en motoriese ontwikkeling te werk. Die vraag kan dus gevra word of Arbeidsterapeute genoegaam toegerus is om ook aan die emosionele behoeftes en probeleme van die kind aandag te kan gee. Die moontlikheid dat Arbeidsterapeute vanwee die diversiteit met betrekking tot die diagnostiese groepe wat ter sprake is in kontak kan kom met kinders wat ook emosionele behoeftes en probleme het bestaan. Alhoewel hierdie kinders opgeneem word in die Arbeidsterapie proses, is behandeling dikwels net op die tasbare ontwikkelings areas gerig. Die navorsing was spesifiek daarop gerig om te bepaal of daar wel `n behoefte bestaan onder Arbeidsterapeute om kinders se emosionele behoeftes aan te spreek. Na afloop van die studie, en nadat alle toepaslike inligting geïntegreer is, is daar waardevolle afleidings gemaak en is hierdie behoefte onder Arbeidsterapeute bevestig. Gestalt Spelterapie is ook voorgestel as `n moontlike benadering wat geïntegreer kan word ten einde die Arbeidsterapeut instaat te stel om meer effektief te werk te gaan met die kind se emosionele behoeftes en probleme. / Social work / D.Phil.

The aim of the qualitative study was to explore and describe the utilisation of Gestalt Play Therapy in Occupational Therapy intervention with traumatised children. An applied study was conducted and the case study strategy was used with a flexible design. Objectives for the study included conducting literature reviews regarding the profile of the traumatised child and Occupational Therapy and Gestalt Play Therapy intervention with the traumatised child. The empirical study included data collection and analysis, with data gathered through semi-structured interviews. The gathered data was analysed with the use of Creswell's Data Analysis Spiral. The empirical data showed that Occupational Therapists do utilise Gestalt Play Therapy in their intervention with traumatised children by drawing on their combined knowledge base of Gestalt Play Therapy and Occupational Therapy. Occupational Therapists then conduct a holistic assessment and treatment aims are set according to the assessment with a focus on providing holistic intervention. / Social Work / M.Diac. (Play Therapy)

Philosophiae Doctor - PhD / This thesis investigated the education support services provided by occupational therapists, physiotherapists and speech and language therapists in the Western Cape Province of South Africa. Changes in the education policy in South Africa to an inclusive education system have major implications for the way therapists provide support. Therapists have been challenged to move from a medical model of support with a focus on highly specialised treatment for a small number of individual learners with disabilities, to a system, including all learners, teachers and parents. The aim of this research was to develop an appropriate and integrated approach for therapists to support schools within an inclusive and health promoting schools framework in South Africa. / South Africa

The researcher found little information in literature reviewed about how Gestalt Play Therapy is being used in the treatment of visually impaired children. The aim of the study was to expand knowledge regarding this issue. A basic qualitative research study of an exploratory and descriptive nature was undertaken to describe how this therapy may be used in the treatment of such children. A representative sample was drawn from the population, consisting of gestalt play therapists who previously provided assistance to these children, using a purposive non-probability method. Data collection took place through the execution of semi-structured telephone interviews. Collected data was analysed using the Thematic Content Analysis to search for related themes (in line with the objectives of the study) in transcribed interviews. The general conclusion drawn from the empirical data was that gestalt play therapy can be used to good effect in the treatment of visually impaired children. / Die navorser het gevind dat daar weinig inligting in die literatuur beskikbaar is oor hoe gestaltspelterapie in die hulpverlening aan visueel gestremde kinders benut kan word. Die doel van die navorsingstudie was dus om kennis uit te brei rakende die benutting van gestaltspelterapie in die hulpverlening aan visueel gestremde kinders. 'n Basiese kwalitatiewe navorsingstudie met 'n verkennende en beskrywende aard is onderneem om te beskryf hoe gestaltspelterapie benut word met betrekking tot visueel gestremde kinders. 'n Verteenwoordigende steekproef is getrek, volgens 'n doelgerigte nie-waarskynlikheidsmetode, vanuit die populasie bestaande uit gestaltspelterapeute wat al van tevore hulp aan visueel gestremde kinders verleen het. Data-insameling het plaasgevind deur middel van semi-gestruktureerde telefoniese onderhoude. Die versamelde data is volgens die Tematiese Inhoudsanalise ontleed deur verbandhoudende temas (ooreenkomstig die doel van die studie) in getranskribeerde onderhoude te soek. Die algemene gevolgtrekking wat vanuit die empiriese bevindinge gemaak kan word, is dat gestaltspelterapie wel in die hulpverlening aan visueel gestremde kinders benut kan word. / Social Work / M.Diac. (Play Therapy)

This mixed-methods research study was conducted for the purpose of examining school-based occupational therapists' child psychosocial knowledge and attitudes, along with how therapists developed this knowledge and attitudes. Using a phenomenological qualitative approach, the study addressed the following broad research question: What meaning do school-based occupational therapists give to their experience in developing child psychosocial knowledge? Using a quantitative approach, a survey instrument was used to answer the following questions: (a) What level of child psychosocial knowledge and attitudes do school-based occupational therapists possess? (b) How do the following variables impact child psychosocial knowledge and attitudes: (1) level of education, (2) academic course content, (3) participation in mental health fieldwork, (4) application of psychosocial knowledge in non-mental health fieldwork, (5) professional practice experiences, and ( 6) continuing education experiences. Snowball sampling was used to select 11 school-based occupational therapists for the phenomenological portion of the design. Data were analyzed using Giorgi and Giorgi's (2008) method of phenomenological analysis. Random sampling was used to select 1,000 school-based therapists who were mailed the Occupational Therapy Child Mental Health Questionnaire based upon The Teacher Mental Health Opinion Inventory (Morris, 2002). The response was N = 630. Data were analyzed using descriptive statistics and analysis of association. Using the mixed-methods triangulation convergence model, where both quantitative and qualitative data were collected at the same time and the results converged during interpretation by comparing and contrasting them, the following conclusions were made: (a) school-based occupational therapists possess and use child psychosocial knowledge: however. they do not believe it is sufficient; (b) school-based occupational therapists have a difficult time articulating psychosocial knowledge; however. through case descriptions they are able to give many examples of psychosocial knowledge they use in practice; (c) school-based occupational therapists believe that holistic, occupation-based, and client-centered practice, along with additional psychosocial intervention strategics, help them maintain a positive attitude toward children with emotional disturbance; (d) school-based occupational therapists experience tension when attempting to apply their holistic, occupation-based, and client-centered practice in an environment that is typically focused on students changing to meet the environmental demands; (e) due to the constraints of the educational system and the IEP, school-based occupational therapists practice holistically by incorporating psychosocial knowledge in a hidden fashion; (f) school-based occupational therapists believe that mental health fieldwork and rich experiences with individuals who have mental illness is important to developing a comfort level with people who have mental illness; (g) school-based occupational therapists do not readily connect the learning from adult mental health fieldwork that they apply in their school-based practices.

This thesis investigated the education support services provided by occupational therapists, physiotherapists and speech and language therapists in the Western Cape Province of South Africa. Changes in the education policy in South Africa to an inclusive education system have major implications for the way therapists provide support. Therapists have been challenged to move from a medical model of support with a focus on highly specialised treatment for a small number of individual learners with disabilities, to a system, including all learners, teachers and parents. The aim of this research was to develop an appropriate and integrated approach for therapists to support schools within an inclusive and health promoting schools framework in South Africa.

This thesis investigated the education support services provided by occupational therapists, physiotherapists and speech and language therapists in the Western Cape Province of South Africa. Changes in the education policy in South Africa to an inclusive education system have major implications for the way therapists provide support. Therapists have been challenged to move from a medical model of support with a focus on highly specialised treatment for a small number of individual learners with disabilities, to a system, including all learners, teachers and parents. The aim of this research was to develop an appropriate and integrated approach for therapists to support schools within an inclusive and health promoting schools framework in South Africa.