第十六屆 玩偶治療之個案報告

玩偶治療之個案報告

Case Report of Doll Therapy

洪偉誌^1*,黃璨珣²

Wei-Chih Hung ^1*, Tsan-Hsun Huang ²

¹瑞復益智中心、²美善社會福利基金會

¹ St. Raphael Opportunity Center

² Topias Social Welfare Foundation

Background : “Doll Therapy” are most used in the nursing homes or retirement centers and the major population are the elders with Dementia. It’s a method of treatment that concerned about the inner vaules. In some areas of Eastern Europe , they consider this as a theraputic activity when making dolls. After the dolls were done,the makers also screen what they thought and felt in the moment.     

Purpose : The intervention to the patients with atuism are increasing attention and causing the motivation of learning.We hope the contents of this reserch can increase the patient’s will to communicate by doll therapy. Furthermore ,we also hope

improve the patient’s motor skills and the cognition at the same time.       

Case Problem : The patient is a five-year-old girl with Autism diagnosis. She like self-talking and gesture , but she denied all kinds of fitness activities. She searches vestibular stimulation in active , but lack of eye-contact and she can’t response the correct anwer when asked. She’s interested in playing a frog doll , but she’s sacre of the toys that make sound automatically.        

Occupational Evaluation and Intervention :

1. Occupational Therapy : (1)Provide suitable vestibular stimulation to increase awareness. (2)Practice throwing and catching balls. (3)Giving all kinds of activities to improve the development of all aspects. (4) Response when asking. (5)Remove buttons. (6) Share and exchange goods.  

2. Doll Therapy : (1) Using a doll as a device to communicate with the patient .(2) Using a doll to practice self-care activities (ex.dressing and undressing) (3) Using a doll to guide the cognition (ex.noddin g, say hello to someone else……)

Result and Discussion : After a half year intervention , the improving parts of the patient are as the followings :

(1) Better self-care performance than before.

(2) Appear the correct sentence that matches the context in the moment.

(3) Increase the motivation of communication and leraning.

Key words : Doll Therapy , Occupational Therapy , Vestibular