"Ogrom zmian w sposobie myślenia, który miał miejsce pomiędzy wczesnymi pracami a późniejszymi pozwala wierzyć, że w nadchodzących latach zajdą jeszcze większe zmiany; szczególnie jeśli będą oparte na coraz większej ilości badań neurobiologicznych (A. Jean Ayres, 1974)".
I tak się dzieje...
In 2002, occupational therapy experts from various sites across the United States together identified and defined the core principles of sensory integration intervention as used in professional practice such as occupational therapy. The rationale for this fidelity project emerged from the need for an instrument to validate the methods reported in research as “sensory integration” (Parham et.al, 2007). The following principles are deemed essential to the delivery of intervention using a sensory integration approach (Parham et. al., in preparation):
Qualified professional, occupational therapist, physical therapist or speech and language pathologist;
Intervention plan is family-centered, based on a complete assessment and interpretation based on the patterns of sensory integrative dysfunction, collaboration with significant people in the individual’s life, adherence to ethical and professional standards of practice.
Safe environment that includes equipment that will provide vestibular, proprioceptive and tactile sensations and opportunities for praxis.
Activities rich in sensation especially those that provide vestibular, tactile and proprioceptive sensations and opportunities for integrating that information with other sensations such as visual and auditory.
Activities that promote regulation of affect and alertness and provide the basis for attending to salient learning opportunities.
Activities that promote optimal postural control in the body, oral-motor, ocular motor areas and bilateral motor control sustaining control while holding against gravity and maintaining control while moving through space.
Activities that promote praxis including organization of activities and self in time and space.
Intervention strategies that provide the “just-right challenge”
Opportunities for the client to make adaptive responses to changing and increasingly complex environmental demands. Highlighted in Ayres Sensory Integration® intervention principles is the “Somato-motor adaptive response” which means that the individual is adaptive with the whole body, moving and interacting with people and things in the 3-dimensional space.
Intrinsic motivation and drive to interact through pleasurable activities, in other words, play.
Therapist engenders an atmosphere of trust and respect through contingent interactions with the client. That is the activities are negotiated, not pre-planned, and the therapist is responsive to altering the task, interaction and environment based on the client’s responses.
The activities are their own reward and the therapist ensures the child’s success in whatever activities are attempted by altering them to meet the child’s abilities.