Saturday, December 14, 2013

Article Critique #1- A Comprehensive Therapeutic Recreation Intervention


Critique of A Comprehensive Therapeutic Recreation Intervention
Chessa Hedman
Brigham Young University

Critique of A Comprehensive Therapeutic Recreation Intervention
            I read an article entitled, A Comprehensive Therapeutic Recreation Intervention:  A Woman with Schizophrenia.  I will begin by giving you a summary of the article.  I will then share my opinion of the strengths and weaknesses that the article had.  Following that, I will explain how the article can be used or applied and I will end by sharing my personal reaction and interests in the article.
Summary of the Article
            The article began by explaining the diagnoses of a thirty-six year old woman, who they refer to as Ms. L, and how her diagnosis came about throughout her life.  At a young age she was very anti-social.  She would often go off on her own, suck her thumb, and appear as if she were in her own world.  This shyness continued through her preteen years.  At age 16, during her biology class they were required to dissect a frog.  “She reported feeling disgusted by the dissection and began spitting in the sink frequently” (Gimmestad, 1995, p. 57).  This phobia of germs began to get worse and worse throughout her life to the point where she would wash her hands and spit in the sink for hours.  She also stopped eating at times.  These symptoms then progressed into hearing voices, seeing people and believing that other people who didn’t exist were her real family.  Ms. L’s parents kept her in their home for seventeen years, they then checked her into a hospital.  At the hospital, she took part in some research for recreational therapy and family treatment.  The article discusses her processes and progress in the hospital.  “For the first twelve months of treatment, Ms. L absolutely refused to meet with her mother” (Gimmestad, 1995, p. 59).  She would say how she hated her mother and she would cry and shake uncontrollably, however, “Eventually Ms. L visited with her mother on the ward on a regular basis” (Gimmestad, 1995, p. 60).  She still did not have complete success as she still demonstrated many of her same symptoms and had many setbacks of refusing to see her mother.  The article ends by questioning how successful they truly were with Ms. L.  They questioned her motivation, but the author said, “I would like to think that for the first time in nineteen years she was able to learn how to interact and get close to other people” (Gimmestad, 1995, p. 62). 
Strengths and Weaknesses of the Article
            I personally found the article to be very interesting.  I am fascinated by schizophrenia and so to read in detail how this woman’s life progressed was very fascinating to me.  The author did a great job at giving specific detail and keeping the reader interested.  One thing that I felt was a weakness was the fact that her intentions of the article were not very clear.  The title infers that the article will be focused on how therapeutic recreation had an impact on this woman’s life.  In my opinion, that was not the focus at all.  There was little information as to how the therapeutic recreation affected her.  It mentioned some progress that she did have, such as becoming slightly more interactive with others, yet it did not say how this progress was a result of, or even related to therapeutic recreation. 
How the Article can be used or applied
            If someone is seeking out information on schizophrenia and how it can impact a person’s life, this is the article for you.  It gives very useful information on the process Ms. L went through.  It begins at her early life and continues throughout all the years of her life up until the article was written when she was thirty-six years old.  One can see the impact that schizophrenia had on this woman at each year of her life.  They can see how it progressed from different life events.  One can learn that it is a long process and treatment can be very difficult.  From a recreational therapist perspective, I would say that it could be good information for young and new recreational therapists to read.  It gives them an idea of people they could potentially be working with.  If they are looking to see how therapeutic recreation can impact a person with schizophrenia, I would not recommend this article.  However, it is a very interesting article that provides great information on schizophrenia.
My personal reaction and interests in the Article
            Overall, I found the article very interesting.  When I saw the title of the article and noticed that it had something to do with a woman with schizophrenia, I was automatically interested.  I worked in a mental health facility for a little over a year and I also worked for the foster care system for those with mental and physical disabilities.  Through both of these jobs, I have had experience and been around a lot of people with schizophrenia.  I find it very fascinating.  I also have an uncle and a friend who have schizophrenia.  It is amazing to me to read and learn about the symptoms and how these symptoms can be triggered and developed.  I enjoyed reading the article, as it provided a lot of interesting information for me regarding schizophrenia.  I was also interested in learning more about how therapeutic recreation can have an impact on a person with schizophrenia, and I do not feel that this article provided me with that information.  That was a little disappointing for me.  However, all in all, it was a great article that taught me a lot about schizophrenia. 




References
Gimmestad, K.  (1995). A Comprehensive therapeutic recreation intervention:  A woman with schizophrenia.  Therapeutic Recreation Journal, 29(1), 56-62.  Retrieved from http://js.sagamorepub.com/trj/article/view/1253/1222






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