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For occupational therapists who want to incorporate health promotion or prevention into their practices, here is a thought-provoking new volume. Health Promotion and Preventive Programs highlights existing models of occupational therapy practice, targeting populations ranging from infants to the elderly, that incorporate principles of prevention and health promotion into traditional health care practice arenas.This important new book describes a variety of occupational therapy services, each of which uses principles of primary, secondary, or tertiary prevention principles, including a health education program for parents of well babies and toddlers, a community outreach program for preschool children who are at risk for emotional problems, a community support group formed by adults who have been hospitalized for psychiatric illnesses, a program designed to prevent industrial accidents through on-the-job training, and a home safety program for the elderly.The effective case study approach will allow occupational therapists to learn about and compare various models of practice, and includes elements necessary for development, organization, and design of health promotion and disease prevention programs. Together the chapters provide theoretical concepts of health promotion and injury prevention and offer a framework by which professionals can analyze material, determine whether or not programs can be appropriately replicated, or design new and original occupational therapy programs having a focus on health promotion and/or disease prevention.
In this first interdisciplinary study of all nine of Nobel Laureate Toni Morrison's novels, Evelyn Jaffe Schreiber investigates how the communal and personal trauma of slavery embedded in the bodies and minds of its victims lives on through successive generations of African Americans. Approaching trauma from several cutting-edge theoretical perspectives -- psychoanalytic, neurobiological, and cultural and social theories -- Schreiber analyzes the lasting effects of slavery as depicted in Morrison's work and considers the almost insurmountable task of recovering from trauma to gain subjectivity. With an innovative application of neuroscience to literary criticism, Schreiber explains how trauma, whether initiated by physical abuse, dehumanization, discrimination, exclusion, or abandonment, becomes embedded in both psychic and bodily circuits. Slavery and its legacy of cultural rejection create trauma on individual, familial, and community levels, and parents unwittingly transmit their trauma to their children through repetition of their bodily stored experiences. Concepts of "home" -- whether a physical place, community, or relationship -- are reconstructed through memory to provide a positive self and serve as a healing space for Morrison's characters. Remembering and retelling trauma within a supportive community enables trauma victims to move forward and attain a meaningful subjectivity and selfhood. Through careful analysis of each novel, Schreiber traces the success or failure of Morrison's characters to build or rebuild a cohesive self, starting with slavery and the initial postslavery generation, and continuing through the twentieth century, with a special focus on the effects of inherited trauma on children. When characters attempt to escape trauma through physical relocation, or to project their pain onto others through aggressive behavior or scapegoating, the development of selfhood falters. Only when trauma is confronted through verbalization and challenged with reparative images of home, can memories of a positive self overcome the pain of past experiences and cultural rejection. While the cultural trauma of slavery can never truly disappear, Schreiber argues that memories that reconstruct a positive self, whether created by people, relationships, a physical place, or a concept, help Morrison's characters to establish subjectivity. A groundbreaking interdisciplinary work, Schreiber's book unites psychoanalytic, neurobiological, and social theories into a full and richly textured analysis of trauma and the possibility of healing in Morrison's novels.
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