Hello:
I would like to know about the plissit model, I've
never heard of it.
Ron
~~~~~
On 5/23/02, susanne <[EMAIL PROTECTED]> said:
s> Sorry for taking so long to reply. This is actually a subject I take a
s> lot of interest in, and I have also introduced my colleagues to the
s> "plissit" model. Good thing about it is that it presents a way to deal
s> with the fact that not everyone is equally comfortable dealing with the
s> subject, so you can have different staff members working on different
s> levels - only sharing the permission level, which will involve e.g.
s> having informational pamphlets openly available. Also everyone
s> should be able to identify a need for help - estimate which level
s> of help is needed - and be informed which staff member or other
s> professional can provide this help. This is important as it often
s> takes a lot of courage from the patient/client (or partner) to come
s> out and start talking about sexual needs and worries. He/she
s> most likely will choose a person he feels confident with, and
s> then being ordered around several professionals with this
s> private issue might be very discouraging - guess you can all
s> imagine.....
s> In Denmark the OT is a central person re: sexual issues in
s> rehabilitation, care etc. A few specializes in this area and and can be
s> contacted about e.g. adapted sexual aids and equipment. But every one of
s> us must be prepared to use our skills to assist with finding solutions -
s> could be about positioning, bowel and bladder considerations, safety,
s> pain mangement, trying out equipment (for gratification of self and/or
s> partner) - and then teaching patient, partner, carers how hopefully to
s> continue independantly from that point.
s> Also, the topic of sexuality should not be limited to that which you
s> have with a partner. Masturbation is a biiig issue - be it the
s> inapropriate choice of time and place (staff and family complaining) -
s> the "I can't do it myself anymore" ("can someone help?") - education of
s> care workers about the need to provide clients with private time and
s> opportunity ("Yikes! Everytime I open his diaper, his hands will go
s> there"). I could go on.....
s> Also education of care workers about human sexual responses might be
s> needed. I've had (female) workers complaining about male patients
s> getting an erection while being washed or cathed - they actually felt
s> insultet and intimidated.......
s> Hmmmm - guess I better stop before I write a book here. Looking forward
s> to some more input though, and questions are also welcomed!
s> susanne, denmark
s> ----- Original Message -----
s> From: "T Fitzpatrick" <[EMAIL PROTECTED]>
s> To: <[EMAIL PROTECTED]>
s> Sent: Wednesday, May 08, 2002 4:26 AM
s> Subject: Re: OT practice and sexuality
>> Hello,
>> I am a recent OT grad. We touched briefly on this topic and were
s> introduced
>> to the PLISSIT model. The PLISSIT model refers to:
>>
>> Permission: (lowest level) You give the individual permission to ask
>> questions setting a safe non-judgemental environment.
>>
>> Limited Information: You are able to give general facts in regards to
>> general physiological factors. Therapist is able to provide basic
>> information.
>>
>> Specific Suggestions: You are able to give solutions to problems i.e.
>> environmental suggestions or stimulation suggestions.
>>
>> Intensive Therapy: (highest level) A sex therapist is referred to
s> assist
>> the individual and partner.
>>
>> If faced with this situation, we as OT's have the resposibilty to
s> assist the
>> individual. If not directly, we must help indirectly by referring the
>> individual to someone who can. Afterall, sexual expression does fall
s> under
>> ADLs according to our Uniform Terminology.
s> .........................................
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