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Updated: Aug 23, 2025

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
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Occupational therapists' practice with complex trauma: A profile.

Julia Mason1, Karen Stagnitti1

  • 1School of Health and Social Development, Deakin University, Melbourne, Victoria, Australia.

Australian Occupational Therapy Journal
|November 2, 2022
PubMed
Summary
This summary is machine-generated.

Occupational therapists in Australia and Aotearoa primarily use sensory-based approaches when working with children experiencing complex trauma. Participants highlighted the need for supervision, training, and culturally safe practices in this specialized area.

Keywords:
complex traumacultural competencydevelopmental traumaoccupational therapypost-traumaticstress disorders

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Area of Science:

  • Occupational therapy practice
  • Pediatric complex trauma
  • Sensory-based interventions

Background:

  • Complex trauma significantly impacts child development in Aotearoa (New Zealand) and Australia.
  • Occupational therapists internationally utilize sensory-based, integrative, and functional approaches for complex trauma.
  • Practices of occupational therapists in Aotearoa and Australia with children experiencing complex trauma were previously undescribed.

Purpose of the Study:

  • To profile the practices of occupational therapists in Aotearoa and Australia working with children (0-12 years) with complex trauma.
  • To identify common assessments and interventions used in this population.
  • To understand therapists' preparedness and perceived needs for supporting children with complex trauma.

Main Methods:

  • Quantitative results from a mixed-methods study.
  • A survey was distributed to occupational therapists in Aotearoa and Australia.
  • Twenty-five participants completed the survey detailing their practice with children aged 0-12 years experiencing complex trauma.

Main Results:

  • The majority of participants held bachelor's degrees and worked in community settings.
  • Sensory approaches (56%) and play-based interventions (52%) were most common.
  • Participants reported a lack of experience and suggested supervision, social support, and practical training.

Conclusions:

  • Sensory-based practices are prevalent among occupational therapists working with children experiencing complex trauma in Aotearoa and Australia.
  • There is a need for enhanced supervision, practical training, and culturally safe practice development.
  • Advocacy and further research are essential to advance this subspecialty practice.