Affiliations: New York Institute of Technology, Occupational Therapy
Department, School of Health Professions, Northern Boulevard, P.O. Box 8000,
Old Westbury, NY 11568-8000, USA. Tel.: +1 516 686 3863; E-mail: pprecin@nyit.edu
Abstract: This case study investigated an intervention that enabled an
individual with Posttraumatic Stress Disorder (PTSD), Dissociative Identity
Disorder (DID), and satanic ritual abuse to return to work after discharge from
psychiatric inpatient treatment. The Occupational Questionnaire [88]
revealed past difficulties in organization, awareness of time, communication,
cooperation, frustration tolerance, competition, stress management, goal
setting, and amnesia resulting in incomplete tasks and sporadic attendance at
work. The Role Checklist [72] identified alters valuing work and employed
in the past. The Modified Interest Checklist [70] identified running as an
interest that 24 alters shared. Based on the initial evaluations, three times a
week treadmill running was used as an intervention that built work skills (as
measured by the Clerical Work Sample of the Valpar Component Work Sample
Series [97]) necessary to sustain gainful employment upon discharge. After
intervention, this individual improved in awareness of time, stress management,
and goal setting abilities and was less amnestic as per the Occupational
Questionnaire [88] and four additional alters expressed an interest in
work according to the Modified Interest Checklist [70].
