A tough-love pedagogy in rehabilitation

Integration of rehabilitation ideology with local cultures

Ling-Hui Chang, Jye Wang

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This study problematizes a unique therapeutic relationship in rehabilitation and how the interaction reflects the integration of rehabilitation ideology with local cultures. The data drew from a larger ethnographic study of a rehabilitation unit in Taiwan. Participants included 21 patient-caregiver pairs and their rehabilitation professionals. They participated in in-depth interviews and participant observation. A tough-love pedagogy emerged as a unique therapeutic relationship in the unit. Patients were asked to interpret the stress with therapy as an inevitable, beneficial experience toward recovery. A prevalent supposition that equated poor physical performance with weak morale legitimized the approach. Cultural metaphors used to describe and define rehabilitation transformed the stress that patients experienced with strenuous exercises into a beneficial substance that aids recovery. The transformation of the therapeutic relationship into a pedagogical one helped connect rehabilitation to shared educational experiences. In the unit, the complicit practice of therapists, caregivers, and patients established and perpetuated the practice of a tough-love pedagogy. The congruence between this tough-love approach and traditional Chinese pedagogical principles made the approach legitimate and desired.

Original languageEnglish
Pages (from-to)219-227
Number of pages9
JournalInternational Journal of Rehabilitation Research
Volume32
Issue number3
DOIs
Publication statusPublished - 2009 Sep 1

Fingerprint

Love
Teaching
Rehabilitation
Caregivers
Morale
Metaphor
Therapeutics
Taiwan
Observation
Interviews
Exercise

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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A tough-love pedagogy in rehabilitation : Integration of rehabilitation ideology with local cultures. / Chang, Ling-Hui; Wang, Jye.

In: International Journal of Rehabilitation Research, Vol. 32, No. 3, 01.09.2009, p. 219-227.

Research output: Contribution to journalArticle

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