Activity of the immediate environment
The success of rehabilitation of a person with a disability is largely determined by the degree of activity of the immediate environment (parents, other relatives, friends, work colleagues) and his participation in this process. According to the observations of L.V. Mordakhaev (2001), the following types of activity of the immediate environment can be distinguished:
1) constructive activity – the environment is active from the very beginning of the manifestation of the pathological process, relatives not only do what they are asked to do, but also take independent steps, share home observations with specialists, consult with them – the most favorable option;
2) delayed activity – activity appears after the first positive results – relatives become interested in rehabilitation after receiving positive results of rehabilitation; it is important for a rehabilitation specialist not to miss this moment and stimulate further manifestation of appropriate activity;
3) spasmodic activity – the manifestation of activity for structural or other reasons is characteristic, quite often depends on positive or negative manifestations of rehabilitation; the effectiveness of such activity is very low;
4) activity for the sake of activity – relatives try to follow all the recommendations prescribed by rehabilitation specialists, but do not delve into their content and do not personally participate in the rehabilitation of a person with a disability; it is important for them to “run” through all the offices and provide care for a person with a disability, at this point all care for him stops; the involvement of such relatives in the active rehabilitation process requires argumentation, delicacy and perseverance;
5) sluggish activity or its absence – relatives have already decided for themselves that it is useless to do anything and have practically distanced themselves from helping a person with a disability, focusing only on caring for him/her; some realize that a person with a disability needs help, but do not want to do it themselves, to “clear their conscience” they can place a person with a disability in a special institution;
6) imitation of activity – relatives pretend only when talking to specialists that they follow the main recommendations for working with persons with disabilities, but their effectiveness is extremely weak; tend to show their deep concern and how hard they work on the problem; Outwardly, it is very difficult to distinguish from actual activity.