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The Case for a Sensory-Integrative Approach to Schizophrenia: An Evaluative Review

INTRODUCTION In 1974, King(l) published a description of an experimental therapy, "sensory integrative therapy", that she used with adult clients diagnosed as schizophrenic of the non-paranoid type. King's presentation has proved important for several reasons. Firstly, she drew on an existing body of theory and therapy that had been developed by Ayres (1972)(2) from a study of young children. But King's work carries the implication that the original theory and practice has general application. Any general theory, if confirmed, is significant for advancing a specialist body of knowledge. Secondly, King's paper has stimulated vigorous discussion, reflected in the professional literature, but mainly confined to consideration of the therapy not the theory. Thirdly, though King presented her work as tentative and exploratory, her theory and practice is now described in at least one basic text (Hopkins & Smith 1978)(3). Inclusion of any material in a text book suggests that the specialist group has, or is ready to, absorb that information into their body of accepted knowledge. In the case of the application of sensory integration theory and practice to the management of schizophrenic clients this may be premature. The purpose of this paper, which is presented in two parts, is to provide an evaluation of: Part L: the theory that sensory integrative dysfunction is one etiology for the behavioural features associated with non-paranoid schizophrenia; and Part 2.: the therapy suggestions and claims that have arisen from the theory.