title: "Circle of caring": a First Nations worldview of child rearing.
abstract: BACKGROUND
  For occupational therapy to be meaningful for all families who have a child with a developmental disability, the profession needs to consider and integrate into practice alternative and more inclusive epistemologies. A greater understanding and respect of a First Nations worldview may help reduce the risk of inadvertently perpetuating oppression and assimilation.
  
  
  OBJECTIVE
  To describe raising a child with a developmental disability from the perspective of five members of the Lil'wat Nation.
  
  
  METHODS
  Data were obtained from in-depth interviews and analysed using a constant comparative approach.
  
  
  RESULTS
  Within the category of family the subcategories identified were extensive support network, intergenerational learning and doing, and influence of the residential school system. Within the category of raising a child the subcategories identified were health and spirituality, causation beliefs, and a sense of knowing.
  
  
  CONCLUSIONS
  Occupational therapists need to be cognizant of alternative worldviews on child rearing, family, and health that may differ significantly from their own personal and professional beliefs and practices.
authors.affiliation: agerlach@hawaii.rr.com
authors.forename: Alison
authors.initials: A
authors.lastname: Gerlach
mesh_terms: D000328:Adult; D002170:Canada; D002675:Child, Preschool; D003466:Cultural Characteristics; D002658:Developmental Disabilities / Q000208:ethnology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D016901:Intergenerational Relations; D007407:Interviews as Topic; D008297:Male; D009788:Occupational Therapy / Q000379:methods* / Q000523:psychology*; D012944:Social Support; D029181:Spirituality