Literature Review: Gambaran Terapi Aktivitas Kelompok Stimulasi Persepsi Halusinasi Terhadap Kemampuan Mengontrol Halusinasi Pada Pasien Skizofrenia

2021 ◽  
Vol 1 ◽  
pp. 1509-1515
Author(s):  
Hida Chaerunnisa ◽  
Nurul Aktifah

AbstractHallucinations are mental disorders characterized by the loss of a person’s ability to distinguish real and unreal responses from objects in their environment. One of the ways to control this disorder is by applying group activity therapy of hallucinatyioms perception stimulations. It is conducted by perceiving various stimuli in the environtment to be discussed groups. This study aims to find out the effect of the therapy in controlling hallucinations on schizophrenic patients. In this literature review. The intervention showed the average value of pre-test was 8.00 and it achieved 12.00 of post-test with result of p value 0,001 (<0,005). This it p[roved the therapy has affected respondents’ ability on controlling hallucinations on schizophrenic patients. Therefore, it is recommended as one of the actions of nursing care to improve the ability to control hallucinations of schizophrenic patients.Keyword : group activity therapy of hallucinations perception stimulations, hallucinations AbstrakHalusinasi merupakan kondisi gangguan jiwa yang ditandai dengan hilangnya kemampuan seseorang dalam membedakan respon yang nyata dan tidak nyata dari suatu objek yang ada di lingkungannya. Tindakan yang dapat dilakukan untuk mengontrol halusinasi salah satunya adalah Terapi Aktivitas Kelompok (TAK) Stimulasi Persepsi Halusinasi. TAK stimulasi persepsi halusinasi dilakukan dengan cara mempersepsikan berbagai stimulasi yang ada di lingkungan untuk didiskusikan dalam kelompok. Tujuan : Mengetahui gambaran pengaruh TAK stimulasi persepsi halusinasi terhadap kemampuan mengontrol halusinasi pasien skizofrenia. Desain: Karya tulis ilmiah ini adalah literature review. Hasil : Kemampuan mengontrol halusinasi sebelum dan sesudah dilakukan intervensi menunjukkan nilai rata-rata pre test 8,00 dan post test 12,00 dengan hasil p value 0,001 (< 0,005). Kesimpulan : TAK stimulasi persepsi halusinasi berpengaruh terhadap kemampuan responden dalam mengontrol halusinasi pada pasien skizofrenia. Saran : Perawat dapat memberikan TAK stimulsi persepsi halusinasi sebagai salah satu tindakan asuhan keperawatan untuk meningkatkan kemampuan mengontrol halusinasi pasien skizofrenia.Kata kunci: Terapi Aktivitas Kelompok (TAK) stimulasi persepsi, halusinasi

2021 ◽  
Vol 1 ◽  
pp. 1875-1881
Author(s):  
Pradistia Gilang Ghozali ◽  
Yuni Sandra Pratiwi

AbstractThe risk of violent behavior is a symptom of schizophrenic patients that can be controlled through perceptual stimulation group activity therapy. It is an effort to train the patient to perceive the stimulus provided or the stimulus that has been experienced. This study aims to investigate the effect of the effect of perceptual stimulation group activity therapy on patients with violent behavior risks based on a literature review.It took three journals from Google scholar and lipi.go.id with group activity therapy, perceptual stimulation, and the risk of violent behavior as the keywords. These are full-text published in 2011-2020. The result of respondents’ characteristics analysis stated 66 people were taken as respondents, 83% are male with the age 21-40 years. Their average value in controlling anger before intervention was 46,873 and 43.5 after the process. It proved to control patients’ anger. Thus, nurses suggested to teach this therapy for overcoming the problem.Keywords: Perceptual stimulation group activity therapy; the risks of violent behavior AbstrakRisiko perilaku kekerasan ialah gejala dari pasien skizofrenia dapat dikontrol melalui terapi aktivitas kelompok stimulasi persepsi. Terapi aktivitas kelompok stimulasi persepsi ialah upaya untuk melatih pasien mempersepsikan stimulus yang disediakan atau stimulus yang pernah dialami. Penelitian ini bertujuan untuk menggambarkan pengaruh terapi aktivitas kelompok stimulasi persepsi pada pasien resiko perilaku kekerasan berdasarkan literature review. Desain karya tulis ilmiah berupa literatur review dengan jumlah tiga artikel yang diambil dari laman jurnal google scholar dan lipi.go.id dengan kata kunci ‘’terapi aktivitas kelompok’’, ‘’stimulasi persepsi’’ dan ‘’resiko perilaku kekerasan’’ berupa artikel fullteks, terbit tahun 2011-2020. Hasil analisa karakteristik responden dari tiga artikel menunjukan jumlah responden 66, sebagian besar (83%) laki-laki dengan umur 21-40 tahun. Nilai rata-rata kemampuan mengontrol kemarahan sebelum intervensi 46,873, setelah intervensi 43,5. Simpulan terapi aktivitas kelompok stimulasi persepsi dapat mengontrol marah pasien resiko perilaku kekerasan. Saran bagi perawat hendaknya mengajarkan terapi aktivitas kelompok stimulasi persepsi untuk mengontrol resiko perilaku kekerasanKata kunci: Terapi aktivitas kelompok stimulasi persepsi; resiko perilaku kekerasan


2017 ◽  
Vol 6 (2) ◽  
pp. 174
Author(s):  
VEVI SURYENTI PUTRI

ABSTRAK Latar Belakang: Skizofrenia adalah suatu gangguan jiwa berat yang ditandai dengan penurunan atau ketidakmampuan berkomunikasi, gangguan realitas (halusinasi dan waham) afek tidak wajar atau tumpul, gangguan kognitif (tidak mampu berfikir abstrak) serta mengalami kesukaran melakukan aktivitas sehari-hari. Tujuan:  penelitian ini yaitu untuk mengetahui apakah ada pengaruh terapi aktivitas kelompok stimulasi persepsi halusinasi terhadap kemampuan mengontrol halusinasi pada pasien skizofrenia di ruang rawat inap Arjuna Rumah Sakit Jiwa Daerah Provinsi Jambi. Metode: Penelitian ini merupakan penelitian kuntitatif dengan metode penelitian pre eksperimen dengan desain berupa one group pre test dan post test. Sampel dipilih secara purposive sampling sebanyak 10 responden. Penelitian ini telah dilakukan pada tanggal 28 Juli sampai 10 Agustus 2017. Data dikumpulkan dengan menggunakan instrument berupa lembar wawancara dan observasi. Data dianalisis menggunakan uji statistik t-test. Hasil:  penelitian ini menunjukkan adanya peningkatan rata-rata kemampuan pasien mengontrol halusinasi sebelum dan sesudah diberikan terapi aktivitas kelompok stimulasi persepsi halusinasi dengan nilai rata-rata (14,30) menjadi (16,30) setelah diberikan terapi aktivitas kelompok stimulasi persepsi halusinasi. Terdapat pengaruh terapi aktivitas kelompok stimulasi persepsi halusinasi terhadap kemampuan mengontrol halusinasi pada pasien skizofrenia di ruang rawat inap Arjuna Rumah Sakit Jiwa Daerah Provinsi Jambi dengan p-value=0,001 < 0,05. Kesimpulan:  ada pengaruh terapi aktivitas kelompok stimulasi persepsi halusinasi terhadap kemampuan mengontrol halusinasi pada pasien skizofrenia. Kata kunci : Terapi Aktivitas Kelompok Stimulasi Persepsi Halusinasi dan Kemampuan Mengontrol Halusinasi   ABSTRACT Background:Schizophrenia is a severe mental disorder characterized by a decrease or inability to communicate, disruption of reality (hallucinations and abstractly) and have difficulty doing everyday activities. Aim: This study aimed to determine is there any the effect of group activity therapy stimulation of hallucinatory perception toward the ability to control hallucinations in schizophrenic patiens in Arjuna room psychistric hospital Jambi province. Method: This is a quantitative research by using pre experiment method and one group pre test and post test desaign. Samples were 10 respondents, it used purposive sampling. This study was conducted on July 28th – August 10th 2017. The data collecting used instrument through interview and observation. Data analyzed used t-test. Result: The findings indicated that there is an increase in the average ability of patients to control hallucinations before and after given group activity therapy stimulation of hallucinatory perception with average value (14,30) become (16,30) after given group activity therapy stimulation of hallucinatory perception. There is the effect of group activity therapy stimulation of hallucinatory perception toward the ability to control hallucinations in schizophrenic patients in Arjuna room psychiatric hospital Jambi Province with p-value 0,001 < 0,05. Conclusion:  It cocluded there is the effect of group activity therapy stimulation of hallucinatory perception toward the ability to control hallucibations in schizophrenic patients   Keywords : Activity Therapy Stimulation of Hallucinatory Perception and the Ability to Control Hallucinations  


2020 ◽  
Vol 2 (1) ◽  
pp. 57-64
Author(s):  
Novi Herawati ◽  
Syahrum Syahrum ◽  
Tintin Sumarni ◽  
Yulastri Yulastri ◽  
Abd Gafar ◽  
...  

Schizophrenia is a personality that is divided between thoughts, feelings, and behavior. One of the most common symptoms of schizophrenia is hallucinations. The highest number of schizophrenic patients with hallucinations was 83 people in the Merpati Room of Prof. HB Sa'anin Hospital in Padang. Therapy is usually given in the management of overcoming hallucinations, one of which is Group Activity Therapy (GAT). The purpose of this study is to determine the effect of Perception Stimulation Group Activity Therapy on the Ability to Control Hallucinations in Schizophrenia Patients at Prof Sa'anin Hospital Padang in 2019. This study uses a Quasi Experiment research design using one group pre-post-test. The population is schizophrenia patients with hallucinations in Prof Sa'anin Hospital in Padang, about 206 persons. Sampling is done by Samples taken were 50 persons, with purposive sampling. The analysis is t-dependent. The results showed a significant difference between the ability of patients between before and after Perception Stimulation Group Activity Therapy with a P-value = 0.000 or α <0.05. It is expected that Prof. Sa'anin Padang's nurses will be more optimal in the implementation of GAT, and improve the implementation of quality GAT according to the grouping of nursing diagnoses so that the ability of schizophrenic patients with hallucinations can be achieved   Keywords: schizophrenia, hallucinations, group activity therapy


2020 ◽  
Vol 2 (1) ◽  
pp. 1-4
Author(s):  
Angga Sugiarto ◽  
Suyanta Suyanta ◽  
Erna Erawati ◽  
Sri Handayani

Background: Hallucination is a problem that appears in schizophrenia as a positive symptom that must be addressed immediately so as not to disturb the health status. Nursing therapy is the main alternative to resolve hallucinatory problems in schizophrenic patients who are treated at the Mental Hospital.Methods: The method used is literature review with a library of articles or journals from 2010-2019 by searching through Google Scholar, Pro Quest, GALE, EBSCOhost, and Ovid Journal.Results: The results of the synthesis show that nursing therapy can overcome the problem of hallucinations in schizophrenic patients.Conclusion: CBT and group activity therapy as nursing therapy are effective for hallucinations of schizophrenia


2021 ◽  
Vol 1 ◽  
pp. 1835-1840
Author(s):  
Nur Ardika ◽  
Nurul Aktifah

AbstractSocial isolation is a person's inability to interact with other people in his environment. Client feels rejected, isolated from others, and lonely. Moreover, he is not able to build meaningful relationships with other people. The client with this problem has difficulty to interact and socialize with others, and he even cannot communicate well. This paper aims to investigate the effect of socialization group activity therapy on the client with the problem stated above. The result of literature review stated from the pretest, it was obtained the average 12.07, and 20.9 after taking protest. Therefore, it could be concluded there is an effect of the therapy on sociability of social isolation clients. And, this is recommended for the nursing staff to apply this therapy in the client with the problem, so that they can improve their socialization skills.Keywords: socialization group activity therapy; social isolation AbstrakIsolasi sosial ialah suatu penurunan atau ketidakmampuan seorang individu berinteraksi dengan orang lain dengan lingkungan sekitarnya. Klien merasa ditolak, tidak diterima, kesepian, dan tidak mampu membina hubungan yang berarti dengan orang lain. Klien dengan isolasi sosial tidak mempunyai kemampuan untuk berosialisasi dan sulit mengungkapkan keinginan dan tidak mampu berkomunikasi dengan baik sehingga klien tidak mampu membina hubungan yang berarti dengan orang lain. Tujuan karya tulis ilmiah ini adalah untuk mengetahui seberapa berpengaruh terapi aktivitas kelompok sosialisasi pada klien isolasi sosial. Desain Karya tulis ilmiah ini adalah literature review. Hasil dari analisis didapatkan rata rata pre test sebesar 12,07, post test sebesar 20,9 dan didapatkan bahwa ada pengaruh Terapi Aktivitas Kelompok Sosialisasi (TAKS) terhadap kemampuan sosialisasi pada klien isolasi sosial. Kesimpulan ada pengaruh TAKS terhadap kemampuan sosialisasi pada klien isolasi sosial. Saran kepada tenaga keperawatan untuk memberikan TAKS pada klien isolasi sosial,sehingga kemampuan sosialisasi pada klien Kata kunci: Terapi aktivitas kelompok sosialisasi (TAKS) ; isolasi sosial; interaksi sosial.


2019 ◽  
Vol 19 (2) ◽  
pp. 426
Author(s):  
Widya Sepalanita ◽  
Wittin Khairani

The prevalence of mental emotional disorders indicated by symptoms of depression and anxiety for ages 15 years and over reaches around 14 million people or 6% of the total population of Indonesia. While the prevalence of severe mental disorders, such as schizophrenia, reaches around 400,000 people or as many as 1.7 per 1,000 residents. Hallucinations are one of the symptoms of schizophrenic mental disorder. Therapy Activities Groups with perceptual stimulation are therapies that use activities to perceive various stimulations related to experience with life to be discussed in groups. The aim of the research was to know the effect of group activity therapy on hallucinogenic control ability in schizophrenic patients in Jambi Province Mental Hospital in 2018. This study used a quasi experimental design with a design of one group design with pretest and posttest. The study was conducted at the Jambi Province Mental Hospital in June-September 2018 with a total sample of 30 people taken by purposive sampling. The results of this study are that there is a significant effect of group activity therapy on hallucinogenic control ability in schizophrenic patients at Jambi Province Mental Hospital. This study is expected to increase knowledge, understanding and skills of mental nurses in treating or treating schizophrenic patients, to improve the ability to control the hallucinations of schizophrenic patients through therapeutic activities of perception simulation groups by applying group activity therapy.


Author(s):  
Tinah

Anxiety is one of the most common mental health problems in the elderly. The provision of appropriate and accurate psychopharmacology as well as nursing therapy is not enough, but must be followed up with selected therapy modalities regularly and continuously until the normal functioning of stable normative behavior or adaptive behavior, one of which is group activity therapy. To determine the effect of group activity therapy on the level of anxiety in the elderly. The design of this study is a quasi-experimental design with a pre-post test group design with a total sample of 44 people. The independent variable is group activity therapy (TAK) and the dependent variable is anxiety. The instruments used are questionnaire sheets and observation sheets. The statistical test used the Wilcoxon test with a significance value of = 0.05. The anxiety level of the majority of the elderly before TAK therapy was severe anxiety as much as 40.91% and after TAK therapy the majority of the elderly with mild anxiety level as much as 47.73%. There was a difference in anxiety before and after giving group activity therapy with a P value of 0.000 (P <0.05). Group activity therapy has an effect on reducing anxiety levels in the elderly.


2021 ◽  
Vol 1 ◽  
pp. 1314-1322
Author(s):  
Atina Mauila ◽  
Nurul Aktifah

AbstractViolent behavior is a condition in which a person performs actions that can harm both himself and others. This behavior that occurs in schizophrenic clients’ needs to be handled appropriately so that something unwanted does not happen. As we know, one of methods control risk of violent behavior is assertiveness training. This scientific paper aims to find out the effects of applying this therapy in reducing risk of violent behavior on scizophrenic clients. From this literature review , it obtained the average value of pretest is 36.84 and posttest is 26.12. It resulted p value 0,001, (<0,005). That proved there is effect of the training in reducing risks of violent behavior on schizophrenic clients. So, it is recommended for the nurses to apply this theraphy as the alternative way to reduce that such a behavior on schizophrenic clients.Keywords: risk of violent behavior ; schizophrenic clients ; assertiveness training AbstrakPerilaku kekerasan adalah suatu keadaan dimana seseorang melakukan tindakan yang dapat membahayakan baik kepada diri sendiri maupun orang lain. Perilaku kekerasan yang terjadi pada klien skizofrenia perlu penanganan secara tepat agar tidak terjadi sesuatu yang tidak di inginkan. Assertiveness Training merupakan salah satu metode untuk mengontrol resiko perilaku kekerasan. Tujian karya tulis ilmiah ini adalah untuk mengetahui gambaran penerapan terapi Assertiveness Training terhadap penurunan resiko perilaku kekerasan pada klien skizofrenia. Desain karya tulis ilmiah ini adalah literature review. Hasil analisis didapatkan nilai rata-rata pre test sebesar 36,84 dan post test sebesar 26,12 dengan hasil p value sebesar 0,001, (<0,005). Kesimpulannya terdapat pengaruh terapi Assertiveness Training terhadap penurunan resiko perilaku kekerasan pada klien skizofrenia. Saran bagi tenaga keperawatan yaitu diharapkan dapat menerapkan terapi Assertiveness Training untuk menurunkan resiko perilaku kekerasan pada klien skizofrenia.Kata kunci: resiko perilaku kekerasan ; skizofrenia ; terapi assertiveness training


2020 ◽  
Vol 8 (2) ◽  
pp. 967-973
Author(s):  
Lin Herlina ◽  
Febi Risdayanti

Anak tunagrahita yaitu anak yang  memiliki  fungsi intelektual di bawah rata-rata (70) dan disertai dengan keterbatasan dalam kemampuan kognitif, kemampuan verbal, kemampuan motorik dan kemampuan sosialisasi. Sosialisasi adalah suatu proses seseorang belajar berperilaku tertentu sesuai dengan tuntunan budaya tempat ia hidup. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi aktivitas kelompok pada kemampuan sosialisasi anak tunagrahita sedang. Penelitian ini merupakan penelitian kuasi eksperimen dengan metode pendekatan one grouppretest-posttest, teknik pengambilan sampel dengan menggunakan purposive sampling dengan jumlah sampel 10 orang yaitu pada kelas 1 sampai kelas 4. Data diperoleh dengan cara observasi dan dianalisis secara statistika menggunakan analisa uji paired t-test, dengan tingkat signifikasi 0,05. Dari hasil penelitian didapatkan hasil sebelum dilakukan terapi dari 10 orang responden dengan nilai median11,50 dan nilai minimal 10 serta maksimal 14 dengan katagori tidak mampu, sedangkan setelah dilakukan terapi didapatkan hasil median 13,00 dengan nilai minimal 10 serta maksimal 17 dengan kategori mampu.Dari hasil uji statistik menggunakan paired sampel t-test didapatkan hasil atau nilai p value yaitu 0,000 yang artinya bahwa (0,000<0,05). Dengan demikian ada pengaruh terapi aktivitas kelompok terhadap kemampuan sosialisasi anak tunagrahita sedang di SLB-C  Pancaran Kasih Kota Cirebon 2017. Berdasarkan hasil penelitian terapi aktivitas kelompok terhadap kemampuan sosialisasi anak tunagrahita sedang di SLB-C Pancaran Kasih Kota Cirebon dengan metode bermain kartu diharapkan bisa menjadi bahan kegiatan untuk stimulasi kemampuan sosialisasi yang dapat dilakukan oleh sekolah maupun orang tua sesuai dengan SOP pada anak tunagrahitaKata Kunci          : Kemampuan sosialisasi anak tunagrahita  ABSTRACTChildren with intellectual challenges of children who have intellectual functioning below average (70) and is accompanied by limitations in cognitive abilities, verbal skills, motor skills and socialization skills.Socialization is a process of learning to behave in a particular manner in accordance with the guidance of the culture in which he lives. The purpose of this study was to determine the effect of group activity therapy on the ability of socialization of children with mental retradation. The purpose of this study was to determine the effect of group activity therapy on children with ental retradation socialization skills were. This research is a quasi-experimental approach method one group pretest-posttest, The sampling technique using purposive sampling with the number of samples 10 people are in classes 1 to 4. Data obtained by observation and analyzed statistically using analysis of paired t-test, with a significance level of 0.05. From the results obtained prior to therapy of the 10 respondents with a medianvalue11,50 and a minimum value of 10 and a maximum of 14 in the category of inadequacy, whereas after therapy showed a median of 13.00 with a minimum value of 10 and a maximum of 17 categories capable .From the results of statistical tests using paired sample t test or the results obtained p value is 0.000, which means that (0.000 <0.05). Thus there is the effect of group activity therapy to children with mental retradation socialization skills were in SLB-C Pancaran Kasih Cirebon 2017. Based on the results of group activity therapy on the ability of socialization of children mental retradation being in SLB-C Pancaran Kasih Cirebon with the method of playing cards is expected to be a material activity for the stimulation of socialization skills that can be done by schools and parents in accordance with SOP in children mental retradation.Keywords             : Socialization skills of children intellectual challenges


2019 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Retno Yuli Hastuti ◽  
Nur Wulan Agustin ◽  
Surya Hardyana

Salah satu tanda gejala negatif skizofrenia adalah isolasi sosial. Angka kejadian gangguan jiwa mencapai 2,3 permil dari jumlah penduduk. Langkah yang dapat diberikan untuk memfasilitasi pasien isolasi sosial social untuk melakukan sosialisasi secara bertahap melalui kegiatan permainan sosialisasi kelompok yaitu berupa terapi aktivitas kelompok menggunakan kartu kuartet. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan TAK : permainan kuartet terhadap kemampuan sosialisasi pada pasien isolasi sosial di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah. Jenis penelitian ini adalah quasy eksperimen dengan desain penelitian pre and post test without control. Jumlah sampel dalam penelitian ini sebanyak 13 responden. Tehnik pengambilan sampel menggunakan purposive sampling. Uji statistik bivariat menggunakan uji Wilcoxon.   Rata-rata umur responden dalam penelitian ini adalah 28,54 tahun dengan jenis kelamin laki-laki 7 orang. Tingkat pendidikan terbanyak SMP dengan jumlah 6 orang atau 46,2%. Pekerjaan responden terbanyak yaitu tidak bekerja 8 orang atau 61,5%. Kemampuan sosialisasi sebelum dilakukan intervensi TAK permainan kuartet tergolong kurang sebanyak 7 atau 53,8%. Sedangkan kemampuan sosialisasi setelah dilakukan intervensi TAK permainan kuartet terjadi peningkatan dimana kemampuan sosialisasi yang baik menjadi 10 orang (76,9%), dan penurunan pada kemampuan sosialisasi yang kurang menjadi 1 orang (7,7%). Hasil uji statistik dengan uji Wilcoxon diperoleh nilai p-value 0,003 atau (α<0,05).       Ada pengaruh penerapan TAK : permainan kuartet terhadap kemampuan sosialisasi pada pasien isolasi sosial di RSJD Dr. RM. Soedjarwadi Provinsi Jawa Tengah. Kata kunci : Kemampuan sosialisasi, TAK permainan kuartet, isolasi sosial. THE EFFECT OF TAK IMPLEMENTATIONS : THE QUARTET GAMES CONCERING WITH THE SOCIALIZATION SKILLS IN SOCIAL ISOLATION PATIENTS ABSTRACTOne of the negative skizofrenia indication is sosial isolation. The incidence of mental disorders reached 2.3 per cent of the population. The steps which can be given for the patient's facilitate with social relation  problems for socializing gradually through group socialization activities in the form of the group activity therapy using a quartet card.  The aim of this study was to find out the effect of TAK implementations : the quartet games concering with the socialization skills in social isolation patients at RSJD Dr. RM. Soedjarwadi Central Java. The types of this study is a quasy eksperimen with the research design pre and post test without control. The sample with the sampling of technique purposive sampling 13 respondence. The average age of respondents in this study is 28,54 years  with 7 man. The highest of education is SMP (junior high school) with 6 person or 46,2%. The highest of respondents work is a jobless 8 person or (61,5%). The socialization skills before the quartet quiz game intervention were classified  less than 7 or (53,8%).  While for the socialization ability after the quartet quiz game intervention was increased where the good socialization ability of 10 person (76,9%), and the decrease in the socialisation ability was less than 1 person(7,7%). The result of statistical test with wilcoxon obtained value p-value 0,003 or (α<0,05). There is the impactvof TAK : quartet game on socialization skills in social isolation patients at RSJD Dr. RM. Soedjarwadi Central Java.  Keywords : Socialization skills, TAK quartet games, social isolation. 


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