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Occupation emerges in the process of therapy. | LitMetric

Occupation emerges in the process of therapy.

Am J Occup Ther

University of Utah, Division of Occupational Therapy, 520 Wakara Way, Salt Lake City, UT 84108, USA.

Published: August 2007

AI Article Synopsis

  • - The article critiques existing definitions of occupation-based practice in therapy, highlighting that they overlook the importance of the therapeutic relationship and the creation of meaning throughout the process.
  • - Through observations and interviews with an occupational therapist working with a child named Hannah, various therapeutic strategies were identified, such as adjusting conditions and fostering social participation.
  • - The findings suggest that occupation is a collaborative endeavor, evolving as the therapist and client work together to shape Hannah's personal goals of attending preschool and enhancing her social skills.

Article Abstract

Objective: The current literature offers no cohesive definition of occupation-based practice. Current definitions emphasize intervention forms and contexts, which do not reflect the complexity of practice. This article demonstrates that the therapeutic relationship and the meanings that are created in the therapy process are central aspects of occupation-based practice. Occupation, as an idea that emerges in the therapeutic process, has aspects of both doing and becoming.

Method: The authors conducted observation sessions and interviews with an occupational therapist, Nancy, who used multiple therapeutic strategies with one child, Hannah, as they worked toward Hannah's goals of going to preschool and becoming a friend.

Results: Strategies include changing therapeutic conditions, using cognitive strategies, bridging the person-task-social context, pushing participation, and engaging in narrative micronegotiations.

Conclusion: Occupation emerged in the therapeutic processes as the occupational therapist and client co-created meaning about the client moving toward or away from who she wanted to become.

Download full-text PDF

Source
http://dx.doi.org/10.5014/ajot.61.4.441DOI Listing

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