Meaning and Misunderstanding in Occupational Forms: A Study of Therapeutic Goal Setting

Kielhofner, Gary; Barrett, Laura

doi:10.5014/ajot.52.5.345

Cited by 44 publications

(34 citation statements)

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“…Meaningful experiences are hermeneutic in nature and require that the occupational therapist leave behind an objectivity-seeking client -therapist relationship in favour of a more sympathetic relationship [62]. In a study reported by Kielhofner & Barrett [63], these different approaches led the occupational therapists to intensify their efforts to encourage clients towards performances that did not resonate with the clients' experiences of reality. The current paper was inspired by different authors, e.g.…”

Section: Discussionmentioning

confidence: 96%

Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis

Persson

Erlandsson²,

Eklund³

et al. 2001

Scandinavian Journal of Occupational Therapy

203

232

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Persson D, Erlandsson L-K, Eklund M, Iwarsson S. Value dimensions, meaning, and complexity in human occupation -a tentati×e structure for analysis. Scand J Occup Ther 2001; 8: 7-18. In occupational therapy and occupational science, it is important to clarify the perspective from which the analysis of occupation is addressed. The purpose of this paper is to present a tentative structure for describing occupation, allowing for analysis in a lifelong panorama as well as for the immediate experience a person acquires from performing a single occupation. The concept of occupational value is introduced as a prerequisite for meaning, de ning three different dimensions: concrete, symbolic, and self-reward value. A dynamic categorisation of single occupations is presented, considering each unique occupational performance viewed from a macro, meso, and a micro perspective, inspired by dynamic systems theory. It is proposed that all occupations are meaningful if they are integrated parts of a person's occupational continuity, and that it is the interaction between the mentioned three perspectives that determines their meaningfulness. With an explicit focus on value and meaning as perceived by the unique person, occupational therapists will become more skilled in designing meaningful occupational therapy interventions. This paper is a contribution to the development of occupational science as well as to occupational therapy, but the theoretical framework presented must be empirically tested in order to demonstrate its validity.

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Section: Discussionmentioning

confidence: 96%

Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis

Persson

Erlandsson²,

Eklund³

et al. 2001

Scandinavian Journal of Occupational Therapy

203

232

View full text Add to dashboard Cite

show abstract

“…Patient education can be considered essential, since the patient should be aware that part of the rehabilitation process includes decision making. [21][22][23] The patient in that way is motivated to follow treatment and take control of his/her progress. 21 The interventions mentioned above can be implemented in the multidisciplinary approach as the physiotherapy component and thus result in a comprehensive treatment approach.…”

Section: Constructing An Evidence-based Rehabilitation Strategymentioning

confidence: 98%

Conservative treatment of thoracic outlet syndrome (TOS): Creating an evidence-based strategy through critical research appraisal

Balakatounis

Angoules

Panagiotopoulou

2007

Current Orthopaedics

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“…Perhaps not coincidentally, a major research and clinical effort is under way to ascertain subtle cognitive impairments earlier, to differentiate the subtypes of dementia, and to identify individual responder subtypes to available agents in a given population (e.g., Graham et al, 1997;Hageman & Arrindell, 1999;Mitnitski et al, 1997;Ritchie, 1997;Ritchie et al, 2000). And, rather than relying on those standardized, objective psychometric measures of efficacy required since 1990 by the United States Food and Drug Administration (Leber, 1990)) which was concerned that pharmaceutical companies might not be rigorous in their testing procedures, there is now a call for sensitivity to more clinically meaningful outcomes (Joffres et al, 2000;Kielhofner & Barrett, 1998;Mallinson et al, 1996). This necessarily requires a different approach to measuring outcomes.…”

Section: Harbinger Of Hope or Commodity Fetishism: "Re-cognizing" Demmentioning

confidence: 98%

Harbinger of Hope or Commodity Fetishism: “Re-cognizing” Dementia in an Age of Therapeutic Agents

Graham

2001

Int. Psychogeriatr.

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Choices abound while we await that pharmacogenetic fix that will save each one of us from all that is our individual and collective fate, contingent of course upon panopticon surveillance of our genetic susceptibilities and environmental triggers. The past decade has offered hope to those families facing the impenetrable shroud characterizing cognitive decline and dementia. Sufferers and their physicians have a growing compendium of pharmaceutical therapeutic interventions to attempt to stave off the usual, if not necessarily mindful, course of illness progression. In January 2001, the acetylcholinesterase inhibitors donepezil, rivastigmine, and galantamine were made available in the National Health Service in the United Kingdom, and some are on the formulary of five provinces in Canada. Those provincial pharmacare programs still refusing to provide these therapies free to the elderly cite lack of evidence of efficacy, following Cochrane guidelines based upon systematic review of the best evidence available using randomized controlled trials. Advocates for public funding of the pharmaceutical agents, on the other hand, cite a narratively rich, heart felt host of behavioral and affective symptoms stabilized or boosted by these drugs. And so, the two solitudes are drawn between science and humanity, between the cold guardians of the public purse and the caring humanitarians.

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Meaning and Misunderstanding in Occupational Forms: A Study of Therapeutic Goal Setting

Abstract: The findings underscore the importance of recognizing that occupational forms are embedded in social processes and perspectives that inevitably come into play when occupational forms are used as therapy.

Cited by 44 publications

References 0 publications

Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis

Value Dimensions, Meaning, and Complexity in Human Occupation - A Tentative Structure for Analysis

Conservative treatment of thoracic outlet syndrome (TOS): Creating an evidence-based strategy through critical research appraisal

Harbinger of Hope or Commodity Fetishism: “Re-cognizing” Dementia in an Age of Therapeutic Agents

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