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Journal Articles
The American Journal of Occupational Therapy, 1997, Vol. 51(8), 686–692.
Published: 01 September 1997
Abstract
A phenomenological study explored occupational therapy students’ experiences in psychiatric fieldwork. Of particular interest was students’ understanding of professional behavior toward persons who use mental health services. Data were gathered from 16 informants via in-depth interviews and participant observation on multiple occasions during fieldwork affiliations. Emerging from informants’ views of professional behavior were difficulties in their reconciling conflicting expectations with regard to emotional and social distance from persons who use mental health services. Additionally, the informants experienced a need to assume authority and maintain control in their dealings with service users. Students’ encounters with such issues during fieldwork are indicative of challenges they may face as health professionals in a changing climate of mental health services. These data are stimuli for reflection on features of professional relationships with service users, particularly in response to expectations of persons with disabilities regarding control over their lives.
Journal Articles
The American Journal of Occupational Therapy, 1996, Vol. 50(10), 894–898.
Published: 01 November 1996
Journal Articles
The American Journal of Occupational Therapy, 1993, Vol. 47(10), 935–942.
Published: 01 October 1993
Abstract
The results of a previous inquiry suggest that three images of occupational therapists dominate patients’ stories about them: the images of technician, parent, and collaborator or friend. These ways of being in practice can be said to reflect the various understandings that therapists have about how to enact the profession’s commitment to both competence and caring. When therapists act as technicians or authoritarian parents, patients register their disappointment over a valuation of competence that excludes caring actions. In a more current inquiry into the climate of caring, patients and caregivers reflect about the current health care system and identify three societal constructs that shape a preference for competence over caring: (a) emphasis on the rational fixing of the health care problem, (b) overreliance on methods and protocols, and (c) a health care system driven by business, efficiency, and profit. Occupational therapists who are concerned about complaints that the health care system is increasingly uncaring might benefit from a consideration of the extent to which societal beliefs shape the manner in which they care.
Journal Articles
The American Journal of Occupational Therapy, 1987, Vol. 41(7), 449–453.
Published: 01 July 1987
Abstract
Occupational therapists conducting activity analyses often consider the effects of supplies and tools on group process. This study compared three levels of tool supply within the context of a stenciling activity: high scarcity (one essential tool per three subjects), moderate scarcity (two essential tools per three subjects), and no scarcity (three essential tools per three subjects). Thirty-six female subjects rated the activity using Osgood’s short-form semantic differential and MacKenzie’s Group Climate Questionnaire–Short Form. The data supported the hypothesis of higher group engagement scores in the moderate level of supply than in the high-scarcity or no-scarcity conditions. Though low in all conditions, conflict scores were especially low in the moderate scarcity condition. An unexpected result was found: Subjects experiencing high scarcity had the shortest completion time. No differences between the three supply levels in terms of affective meaning were found. The findings are discussed in terms of the literature of small groups and occupational therapy theory.
Journal Articles
The American Journal of Occupational Therapy, 1985, Vol. 39(12), 785–790.
Published: 01 December 1985
Abstract
The increased interest in administrative issues reflects the changing climate facing the profession of occupational therapy in the mid-1980s. The effect of the changing medical delivery system on the profession is evidenced through the development of home health organizations (HMOs), diagnostic-related group (DRG) systems, and other federal- and state-regulated systems. To ensure survival, the practice of occupational therapy will become more community based and less dependent on the hospital setting.
Journal Articles
The American Journal of Occupational Therapy, 1980, Vol. 34(8), 529–534.
Published: 01 August 1980