Category Archives: PhD
O is for… (#atozchallenge)
O is for…
Occupational Therapy, Occupational Science and all things Occupation
I shall start with a couple of definitions:
‘Occupation: A group of activities that has personal and sociocultural meaning, is named within a culture and supports participation in society. Occupations can be categorized as self-care, productivity and/or leisure.’ (Creek, 2010 p. 25)
‘Engagement: A sense of involvement, choice, positive meaning and commitment while performing an occupation or activity.’ (Creek, 2010 p. 25)
In short then Occupational Therapists help people engage with the occupations in their lives. Additionally we can use these same occupations in our intervention plans with clients.
A fellow OT, Bridgett Piernik-Yoder, completing the a-z challenge on all things OT, posted for D on the domain of the OT and looks at what OTs do in more detail. Please check out her post here.
The British Association/College of Occupational Therapists has recently produced a range of videos showing how OTs might work with clients with a number of conditions.
Occupational Therapists could however work with anybody who is experiencing a change in their normal occupational pattern (or occupational disruption) whether they have a recognised disability or medical condition or not. Some of the potential areas I personally think OTs could work are, with new parents (what a disruption), older people entering retirement (it can be more challenging than you think having all that free time ;)) and students starting university (I know I could have done with some additional cookery and domestic skills!).
Prior to becoming a lecturer in OT I worked in physical rehabilitation, most recently with older adults following a fall or with adults of any age post stroke. I facilitated clients to work on goals as diverse as making themselves a hot drink and carrying it through to the lounge to learning how to type and send an e-mail to preparing someone to return to employment. Interventions were as varied as fabricating hand splints, taking someone shopping to work on their memory and sequencing, providing equipment at home, teaching alternative strategies, such as how to dress using one handed techniques, working on strength and balance and falls safety in a falls group and completing a work place visit to assess what demands would be placed on someone with lasting cognitive impairment.
I have to say that I loved this variety and the contact with clients and their carers and I do sometimes miss it but I really enjoy educating future practitioners too.
One of the best things about returning to academia has been revisiting the theory that underpins occupational therapy practice and really gaining an appreciation of my, and our, profession’s core underlying belief that occupational engagement can affect our health and wellbeing. It is this that has driven my topic for my PhD research. An occupational exploration of creative writing as an occupation.
Another definition for you now:
‘Occupational Science: Academic discipline of the social sciences aimed at producing a body of knowledge on occupation through theory generation, and systematic, disciplined methods of inquiry.’ (Creek, 2010, p. 29)
Everybody is now focussed on delivering evidence based interventions and occupational science aims to help provide this supporting knowledge for our profession as well as society as a whole. (Just a note that Occupational Scientists are not always OTs, but can amd should be anyone interested in the science of doing).
Personally I am not going to be looking at creative writing as therapy (at least not for for my PhD, maybe later) but I will be exploring why writers write and what that can teach us about that occupation and occupations in general.
Wish me luck.
I hope that this post has helped you understand OT a little better; it is a fantastic profession to be a part of and I really hope the value of our services are seen as vital to however health and social care ends up being structured in the UK. On my to do list is to speak to my local MP about Occupational Therapy, why not speak to yours too?
References
Creek, J., 2010. The Core Concepts of Occupational Therapy: a dynamic framework for practice. London: Jessica Kingsley Publishers.
I would like to say the above represents my own opinions and may not reflect that of all OTs.
Any questions or comments please share below.
K is for… (#atozchallenge)
K is for…
Kate Monster
K was going to be for the Kawa River Model and Kielhofner (with MOHO)(See my occupational therapy links widget for more info. These are two occupational therapy practice models that I am interested to explore further to see if any of their concepts might apply to my PhD research. Please feel free to share your views. It could also have been for Kindle (I have one, not used it too much) – there are big debates going on about whether Kindles are helping authors or not.
But, I really don’t have time for blogging today so K is now for Kate Monster. I have just been to see the musical Avenue Q at the Mayflower in Southampton. Kate Monster is one of the puppet characters, she is a single girl at the start of the show and she is actually quite similar to me (I felt her songs!). I have to say I absolutely loved this show, it is hilarious. Do go and see it if you can – but it is not one for the kids these are most definitely adult puppets. With songs with titles such as ‘The Internet is for Porn’ and ‘Everyone’s a little bit racist’ you can’t be too surprised I guess.
I’ve just ordered the soundtrack Avenue Q – The Musical [Soundtrack] (sponsored link) from Amazon so hope to be singing along by Friday.
I is for… (#atozchallenge)
- I is for…
- Clark, F.A, Jackson, J. and Carlson, M. 2004. Occupational Science, Occupational Therapy and Evidence-based Practice: What the Well Elderly Study has Taught Us. In: Molineux, M. 2004. Occupation for Occupational Therapists. Oxford: Blackwell Publications, 200-218.
- Iwama, M. 2010. Cultural Perspectives on Occupation. In. Christiansen, C.H., Townsend, E.A., 2010. Introduction to Occupation: The Art and Science of Living, 2nd ed. New Jersey: Pearson, 35-55.
- Wilcock, A.A. 2003. Occupational Science: The Study of Humans as Occupational Beings. In: Kramer, P., Hinojosa, J., Brasic Royeen, C. 2003. Perspectives in Human Occupation: Participation in Life. Philadeplhia: Lippincott Williams & Wilkins, 156-180.
Identity (and iPad)
As you may have seen my blog is not just on one theme, it’s not just a writing blog, not just an OT blog, not just a PhD student blog (not yet even but elements coming soon), it’s a me blog (ooo doesn’t that sound self-centred?). Now I could have had two or three separate blogs but I would find it so difficult to split what went where. All of these different elements form my identity and I wouldn’t feel right splitting them.
As an occupational therapist I believe that our sense of self and identity comes from what we do (the ‘occupations’ or activities we engage in our daily lives) and the roles we play. As such our occupations play a huge part in our personal feelings of health and wellbeing.
Wilcock (2003, p. 175) cite Whiteford and Wicks (2000, p.48) who discuss the idea of an ‘occupational persona’:
“That dimension of self shaped by a myriad of factors both biological and sociocultural, which is predisposed, as well as driven toward, engagement in certain types of occupations. Through the process of such engagement and the outcomes generated, the occupational persona is shaped, and to some extent reinvented over time.”
Iwama (2010) also suggests that self is ‘embedded in the environment‘.
To me these quotes mean that aspects of our personal nature (things like being an owl or a lark, short or tall, shy or extrovert) as well as nurture (how/where we are bought up, what opportunities we were afforded) as well as our environmental contexts (the place we live and work and socialise), the people around us, the culture we are, shape what we do and thus our identity. This can change and develop over time.
I always hear people I know, and myself, saying “I couldn’t do what they do”. This is most definitely a good thing. After all we need all types of people doing all types of things to make society work.
Within the last few years I have been diagnosed with dyspraxia, I’ve clearly always been dyspraxic and having read about the condition I can see that it has always affected me. Although I now tick the box to say I have a disability, generally I would not identify myself as disabled. Others though may feel differently and if I had had this diagnosis earlier in life maybe I would have a different opinion of this and a different identity. Disability then, to me, isn’t an automatic feature of having a specific health condition if you can still accomplish what you want or need to. At times I feel perhaps that I have been made to feel disabled by environments or processes around me. This is a common theme in literature about disability, that people are disabled by their environment (whether this is physical or in terms of the attitudes of those around them) rather than by the condition or label they are given.
Instead I identify with being an OT (even though I am not currently practising, my current emersion in occupational literature, teaching about OT, communicating with other OTs (via Twitter and Blogs even)and students on placement), a lecturer (through writing and presenting lectures, facilitating group sessions), a writer (through writing, reading about writing, blogging, running an online writing community, thinking about writing), a sister, a daughter, a granddaughter, a friend (through spending time socialising, talking on the phone, visiting, listening to, laughing with etc).
I also look forward to, in future, developing my potential roles and occupations in being a researcher, a girlfriend, a wife, a mother, grandmother etc. Knowing some new mothers I do think that it is likely that my identity in terms of my work and the importance that plays in my life may change (and probably rightly so).
It may be that identity is transient but there are some occupational identities that I think stay with us, like a fellow OT @claireOT said to myself and @GentleChaos on Twitter, “once an OT, always an OT. (like king or queen of Narnia. and order of phoenix, obvs.)”. I think that’s true and that I will always be an occupational therapist and possibly always have been without having a word to call it (it is weird how when a new group of students arrive in the university you can almost always identify them relating to the profession they are enrolled in).
How does this apply to life or practice? For therapists, or people in general, I think at times we can impose an identity on someone based on their condition, e.g. a stroke survivor, a person with a learning disability, a person with depression. But we need to look beyond this to what they have done in the past, what they do now and importantly what they’d like to do. We can do this by simply taking the time to talk to that person and find out. The stroke survivor may have been an astronaut, the person with a learning disability may enjoy acting in a theatre group, the person with depression might be you or me.
Please feel free to leave comments – I have no questions for you today but an activity:
Activity for you to post to your blogs (please link back here or place a link in the comments)
(This activity is taken (with only minor amendments) from Clark et al, 2004, p. 214)
Collect together ten pictures of yourself taking part in occupations (or activities) that best characterise your sense of self. Arrange them in an order that shows us your story (e.g. chapters of your life, different elements such as work, rest and play). Tell us a little about them and in essence your identity. These pictures can be from past and present. You may want to add pictures of occupations you would like to become involved in (though you won’t have pictures of you doing this unless you photoshop them).
(I’ll try and do this too – I’ve not got the pictures ready though)
References
I’ve got to squeeze a word or two in for my iPad which I think has solidified my identity as a gadget geek. I do plan to do a top 10 apps feature (or two or three) after the A-Z challenge has finished.
I hope this post makes sense, I’ve had to do it in a but more of a rush than I’d like because some of my other occupational identities have taken over!!







