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Health, the Body and Occupational Therapy
Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
2000 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 7, no 1, p. 26-32Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to identify and characterise conceptions of health in a group of experienced occupational therapists. Data-collection involved the occupational therapists´ personal accounts of the meaning of health and data analysis was accomplished qualitatively. The material was found to comprise 52 distinguishable articulations of the meaning of health, which were categorized under three main themes: 22 articulations of Health as “feeling fine“; 20 articulations of Health as ability to act; and 10 articulations of Health as an objective state of body and/or mind. The results show a very strong tendency towards holistic health conceptions and also toward a phenomenological view on the body. If this tendency should be taken to reflect current basic views within the profession this would indicate a movement away from biomedical frames of reference on the theoretical level. This would seem to imply consequent movements on the practice level away from organ focused interventions to the benefit of interventions in the person/context dimension of occupational performance. Studies of processes of change seem to be needed and we suggest that a paradigm theory approach probably be most pertinent.

Place, publisher, year, edition, pages
2000. Vol. 7, no 1, p. 26-32
Keyword [en]
Explorative/descriptive study, health notions, holistic/biostatistic health-theory, two-body practice.
National Category
Occupational Therapy Other Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-6163OAI: oai:DiVA.org:hj-6163DiVA, id: diva2:36983
Available from: 2007-10-21 Created: 2007-10-21 Last updated: 2017-12-12Bibliographically approved
In thesis
1. On the structure and contents of occupational therapist paradigms: empirical studies of occupational therapy students' and occupational therapists' views on occupational therapy
Open this publication in new window or tab >>On the structure and contents of occupational therapist paradigms: empirical studies of occupational therapy students' and occupational therapists' views on occupational therapy
2000 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The ambition of this thesis is to contribute, from a paradigm theoretical frame of reference, to the development of occupational therapy knowledge in Sweden.

The specified thesis aim was to identify and characterize occupational therapy students´ and occupational therapists´ perceptions of occupational therapy, especially regarding world view and field of action view in Törnebohm´s sense.

The thesis includes five sub-studies. The first and second studies are based on newly enrolled and qualified occupational therapy students´ written answers to essay-questions. The third study comprises occupational therapists´ audio- and video-taped thematic discussions and involves a focus group approach. Study four concerns occupational therapists´ exam papers and study five occuptional therapists´ personal accounts of the meaning of health.

In study one the newly enrolled occupational therapy students were shown to possess varied information about occupational therapy, but to have difficulty in joining the information together into a coherent unity. Three themes were identified in the material: Notions of some concepts fundamental to occupational therapy; Notions of the setting of occupational therapy; and Notions of the operational reality of occupational therapy.

In study two a major finding was that the qualified occupational therapy students´ notions gave expression to a constant application of a holistic health perspective which, in contrast to that of newly enrolled occupational therapy students, resulted in numerous examples of interrelations within, but also between, themes belonging to different paradigm components. According to Törnebohm this is characteristic of paradigms.

In study three the results showed several unifying factors within the two paradigm components world view and field of action view, and the dissimilarities were limited to specifications within the unifying factors, with regard to the respondents´ notions. The unifying factors could be described as a potential local ideology for the group. A major finding is that the las-ting core of occupational therapy work consists of three components: concern for uniqueness of patients; concern for details of everyday life; and concern to set free willpower/facilitate autonomous actions.

In study four the occupational therapists´ interest in research subjects related to the field of action view components of paradigms and in applied research on strategical matters, dominated throughout the material. The interest in research subjects related to the world view components of paradigms, and in basic research on ontological matters, however, was shown to have increased in the last five-year period.

In study five the results showed a strong tendency towards holistic health conceptions and also towards a phenomenological view of the body. If this tendency should be taken to reflect current basic views within the profession, it would indicate a movement away from biomedical frames of reference on the theoretical level. This would seem to imply consequent movements on the practice level away from organ-focused interventions to the benefit of interventions in the person/context dimension of occupational performance.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2000. p. 105
Keyword
Empiriska studier, paradigm, vetenskapsteori
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hj:diva-6152 (URN)91-628-3986-1 (ISBN)
Public defence
(English)
Available from: 2007-10-19 Created: 2007-10-19 Last updated: 2010-04-30Bibliographically approved

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