Conception Of Occupational Therapy

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The World Federation of Occupational Therapists (WFOT) defines occupation as “…the everyday activities that people do … to occupy time and bring meaning and purpose to life” (“Definition of Occupational Therapy”, n.d.). These activities include the things people need to, want to and are expected to do. The first categorization system of occupation was developed in 1919 by Dunton and was based on the human capacities needed to participate in the occupation – either mental or physical. Since its conception a variety of categorization systems have been developed, leading to the currently used purpose based system which organizes occupation into the categories of self-care, productivity and leisure (Townsend & Polatajko, 2013, p. 42). In this paper …show more content…

Preoccupation with the organization of human activity into these purpose based categories ignores the subjective experience of occupational engagement (Hammell, 2009b) and represents a disconnect with the profession’s focus on the client’s perspectives and meaning-making. In fact, research has shown that the ways in which client’s perceive the occupations they engage in is incongruent with the purpose based categories of self-care, productivity and leisure. In a 2004 study assessing the life experiences of individuals with complete high spinal cord injury, Hammell observed that study participants’ experience of occupation did not align with the occupational categories of self-care, productivity and leisure. Instead, the participants identified important occupational experiences such as contributing to society or performing a task with another person (Hammell, 2004). Not surprisingly, several other studies have documented similar incongruences (Hammell, 2009b, p. 108). Occupational therapy, a profession whose core centers on client-centeredness, should categorize occupation based on the ways in which it is perceived and experienced by the client. Further, it is not the function of the occupation, either allowing one to engage in self-care, be productive or participate in …show more content…

These categories also suffer limitation due to being culturally specific and therefore lacking in generalizability, hindering the professions ability to provide appropriate services to those of all cultures. In the modern world very few societies are culturally homogenous, and for the occupational therapy profession to adapt the profession’s ideology must take into consideration the values, beliefs and world-views of other cultures. One of the largest problems lies in the deeply rooted assumption within occupational therapy ideology that human activity can be categorized into three categories – self-care, productivity and leisure – and the idea that these three categories represent the purposes of all human activities. These categories reflect independence and self-reliance, concepts that are alien to those who belong to cultures whose values center on social relationships, interdependence and belonging (Hammell, 2009a). For example, Asian culture highly emphasizes and encourages children to be dependent on their parents and for parents to predict the needs of their children, while Western culture emphasizes and encourages the opposite. Individuals from collectivist societies place greater emphasis on the group and do not devalue dependence on others, while those from individualistic societies place greater emphasis on individual achievement and view

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