When a Mother Is Depressed

Abstract

The literature related to mother-child interaction when a mother is depressed and a framework for addressing mother-child co-occupations for mothers with depression and their young children is provided. An in-depth case example that spans mother-infant occupation- based intervention during a short-term psychiatric hospitalization through home-based occupation-based intervention is provided.     

A Mixed Methods Study of the Re-Animation Approach Within a Forensic Mental Health Setting

This mixed-methods study investigated the impact of the Re-Animation Approach, a creative occupational therapy, on the well-being and occupational performance of three male patients in a forensic mental health setting. Quantitative data were gathered through goal attainment scaling (GAS) and qualitative data using semi-structured interviews. GAS t-scores demonstrated an over-achievement of expected outcomes in goals related to improving skills, well-being, and time use. Issues emerging from thematic analysis of the interviews are consistent with the GAS results. The Re-Animation Approach had a positive impact on participants’ health and well-being, addressed a range of occupational needs, and can be graded.     

One Parent-Child Activity Group

Abstract

The framework that the author developed for parent-child activity groups is described. This is followed by “snapshots” of a group session to enhance the readers' understanding of the framework. Excerpts of the author's logs from her participant observation of the parent-child activity group that she studied are organized sequentially to provide examples of each part of a parent-child activity group session.     

Managing occupational stress: A national and international perspective

Theoretical models of occupational stress are important because they suggest a focus for intervention, and inform practice. The gap between research and practice was exposed most recently by Burke (1993) claiming little awareness of research findings by practitioners (managers, consultants, clinicians), little intervention activity being undertaken at the organizational level, little research being undertaken to determine the effectiveness of individual level interventions, and only modest use of work research findings for intervention and policy development (p. 85). This paper discusses the issue of intervention, and examines values, assumptions and the politics of applied research. A critical review of the evaluation studies of individual vs. organizational level interventions is undertaken and finally the problem of occupational stress as a national and international issue is considered.     

Identification of the People and Critique of the Ideas in Meyer’s Philosophy of Occupation Therapy

This article identifies the people Meyer mentions in his article, “Philosophy of Occupation Therapy,” published in Archives of Occupational Therapy (Meyer, 1922c Meyer, A. (1922c). Philosophy of occupation therapy. Archives of Occupational Therapy, 1(1), 1–10. [Reprinted in American Journal of Occupational Therapy, 31(10), 639–642]. [Google Scholar]) and critiques the ideas discussed. Because there is no list of references provided within the article itself, the researcher selected the methodology of source criticism to identify the names of individuals appearing in the text—locating each person’s publications and analyzing the publications for influential ideas. Twenty-one names were found and publications were located for 15. Ideas were identified and analyzed. Finally, Meyer’s ideas were compared to current models of practice and a proposed reference list was created.     

Examining the Meaning of Training Animals: A Photovoice Study With At-Risk Youth

Using the photovoice method, we explored the benefits of engaging in a rescue-animal training program for at-risk youth. While participating in the community-based program, five adolescent males in residential care took pictures and shared their experiences through interview and focus groups. Six themes emerged: Gaining patience, forming an attachment to the dog, wanting to better themselves or make better choices, helping others or volunteering, teaching, and relating to the dog. Individually and collectively, the themes suggest that training rescue animals may be a meaningful occupation for at-risk youth and may provide therapeutic benefits.     

Therapeutic Relationships Re-Defined

Abstract

The therapeutic relationship has traditionally been central to occupational therapy. This study surveyed 129 practicing occupational therapists in Connecticut, concerning how they define and use the therapeutic relationship with clients in today's cost-conscious health care environment. The following four hypotheses: (1) Therapeutic relationships are related to functional outcome, (2) Definitions of therapeutic relationships include words and phrases expressed in the literature and by experts, (3) There are differences in perceptions of therapeutic relationships among pediatric, adult, and geriatric specialty subgroups, (4) Most occupational therapists learned skills in developing therapeutic relationships “on the job,” rather than during professional education, were all supported. This study reaffirms the importance of the therapeutic relationship in occupational therapy practice and provides an updated definition: A trusting connection and rapport established between therapist and client through collaboration, communication, therapist empathy and mutual understanding and respect.     

Burnout and occupational participation among dentists with teaching responsibilities in universities

The aim of this study was to investigate the levels of burnout and explore the relationships between burnout and occupational participation among dentists with teaching responsibilities. Canadian Occupational Performance Measure (COPM) was used to evaluate occupational participation with questions on demographic information among 155 dentists with teaching responsibilities. Age, gender, years of experience, academic position were the factors affecting level of burnout and occupational participation. Occupational performance score was negatively correlated with emotional exhausment (r = –.731) and depersonalization (r = –.693) while positively correlated with personal accomplishment (r = .611). Occupational satisfaction scores were negatively correlated with emotional exhausment (r = –.631) and depersonalization (r = –.625) while positively correlated with personal accomplishment (r = .614). Occupational participation level can effect burnout among dentists with teaching responsibilities. Further studies with a larger sample are needed to investigate these preliminary results deeply.     

Powerful Occupational Therapists: A Community of Professionals, 1950–1980

A powerful community of therapists changed occupational therapy in the United States between 1950 until 1980. These innovators, primarily women, strategically positioned themselves to market the emerging profession. These therapists, categorized as theorists and futurists, political movers and new and old guard sustainers, determined occupational therapy's direction. Participating in the 1950s rehabilitation, the 1960s equal rights, and the 1970s women's movements, the community of therapists separated from the male-dominated medical model to gain professional and scientific authority. An internal tension arouse between those therapists embracing an objective, and arguably male, science and those supporting a characteristically feminine caring philosophical base.