Hello All:

I  want  to  clarify that my below comments are NOT about ANYONE on this
list. They are just general comments directed to the list.

Thanks,

Ron

----- Original Message -----
From: Ron Carson <[EMAIL PROTECTED]>
Sent: Wednesday, September 12, 2007
To:   OTlist <[email protected]>
Subj: [OTlist] Occupatiaonl Experts?

RC> I think I've written on this before, if so bear with me.

RC> I  graduated  from  OT  school  in  1997.  During  my education, I never
RC> remember  hearing  the  word  "occupation".  Everything  I learned about
RC> occupation  initially  came  from  the  book,  "Enabling  Occupation: An
RC> Occupational  Therapy Perspective". This book changed my practice. A few
RC> years  later,  I began teaching at a University where I developed, wrote
RC> and  taught  courses  on  human  occupation. There is at least one of my
RC> students  on  this  list  and  she can testify that the human occupation
RC> course  was  about  human  occupation  theory. Basically, the course was
RC> about  how  and  why  humans engage in occupation/life. I am certainly a
RC> long  way  from  being  an expert, but I know more than the average bear
RC> about human occupation.

RC> The reason I type all the above is because when AOTA came out with their
RC> Practice  Framework,  OT's  INSTANTLY were pronounced "experts" in human
RC> occupation. I have disagreed with that assertion since day one.

RC> Messages  that  I read in OT-related publications and websites reinforce
RC> the  notion  that  most  OT's are only minimally versed in occupation. I
RC> constantly  read  about "activities" being referred to as occupation. Or
RC> about  engaging patients in occupation when in reality they are the same
RC> old  patterns  of  treatment.  In essence, old practice patterns are now
RC> being called by a new name. Here's an example that I JUST found.

RC> "Occupations  All  Around  You"
RC> "Would  you  rather stand and reach for plastic cones, or stand an reach
RC> up to hand up decoration for a wedding to increase your balance and ROM"

RC> It's  great  that  this  OT  at  an ALF facility is using things besides
RC> cones,  but  having  someone engage in an "occupation" to increase their
RC> ROM  is  NOT  occupation. For as long as I've been practicing, OT's have
RC> used  such  activity  (i.e.  the recent "silverware" messages" to engage
RC> patients  in  balance activity. Basically, the author is taking the same
RC> old stuff and couching it in a new term, "occupation".

RC> I  really  struggle  to  see  how OT can be "experts" in occupation when
RC> they've  never  been deeply educated on the subject. Here's a definition
RC> of  expert: "An expert is someone widely recognized as a reliable source
RC> of  knowledge, technique, or skill whose judgement is accorded authority
RC> and status by the public or their peers."

RC> Expertise  is not something that's easily given. It's something that you
RC> "earn",  isn't it? To me this is just one more example of where OT say's
RC> one thing but then does something totally different.

RC> Just  for  reference,  I've  copied the table of contents for my lecture
RC> guide on human occupation. The formatting is messed up, but it give some
RC> idea of the topics. There is a lot more that could be added to syllabus.

RC> ====================================================================


RC> Practicing Occupation-Based Practice
RC>         Barriers

RC> AOTA Position Papers
RC>         Occupation:
RC>         Occupational Performance:
RC>         Independence:
RC> Understanding Occupation and Occupational therapy –
RC> Order and Disorder in Medicine and Occupational Therapy

RC> Meaning and Occupation;
RC>         Searching for and finding meaning in our lives
RC>         Carl Rogers; (developing a therapeutic relationship)

RC> Occupational Competence Across The Lifespan

RC> How Do We Discover Meaning In Life: Flow
RC>         What is life?
RC>         How Do We Create A Life Worth Living: By Understanding What
RC>         Creates And Impacts Flow Experiences:

RC> The Model of Human Occupation
RC>         The Human System
RC>         Organization of Human Systems

RC> Enabling Occupation

RC> Seven Stages Of The Occupational Performance Process Model:
RC> A Step-By-Step Approach To Occupational Therapy Treatment.

RC> Person-Environment Occupational Performance Model
RC>         Foundations
RC>         The person – understanding motivation and self- perceptions
RC>         Applying the model - general concepts


RC> =====================================================================

RC> Ron

RC> --
RC> "... as a profession that offers unique services that are ideally suited
RC> to  meet  the health, participation, and quality of life needs of people
RC> of  all  ages,  occupational  therapy  is well-positioned to succeed and
RC> flourish in the 21st century." [Fred Somers, AJOT, April, 2005, p. 127]

RC> "The  part of convalescence that I found most profoundly humiliating and
RC> depressing  was  [OT]...  I was reduced to playing with brightly colored
RC> plastic  letters  ...  like  a three-year-old..." [AJOT, April, 2005, p.
RC> 231]




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