Weiste2020

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Weiste2020
BibType INCOLLECTION
Key Weiste2020
Author(s) Elina Weiste
Title Co-constructing Desired Activities: Small-Scale Activity Decisions in Occupational Therapy
Editor(s) Camilla Lindholm, Melisa Stevanovic, Elina Weiste
Tag(s) EMCA, Activity, Collaboration, Decision making, Occupational therapy, Participation, Proposal, Psychiatric outpatient care, Rehabilitation
Publisher Palgrave Macmillan
Year 2020
Language English
City Cham
Month
Journal
Volume
Number
Pages 235-252
URL Link
DOI 10.1007/978-3-030-43531-8_10
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title Joint Decision Making in Mental Health: An Interactional Approach
Chapter

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Abstract

In occupational therapy, a therapist and client engage in shared activities that they perform collaboratively during therapeutic sessions. An important part of this joint performance involves providing the client with the opportunity to make short-term decisions on the activities they wish to perform. Analyzing 15 occupational therapy encounters at psychiatric outpatient clinics, the chapter explores the functions of these small-scale decisions. The analysis demonstrates that therapists (1) make room for the client’s proposals by shaping the activity context and (2) make proposals themselves on the ways the performance should be accomplished. To summarize, clients are given decision-making power over the content of the activity, whereas therapists use their decision-making power to assist the client’s performance. The analysis shows how small-scale decisions can be employed to construct the occupational performance as shared endeavors and to position the clients as active subjects rather than objects of the professionals’ performance.

Notes