Maintaining occupation-based practice in Australian mental health practice: A critical stance / Samantha Ashby in The British Journal of Occupational Therapy, Volume 78 numéro 7 (Juillet 2015)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.431-439 Titre : Maintaining occupation-based practice in Australian mental health practice: A critical stance Type de document : texte imprimé Auteurs : Samantha Ashby, Auteur ; Mel Gray, Auteur ; Susan Ryan, Auteur Année de publication : 2015 Article en page(s) : p.431-439 Langues : Anglais (eng) Mots-clés : Occupational therapy  professional identity  personal paradigms Résumé : Introduction This paper explores the way dominant discourses, and their associated practice knowledge dimensions, shape personal paradigms and occupation-based practice in mental health workplaces. Method Narrative inquiry methods and narrative thematic analysis was used to explore the career stories of nine occupational therapists who had worked in mental health practice for more than five years. Findings The main narrative themes to emerge were (i) living with the biomedical practice knowledge discourse, (ii) living with the psychological practice knowledge discourse and (iii) reflection as a strategy for maintaining occupation-based practice. These discourses created the need to reflect on practice and adopt strategies to avoid the marginalisation of occupational perspectives and occupation-based practice. The strategies used to cope with these discourses varied from acceptance and embracing of other discourses to resistance and rejection. Conclusion This paper demonstrates that in some mental health workplaces there is a danger that occupational perspectives and occupation-based practice can become marginalised. Making visible the different discourses in mental health practice allows occupational therapists to analyse, better understand, and live with the tensions in their professional lives. This requires professional support strategies to be in place to maintain occupation-based practices and retain practitioners in the workforce. Permalink : ./index.php?lvl=notice_display&id=40382 [article] Maintaining occupation-based practice in Australian mental health practice: A critical stance [texte imprimé] / Samantha Ashby, Auteur ; Mel Gray, Auteur ; Susan Ryan, Auteur . - 2015 . - p.431-439. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 7 (Juillet 2015) . - p.431-439 Mots-clés : Occupational therapy  professional identity  personal paradigms Résumé : Introduction This paper explores the way dominant discourses, and their associated practice knowledge dimensions, shape personal paradigms and occupation-based practice in mental health workplaces. Method Narrative inquiry methods and narrative thematic analysis was used to explore the career stories of nine occupational therapists who had worked in mental health practice for more than five years. Findings The main narrative themes to emerge were (i) living with the biomedical practice knowledge discourse, (ii) living with the psychological practice knowledge discourse and (iii) reflection as a strategy for maintaining occupation-based practice. These discourses created the need to reflect on practice and adopt strategies to avoid the marginalisation of occupational perspectives and occupation-based practice. The strategies used to cope with these discourses varied from acceptance and embracing of other discourses to resistance and rejection. Conclusion This paper demonstrates that in some mental health workplaces there is a danger that occupational perspectives and occupation-based practice can become marginalised. Making visible the different discourses in mental health practice allows occupational therapists to analyse, better understand, and live with the tensions in their professional lives. This requires professional support strategies to be in place to maintain occupation-based practices and retain practitioners in the workforce. Permalink : ./index.php?lvl=notice_display&id=40382

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