For December Rebecca Haigh @becci_haigh_ot has enthusiastically volunteered to host this months Journal Club discussion and has written the following introduction:
As a newly qualified OT with a strong interest in mental health I am looking to further my understanding of the impact of mental health conditions on the lives of my clients. While identifying an article for the journal club I wanted to maintain a focus on Occupational Science. Having read numerous theoretical articles which discuss concepts of Occupational Science I decided to stick to a more practical, qualitative research article which highlights the effects of barriers and facilitators of living with a specific condition on a client’s sense of recovery and discusses the concept of occupational integrity. I am hoping to include discussions of Occupational Science concepts during the journal club as well as focusing on the idea of integrating service users to shape and develop research as described in this article. I hope that the article and ensuing discussions will provide a learning opportunity also for those not necessarily interested in mental health topics.
Makdisi, L., Blank, A., Bryant, W., Andrews, C., Franco, L. and Parsonage, J. (2013) “Facilitators and barriers to living with psychosis: an exploratory collaborative study of the perspectives of mental health service users”, The British Journal of Occupational Therapy,76:9, pp. 418-426.
Abstract:
Introduction: The purpose of this research was to deepen understanding of what is helpful to those who have experienced psychosis, in order to facilitate best practice within mental health services. Psychosis presents challenges for people on an everyday basis, yet strategies can be developed to facilitate living with psychosis. Investigating the service user’s perspective is crucial for informing recovery oriented occupational therapy practice.
Method: Initiated and designed by a service user research group, this research was exploratory and, primarily, participatory. Data were gathered from two focus groups, involving 13 people with experience of psychosis, facilitated by service user researchers and an MSc student. Data analysis was systematic and based on grounded theory principles
Findings: Participants shared experiences and thoughts about their everyday lives. Data analysis revealed six elements of the self: the social self; the occupational self; the integrated self; the unsupported self; the stigmatised self and the isolated self. The importance of balancing these six facets of the self is theorised as being essential to successfully managing the experience of living with psychosis.
Conclusion: This emergent theory could underpin occupation-focused approaches to living with psychosis, with interventions aimed at enabling service users to balance the experience of psychosis with satisfying and contributing lives or recovery.
Discussion points:
- Is it clear how the authors have drawn out conclusions and themes from data? Is there adequate discussion of credibility of their findings? Enough data to show findings i.e. regarding balance of different facets? #quality-of-research
- How can OTs use information from qualitative research highlighting the need of a balanced sense of self in a practical and occupation-focused manner? What needs to be considered when planning interventions to address the different elements of the self as identified in this study? #putting-it-to-practice
- What about occupational integrity? What do occupational science concepts bring to your clinical reasoning and OT practice? #theory-geek
- Is it feasible to involve service users not only to gain valuable insight into the experiences of health conditions but to include them to shape research, making sure we are asking the right questions in the first place? #service-user-involvement
These are a few topics I am interested in discussing. Please leave comments below if you have further suggestions for questions we might discuss in relation to this article.
Please note that the article chosen is not open source. Please be aware of copyright law.
Details and download of the Reading Record can be found on the Journal (Media) Club Resources page.
UPDATE BY Rebecca Haigh @becci_haigh_ot
Reading Record
Review an article, book chapter, novel or blog post read; film or television programme watched, radio programme etc.
(This form is influenced by the Learning through Discussion Method*).
| Name: Rebecca HaighDate Record Completed: 03/12/13 |
Full Harvard Reference:
| Makdisi, L., Blank, A., Bryant, W., Andrews, C., Franco, L. and Parsonage, J. (2013) “Facilitators and barriers to living with psychosis: an exploratory collaborative study of the perspectives of mental health service users”, The British Journal of Occupational Therapy,76:9, pp. 418-426. |
Identification of the author’s main message:
| The experience of living with psychosis can have strong repercussions on the sense of self. Six elements of the self emerged from the data, three relating to facilitators and three to barriers to living with psychosis. These are seen to be in constant interaction with each other. As a consequence, individuals living with psychosis have to consistently pay attention to and maintain a balance between the different experiences which either threaten or support a balanced sense of self. |
Identification of major themes:
| – Identification of 6 elements of the self- Balancing all elements of the self is an ongoing and dynamic process |
Discussion of major themes:
| The 6 elements of the self:Common themes emerged from the data gathered that were based around facilitators as well as barriers to living with psychosis. Using grounded theory the authors identified that social support, occupations and integrity were beneficial to managing psychosis. A positive social support allowed for a sense of belonging, security and acceptance, giving individuals the experience of the social self. Engaging in occupations provided a sense of order, confidence and achievement identified as the occupational self. Integrity was followed on from an internal acceptance and understanding of the condition and provided a sense of stability, balance and assurance. This was described as the integrated self. On the other hand barriers emerged through a lack of social support, stigma and isolation. A lack of social support led to feeling misunderstood and disrespected and influenced the unsupported self. Stigma concluded in feelings of exclusion, devaluation and diminished self-esteem. This resulted in a stigmatised self. Isolation from friends and family led to feeling stuck and lonely and resulted in an isolated self.
Dynamic interactions to achieve balance: Previous research has proposed the need for reconstruction or transformation of the self to achieve recovery from psychosis. The authors discuss that the data from this study suggests that rather than aiming for transformation, a dynamic balance of the different elements of the self should be envisioned. It is important to support individuals in identifying when challenging elements of the self are on the rise and to support clients to strengthen positive elements of the self. This balance is discussed in context of occupational integrity, an occupational science concept introduced by Pentland and McColl (2008). Occupational integrity is theorised to put a stronger emphasis on the underlying values which may act as a foundation for decisions and choices rather than focussing on the temporal aspect which usually stands at the centre of discussions about occupational balance. Focusing on maintaining personal values and engaging in occupations in a mindful and purposeful manner could result in a more satisfying engagement and a greater life balance. |
Integration of material with other work:
| This article introduced me to the concept of occupational integrity as theorised by Pentland and McColl (2008). The authors discuss that the “notion underlying life balance is the extent to which a person designs and lives in integrity with his or her own personal values, strengths and what has meaning for them”- i.e. occupational integrity. Does this stand in contrast/competition with the more commonly known concept of occupational balance? Or might it simply be an additional perspective to occupational balance; adding to the three perspectives proposed in a concept analysis by Wagman (2012) which are 1) in relation to occupational areas, 2) in relation to occupations with different characteristics, and 3) in relation to time use.Different aspects of the self have been discussed previously in the field of psychology. For example McConnell (2011) discusses the Multiple Self-Aspects Framework. The article gives an introduction to previous work in this field as well as describing 5 principles of the self. The article can be accessed here: http://allenmcconnell.net/pdfs/msf-PSPR-2011.pdf
The current study further discusses the concept of recovery for which a large body of work has been developed (I.e. Jacobson and Greenley (2001); Making Recovery a Reality Shepherd, Boardman and Slade (2008)). In this article the authors’ focus is: what is recovery for the service user? It is proposed that most importantly, professionals should listen to their client’s experience of recovery whether a specific terminology is used or not and to be cautious of “doing recovery” to the client. |
| Application of material to own experience:Reflecting on one of my case studies, I can easily identify similar elements of the self which were barriers and facilitators to clients’ improvement. As an example for the unsupported self I recall a particular moment clearly. I was working with a client who at the time was on an acute ward. The long term goal was reintegration into the community and we were working on developing basic cooking skills. It had taken a number of sessions to work towards identifying a simple recipe and preparing a shopping list. The client had decided to make a curry using a ready-made sauce he remembered from his childhood. On the way to the shop he called his sister. Meaning no harm she simply commented that those sauces did not taste good. This single comment threw my client off his tracks. He questioned his choice and once in the shop was so overwhelmed by the task of having to re-evaluate his meal plan and find a suitable replacement within his budget. This highlights the impact a small comment can have even when it comes from someone who means well and wants to support their relative. This clearly demonstrates the element of the unsupported self and is one example of how my own experience matches what has been described in this article. Readers are encouraged to identify examples for the six elements of the self from their own experiences. |
Evaluation of author’s presentation:
| This study was very well presented. The research design is appropriate and the authors show good reasoning for the use of focus groups. It is reported that a this study included a broad spectrum of participants, reflecting the profile of local service users. Authors use grounded theory to analyse the data and the presentation of this data is outstanding. The diagrams are clear and informative in showing how the authors arrived from the raw data to the six elements of the self.In my opinion this article could have benefitted from a slightly more detailed description of how the Researching Psychosis Together Group was involved in shaping the research and how questions for the focus group were devised. This could be of interest to OTs in the field of mental health as similar groups may well benefit services and service users dealing with a variety of conditions. Furthermore a slightly stronger link between raw data and the emerging concept of balance could have made a stronger argument. As it stands I find myself questioning why there needs to be a balance between barriers and facilitators and why efforts can not be made to diminish barriers as much as possible? How was this balance perceived by research participants and how was it achieved?
Reflecting on my case studies I find myself wondering whether there could even be more elements of the self. A brief discussion of data saturation could have enriched this article further. I found myself often dealing with motivation and the lack thereof. I have in reflecting on this article considered the potential element of the future self for example. |
Application of learning to practice:
| In my own experience of working with individuals with psychosis as an OT it can be easy to put a strong focus on client’s occupational needs and goals. Working with MOHO framework I was holistic and inclusive of client’s wider experiences and values and as a side-effect of treatment we increased social skills and improved opportunities for social inclusion for example. However, with the conclusions of this research in mind, in future I could do more to address the different aspects of the self when forming goals and working with client to facilitate strategies and occupations to maintain and support a good balance between the different aspects. Being mindful of the different elements of the self may further help the client’s reflection and insight and thus help to facilitate a balanced life despite the impact of the condition. |
Relationship to Practice/KSF Competencies:
| Core 2 Personal and people development: Supported me to better understand the needs and experiences of those living with psychosis.Core 4 Service improvement: Inspired to work with Service Users to develop research questions that are relevant and can be used to guide service improvement.
Core 5 Quality: Can use information to facilitate best practice in mental health services. |
* For further information on this method see. Insight Assessment and the California Academic Press. 2002. Using the Learning Through Discussion (LTD) Approachto Teaching for Thinking. Available from: http://www.insightassessment.com/content/download/1162/7493/file/LTD.pdf [Last Accessed Sept 2013]
Link to Transcript: HealthCare Hashtags.
| DoBeDoBeDo14 |
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Ready with cuppa for #otalk ! |
| OTalk_Occhat |
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Good evening @Helen_OTUK here on the account this evening. Thank you to @becci_haigh_ot for volunteering to host this eveings #OTalk say hi |
| clissa89 |
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RT @OTalk_Occhat: This evenings #OTalk Journal Club with @becci_haigh_ot Blog Post now updated to include Becci’s reading record . http://t… |
| becci_haigh_ot |
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To start I’d like to invite you to share views on the content of the paper. I’ll be posting questions as we go along. #Otalk |
| Helen_otuk |
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@becci_haigh_ot just #OTalk no need for the @ 😉 incase peeps wish to catch up while we say hello’s Blog UPDATED: http://t.co/7IFGIHMwa8 |
| sarahlstedman |
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RT @OTalk_Occhat: Getting ready for #OTalk at 8pm…. coffee filtering away, nearly there! |
| BillWongOT |
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hi everyone! #otalk |
| becci_haigh_ot |
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What did you think of findings? Have you come across similar ‘elements of the self’ in your work? #Otalk |
| BillWongOT |
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@becci_haigh_ot As an OT who’s also a SU (autistic adult), I see similar things w/ my lived exp. vs. some other autistic adults’. #otalk |
| BillWongOT |
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@becci_haigh_ot I also think some SU’s have value not only as participants in research, but also members in research teams. #otalk |
| BillWongOT |
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@OTalk_Occhat it was good… I procrastinated for our journal club this morning… lol! #otalk |
| becci_haigh_ot |
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@BillWongOT Are there some elements that stand out more regularly? Do you agree with Fig3 – dynamic interactions to achieve balance? #Otalk |
| BoothRach |
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On train internet a bit slow but going to give this a good with @otemma and #ashelyTwitterlees #otalk |
| becci_haigh_ot |
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@BillWongOT yes I agree. It was part of what drew my interest to the article. Hoping to discuss it more a little later on. #Otalk |
| BillWongOT |
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@becci_haigh_ot actually all 3 figures. #otalk |
| BillWongOT |
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@becci_haigh_ot I am in a way advocating for myself to be on such teams, too… in OT autism research. #otalk |
| OTalk_Occhat |
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@BoothRach @otemma great to have you join us whilst travelling #OTalk |
| becci_haigh_ot |
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Interesting question from @AnnabelFenn re: aspect of the self vs. social aspect and potential occupational injustice? #Otalk 1/2 |
| becci_haigh_ot |
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See comment below blog: http://t.co/to0JRfV7D1 @AnnabelFenn #Otalk 2/2 |
| becci_haigh_ot |
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@BillWongOT I agree it would be fantastic to make SUs central to developing research in a vast range of conditions #Otalk |
| Helen_otuk |
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@becci_haigh_ot @AnnabelFenn yes got me pondering the inflence of environment on self? #OTalk |
| BAOTNYRegion |
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RT @Helen_otuk: @becci_haigh_ot @AnnabelFenn yes got me pondering the inflence of environment on self? #OTalk |
| Helen_otuk |
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Especially around social environment and the supports that this environmental aspect can offer? #OTalk |
| becci_haigh_ot |
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The 6 aspects of self resonated with what I have seen inpractice.But I ask about Data Saturation? What other aspects could there be? #Otalk |
| BAOTNYRegion |
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@Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perceptions influence |
| BillWongOT |
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@becci_haigh_ot Key is to find SU’s who r capable to b great members of research teams, though it’ll b popularity contest in a sense. #otalk |
| BillWongOT |
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RT @BAOTNYRegion: @Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perc… |
| DoBeDoBeDo14 |
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@Helen_otuk @becci_haigh_ot @AnnabelFenn V interesting that barriers in particular were social- social inclusion imp to recovery #otalk |
| Helen_otuk |
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IN contrast to the effects of lack of social environments? Such polarising impacts of an environment? #OTalk |
| BillWongOT |
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@BAOTNYRegion @Helen_otuk @becci_haigh_ot @AnnabelFenn Yes, I see some diff. between US & HK in disability acceptance. #otalk |
| BillWongOT |
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RT @DoBeDoBeDo14: @Helen_otuk @becci_haigh_ot @AnnabelFenn V interesting that barriers in particular were social- social inclusion imp to r… |
| Helen_otuk |
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Agree RT @DoBeDoBeDo14: V interesting that barriers in particular were social- social inclusion imp to recovery #otalk |
| becci_haigh_ot |
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@BillWongOT Interesting! Can you explain the popularity contest a little further? Not sure I understand. #Otalk |
| BillWongOT |
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@Helen_otuk I don’t think there’s such thing as lack of social environments. I think it’s more like inadequate social environments. #otalk |
| OTEmma |
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RT @BAOTNYRegion: @Helen_otuk @becci_haigh_ot @AnnabelFenn #OTalk I am thinking on that one too and can see how environment and others perc… |
| BillWongOT |
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@Helen_otuk what I mean is social environments that are not providing what people need. #otalk |
| becci_haigh_ot |
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@BillWongOT @Helen_otuk How then can we as OTs adapt and work with the social environment to make it adequate and more supportive? #Otalk |
| becci_haigh_ot |
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How can OTs facilitate living well with psychosis & other conditions; keeping the ‘elements of the self’ in mind? #Otalk |
| BAOTNYRegion |
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@becci_haigh_ot @BillWongOT @Helen_otuk Is it about changing culture bad peoples perceptions? Rather than pigeon holing? #otalk |
| Helen_otuk |
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The interaction between occupational balance v occupational integrity was great thought provoker for me. Not sure I had thought B4 #OTalk |
| BillWongOT |
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@becci_haigh_ot http://t.co/lJ3n5AQaQP Here’s a good example. Jesse is an SU who wrote some books on #autism. #otalk |
| AnnabelFenn |
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@DoBeDoBeDo14 @Helen_otuk @becci_haigh_ot sorry I’m late #otalk |
| BillWongOT |
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@becci_haigh_ot @Helen_otuk One way is to help SU’s develop self-advocacy skills. #otalk |
| becci_haigh_ot |
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Is it about making education more mainstream? Like #Bedlam for example? Good way to at lease raise awareness? #Otalk |
| BillWongOT |
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@becci_haigh_ot @Helen_otuk another way is work with other possible allies in that social environment to make it better. #otalk |
| OTalk_Occhat |
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@AnnabelFenn great you could join us… no need to be sorry we do not clock watch here #OTalk |
| BillWongOT |
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@becci_haigh_ot I think being good listeners (e.g. using MI) is key. That way they can collaborate with SU’s in this goal. #otalk |
| Helen_otuk |
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@AnnabelFenn we have been discussing your comments…. #OTalk |
| BillWongOT |
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@becci_haigh_ot I also think we have to do a better job in educating public about our roles in different settings! #otalk 1/2 |
| Helen_otuk |
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@BillWongOT social allies I like this concept! #OTalk |
| BillWongOT |
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@becci_haigh_ot we don’t want self-advocates (of diff disabilities) to provide misnomers of what we do or don’t do. #otalk 2/2 |
| becci_haigh_ot |
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@BillWongOT Really good point. Yes have applied elements of MI before and agree this is very important #Otalk |
| OTEmma |
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@becci_haigh_ot is it about influencing cultural change in organisations? #otalk |
| BillWongOT |
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@becci_haigh_ot http://t.co/3LWehTFrZY This is an example of what I am talking about. #otalk |
| BillWongOT |
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@OTEmma @becci_haigh_ot and also disability communities! #otalk |
| OTalk_Occhat |
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RT @OTEmma: @becci_haigh_ot is it about influencing cultural change in organisations? #otalk |
| becci_haigh_ot |
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@OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better than others? #Otalk |
| bobcollinsOT |
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@becci_haigh_ot #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from experiences |
| BillWongOT |
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RT @bobcollinsOT: @becci_haigh_ot #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from e… |
| OTalk_Occhat |
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RT @becci_haigh_ot: @OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better th… |
| BillWongOT |
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@bobcollinsOT @becci_haigh_ot as long as it is not too big. I find anywhere between 5 to 15 is a good number. #otalk |
| Helen_otuk |
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can be RT @bobcollinsOT: #otalk Groups can be a useful way of providing structure, social support, and sharing and learning from experiences |
| OTEmma |
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RT @becci_haigh_ot: @OTEmma Could be great! have you come across organisation that are on the right path? and what are they doing better th… |
| AnnabelFenn |
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@becci_haigh_ot as in the ‘social self’, encouraging peer support networks and ‘communities’ based on interest perhaps #otalk |
| becci_haigh_ot |
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So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/other conditions. #Otalk |
| OTalk_Occhat |
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#OTalk RT @BoothRach: @becci_haigh_ot @OTEmma have seen recovery begin to be imbedded in to NHS trust like @cnwlrc |
| GillyGorry |
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sorry #otalk I’m running late! will try catch up |
| AnnabelFenn |
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@becci_haigh_ot I find the concept of ‘community’ may no longer be tied to physical space as traditionally thought but other aspects #otalk |
| bobcollinsOT |
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@BillWongOT I agree, there needs to be a critical mass to make a group work. 5-15 is about right. #otalk |
| CroftVictoria |
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RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe… |
| BillWongOT |
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RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe… |
| OTEmma |
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@becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start |
| DoBeDoBeDo14 |
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@AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk |
| OTEmma |
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RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe… |
| BoothRach |
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@OTalk_Occhat @becci_haigh_ot @OTEmma @cnwlrc thanks forgetting #otalk tonight, #tried |
| BillWongOT |
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@becci_haigh_ot and for some SU’s changing their perceptions of social environments is already A LOT of work! #otalk 1/2 |
| Helen_otuk |
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Agree MT @AnnabelFenn: concept of ‘community’ may no longer be tied to physical space as traditionally thought but other aspects #otalk |
| BillWongOT |
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@becci_haigh_ot I read that over and over on groups and pages where autistic adults discussed about their issues on FB. #otalk 2/2 |
| AmzOT |
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RT @OTEmma: @becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start |
| BillWongOT |
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RT @OTEmma: @becci_haigh_ot #otalk education is key and not just for mainstream but also for healthcare professionals #bedlam is a start |
| becci_haigh_ot |
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Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert practitioner’ #Otalk |
| Helen_otuk |
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Agree very important – flexible – dip in RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk |
| BillWongOT |
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@OTEmma @becci_haigh_ot that’s why I think it’s great to have SU’s come to uni’s as guest lecturers. #otalk |
| BillWongOT |
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RT @becci_haigh_ot: Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert p… |
| BillWongOT |
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@becci_haigh_ot I have been hearing that over and over on autism support groups- SU’s & caregivers alike. #otalk |
| Helen_otuk |
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RT @becci_haigh_ot: Supporting SU to educate their families (if they present as a barrier) themselves rather than doing it as the ‘expert p… |
| AnnabelFenn |
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@OTEmma @becci_haigh_ot how OTs actually address issues pertaining to occupational justice is an exciting thing to consider #otalk |
| becci_haigh_ot |
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@BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Otalk |
| GillyGorry |
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RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk |
| CroftVictoria |
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La Leche League peer support, social communities and establishing mothering skills is a successful model in breastfeeding #otalk |
| Helen_otuk |
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RT @AnnabelFenn: @OTEmma @becci_haigh_ot how OTs actually address issues pertaining to occupational justice is an exciting thing to conside… |
| OTEmma |
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“@becci_haigh_ot: @BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Otalk |
| becci_haigh_ot |
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Going to move along. What do you think of the concept of Occupational Integrity? #Otalk |
| AnnabelFenn |
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@OTEmma @becci_haigh_ot I also wonder whether there would have been differences in the findings if young people had participated? #otalk |
| BillWongOT |
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@becci_haigh_ot @OTEmma I delivered a few since last year- love that OTS’s are able to understand what ppl like me r going through. #otalk |
| Helen_otuk |
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#OTalk MT @bobcollinsOT: Absolutely! Peer groups always a stepping stone to mainstream activity. #socialinclusion |
| BillWongOT |
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@becci_haigh_ot I agree- I have been doing that since I was dx’ed w/ AS 3+ years ago. #otalk |
| BillWongOT |
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RT @Helen_otuk: #OTalk MT @bobcollinsOT: Absolutely! Peer groups always a stepping stone to mainstream activity. #socialinclusion |
| becci_haigh_ot |
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@AnnabelFenn @OTEmma Sadly I don’t think we know the ages of participants do we? Good point. #Otalk |
| BillWongOT |
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@Helen_otuk @bobcollinsOT but they’ve 2 b w/ just right amount of supervision, community integration should b 1 of the overall goals. #otalk |
| Helen_otuk |
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I think it gives depth to our understanding RT @becci_haigh_ot: What do you think of the concept of Occupational Integrity? #Otalk |
| BillWongOT |
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@becci_haigh_ot @AnnabelFenn @OTEmma there might be some differences between age groups, but I don’t think there is too much. #otalk |
| becci_haigh_ot |
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Want to talk a little about Occ Science. What did people think of occ integrity as a concept? #Otalk |
| BillWongOT |
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RT @becci_haigh_ot: @BillWongOT Really good point. Yes have applied elements of MI before and agree this is very important #Otalk |
| BillWongOT |
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RT @becci_haigh_ot: Want to talk a little about Occ Science. What did people think of occ integrity as a concept? #Otalk |
| becci_haigh_ot |
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Don’t think I had previously consciously considered the quality and integrity with which occupations are performed. #otalk |
| AnnabelFenn |
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@becci_haigh_ot 18-70 years I think – I wonder whether young people with psychosis also experience the barriers to the same degree #otalk |
| BillWongOT |
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RT @becci_haigh_ot: Don’t think I had previously consciously considered the quality and integrity with which occupations are performed. #o… |
| Helen_otuk |
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gives a wider view but more specific as a concept? RT @becci_haigh_ot: What did people think of occ integrity as a concept? #Otalk |
| BillWongOT |
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@becci_haigh_ot I sort of knew through my lived experiences. But, now I know the terminologies and theories tying it all together. #otalk |
| becci_haigh_ot |
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Do you think it contradicts or adds to the concept of occupational balance? #Otalk |
| BillWongOT |
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@becci_haigh_ot I sort of knew through my lived experiences. But, now I know the terminologies and theories tying them all together. #otalk |
| AnnabelFenn |
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@becci_haigh_ot would young people be more inclined to seek support online? #otalk |
| OTalk_Occhat |
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@bobcollinsOT Bob don’t forget the #OTalk people may miss your gems! |
| BillWongOT |
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@AnnabelFenn @becci_haigh_ot Maybe this is good justification for a bigger research? #otalk |
| bobcollinsOT |
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@AnnabelFenn @becci_haigh_ot I work in EI service 14-35 yo’s and yes i believe young people do experience barriers to the same degree #otalk |
| BillWongOT |
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@AnnabelFenn @becci_haigh_ot from the adults in AS community is concerned, I see more people under 50 than over 50. #otalk |
| BoothRach |
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@AnnabelFenn @becci_haigh_ot is it more about insight / awareness than age? #otalk |
| OTalk_Occhat |
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#otalk RT @DoBeDoBeDo14: I would think so but just a hunch! I know that online mentoring from organisations like Mindfull v popular. |
| BillWongOT |
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RT @bobcollinsOT: @AnnabelFenn @becci_haigh_ot I work in EI service 14-35 yo’s and yes i believe young people do experience barriers to the… |
| BillWongOT |
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@OTalk_Occhat @DoBeDoBeDo14 informal communities like Facebook, though, seems like some communities are using the Internet to vent. #otalk |
| OTalk_Occhat |
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yay great to have yu join us #OTalk RT @louisetaylor147: @OTalk_Occhat hi everyone, this is my first time chatting live #cautiontothewind |
| becci_haigh_ot |
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@BillWongOT Nice =) Am a big fan of mindfulness etc. and think it is great to give these phenomenon attention and terminology. #otalk |
| BillWongOT |
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RT @becci_haigh_ot: @BillWongOT Nice =) Am a big fan of mindfulness etc. and think it is great to give these phenomenon attention and termi… |
| bobcollinsOT |
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@OTalk_Occhat oops. can you RT my last ‘gem’ including the #otalk please? Thanks. |
| OTalk_Occhat |
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@louisetaylor147 just add #OTalk so everyone will see your tweets |
| AnnabelFenn |
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@Helen_otuk @becci_haigh_ot occ integrity not a concept I had come across before, so I found it v interesting, especially when… #otalk |
| BillWongOT |
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@becci_haigh_ot yes… and this gives me the knowledge to understand where the SU’s are coming from perspectives wise. #otalk |
| Helen_otuk |
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#OTalk MT @bobcollinsOT: occupational integrity as a concept similar to personal identity. How you see yourself and how others see you. |
| becci_haigh_ot |
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Do you think you get the same form online communications that you would from face to face contact? #otalk |
| AnnabelFenn |
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@Helen_otuk @becci_haigh_ot .. considering the perspective of ‘recovery’ being meaningless and hijacked by professionals #otalk |
| BillWongOT |
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RT @Helen_otuk: #OTalk MT @bobcollinsOT: occupational integrity as a concept similar to personal identity. How you see yourself and how oth… |
| BillWongOT |
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@becci_haigh_ot good ?. I use online comm. 4 rapport building. Then I’ll try to solidify via face-to-face- My approach w/ #ot peers. #otalk |
| OTEmma |
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@becci_haigh_ot you may think you do, but others don’t always interpret what you say how you mean it when communicating online #otalk |
| Helen_otuk |
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@becci_haigh_I think they are different, but can be equally helpful / unhelpful / useful / useless etc #OTalk |
| OTalk_Occhat |
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#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR http://t.co/l7aoQxNsOl |
| OTalk_Occhat |
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#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR |
| BillWongOT |
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@becci_haigh_ot 4 me- online comm. allow me to do some HW about some1 before the actual face to face contact. #otalk |
| DoBeDoBeDo14 |
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@becci_haigh_ot They are probably useful- easy access, young people support & community- a lot will depend on how SU feels about it. #otalk |
| becci_haigh_ot |
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@AnnabelFenn @Helen_otuk .. real meaning. which is obv part of what we do. but can happen that OT ‘suggest’ meaningful activities? #otalk |
| BillWongOT |
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@becci_haigh_ot if used correctly, I think the two can go hand-in-hand. Otherwise, online comm. can ruin real life relationships. #otalk |
| BillWongOT |
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RT @DoBeDoBeDo14: @becci_haigh_ot They are probably useful- easy access, young people support & community- a lot will depend on how SU feel… |
| Helen_otuk |
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or F2F? RT @OTEmma: you may think you do, but others don’t always interpret what you say how you mean it when communicating online #otalk |
| DoBeDoBeDo14 |
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@OTEmma @becci_haigh_ot Definitely need to be careful about tone etc- lose the non-verbal comm online #otalk |
| OTalk_Occhat |
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Oh my goodness where as that hour gone! 2 minute warning folks #OTalk |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot Yes! Though on places like FB, that can do more hurt too if there’s little/no monitoring in some cases. #otalk |
| AnnabelFenn |
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@becci_haigh_ot @Helen_otuk but also, choice is limited by stigma, lack of understanding and other sociopolitical barriers… #otalk |
| BillWongOT |
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RT @DoBeDoBeDo14: @OTEmma @becci_haigh_ot Definitely need to be careful about tone etc- lose the non-verbal comm online #otalk |
| AnnabelFenn |
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@becci_haigh_ot @Helen_otuk the question of integrity also lies in the environment for me #otalk |
| OTalk_Occhat |
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Please feel free to continue the discussion! #OTalk will not post transcript for at least 24hrs! |
| BillWongOT |
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@DoBeDoBeDo14 @OTEmma @becci_haigh_ot Yes, I was guilty of these mistakes as I was rebuilding my social comm. skills. #otalk |
| becci_haigh_ot |
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@BillWongOT personally often find myself more stressed by constant connectedness but that may well be me not having a good balance #otalk |
| Helen_otuk |
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Agree! RT @AnnabelFenn: @becci_haigh_ot @Helen_otuk the question of integrity also lies in the environment for me #otalk |
| BillWongOT |
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@AnnabelFenn @becci_haigh_ot @Helen_otuk absolutely! #otalk |
| Dai2584 |
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Totally forgot about #OTalk tonight, sorry. I do have 3 week old baby though. But honestly sorry though : ( |
| DoBeDoBeDo14 |
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@BillWongOT @becci_haigh_ot Would definitely agree that moderators are needed for forums of support and mentoring #otalk |
| BillWongOT |
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@becci_haigh_ot But I also think each person’s balance is different. Being connected w/ u all helped me being a better OT. #otalk |
| OTalk_Occhat |
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Thank you to @becci_haigh_ot for hosting this evenings #OTalk. So much to consider. Thanks for keeping the #Occhat focus too! |
| DoBeDoBeDo14 |
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Thanks @becci_haigh_ot for great #otalk ! |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot or in some cases, parents, teachers, or professionals should check in from time to time. #otalk |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot look no further than say some of the tragedies caused by cyber bullying. #otalk |
| BoothRach |
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Night all train convention was a bit pants at times but enjoyed! #otalk |
| becci_haigh_ot |
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@BillWongOT haha yes I agree. this way of linking-in, networking and sharing knowledge really is great! #otalk |
| BillWongOT |
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@sophiewearing I thought this week’s #otalk article is a good one. |
| AnnabelFenn |
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@OTalk_Occhat @becci_haigh_ot yes becci, thank you for a fab first journal club! #otalk |
| bobcollinsOT |
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RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe… |
| becci_haigh_ot |
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@OTalk_Occhat Thank you everyone for joining in and sharing your thoughts. Lots to continue thinking about! #otalk |
| DoBeDoBeDo14 |
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@BillWongOT @becci_haigh_ot Absolutely. Done safely & securely though, think there’s definitely aneed for online support communities #otalk |
| BillWongOT |
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@becci_haigh_ot yes… although I know this type of connectedness made me a different type of #autism self-advocate. #otalk |
| OTalk_Occhat |
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@becci_haigh_ot great article choice and great discussion… thank you #OTalk |
| BillWongOT |
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@becci_haigh_ot cuz I know what I stand for maybe is a bit different than some other individuals w/ #AS. #otalk |
| DoBeDoBeDo14 |
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RT @OTalk_Occhat: #OTalk 10th December 2013 – Perceptions of Social Media in Higher Education http://t.co/DKzuUnuusR http://t.co/l7aoQxNsOl |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot Yes… have read too many people just venting about their experiences online 1/2 #otalk |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot in a sense, letting out feeling is good. But, that’s a sign that they need to see the + light. #otalk |
| BillWongOT |
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@OTalk_Occhat @becci_haigh_ot much appreciated! well done! #otalk |
| bobcollinsOT |
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@becci_haigh_ot @OTalk_Occhat #otalk Thanks for that! Indeed lots to consider and reflect on.Great choice of article & very well presented=) |
| BillWongOT |
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RT @bobcollinsOT: @becci_haigh_ot @OTalk_Occhat #otalk Thanks for that! Indeed lots to consider and reflect on.Great choice of article & ve… |
| BillWongOT |
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RT @DoBeDoBeDo14: @AnnabelFenn @becci_haigh_ot Virtual communities now play a massive part #otalk |
| pd2ot |
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“@OTalk_Occhat: #OTalk 10/12- Perceptions of Social Media in Higher Education http://t.co/5fGeDf04Wb http://t.co/DERqmxGsYq” @Maria_genhome |
| OTalk_Occhat |
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Please feel free to keep tweeting with the #OTalk or comment on the blog. I will post the transcript after 24hrs. http://t.co/WqXqSGGS0V |
| BillWongOT |
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@AnnabelFenn @becci_haigh_ot agreed… but how we as OT’s can find a way to know about the cyber environments that they are in. #otalk |
| DoBeDoBeDo14 |
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@BillWongOT @becci_haigh_ot Yes. Lots of different formats of online support- I’m thinking of structured mentoring online with peers #otalk |
| BillWongOT |
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RT @pd2ot: “@OTalk_Occhat: #OTalk 10/12- Perceptions of Social Media in Higher Education http://t.co/5fGeDf04Wb http://t.co/DERqmxGsYq” @Ma… |
| BillWongOT |
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@DoBeDoBeDo14 @becci_haigh_ot if it’s FB, it’s very unstructured. Moderators are SU’s and/or caregivers. #otalk |
| DoBeDoBeDo14 |
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@BillWongOT @becci_haigh_ot It probably depends on what the SU is wanting from support which site they use eg informal/formal #otalk |
| GillyGorry |
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@sophiewearing I have organised a #reablement #otalk in january. will keep u posted. i will be doing 2 reablement posters at cot2014 also 🙂 |
| clearsci |
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Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t.co/bHSqRbM1rw |
| OTSM2011 |
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RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t… |
| m_egjoy |
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@becci_haigh_ot Having a placement currently in Inpatient Forensic Mental Health, I found that Spirituality is a huge factor (1/2) #otalk |
| m_egjoy |
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@OTalk_Occhat I’m still trying to figure out this #OTalk thing! Was too late today with time change! #newbie |
| cnwlrc |
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RT @OTalk_Occhat: #OTalk RT @BoothRach: @becci_haigh_ot @OTEmma have seen recovery begin to be imbedded in to NHS trust like @cnwlrc |
| Symbolic_Life |
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#otalk did I miss journal club again!? :(. It will be easier when I’m in Oz for time I think. Sorry! |
| Symbolic_Life |
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RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t… |
| Symbolic_Life |
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RT @becci_haigh_ot: So we agree there is much 4 OTs to do to lessen the effect of barriers/social environment on living with psychosis/othe… |
| Symbolic_Life |
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RT @BAOTNYRegion: @becci_haigh_ot @BillWongOT @Helen_otuk Is it about changing culture bad peoples perceptions? Rather than pigeon holing? … |
| emerging2OT |
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RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t… |
| clissa89 |
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Sorry I missed journal club @becci_haigh_ot @Helen_otuk. Really interesting topic, I look forward to the transcript #otalk |
| DrWMB |
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RT @becci_haigh_ot: @BillWongOT @OTEmma I remember those sessions the best and got a much much better understanding from SU themselves! #Ot… |
| dianecox61 |
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RT @clearsci: Next week the occupational therapists #OTalk is social media in higher ed. Something important to many. Check it out http://t… |
| LeonoraOT |
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@OTmoniSC Have a look at @OTalk_Occhat & @OTalk2US & the #otalk – I’ll have a peep also, haven’t got to many lately |
| LeonoraOT |
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“@clissa89: …I missed journal club …Really interesting topic, I look forward to the transcript #otalk” introducing @OTmoniSC …heaps for OTs |
| LeonoraOT |
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Great stuff @becci_haigh_ot Very sorry I missed @OTalk_Occhat #OTalk Journal Club Blog Post http://t.co/0yh0qNIgVp” |
| beaxvillegas |
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rocketeer by @ariaclemente astiggg =))) #otalk |
| elaineahpmh |
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MT #OTalk 10th December, Perceptions of Social Media in Higher Education http://t.co/SXwjzFku5j http://t.co/e6nNDYXIIR @lesleyahpd @dtbarron |
| BillWongOT |
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RT @elaineahpmh: MT #OTalk 10th December, Perceptions of Social Media in Higher Education http://t.co/SXwjzFku5j http://t.co/e6nNDYXIIR @le… |
| gbruce1 |
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#OTalk 10th December 2013 – Perceptions of Social Media in Higher Education | @scoopit via @BillWongOT http://t.co/I7ZDZfw4ci |
| BillWongOT |
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RT @gbruce1: #OTalk 10th December 2013 – Perceptions of Social Media in Higher Education | @scoopit via @BillWongOT http://t.co/I7ZDZfw4ci |
Content from Twitter
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Hi Becci,
I haven’t appraised the article using the CASP method, but have just looked over it to get a general feel. Thank you for choosing a piece of research which takes a critical view on recovery as a concept being misused by health professionals, and how the authors tried to address this through the research design. It’s not something which I have considered before, so am grateful for that as it may change my future practice. What do you think about ‘health professionals doing recovery to service users’?
I just wanted to add my thoughts about the findings. Although I appreciated how transparent these were by using the figures, I was hoping to discuss in more detail the findings, namely, the ‘six essentials of the self’. I don’t want to necessarily get into a debate on essentialism, but this terminology makes me a bit uneasy as it feels very prescriptive. More importantly, I wonder whether these are more ‘environmental’ factors rather than aspect of ‘self’, although I appreciate that environment impacts on self concept…? As you rightly point out, occupational science concepts are important here, and I would like to have read more about implications of the findings on occupational justice, given that the barriers to living with psychosis were mostly what I consider social; stigma, lack of support and isolation.
Look forward to your thoughts!
Annabel