Psychoanalytic Thinking in Occupational Therapy, 1st Edition

  • Published By:
  • ISBN-10: 1118511840
  • ISBN-13: 9781118511848
  • DDC: 616.89
  • Grade Level Range: College Freshman - College Senior
  • 50 Pages | eBook
  • Original Copyright 2013 | Published/Released May 2014
  • This publication's content originally published in print form: 2013

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Occupational therapy's early concepts were based on the notion of an unconscious where occupations were a symbolic part of a communication process in therapy (Fidler and Fidler, 1963). From the 1990s, much of this thinking was subsumed as occupational therapists sought scientific legitimacy in the climate of evidence-based practice. Recent theory has welcomed client narratives as valid empirical information and there has been a turn toward object relations thinking, based on the work of Melanie Klein (1988) and Donald Winnicott (1971). This has been echoed in recent methodologies that incorporate psychoanalytic thinking in their use of reflexivity (e.g. Hollway and Jefferson, 2000) and in considering that data generated in much of the research is co-created (Layton, 2008). This book is the first to use psychoanalysis as a basis for exploring how occupational therapists work, and it incorporates a new conceptual model to guide practice. The authors emphasize the role of the unconscious in all that people do and are and argue that occupations are simultaneously real and symbolic. The symbolic value of an occupation includes its social, political, or cultural significance and its potential unconscious meaning. The doing in the occupational therapy relationship is thought about as a form of communication, and the occupational therapist can use a mixture of practical engagement and unconscious resonance to respond to the client and reflect on symbolic content. These mechanisms and processes are fundamental to successful therapy. The first section of the book explores key psychoanalytic theories and their application. The second introduces the MOVI model, developed by two of the authors and presents examples of its application in clinical settings. The third section looks at research methodologies and the implications for training in psychoanalytic OT.

Table of Contents

Front Cover.
Half Title Page.
Title Page.
Copyright Page.
1: Psychoanalytic Theory Interwoven with Occupational Therapy.
2: The ‘Therapeutic Use of Self’ in Occupational Therapy.
3: An Occupational Therapy Perspective on Freud, Klein and Bion.
4: The Function of ‘Doing’ in the Intermediate Space: Donald Winnicott and Occupational Therapy.
5: Beyond Bowlby: Exploring the Dynamics of Attachment.
6: Re-Awakening Psychoanalytic Thinking in Occupational Therapy: From Gail Fidler to Here.
7: Psychoanalytic Occupational Therapy: A Relational Practice Model and Illuminating Theory in Clinical Practice.
8: MOVI: A Relational Model in Occupational Therapy.
9: Let the Children Speak.
10: Working with Difference.
11: Further Psychoanalytic Thinking: Research and Training.
12: Psychoanalytic Thinking in Research.
13: Understanding the Use of Emotional Content in Therapy Using Occupational Therapists' Narratives.
14: Training Experiences to Develop Psychoanalytic Thinking.
15: The Relational Space of Supervision.