Personal-Professional Connections In Occupational Therapy

Most of my professional life to date has focused on working with people with disabilities and in helping them identify and achieve their goals. As an occupational therapist, I had coursework in psychology, but no formal training in counseling. My ability to help my patients reach their highest potential really depended on my professional relationship, or what as therapists we referred to as “therapeutic use of self”. I certainly learned and used specific techniques and assessments over the years to help me achieve better outcomes, but never identified with any specific theory as the framework of my interactions. I recognize there were times when my personality and my skills were a great match and other times when I felt like I just couldn’t figure out the right approach. Thankfully for much of my career, I worked with an interdisciplinary team that included some very skilled psychologists, so I always had the ability to consult.

The occupational therapy profession shares many objectives across the communities, clients, and families they serve. Some of these aims include: “Developing the field of occupational therapy and enhance the professions capabilities to meet the needs of the entire population, providing evidence on the efficacy of occupational therapy. This includes working with organizations and local communities, incorporating education, research, and practices as a complete whole. In addition, developing a team of professionals that innovates and adapts to the developing health needs of the population” (AOTA, 2013). This includes advocacy efforts with policymakers to ensure continued funding to provide care to individuals (AOTA, 2013). Occupational therapy is a distinctive profession that helps

The whole reason for a therapeutic relationship is to facilitate a successful patient outcome. Each person is unique and has different needs.

There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and clients.

Therapeutic relationships ease and comfort a client`s mind. A full-bodied therapeutic relationship fosters a comfortable environment constituting contentment, thus decreasing anxiety levels (Gardner,

(Horvath and Greenberg, 1994) As Binder and Strupp (1997) have suggested, the outcome of the therapeutic alliance is highly connected with the therapist’s capability to recognize whether the treatment they have applied is helpful and if it isn’t how it could be changed in order to turn into a positive treatment. (Binder and Strupp, 1997) Furthermore, both statements suggest that there must be a close connection between the therapist and the family/person, which is being treated at the considered moment. Those texts could suggest that it is important to have a personal, yet professional connection with the “client” in order to achieve a positive outcome. However, this would mean that one must take their work life into their everyday life and engage with the patient even outside work hours and that would be crossing the professional boundaries. To give an example for a positive treatment which evolves into a negative, I would like to draw your attention to the Netflix Original Series - Atypical.

To be able to participate in one 's own life, to do the things we want to do, and to competently perform the activities that form part of our daily, weekly or monthly routines, is a common goal for most people.  This not only includes taking part in the basic activities of self-care, such as grooming and dressing, but also extends to our work and leisure activities.  It is through doing things that we learn and develop as human beings.  The occupational therapy profession believes that being prevented or hindered in some way from participating in the activities that are important to us could adversely affect our health and wellbeing.

social awareness and social skills (See appendix A). The OTS scored 31 on self-awareness. The

Occupational Therapist enables people to engage and participate in everyday activities trough occupation. The latter role is not only applicable for individuals but also groups or populations. Eventually, with the increase of the aging population, expensive health care services, occupational therapists will have to incorporate health promotion practices into their actual roles.To cope with this phenomenon and to better meet older adult’s needs, the occupational therapist 's role would benefit from being enlarged.Expanding their knowledge and their practices in promoting health will facilitate their work in other domains.This will help them to shift from an individual to a population approach. To achieve that transition, therapists should be more involved in decisions taken by politicians regarding health and to develop services and programs that promote well-being, health, and quality of life. Also, collaboration with other fields such as schools, workplaces, industries, deputies and organizations will help them spread strategies that promote awareness and enable the population to control and maintain an independent healthy lifestyle. Also, therapists understand that the environment can be a crucial factor on health population. Therefore ,they can put pressure on the government to make public places more accessible to disabled people such as providing the subway of a wheelchair ramp and adapt crosswalks to the blind by adding pedestrian signals that include speakers at

Seeing and feeling like you have cured or helped someone is a very rewarding feeling. Occupational therapists fall under the health science career cluster. OT’s help troubled patients with their fine motor skills through therapeutic activities.

While there are many ways that a person can specialize in the field of occupational therapy, one of the profession’s draws exists in the potential for variety and diversity. The goal of occupational therapy is to provide therapies and alternatives that allow clients to return to the things that they need to be able to do, and the things they want to be able to do. This is obviously a broad definition, and one that can be achieved in various groups, and through various methods. Occupational therapists can specialize in hand therapy, stroke rehabilitation, driving, community mobility, low vision patients, pediatrics, or geriatrics. In any of these specialties, a therapist can address their patient’s daily living activities, leisure, work, education, or social participation. An increased ability to participate in any of these activities can be facilitated through a variety of treatments: splinting, modalities, adaptive equipment, task modification, environmental modification, or activities centered on desired occupations.

Therapeutic relationship is defined as the collaboration and attachment between the client and therapist that focuses on meeting the health care needs of the client (Bordin, 1979). In this relationship, the therapist without prejudice shows Empathy, insight, understanding and acceptance of the client. Duan and Hill (1996) defined Empathy as “feeling into” the experience of the client. Over the years, the research evidence keeps piling up, and indicating a high degree of Empathy in a Therapeutic relationship is possibly one of the most potent factors in bringing about positive outcome in the therapy

Research has shown that a strong therapeutic alliance is necessary for establishing a beneficial contact between the therapist and the client. If the therapist does not encourage the creation of a reliable therapeutic alliance from the beginning of the treatment, it will be hard to develop a constructive relationship with the client later. Establishing the therapeutic alliance will increase the chances of achieving the goal of the treatment because the clients will be willing to cooperate if they trust and respect the therapist. Clients are not likely to cooperate with therapists who impose their authority aggressively. Instead of imposing their authority on the patient, therapists should develop work with their patients by

Moreover, Kaslow, Grus, Campbell, & Fouad, et al. (2009) stated that the client/therapist relationship is built on trust and kindness, empathy, and positive regard. Interpersonal and professional relationships are key. Affective skills are based on personal and cultural context (Kaslow, et al. 2009).

Therapeutic use of self involves using one’s personality, body language, active listening that is used to create and maintain a therapeutic relationship with others (Lowe et al., 2007). Establishing trust is also an important aspect of therapeutic use of self, to address the needs and goals of the client, which helps our scope of practice to remain client-centered. Using therapeutic use of self is beneficial for occupational therapists (OT), as it facilitates interaction with the client. It also encourages and allows the therapist to obtain necessary information, and to alleviate fear or anxiety that may take place during treatment session. During Level I Fieldwork at a SNF, I was able to apply these principles during a treatment session for a client diagnosed with dementia that was agitated and non-compliant with the activity. To divert her attention to the activity, and to get her to understand that I was