Premium
Therapeutic use of self as defined by S wedish occupational therapists working with clients with cognitive impairments following acquired brain injury: A D elphi study
Author(s) -
Holmqvist Kajsa,
Holmefur Marie,
Ivarsson AnnBritt
Publication year - 2013
Publication title -
australian occupational therapy journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 44
eISSN - 1440-1630
pISSN - 0045-0766
DOI - 10.1111/1440-1630.12001
Subject(s) - cognition , occupational therapy , psychology , rehabilitation , therapeutic relationship , acquired brain injury , empirical research , clinical psychology , psychotherapist , applied psychology , psychiatry , philosophy , epistemology , neuroscience
Background/aim The concept therapeutic use of self has mainly been described theoretically. Empirical descriptions are few and empirical validation is needed to make the concept more useful for informing practice and explaining what occupational therapists do in the interaction with their clients to facilitate successful outcomes. The aim of this study was to empirically define the aspects that occupational therapists working with clients with cognitive impairments following acquired brain injury find are consistent with the concept of therapeutic use of self. Method Thirteen expert occupational therapists participated. Reactive D elphi technique in three rounds was used where each round built on the results of the previous one. A questionnaire based on current literature was developed for the first round. Results Twenty of 33 statements reached a consensus level of 75% or more. These statements reflected the therapists' consciousness, self‐awareness and use of personal characteristics. The statements also concerned the intentions of therapeutic use of self, including client group‐specific intentions such as enhancing self‐awareness. The results indicate that the content of the concept may be defined differently depending on the client group. Conclusions The empirical descriptions generated from this study may help occupational therapists working with clients with cognitive impairments following acquired brain injury to describe how and with what intention they use themselves therapeutically in the rehabilitation process. In occupational therapy education, the results may be used to highlight how the concept may be understood in practice and to discuss it in relation to different client groups.