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Stories of rediscovering agency: Home-based occupational therapy for people with severe psychiatric disability

机译：重新发现机构的故事：针对重度精神病患者的家庭职业治疗

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摘要

As part of a larger study, we offered Everyday Life Rehabilitation (ELR) as a model for integrated occupational therapy in sheltered or supported housing facilities, to enable meaningful daily occupations for people with psychiatric disabilities. Our aim with this study was to understand how participants made sense of their occupational transformations in the context of their everyday life and life history. We carried out qualitative interviews and field observations with 16 participants with psychosis-related disorders. We used narrative analysis and disclosed stories of "rediscovering agency," referring to occupational and identity transformations. A parallel outcome study has shown positive results for participants, and by using narrative inquiry we contribute with a deeper understanding of the meaning making of their transformations and mechanisms of the intervention; i.e., hope, extended value of reaching goals, reentering the majority world, transparency of process, and attunement to the individual. The findings support the use of the ELR intervention.
机译：作为一项较大研究的一部分，我们提供了日常生活康复（ELR）作为在有遮蔽或有支撑的房屋设施中进行综合职业治疗的模型，以使精神病患者能够进行有意义的日常工作。我们这项研究的目的是了解参与者如何在日常生活和生活史的背景下理解他们的职业转变。我们对16名患有精神病相关疾病的参与者进行了定性访谈和现场观察。我们使用了叙事分析并披露了“重新发现代理人”的故事，这些故事涉及职业和身份的转变。一项平行结果研究为参与者显示了积极的结果，通过使用叙事性探究，我们对他们的转变和干预机制的意义有了更深入的了解。即希望，实现目标的扩展价值，重新进入多数国家，流程透明以及对个人的协调。研究结果支持使用ELR干预措施。

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