Liedberg Gunilla M, Björk Mathilda, Hensing Gunnel
Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping.
Aust Occup Ther J. 2010 Oct;57(5):331-8. doi: 10.1111/j.1440-1630.2010.00856.x.
BACKGROUND/AIM: Women and men are shaped over the courses of their lives by culture, society and human interaction according to the gender system. Cultural influences on individuals' social roles and environment are described in occupational therapy literature, but not specifically from a gender perspective. The purpose of this qualitative study was to explore how a sample of occupational therapists perceives the 'gender' concept.
Four focus group interviews with 17 occupational therapists were conducted. The opening question was: 'How do you reflect on the encounter with a client depending on whether it is a man or a woman?' The transcribed interviews were analysed and two main themes emerged: 'the concept of gender is tacit in occupational therapy' and 'client encounters'.
The occupational therapists expressed limited theoretical knowledge of 'gender'. Furthermore, the occupational therapists seemed to be 'doing gender' in their encounters with the clients. For example, in their assessment of the client, they focussed their questions on different spheres: with female clients, on the household and family; with male clients, on their paid work.
This study demonstrated that occupational therapists were unaware of the possibility that they were 'doing gender' in their encounters with clients. There is a need to increase occupational therapists' awareness of their own behaviour of 'doing gender'. Furthermore, there is a need to investigate whether gendered perceptions will shorten or lengthen a rehabilitation period and affect the chosen interventions, and in the end, the outcome for the clients.
背景/目的:根据性别体系,男性和女性在其生命历程中受到文化、社会及人际互动的塑造。职业治疗文献中描述了文化对个体社会角色和环境的影响,但未特别从性别视角进行阐述。本定性研究的目的是探讨一组职业治疗师如何看待“性别”概念。
对17名职业治疗师进行了四次焦点小组访谈。开场问题是:“你如何根据服务对象是男性还是女性来反思与他们的接触?”对访谈记录进行分析后,出现了两个主要主题:“职业治疗中性别概念是隐性的”和“与服务对象的接触”。
职业治疗师表示对“性别”的理论知识了解有限。此外,职业治疗师在与服务对象接触时似乎在“践行性别”。例如,在评估服务对象时,他们将问题集中在不同领域:对于女性服务对象,关注家庭和家务;对于男性服务对象,关注其有偿工作。
本研究表明,职业治疗师并未意识到他们在与服务对象接触时可能在“践行性别”。有必要提高职业治疗师对自身“践行性别”行为的认识。此外,有必要调查性别认知是否会缩短或延长康复期、影响所选择的干预措施,最终影响服务对象的治疗效果。