Smith Sharon, Suto Melinda J
Vancouver Community Mental Health Services, 520 West 6th Avenue, Suite 200, Vancouver, British Columbia, Canada, V5Z 4H5.
Can J Occup Ther. 2012 Apr;79(2):77-85. doi: 10.2182/cjot.2012.79.2.3.
It continues to be a challenge to define and utilize spirituality in client-centred occupational therapy practice. Dialogue about spirituality is especially problematic for occupational therapists working with people with schizophrenia.
To explore the meaning of religion and/or spirituality for people living with a diagnosis of schizophrenia.
Nine community-based individuals with schizophrenia engaged in interviews about the meaning of religion and/or spirituality and demonstrated self-defined spiritual practices. Phenomenology, hermeneutic theory, and a symbolic interactionism framework provided methodological and analytic guidance.
Participants employed religious and/or spiritual practices to cope with schizophrenia symptoms and make meaning of their lives. Individuals used multiple systems of meaning to explain their experiences. Religious and/or spiritual agency, an individual's sense of freedom to choose among the spiritual options, renewed their sense of empowerment.
Therapists can engage in spiritual negotiation with clients by using well-worded empowering questions toward a common goal of life enhancement.
在以客户为中心的职业治疗实践中，界定和运用精神性仍然是一项挑战。对于与精神分裂症患者打交道的职业治疗师而言，关于精神性的对话尤其成问题。
探讨宗教和/或精神性对于被诊断患有精神分裂症的人的意义。
九名社区精神分裂症患者参与了关于宗教和/或精神性意义的访谈，并展示了自行定义的精神实践。现象学、诠释学理论和符号互动主义框架提供了方法和分析指导。
参与者采用宗教和/或精神实践来应对精神分裂症症状并赋予生活意义。个体使用多种意义系统来解释他们的经历。宗教和/或精神能动性，即个体在精神选择中进行选择的自由感，恢复了他们的赋权感。
治疗师可以通过向增强生活这一共同目标提出措辞恰当的赋权问题，与客户进行精神协商。
