Chen Szu-Wei, Chippendale Tracy
Szu-Wei Chen, MS, is PhD Candidate, Department of Occupational Therapy, New York University Steinhardt School of Culture, Education, and Human Development, New York;
Tracy Chippendale, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, New York University Steinhardt School of Culture, Education, and Human Development, New York.
Am J Occup Ther. 2018 Jul/Aug;72(4):7204347010p1-7204347010p5. doi: 10.5014/ajot.2018.028316.
Leisure is commonly treated as a means instead of an end goal of intervention. This approach, influenced by history and society's past values, does not reflect the fact that leisure is meaningful and unique to its participants and has a significant effect on their health. On the basis of the core values of the occupational therapy profession and its role in the health care system, in this article we advocate that occupational therapists should expand their focus to include leisure as a goal of intervention. Although adopting this proposed approach may not be easy, given that it involves challenges in reimbursement for services, potential competition with other health professions, and a twisting of the deep-rooted existing values of occupational therapists, we believe the proposed solutions address these concerns and shed light on how to make leisure a valued goal of intervention.
休闲通常被视为一种手段,而非干预的最终目标。这种受历史和社会过去价值观影响的方法,并未反映出休闲对参与者而言是有意义且独特的,并且对他们的健康有重大影响这一事实。基于职业治疗专业的核心价值观及其在医疗保健系统中的作用,在本文中我们主张职业治疗师应扩大其关注点,将休闲纳入干预目标。尽管采用这一建议的方法可能并不容易,因为它涉及服务报销方面的挑战、与其他健康专业的潜在竞争,以及对职业治疗师根深蒂固的现有价值观的扭转,但我们相信所提出的解决方案能够解决这些问题,并阐明如何使休闲成为一个有价值的干预目标。