Can J Occup Ther. 2023 Mar;90(1):103-113. doi: 10.1177/00084174221145811. Epub 2023 Jan 11.
Research in neuroscience shows that adults with schizophrenia or related psychotic disorders experience atypical sensory processing (e.g., deficits in sensory gating and mismatch negativity). Despite significant evidence proving these biomarkers are common among adults with serious mental illness, it is unclear how their sensory experiences impact their occupations in daily life (i.e., real-world implications of atypical sensory processing). To explore how the lived sensory experiences of adults with psychotic disorders affect their occupations. We used Walking with Video, photo-elicitation, and semi-structured interviews to study how the lived sensory experiences of adults with psychotic disorders ( = 6) relate to their occupations. Informed by a phenomenological perspective, we analysed data from semistructured interviews, and undertook analyses through iterative rounds of coding to develop themes and two cycles of group reflective practices to identify researcher biases and assumptions. Analyses revealed the following themes: polysensoriality, embodied aesthetics of everyday life, habits of sensing and sensory anchors, and active sensory beings. In clinical contexts, occupational therapists should carefully consider the situatedness of sensory experiences while avoiding assumptions that sensory preferences and aversions mechanistically generalize across contexts and occupations.
神经科学研究表明，患有精神分裂症或相关精神病障碍的成年人存在异常的感觉处理（例如，感觉门控和失匹配负波缺陷）。尽管有大量证据证明这些生物标志物在患有严重精神疾病的成年人中很常见，但尚不清楚他们的感觉体验如何影响他们在日常生活中的职业（即异常感觉处理的实际影响）。为了探讨精神病患者的生活感觉体验如何影响他们的职业。我们使用视频行走、照片启发和半结构化访谈来研究精神病成年人（ = 6）的生活感觉体验如何与他们的职业相关。我们受现象学观点的启发，对半结构化访谈中的数据进行了分析，并通过迭代编码分析来发展主题，并进行了两轮小组反思实践，以确定研究人员的偏见和假设。分析揭示了以下主题：多感官性、日常生活的体现美学、感觉习惯和感觉锚点以及主动感觉存在。在临床环境中，职业治疗师在考虑感觉体验的情境时应格外小心，同时避免假设感觉偏好和厌恶在机制上可以跨情境和职业普遍存在。
