Ramsey Diana, Cameron Josh, Harrison Rebecca, Young Sharon
Learning Disability, Kent Community Health Foundation Trust, Ashford, UK.
School of Health Sciences, University of Brighton, Eastbourne, UK.
Br J Occup Ther. 2022 Nov;85(11):880-890. doi: 10.1177/03080226221089848. Epub 2022 Jun 11.
The proportion of people with an intellectual or developmental disability (IDD) in paid employment is low internationally despite policy efforts. Evidence suggests multiple and varied explanations for this, including organisational, social and personal barriers. That evidence has not focused on first-person experiences which may provide a depth of understanding and explanation of the work-related experiences of people with IDD.
A hermeneutic phenomenological approach and an exploratory research method of a 'creative collaborative partnership' was adopted to illuminate the work-related experiences of six people with a mild IDD.
Six work stories composed of narratives and visual images were collaboratively created revealing a complex range of positive and negative experiences and perspectives of paid work. Five collective narrative frames emerged: the quest 'to do', navigating bureaucratic seas, finding a good fit, forging of identity and finding both friend and foe.
The collaborators' stories highlighted that individuals supporting people with IDD towards or in work, including occupational therapists, need to adopt a nuanced systemic perspective of the context surrounding the person. This includes identifying allies and allowing people with IDD to decide how (if at all) they describe their IDD status to others as they establish their worker identity.
尽管有政策推动,但在国际上,智力或发育障碍(IDD)患者从事带薪工作的比例较低。有证据表明对此存在多种不同的解释,包括组织、社会和个人层面的障碍。但这些证据尚未聚焦于第一人称的经历,而这类经历可能会为理解和解释IDD患者的工作相关经历提供深度。
采用诠释现象学方法以及“创造性合作伙伴关系”的探索性研究方法,以阐明六名轻度IDD患者的工作相关经历。
通过合作创作了六个由叙述和视觉图像组成的工作故事,揭示了一系列复杂的带薪工作的积极和消极经历及观点。出现了五个集体叙事框架:追求“有所作为”、在官僚海洋中航行、找到合适的契合点、塑造身份以及找到朋友和敌人。
合作者的故事强调,包括职业治疗师在内的支持IDD患者就业或已就业的人员,需要对患者周围的环境采取细致入微的系统视角。这包括识别盟友,并允许IDD患者在确立其工作身份时决定如何(如果需要的话)向他人描述自己的IDD状况。