Peloquin S M
School of Allied Health Sciences, University of Texas Medical Branch at Galveston 77555-1028.
Am J Occup Ther. 1993 Oct;47(10):935-42. doi: 10.5014/ajot.47.10.935.
The results of a previous inquiry suggest that three images of occupational therapists dominate patients' stories about them: the images of technician, parent, and collaborator or friend. These ways of being in practice can be said to reflect the various understandings that therapists have about how to enact the profession's commitment to both competence and caring. When therapists act as technicians or authoritarian parents, patients register their disappointment over a valuation of competence that excludes caring actions. In a more current inquiry into the climate of caring, patients and caregivers reflect about the current health care system and identify three societal constructs that shape a preference for competence over caring: (a) emphasis on the rational fixing of the health care problem, (b) overreliance on methods and protocols, and (c) a health care system driven by business, efficiency, and profit. Occupational therapists who are concerned about complaints that the health care system is increasingly uncaring might benefit from a consideration of the extent to which societal beliefs shape the manner in which they care.
先前一项调查的结果表明，职业治疗师的三种形象主导着患者讲述的关于他们的故事：技术人员、家长以及合作者或朋友的形象。在实践中的这些表现方式可以说反映了治疗师对于如何践行该职业对能力和关怀的承诺的各种理解。当治疗师扮演技术人员或专制家长的角色时，患者会对那种将关怀行为排除在外的能力评价表示失望。在一项关于关怀氛围的最新调查中，患者和护理人员反思了当前的医疗保健系统，并确定了三种塑造了对能力而非关怀的偏好的社会观念：(a) 强调对医疗保健问题的理性解决，(b) 过度依赖方法和规程，以及 (c) 由商业、效率和利润驱动的医疗保健系统。担心医疗保健系统越来越缺乏关怀的抱怨的职业治疗师，可能会从思考社会观念在多大程度上塑造了他们的关怀方式中受益。
