This study aimed to investigate the experiences of people with intellectual disability (ID) using information and communication technologies (ICTs) and the ways these technologies foster social ...connectedness. In partnership with a community mental health organization, this qualitative descriptive study explored the experiences of 10 people with ID using ICTs. Participants described how ICTs Opened the Door to Possibilities in their life – ICTs provided an avenue for connecting with other people, a means to pursue personal interests and a tool for organizing everyday life. Opening the door to possibilities was further understood as movement towards digital inclusion for people with ID, conceptualized as the fit between social opportunity and personal skills. We have identified the prominent role social supports play in creating (and constraining) opportunities for digital inclusion, and that digital inclusion has the potential to enable social connectedness and the development of agency. Consideration of the complex interaction between social opportunity and personal skills, and the mediating influence of supports, will enhance the inclusion of people with ID.
Drawing from the work of Deleuze and Guattari, we experimentally chart a cartography of a peculiar interview (an “off-topic” and “dissident” interview that disrupts the agenda of the interviewer). In ...this article, we aim to traverse the micropolitics of the interview, the entangled relations of power and resistance. We intentionally chart the intensive topography of the peculiar and re-present what was once missed (or passed over). Thinking with theory rather than method, we have used Deleuze and Guattari’s conceptualization of social machines, deterritorialization, and desire, to interrogate and experiment with the dissident interview. Performed as a nine-movement guerrilla encounter, the peculiarities of the interview are re-presented as unconventional guerrilla tactics that deterritorialize and disrupt the interview. Our experimentation surfaced some of the ways an interview can be despotic, stifling affective production. However, a Deleuzio-Guattarian war machine prevented the capture and appropriation of the interview and produced a new creative machine.
Reflective practice is a crucial aspect of being a health professional and needs to be developed throughout one's career, starting as a student. However, it can be difficult for clinical educators to ...facilitate student engagement in
reflection whilst on placement across a variety locations. This action research study aimed to develop and explore the use of SMS as a tool to facilitate reflective practice for health professional students on clinical placement in an
Aboriginal and Torres Strait Islander context. Following three action research phases, this paper focuses on the most recent (fourth) research phase. In this phase, ten health professional students were sent a series of three reflective
SMS messages per week structured around a commonly used framework within this health context, the Making Connections Framework. A focus group was utilized to explore the collective experiences of five students and evaluated using
thematic analysis. Four key themes emerged: 1) transition of SMS from a personal to a professional technology, 2) benefits and limitations of the professional use of SMS, 3) SMS for reflective dialogue, and 4) SMS and reflection 'on' and
'in' practice. SMS was found to be a viable tool for prompting reflection for students on placement in an Aboriginal and Torres Strait Islander setting when embedded within a broader organisation-wide cultural integrity framework and
structure. Author abstract
Becoming-sick Barlott, Tim
Journal of autoethnography,
04/2021, Letnik:
2, Številka:
2
Journal Article
Recenzirano
Becoming, a concept from the work of Gilles Deleuze and Felix Guattari,1 is an asignifying process of transformation that unsettles the taken-for-granted. Engaging with micropolitical movements of ...power and resistance, becomings generate fissures and lines of escape that are difficult to classify or categorize. In this Deleuzio-Guattarian intoxicated poem, the author explores his imperceptible becoming following the surgical removal of an oral cancer.
In this paper, we operationalise a postmodern conceptualisation of desire in order to articulate occupation as a passionate, creative, and productive process that is entangled with the social world. ...Employing the philosophy of Gilles Deleuze and Felix Guattari, we use the concepts of assemblage and desire to theorise how passionate impulses are socially constructed and produce the flows of everyday life. The concept of assemblages refers to the dynamic webs of interconnection that make up our social world. The social and material elements within an assemblage (human, non-human, physical, non-physical) are continually shaping and being shaped by each other, entangled in an ongoing process of social production. In this paper, we theorise occupation as an assemblage, as a dynamic and social process that produces the flows of everyday life. The concept of desire refers to the creative impulse and passion that stirs individuals to create or act within their social world/assemblage. We present desire as a social force, one that is produced by the assemblages of everyday life and also one that produces everyday life. While the assemblages of everyday life have the potential to constrain desire, they also have the potential to creatively liberate the transformative potential of desire - generating liberating occupational flows.
People who have been diagnosed with serious mental illness have a long history of confinement, social stigma and marginalisation that has constrained their participation in society. Drawing upon the ...work of Gilles Deleuze and Felix Guattari, we have used the concepts of: assemblages, major and minor and deterritorialisation to critically analyse two pervasive and ‘taken‐for‐granted’ assemblages in mental health: recovery (including clinical recovery, social recovery and recovery‐oriented practice) and social inclusion. Our analysis explores how dominant and oppressive forces have been entangled with liberating and transformative forces throughout both of these assemblages – with dominant forces engaging in ongoing processes of capture and control, and transformative forces resisting and avoiding capture. In pursuit of social transformation for people categorised with serious mental illness, deterritorialisation is posited as a potential way forward. To have transformation in the lives of mental health service users, we present the possibility that ongoing, disruptive movements of deterritorialisation can unsettle majoritarian practices of capture and control – producing liberating lines of flight.
When providing services, occupational therapists encounter social inequities that affect the health and well-being of their clients and create ethical tensions.
To develop an understanding of the ...ethical tensions encountered by occupational therapists working with clients experiencing social inequity and how such tensions are navigated.
This qualitative study used an interpretive description methodology.
Community and tertiary health settings.
Fifteen occupational therapists who identified as working with clients experiencing social inequity.
Semistructured interviews were used to explore participants' practice experiences. Data were analyzed using thematic analysis.
Two themes were identified in relation to participants' experiences of ethical tensions: (a) perpetuating inequities and (b) experiencing conflicting values. A further three themes were identified in relation to how participants identified and navigated these tensions: (a) taking action, (b) seeking support, and (c) ensuring integrity and accountability.
Ethical tensions frequently emerged when systemic health contexts were not responsive to social inequities or created barriers to health care access. Occupational therapists felt a sense of responsibility to take action to address inequity, which led them to stretch boundaries and roles. Having informal and formal supports, and confidence in the scope of their practice, helped the occupational therapists to navigate ethical tensions with integrity and accountability. Increased avenues for support that incorporate reflexivity offer an opportunity for occupational therapists to engage in dialogue about social inequities and ethical practice. What This Article Adds: This article explores the types of ethical tensions occupational therapists experience when addressing social inequities and provides insights into how such tensions are managed.
Interest in the use of psychedelics for mental health therapy is burgeoning. Qualitative research methods are increasingly used to understand patient's experiences; however, there is a lack of ...literature that explores psychedelic use from an occupational perspective.
To conduct a scoping review of qualitative literature on the experiences of psychedelic use for the purpose of mental health therapy, through an occupational lens.
Wilcock's occupational perspective of health was employed to analyze the use of psychedelics in mental health from an occupational perspective. Despite heterogeneous therapy contexts and substances used, patients reported comparable benefits regarding occupational engagement, such as increased mindfulness and autonomy in
, a renewed sense of
, greater motivation to grow and
, and an improved sense of connection and
.
This review demonstrates how psychedelic use in the context of mental health support can be experienced as a meaningful occupation and may contribute to overall health. In turn, this review highlights the utility of an occupational perspective for "non-sanctioned" or stigmatized occupations like psychedelic use, as well as the need for more research on psychedelic use from an occupational perspective. Using an occupational perspective of health can help to de-stigmatize psychedelic use as a meaningful occupation, rather than a deviant one, and shed light on how psychedelics may also positively impact one's participation in everyday life and overall health.
Research points to the potential benefit of information and communication technologies (ICTs) for people with learning disabilities. However, there has been limited exploration of the interconnected ...nature of people and social context when considering how people with learning disabilities use ICTs. The result has been an overemphasis on (and assumptions of) the skill limitations and individual capacity of people with learning disabilities and their use of ICTs. Using a transactional perspective based on the work of John Dewey, this study aimed to explore the interrelationship of people with learning disabilities, ICTs, and the social world. Using a post-qualitative and theory-driven approach, we employed a transactional perspective (namely the interrelated concepts of embodiment, habit, and growth) to analyse interview data from 10 adult participants with learning disabilities. Our analysis suggested that when people have access and opportunity to co-mingle with technology, the technology can become embodied (feel like a part of them). ICTs were found to become an extension of participants' bodies, enhancing their literacy, learning, and connection with others. Introducing the concept of conjoint action, we explored how human and nonhuman bodies are enmeshed in the formation of what we typically think of as human habits. Participants developed more-than-human habits of ICT use that they drew from to coordinate with their everyday life, navigating everyday challenges. Yet, in restrictive social contexts (or those influenced by underlying assumptions of the vulnerability of people with learning disabilities), participants were less likely to embody ICTs in the rhythms of everyday life and experience benefits of ICT use. Our findings shed light on the entangled, transactional relationship of people and the social world, and present occupation as the conjoint action of human and nonhuman bodies.
This paper draws upon the poststructural work of Deleuze and Guattari to outline a framework for analyzing social formations in a way that is acentred from the individual. The concepts of the major ...and minor, becoming minor and the rhizome provide a useful framework for scholars and practitioners to engage in affirmative political modes of thought, challenge dominant discourses and seek transformative processes. The major are the dominant things in the social world (both human and non-human, physical and non-physical) that are established, clearly understood and considered normal. The minor is the site of difference, that which does not align with the norm. The major seeks to categorise and stratify the minor, oppressing the minor and limiting its potential. In order to resist the capture of the major and pursue social transformation, Deleuze and Guattari introduced the concept of becoming minor, a collective process of resistance to categorical/normative identities. The process of becoming minor is illustrated through the concept of the rhizome, a non-hierarchical figuration of the interrelated and continually changing nature of things. The rhizome is a useful tool for analyzing and articulating social formations, and invites a deeper understanding of the flows that are entwined with occupation. Mapping cartographies of rhizomatic processes may open up creative possibilities for occupational science and new ways of thinking about occupation beyond the individual.
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