Occupation: purposefulness and meaningfulness as therapeutic mechanisms. 1995 Eleanor Clarke Slagle Lecture.

The model of occupational functioning leads the author to conceptualize occupation both as treatment end goal and as means to remediate impairments. In both dimensions, meaningfulness and purposefulness are key therapeutic qualities. Purposefulness is hypothesized to organize behavior and meaningfulness to motivate performance. These aspects of occupation need explication through research. Some questions that need to be answered include the following: How does purposefulness of occupation-as-end organize a person's life? Does purposefulness of occupation-as-means organize particular behavioral responses? What effect does meaningfulness of occupation-as-end have on achievement of role performance? Does meaningfulness of occupation-as-means motivate perseverance and effort during therapy?

[1]  T. Steinbeck.  Purposeful activity and performance. , 1986, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[2]  E. Yerxa,et al.  Engagement in Daily Occupations and Life Satisfaction among People with Spinal Cord Injuries , 1986 .

[3]  D. Nelson,et al.  Materials-Based Occupation versus Imagery-Based Occupation versus Rote Exercise: A Replication and Extension , 1993 .

[4]  G. Kielhofner,et al.  The relationships between volition, activity pattern, and life satisfaction in the elderly. , 1986, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[5]  D. Nelson,et al.  The use of a game to promote arm reach in persons with traumatic brain injury. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[6]  C A Trombly,et al.  Electromyographic study of four hand muscles during selected activities. , 1979, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[7]  R. W. White.  Motivation reconsidered: the concept of competence. , 1959, Psychological review.

[8]  D. Nelson,et al.  Adding purpose to the repetitive exercise of elderly women through imagery. , 1990, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[9]  P. Morasso,et al.  Understanding Human Movement , 1986 .

[10]  M. Kircher,et al.  Motivation as a factor of perceived exertion in purposeful versus nonpurposeful activity. , 1984, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[11]  V. Mathiowetz,et al.  Motor behavior research: implications for therapeutic approaches to central nervous system dysfunction. , 1994, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[12]  C. Trombly,et al.  Anticipating the future: assessment of occupational function. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[13]  D. Zecha,et al.  An analysis of a board game as a treatment activity. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[14]  D. Nelson,et al.  Dual purpose activity versus single-purpose activity in terms of duration on task, exertion level, and affect , 1987 .

[15]  E. Yerxa,et al.  Quality of time use by adults with spinal cord injuries. , 1990, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[16]  F. Ludwig,et al.  Intrinsic motivation in product-oriented and non-product-oriented activities. , 1988, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[17]  R. Abler,et al.  Self-efficacy and competence in independent living among oldest old persons. , 1988, Journal of gerontology.

[18]  R. J. Wolfe,et al.  Occupational science: academic innovation in the service of occupational therapy's future. , 1991, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[19]  A. Georgopoulos.  On reaching. , 1986, Annual review of neuroscience.

[20]  K. Tigges.  On philosophy of occupational therapy. , 1972, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[21]  Y. Bhambhani,et al.  The effects of task preference on performance during purposeful and nonpurposeful activities. , 1991, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[22]  Anna Claire.  Occupational Therapy and Activities Health: Toward Health Through Activities , 1991 .

[23]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[24]  C. Burnett,et al.  Values of activities of daily living. A survey of stroke patients and their home therapists. , 1985, Physical therapy.

[25]  R. H. Jebsen,et al.  An objective and standardized test of hand function. , 1969, Archives of physical medicine and rehabilitation.

[26]  Allison L. McKinnon,et al.  Time use for Self Care, Productivity, and Leisure among Elderly Canadians , 1992 .

[27]  D. P. Taylor.  Treatment goals for quadriplegic and paraplegic patients. , 1974, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[28]  D. Nelson,et al.  Occupation: form and performance. , 1988, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[29]  David N. Lee,et al.  EFFECT OF TASK ON MOVEMENT CONTROL IN CEREBRAL PALSY: IMPLICATIONS FOR ASSESSMENT AND THERAPY , 1991 .