Finding a Voice: Overcoming Shame Through a Classroom Collective Exploration of Vulnerability

Abstract

In keeping with the call for greater justice and diversity within the occupational therapy profession, many educational programs are taking steps to infuse diversity, equity, and inclusion (DEI) across their curriculum. In this paper, we will introduce the theoretical concepts underpinning the first assignment in a DEI curriculum thread in one entry-level occupational therapy doctoral (OTD) program, grounding it in critical pedagogy and exploring how it provides a first step to critical aptitude by providing space for an open-ended, reflexive dialogue about subjective experiences of internalized shame and marginalization. Students learn how to practice self awareness, understand shame culture, and recognize their own positionality within a greater culture of shame and oppression, particularly around healthcare. Evaluation of the innovation is presented, both from students and faculty, demonstrating the value in this assignment as a first step toward developing cultural humility.