Mexican American Intergenerational Research: Transformative Model of Occupational Therapy.

IF 1.3 4区 医学 Q3 REHABILITATION
Occupational Therapy International Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI:10.1155/2024/6301510
Maritza Montiel Tafur, Yvonne de la Torre Montiel, Miguel Montiel
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Abstract

Thirty-seven interviews of Mexican American women who crossed the border into the United States during the era of the Mexican Revolution of 1910 were analyzed using constructivist grounded theory methods. The intent is to expand the occupational therapy profession's occupational consciousness and cultivate cultural humility. Four themes emerged from the data: suffering, work, yearning for an education, and compassion for others. The findings suggest that environmental barriers such as hierarchy (patriarchy and discrimination) and physical barriers (limited access to built environments, lack of nonexploitative work opportunities, and hostile educational institutions) prevented occupational participation. Small acts of resistance through everyday living (finding joy, playing, self-sufficiency, and community organizing) were identified as facilitators of occupational participation. The research findings challenge proposed assumptions found within the occupational therapy literature: (1) humans and occupations exist as separate from their environments, and (2) work, productivity, and leisure contribute positively to health. The Transformative Model of Occupational Therapy is introduced as a decolonized framework that inextricably links individual health to community and global health. The model centers play, social participation, work, and education as occupations that contribute to the common good. These occupations are kept in equilibrium within the Four Pillars of Culture (self-determination, compassion, sustainability, and language) or the cultural values identified and derived from the stories.

墨西哥裔美国人代际研究:职业疗法的变革模式。
本研究采用建构主义基础理论方法,分析了对 1910 年墨西哥革命时期越境进入美国的 37 名墨西哥裔美国妇女的访谈。目的是扩大职业治疗专业的职业意识,培养文化谦逊。数据中出现了四个主题:苦难、工作、对教育的渴望和对他人的同情。研究结果表明,环境障碍,如等级制度(父权制和歧视)和物理障碍(进入建筑环境受限、缺乏非剥削性工作机会和敌对的教育机构)阻碍了职业参与。通过日常生活(寻找快乐、玩耍、自给自足和社区组织)进行的小规模反抗被认为是职业参与的促进因素。研究结果挑战了职业疗法文献中提出的假设:(1)人类和职业的存在与其环境是分离的;(2)工作、生产力和休闲对健康有积极的促进作用。职业疗法的变革模式是作为一个非殖民化框架引入的,它将个人健康与社区和全球健康密不可分地联系在一起。该模式以游戏、社会参与、工作和教育为中心,将其视为有助于共同利益的职业。这些职业在 "文化四大支柱"(自决、同情、可持续性和语言)或从故事中确定和衍生的文化价值中保持平衡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
121
审稿时长
>12 weeks
期刊介绍: Occupational Therapy International is a peer-reviewed journal, publishing manuscripts that reflect the practice of occupational therapy throughout the world. Research studies or original concept papers are considered for publication. Priority for publication will be given to research studies that provide recommendations for evidence-based practice and demonstrate the effectiveness of a specific treatment method. Single subject case studies evaluating treatment effectiveness are also encouraged. Other topics that are appropriate for the journal include reliability and validity of clinical instruments, assistive technology, community rehabilitation, cultural comparisons, health promotion and wellness.
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