Living in a Glasshouse: Exploring Occupational Alienation
Open accessAbstract
Background. Community mental health care has shifted focus from resettlement to empowerment, reflecting a wider agenda for social inclusion. Purpose. This study evaluated mental health day services from the perspectives of thirty-nine clients. Method. Data analysis of the four focus groups explored the implications for occupational therapy. The data collected were subjected to constant comparative analysis and theoretical sampling. Results. Participants described how mental health day services structured their day and enabled access to support networks. However, many perceived aspects of the services as fostering their dependence and threatening sessions they valued. This dependency led to them feeling alienated and wishing to seek greater influence over decisions about their current and future life. The concept of occupational alienation was used to further interpret their situation. Practice Implications. Occupational therapy could overcome occupational alienation experienced by mental health day service clients, through the development of services within and beyond day services which promote a sense of belonging and offers meaningful occupation.
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There is limited research regarding how attendees experience day centres and the effect of this rehabilitation on people with psychiatric disabilities.
“There is, however, limited research regarding how attendees experience the day centres they visit and the effect this type of rehabilitation has on people with PD (8-9).”
From Factors influencing subjective perceptions of everyday occupations: Comparing day centre attendees with non-attendees (2012) · cites this paper as [9]
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- Authors
- Bryant, W., Craik, C., & McKay, E. A.
- Affiliations
- Brunel University of London (GB)
- Venue
- Canadian Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2004-12
- Volume
- 71
- Issue
- 5
- Pages
- 282-289
- ISSN
- 0008-4174 (ISSN-L)
- 1911-9828
- OpenAlex
- W423675046
- Cited by
- 83
- References
- 5
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 16 · 2022: 7 · 2021: 1 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 6 · 2015: 7 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- green
- bura.brunel.ac.uk
- Locations
- Canadian Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Brunel University Research Archive (BURA) (Brunel University London) (submittedVersion)
- Research Output (Edinburgh Napier University) (submittedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, cc-by)
- Funders
- World Health Organization
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- occupational alienation, community mental health services, customer perspective, social inclusion, client empowerment, dependency, meaningful occupations, sense of belonging, social support networks, client decision-making
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Mental Disorders, Community Mental Health Services, Day Care, Medical, Female, Health Services Accessibility, Humans, Male, Middle Aged, Occupational Therapy, Patient Participation, Professional-Patient Relations, Social Environment, Social Support, Focus Groups, Community Networks
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