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how does moral treatment impact the occuation occupational therpay

by Brady Kunze Published 2 years ago Updated 2 years ago
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The Golden Years of Moral Treatment and Occupation in American hospitals, lasted until 1860. During this time, the benefits of arts and crafts were being recognized and became a highly used activity by occupational therapists to promote relaxation and feelings of productivity.

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Is moral treatment relevant to occupational therapy?

Many scholars associate the 19th-century practice of moral treatment with occupational therapy practice. A more thorough understanding of moral treatment is therefore relevant for occupational therapists. This article considers moral treatment within the contexts that shaped both its characteristics and the course of its practice--the medical ...

What are the golden years of moral treatment and occupation?

Aug 01, 1989 · Many scholars associate the 19th-century practice of moral treatment with occupational therapy practice. A more thorough understanding of moral treatment is therefore relevant for occupational therapists. This article considers moral treatment within the contexts that shaped both its characteristics and the course of its practice—the medical community and …

What is the moral treatment movement?

The influence of moral treatment principles on the founders, and therefore the early development of occupational therapy, is most apparent in the work of William Rush Dunton Jr. Dunton studied treatment strategies of Pinel and Tuke, founders of the moral treatment movement, and was interested in implementing similar programs consisting of a structured environment and …

What were the first principles of occupational therapy?

Many scholars associate the 19th-century practice of moral treatment with occupational therapy practice. A more thorough understanding of moral treatment is therefore relevant for occupational therapists. This article considers moral treatment within the contexts that shaped both its characteristics and the course of its practice--the medical community and 19th-century …

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What is moral treatment in occupational therapy?

Moral treatment was an approach to mental disorder based on humane psychosocial care or moral discipline that emerged in the 18th century and came to the fore for much of the 19th century, deriving partly from psychiatry or psychology and partly from religious or moral concerns.

What are some current issues facing the occupational therapy profession?

The challenges facing occupational therapists include proving our value in an economic trend of downsizing, competing within the medical profession, developing and affiliating with new payer sources, and reengineering our careers to meet the needs of the new, nontraditional health care marketplace.

Why is occupation important in occupational therapy?

During occupation-based intervention, occupational therapy practitioners use relevant occupations as their primary means to achieve goals related to performance. This may include using occupations to establish or remediate client skills and body functions, promote health, or prevent dysfunction.

What major social influences gave rise to the field of occupational therapy?

Occupational Therapy (OT) stemmed from the arts and crafts movement and the moral treatment movement.

Why is occupational therapy overlooked?

How OT is considered less important than PT. Occupational Therapy is also overlooked by medical professionals because OT focuses on activities that appear less important. For instance, self-care activities such as dressing, personal hygiene, and bathing may appear less important than walking (PT).Jun 23, 2021

What are the benefits of being an occupational therapist?

Benefits generally include medical, dental, life, and vision insurance as well as vacation, sick leave, and retirement plans. Occupational Therapists who are self-employed must provide for their own benefits and retirement.

Why is meaningful occupations important?

Participation in meaningful occupations promotes occupational performance and contributes to good health and wellbeing [1,7]. Lack of meaningful occupation or occupational role overload may have a negative effect on health and wellbeing [3].May 28, 2015

How is occupation defined in occupational therapy?

In occupational therapy, occupations refer to the everyday activities that people do as individuals, in families and with communities to occupy time and bring meaning and purpose to life. Occupations include things people need to, want to and are expected to do.

Why is occupation important?

Occupations are fundamental to human health and well-being because they provide meaning, identity, and structure to people's lives and reflect society's values and culture. Because humans are occupational beings,5 occupations have therapeutic potential.Sep 1, 2013

Why is moral treatment important in occupational therapy?

Origins of Occupational Therapy While the previous treatment model was associated with punishment, brutality and idleness, the moral treatment movement sought to encourage kindness and the therapeutic value of engagement in purposeful activities.

What is the moral treatment movement?

a form of psychotherapy from the 19th century based on the belief that a person with a mental disorder could be helped by being treated with compassion, kindness, and dignity in a clean, comfortable environment that provided freedom of movement, opportunities for occupational and social activity, and reassuring talks ...

What was the arts and crafts movement impact on occupational therapy?

OT's used arts and crafts as a therapeutic treatment. The goal was to move successful performs back into the workforce. Crafts have several therapeutic functions: motor control, sensory and perceptual stimulation, cognitive challenges, and enhanced self-esteem and sense of efficacy.

What is the principle of art and crafts?

This principle suggests adoption of the arts and crafts value of aesthetically beautiful things made by humans. The movement conceived such things as those that were consistent with nature and useful to humanity.

What are the reservations of Levinas and Derrida?

Levinas and Derrida share the post-structuralist reservations about moral discourse. This may seem a bit odd, particularly in the case of Levinas, whose major works are recognizably moral tracts. However, the central theme of many of those tracts is the worry that direct moral accounting will do more harm than good to the attempt to construct a moral life. Like the post-structuralists, the deconstructionists use the term ‘ethics’ instead of ‘morality,’ but the use to which they put that term is quite different. I want to discuss Levinas’ view in more detail, and then show how Derrida’s views are closely aligned with his.

What was the second half of the nineteenth century?

The second half of the nineteenth century saw important changes in the institutional and intellectual models that had launched psychiatry. Most dramatically, the prevailing optimism about the therapeutic effect of the asylum gave way to deep pessimism as asylum populations swelled with chronic patients demonstrably impervious to moral treatment (Lantéri-Laura 1972, Scull 1979, Rothman 1971). At about the same time, psychiatrists abandoned their earlier conception of insanity as a curable psychological or psychosomatic disorder and theorized it as an irreversible brain condition and often as a product of ‘degeneration.’ This degeneration was defined as a pathological departure from the norm initially caused by a noxious environment, poor nutrition, or alcoholism, and subsequently transmitted in the Lamarckian manner through heredity, becoming more severe with each generation. Every European nation had its fin-de-siècle theorists of degeneration: Bénédict-Augustin Morel and Valentin Magnan in France, Cesare Lombroso in Italy, Henry Maudsley in Britain, Richard von Krafft-Ebing and Max Nordau in Austria (Pick 1989).

Who is Benjamin Rush?

Benjamin Rush was a physician and also Surgeon General of the Continental Armies. 47 He is also recognized today as the father of American psychiatry. He was well acquainted with enlightenment philosophy and moral treatment ideas.

What is occupational therapy?

Occupational Therapy and Mental Health. The mental health treatment journey requires a collaborative effort by many people — the individual, his or her caregivers, support providers, doctors, nurses, teachers, aides, counselors, therapists, and social workers. This collaborative process allows everyone to work together to reach a specific goal: ...

What is the primary goal of occupational therapy?

According to the American Occupational Therapy Association, the primary goal of occupational therapy is to support and enable each person’s “health and participation in life through engagement in occupation.”. “Occupation” does not solely mean work.

Where did occupational therapy originate?

Occupational therapy’s emergence can be found as far back as eighteenth-century Europe.

Where do mental health professionals work?

They practice in diverse settings, including hospitals, outpatient clinics, skilled nursing facilities, intermediate care facilities, home health, neonatal intensive care units, community programs and the workplace. Those who work in mental health can do so in residential hospitals, community-based mental health settings ...

What is occupational therapy?

Occupational therapy (OT) is an ever-evolving profession that has, over time, grown to become an essential and in-demand healthcare field. In its early stages, before it was even known as occupational therapy, it was a method to provide humane care for the mentally ill. But over the span of three centuries, it has evolved into a profession ...

Who coined the term "work cure"?

1900’s. Dr. Herbert Hall coined the term “work cure.”. He was a pioneer in the systematic and organized study of occupation as therapy for patients with nervous and mental disorders. He started a pottery, weaving and carpentry workshop to treat hysteria, neurosis and neurasthenia and other psychological disorders.

What is a Cota?

The Certified Occupational Therapy Assistant (COTA) occupation was created to alleviate the demand for OTs who were required to attend 4-6 years of schooling. 1964. St. Catherine launched its first two-year degree program for COTAs (formally known as St. Mary’s Junior College). 1980.

Who was the father of American psychiatry?

Benjamin Rush, otherwise known as the “Father of American Psychiatry,” was the first physician in the United States to use moral treatment practices on patients. He recommended occupational therapy for the institutionalized and insane, encouraging them to sew, garden, listen to music or exercise during the day.

Who was Susan Tracy?

Susan Tracy was a nurse who was involved in the work therapy movement, which valued Occupational Therapy techniques. She wrote the first American book about Occupational Therapy called “Studies in Invalid Occupations.”. 1914. George Edward Barton was the first person to coin the term “occupational therapy.”.

What was the York Retreat?

The York Retreat, founded by William Tuke, was designed for the humane treatment of mentally ill people. This was the first asylum of its kind, featuring long, airy corridors that allowed patients to wander freely. Here, the mentally ill would always be cared for with kindness, dignity and decency.

Introduction to Moral Treatment

Moral treatment was the main way that the Asylum treated patients. As an 1825 history of the Asylum explained, “Although the use of drugs and medicaments is allowed, in almost every case, to be indispensible, less weight is attached to it in the Friends’ Asylum, than to moral treatment” ( Waln 15 ).

The Cruel Side of Moral Treatment

Moral treatment was widely believed to be kinder than other types of treatment available to the mentally ill because it limited the use of physical restraint and did not condone corporal punsishment.

Moral Treatment and Self-Discipline

The Quaker founders of the Retreat and the Asylum defended and explained their use of moral treatment by arguing its efficacy. Moral treatment was not good because it was less violent, they wrote, it was good because it made the mentally ill "conform for the good of the community" ( Godlee 75 ).

Footnote

Waln, Robert Jr. An Account of the Asylum for the Insane, Established by the Society of Friends, Near Frankford, in the Vicinity of Philadelphia. Philadelphia: Benjamin and Thomas Kite, 1825.

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Origins of Occupational Therapy

  • While many commonly think of occupational therapy as physical rehabilitation after injury or illness, it actually has roots in mental health. Occupational therapy’s emergence can be found as far back as eighteenth-century Europe. At a time when mentally ill people were treated like prisoners, a “moral treatment movement” began to evolve. While the previous treatment model …
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Assessments and Treatments

  • When working with someone with a mental health condition, occupational therapists employ a variety of assessments. Once the necessary information has been obtained, the therapist creates a personalized occupational profile. This profile is used for goal-setting and treatment planning. Common areas of assessment include: 1. Activities of daily living (e.g., bathing, dressing, eating…
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Part of Collaborative Process

  • As noted in the beginning of this article, occupational therapists collaborate with many other professionals to help individuals on their road to recovery. While the role of the occupational therapist may overlap with other team members, the occupational therapist provides a unique theoretical and clinical contribution to the recovery and treatment team; thus, occupational thera…
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