Physically Disabled Adults' Perceptions of Personal Autonomy: Impact on Occupational Engagement

Area of Science:

• Disability Studies
• Occupational Therapy
• Psychology

Background:

• Autonomy is a key concept in disability rights and theory.
• Its specific relevance to occupational engagement remains unclear.

Purpose of the Study:

• To explore the perception and value of autonomy in the daily lives of adults with physical disabilities.
• To understand how autonomy influences occupational choices and meaning.

Main Methods:

• Qualitative, narrative approach using iterative interviews.
• Verbatim transcription and thematic analysis of interviews with eight adults with significant physical disabilities.

Main Results:

• Participants valued autonomy differently; personal autonomy perception influenced occupational choices and meaning.
• Some sought decision-making roles, others preferred supportive environments.
• All participants avoided situations that undermined their autonomy.

Conclusions:

• Individual autonomy values are critical in occupational engagement for people with disabilities.
• Occupational therapists can use this awareness to select interventions and discuss occupational meaning.
• Enhancing client-centered practice through understanding autonomy is vital.