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Help clients develop hopes for the future

J Spencer1, H Davidson, V White

  • 1School of Occupational Therapy, Texas Woman's University, Houston 77030, USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 1, 1997
PubMed
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This study explores the cognitive, emotional, and spiritual dimensions of hope, presenting three occupational therapy approaches to foster future hopes in clients. It addresses practical challenges therapists face in integrating hope development into practice.

Area of Science:

  • Occupational therapy
  • Psychology
  • Health Sciences

Background:

  • Hope is a complex, evolving process involving cognitive, emotional, and spiritual elements, particularly after significant loss.
  • Existing literature highlights the interwoven nature of these aspects in patient recovery and well-being.

Observation:

  • Three distinct clinical strategies for fostering hope in occupational therapy are examined: goal-setting/attainment, occupational change, and life history approaches.
  • Case studies involving diverse clients (elderly mental health, adult rehabilitation, adolescent orthopedic) illustrate these strategies.
  • Therapist experiences reveal practical challenges in implementing hope-focused interventions.

Findings:

  • The cognitive, emotional, and spiritual aspects of hope are integral to client recovery post-loss.

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  • Occupational therapy can effectively facilitate hope development through structured clinical approaches.
  • Therapists encounter practical barriers, including documentation and reimbursement, alongside clinical difficulties in engaging seemingly hopeless clients.

    • Implications:

    • Occupational therapists can utilize evidence-based strategies to cultivate hope, enhancing client outcomes.
    • Addressing practical and clinical challenges is crucial for successful integration of hope-building interventions.
    • Further research and training are needed to support therapists in developing hope with diverse client populations.