Persistent Disagreement Between Recreation Therapists and Patients on Leisure-Related Problems, Treatment Goals and Treatment Method
Petryshen, Pauline Marie
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https://hdl.handle.net/2142/70950
Description
Title
Persistent Disagreement Between Recreation Therapists and Patients on Leisure-Related Problems, Treatment Goals and Treatment Method
Author(s)
Petryshen, Pauline Marie
Issue Date
1988
Department of Study
Leisure Studies
Discipline
Leisure Studies
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Recreation
Abstract
The main purpose of this research was to examine the occurrence of persistent disagreement between recreation therapist and patients, in addition to factors associated with and consequences related to this disagreement. Specifically, the persistence of disagreement was scrutinized over a specified time period.
The study was conducted at two provincial psychiatric hospitals in Ontario, Canada. Subjects included patients (n = 66) and the recreation therapists (n = 19).
Immediately after the recreation therapist completed an assessment of the patient, the patient was interviewed according to a checklist comprised of leisure-related problems, goals, and a method of treatment. At the same time the patient was being interviewed, the recreation therapists completed the same checklist. Prior to discharge or after 30 days of hospitilization, each patient-recreation therapist pair was reinterviewed with the identical checklist.
It is apparent from the findings that persistent disagreement on problems, goals, and a method of treatment does prevail among therapists and patients. In fact, there seems to be an association between persistent disagreement and subsequent therapist/patient attitudes and behavior. While therapist/patient demographic and psychiatric background characteristics may partake in disagreement, it remains unclear from this study whether this assumption is valid.
While the findings confirm the notion about the existence of persistent disagreement and its impact on the treatment process, the study has some limitations. Further, examination of persistent disagreement between staff and patients is needed to supplement the findings of this research. Increased understanding of persistent disagreement and the factors that contribute to it may improve the patient-therapist relationships, enhance the quality of care, and produce more positive patient outcomes.
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