Occupational Therapy

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Browsing Occupational Therapy by browse.metadata.advisor "Duncan, Eve"

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    A critical ethnography of the Vona du Toit Creative Ability Model (VdTMoCA) in the South African occupational therapy context
    (Stellenbosch : Stellenbosch University, 2022-12) Zelda, Coetzee; van Niekerk, Lana; Duncan, Eve; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health and Rehabilitation Sciences. Occupational Therapy.
    ENGLISH SUMMARY: Background: The Vona du Toit Model of Creative Ability (VdTMoCA) influenced South African occupational therapy education and practice for over 40 years. Limited empirical evidence for the Model exists. A first study verified the original levels of Creative Ability in 2010. Philosophical assumptions underpinning the Model are not known, nor whether they align with the original assumptions. Increasing utility of the Model warrants verification for practitioners to practice confidently when using the VdTMoCA. With little empirical evidence, the Model may resemble a sacred text. Methods: Critical ethnographic methodology was chosen to elicit critical encultured interpretations about the ontological, epistemological, methodological and axiological philosophical assumptions underpinning the VdTMoCA for three generations of occupational therapists: the Progenitor, first- and second-generation respondents. First-and secondgeneration respondents were selected by criterion sampling. Collected data included original academic documents, ethnographic interviewing and observations. Data was analysed inductively, deductively and across cases using five levels of analysis. Findings: Three themes describing the creative ability mindset emerged: “humans and their reality”, “creative ability and practice” and “application [of creative ability] in occupational therapy”. The findings show intergenerational agreement with the Progenitor’s original philosophical assumptions about the Model when used with persons with a medical condition, accessing a Westernized healthcare service context. Outliers arose when the Model was interpreted in its original form for community living where different cultures and unequal resources are present. Conclusions: Findings suggest philosophical and theoretical expansions of the VdTMoCA to include how creative ability is/can be developed for practice in naturalistic contexts. Specifically, the assumption that “motivation to do”, a patterned motivational response, arises not only between people (P) and their occupations(O) but is also stimulated from the relationship with contexts(C). Therefore, motivational factors present in naturalistic contexts must form part of the motivational dimension (P0C) for intervention.