Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Psychiatric Patients' Occupational Roles: Changes Over Time and Associations with Self-rated Quality of Life

“…Longitudinal studies could indicate whether occupational roles are stable over time, and if combined with a treatment outcome study occupational roles could be used as an outcome indicator. Previous studies have pointed to successful outcomes of a psychiatric day-care unit based on occupational therapy for long-term mentally ill patients [19], also in a 1-year follow-up perspective [20,21], but the development of the clients' occupational roles has not been accounted for previously. The primary aim of this study was to study changes in the patients' occupational roles before and after the treatment period in psychosocial occupational therapy and at a 1-year follow-up.…”

Changes in Object Relations in Long-Term Mentally Ill Patients Treated in a Psychiatric Day-Care Unit

“…The agreements found emphasize the capability of this projective instrument to detect internal object relations, and that these internal object relations play an important role in the individual's ability to function in daily life situations. In an earlier study (Eklund, 1996a), three patients were selected to represent different degrees of improvement. All three cases showed high agreement between themes in the internal object relations and the external life situation.…”

“…With respect to the treatment process, patient participation-especially in a psychological sense-was related to a better performance in occupational functioning (Eklund, 1996b). In-depth analyses of three representative case studies further illustrated the relationships between ward atmosphere, treatment process, and outcome that had been established on a group level (Eklund, 1996a). They also revealed that patient internal object relations were reflected in their external life situations.…”

Therapeutic factors in occupational group therapy identified by patients discharged from a psychiatric day centre and their significant others

“…The therapeutic setting has been described in earlier articles (Eklund, 1996b). It was located in a detached villa in a residential area.…”

“…Furthermore, patient participation, especially in a psychological sense, which means that the patient was psychologically present and active, was related to a better performance in occupational functioning (Eklund, 1996c). In-depth analyses of three representative case studies illustrated the relationships described above at the individual level and mediated specific patient experiences (Eklund, 1996b). A one-year follow-up study showed that the gains at discharge were stable, that days in hospital care decreased, and that the patients' situation with respect to work and studies improved significantly during the year after discharge as compared with the year before admission (Eklund & Hansson, 1997a).…”