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Arbetsterapeuters kliniska resonemang vid arbetet med vuxna klienter med ADHD
Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
2019 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesisAlternative title
Occupational therapists clinical reasoning when working with adult clients with ADHD (English)
Abstract [sv]

Syftet med studien var att beskriva arbetsterapeuters kliniska resonemang vid arbetet med vuxna klienter med ADHD. Genom ett ändamålsinriktat urval identifierades åtta arbetsterapeuter inom psykiatrisk öppenvård som hade erfarenhet av att arbeta med vuxna klienter med ADHD. Data samlades in genom narrativa intervjuer och analyserades därefter med stöd av en paradigmatisk narrativ metod. Analys av data resulterade i tre teman som benämndes: Att möta personen där den är och skapa delaktighet i processen; Att möta en mångfacetterad problematik kräver samverkan; Att coacha klienten att etablera effektiva vanor. Arbetsterapeuternas kliniska resonemang ger indikationer på att det vid arbetet med berörd klientgrupp är viktigt att ta samtalets betydelse, klientcentrering och teamarbete i beaktning. Den visar på hur samtalet kan vara en intervention i sig och hur arbetsterapeuterna genom sitt resonemang kan möjliggöra klientcentrering genom att sätta klienten i fokus både i teamet och i det enskilda arbetet med klienten. Studiens resultat anses kunna bidra med kunskap för arbetsterapeuter som arbetat med vuxna klienter med ADHD och resultatet bör även gå att appliceras på andra klientgrupper inom området psykiatri eftersom denna studie tyder på att klienterna ofta har en mångfacetterad problematik som bidrar till utmaningar i dagliga aktiviteter.

Abstract [en]

The aim of the study was to describe the clinical reasoning of occupational therapists when working with adult clients with ADHD. Through a purposeful selection, eight occupational therapists were identified in psychiatric outpatient care who had experience working with adult clients with ADHD. Data was collected by narrative interviews and then analysed using a paradigmatic narrative method. Analysis of data resulted in three themes called: To meet the client where he or she is and promote participation in the process; To meet a multifaceted problem requires collaboration; To coach the client to establish effective habits. The clinical reasoning of occupational therapists gives indications that when working with the affected client group it is important to take into consideration the importance of the conversation, client centeredness and teamwork. It shows how the conversation can be an intervention in itself and how the occupational therapists can, through their reasoning, enable client centeredness by putting the client in focus both in the team and in the individual work with the client. The study's results can be considered to contribute knowledge for occupational therapists who work with adult clients with ADHD, and the result should also be applicable to other client groups in the field of psychiatry, as this study suggests that the clients often have  multifaceted problems that contributes to challenges in everyday occupations. 

Place, publisher, year, edition, pages
2019. , p. 38
Keywords [en]
Occupational therapy, clinical reasoning, attention deficit hyperactivity disorder, adults
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:ltu:diva-74584OAI: oai:DiVA.org:ltu-74584DiVA, id: diva2:1325466
Subject / course
Student thesis, at least 15 credits
Educational program
Occupational Therapy, master’s level (120 credits)
Supervisors
Examiners
Available from: 2019-06-20 Created: 2019-06-15 Last updated: 2019-06-20Bibliographically approved

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CiteExportLink to record
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