This blog is about occupational therapy and integrative health and where these distinct yet similar fields intersect. “Integrative health” is an increasingly popular term. According to the Oxford dictionary, the word “integrative” is an adjective meaning “serving or intending to unify separate things.” Type the word “integrative” into your Google search bar and you will see a graph that shows that the use of the word “integrative” has increased over time. I would speculate that some of this relates to its usage related to healthcare.
Dr. Andrew Weil is a leading physician in the field of Integrative Medicine. According to Dr. Weil’s website, “Integrative medicine is healing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.” Substitute occupational therapy for medicine in this definition and it makes sense. As occupational therapists we address the whole person and lifestyle factors. The therapeutic relationship is essential to the success of our interventions. I would go so far as to say that using the term “integrative occupational therapy” is redundant, for the heart of occupational therapy is truly integrative in nature.
The objective of occupational therapy is “to support health and participation in life through engagement in occupations” (AOTA, 2008, p. 626). Occupations refer to the activities in which one engages. How does participation in occupation influence a person’s health and quality of life? How do we as occupational therapists support people in this process? When I was in graduate school, my final research project was about the self-perception of health of community dwelling older adults. Part of the study involved interviewing participants and asking them their definitions of health. I will never forget the definition that one man gave. He smiled and said, “I have made it to this age and I am here.” At first glance, it may not seem like much of a definition of health and more a commentary on age. A neater definition might be something more like that of the World Health Organization which defines health as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” However, the verbs used by our research participant “I have made it,” imply activity, creativity, and meaningful occupation. These are the comments of a person who has made a journey and arrived. What an interesting way to look at health! That is what this blog is about: supporting people in their lives through occupational therapy and creating integrative health — health of body, mind, and spirit through meaningful activities individually and in community.
References
Integrative. (2013). In Oxford dictionary. Retrieved October 23, 2013, from http://www.oxforddictionaries.com/us/definition/american_english/integrative
Preamble to the Constitution of the World Health organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
Lemley, Brad. (October 2013). What is Integrative Medicine? Balanced Living. Retrieved from http://www.drweil.com/drw/u/ART02054/Andrew-Weil-Integrative-Medicine.html
American Occupational Therapy Association. (2008). Occupational therapy practice framework: domain and process (2nd Ed.). American Journal of Occupational Therapy, 62, 625-683.