The Meaning Gap in Occupational Therapy: Finding Meaning in our Own Occupation
Bibliographic record
Abstract
BACKGROUND: Occupation is a core concept of our profession, yet little is understood about how therapists use occupation in clinical practice. PURPOSE: This study explores frontline clinicians' experience with occupation-based practice in a large academic health sciences centre. METHODS: A qualitative constructivist study was conducted using thematic analysis, following in-depth interviews with 12 occupational therapists. FINDINGS: Participants described the existence of two realities: Occupational therapy as they felt it should be practiced and as it actually is practiced. When the two were incongruent, participants experienced a meaning gap, which was expressed through four themes to reveal that a personal sense of occupation guides practice and transforms the meaning of the job. IMPLICATIONS: The exploration of personal occupational meaning through conscious self-reflection and co-creation of meaning with clients and their health care teams may serve to bridge the meaning gap.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".