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Record W4407392160 · doi:10.4324/9781003526766-47

Therapeutic Use of Self in Occupational Therapy Relationships

2025· book-chapter· en· W4407392160 on OpenAlexaboutno aff
Lindsey Nicholls, Rebecca Van Schyndel

Bibliographic record

Venuenot available
Typebook-chapter
Languageen
FieldHealth Professions
TopicOccupational Therapy Practice and Research
Canadian institutionsnot available
Fundersnot available
KeywordsOccupational therapyPsychologyPsychotherapistMedicinePhysical therapy

Abstract

fetched live from OpenAlex

This chapter has drawn from two doctoral studies, one undertaken by Nicholls ‘ Putting it into words ’. She used a psychoanalytically informed ethnographic study of the relationship work (i.e., emotional labor) undertaken by occupational therapists in acute care environments. The second study was by Dr Rebecca Van Schyndel, a phenomenological research study, Realizing a Conscious and Receptive Heart , which concentrated on exploring the lived experience of developing, maintaining, and disengaging from therapeutic relationships for community occupational therapists in Ontario, Canada. The study explored the experience of intersubjective relationship dynamics and psychoanalytical concepts, namely countertransference, for occupational therapists. A therapist who imagines that having good intentions toward a client is enough to form a therapeutic relationship or use therapeutic use of self may quickly realize that establishing and maintaining a relationship with another person is a more complex task. There are layers of meanings encoded through the context of care (social constructionism), positionality (intersectionality), and the client’s unconscious emotions, beliefs, etc.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.006
Threshold uncertainty score0.021

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0030.007
Scholarly communication0.0040.003
Open science0.0010.002
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0060.001

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.

Opus teacher head0.471
GPT teacher head0.513
Teacher spread0.042 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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