Volition as narrative: understanding motivation in chronic illness.
This paper expands the current concept of volition in the Model of Human Occupation. The present version views personal causation, values, and interests as traits that determine choices to engage in occupations. Through a detailed investigation of the life histories of two persons with psychiatric disorders, this paper illustrates how volition is embedded in a personal narrative. Two features of narratively organized volition are highlighted: (a) how narrative places decisions and actions within a plot, thus giving them meaning in the context of a whole life, and (b) how the personal narrative motivates the person by serving as a context for choosing and action. Thus, the paper illustrates how persons seek to narrate their lives and live their life narratives.
Helfrich
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Department of Occupational Therapy, School of Public Health, University of Illinois at Chicago 60612.
Kielhofner
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Mattingly
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C
D002908:Chronic Disease; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D008960:Models, Psychological; D009042:Motivation; D009788:Occupational Therapy; D009790:Occupations; D012649:Self Concept; D014836:Volition