title: Volitional narratives and the meaning of therapy.
abstract: OBJECTIVE
  Occupational therapy literature has long recognized meaning as central to therapy. By focusing almost exclusively on how the therapy process influences the experience of meaning, the literature has neglected to examine how the patient's experiences before therapy influence the creation of meaning in therapy.
  
  
  METHODS
  Building on a previous study of how patients discover and recount the meaning of their own lives in volitional narratives, we investigated the effect of those narratives on the experience of therapy.
  
  
  CONCLUSIONS
  Our examination of the therapeutic experiences of two patients enrolled in a psychiatric day hospital program reveals how they assigned meaning to therapy as an episode within their larger volitional narrative.
authors.affiliation: Department of Occupational Therapy, School of Public Health, University of Illinois at Chicago 60612.
authors.forename: C
authors.initials: C
authors.lastname: Helfrich
authors.forename: G
authors.initials: G
authors.lastname: Kielhofner
mesh_terms: D000328:Adult; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation*; D009788:Occupational Therapy; D014836:Volition