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Occupational Therapy Insights


Apr 13, 2020

Psychospiritual integration frame of reference emphasizes the nature of spirituality, the expression of spirituality in every occupation behavior, the nature of spiritual occupation, and the influence of spirituality and spiritual occupations on health and well-being. This frame of reference defines that spirituality is constructed of an integral harmony of six qualitatively distinct dimensions and each dimension is considered as an ever-expanding continuum with increasing depth and vastness. The six dimensions are:

1. Becoming: which is volitionally directed growth of self through active doing and experience,
2. Meaning: which is the sense of intrinsic purposefulness and vitality, rooted in personal, collective, or transpersonal spaces that inspire the process of living,
3. Being: which is the pervasive quality that forms the foundation of one’s existence,
4. Centeredness: which is the nucleus of one’s being, inner stability based on knowing and recognizing,
5. Connectedness: which is seeing self as a fluid process embedded within a larger interrelational context, and
6. Transcendence: comprises of two aspects: which is the innate drive to find ultimate meaning and happiness and goal, which is the state of inner freedom and a consciousness that has grown beyond all ego-identification, suffering, pain, and unwholesome actions.

This frame of reference aims to expand on current understanding on human occupation by categorizing spiritual activities under the term ‘spiritual occupation’, for instance, such as, prayer, scripture, reading, sing, and meditation. This frame of reference illustrates the dynamic interrelationships connecting occupations. Missing or limitation in one or more of the dimensions influences spiritual occupation order and disorder, and spiritual fulfillment and deprivation. Spiritual disorder includes spiritual deprivation, community spiritual deprivation, impact of spiritual deprivation on individuals and communities, and spiritual latency which is one or several dimensions of spirituality is not fully emerged or present in a person or a community.