1. Research Proposal Presentation London Region College of Occupational Therapy Conference Lesley Osbiston September 2006 Does an understanding of play and flow lead to greater understanding of creativity and leisure in Occupational Therapy?

2. Objectives: Author perspective Relevance of the research topic to OT A definition of relevant terms An overview of the literature Defining the research question Future developments

3. Author perspective:

4. Relevance to Occupational Therapy: Creativity and play are often used as approaches without a common definition Leisure - ambiguous definition Productivity, creativity, play or relaxation? Flow - a suggested resolution between the dichotomies of leisure and play (Parham, 1996); similarities with OT theory despite limited use

5. Definitions of Play: Evolves into playfulness during adolescence A medium for intervention A paradox, due to associations of fun facilitating a lack of seriousness by the OT profession (Vandenburg & Keilhofner, 1982; Bundy, 1993)

6. Components of play in children (Guitard, Ferland & Dutil, 2005)

7. Flow is a subjective psychological experience that occurs during total absorption in activities (Csikszentmihalyi, 1975) Voluntary Autotelic activity Concentration Clear goals  Control Loss of ego Timelessness Meaningful outcome Immediate feedback Resulting in: Exploration Discovery Problem-solving Comparable to the stages of change necessary for adaptation during OT: Exploration Competency Achievement (Keilhofner, 2002)

8. The Flow Channel (Csikszentmihalyi, 2002)

9. Creativity is complex and indistinct: ‘a continuum for conscious to unconscious, simulated to natural and from real to symbolic…contain[ing] elements that are unstructured, ambiguous and allow for self-expression’ (Mosey, 1987; p179)

10. Schmid (2004) investigated meanings of creativity with OT practitioners Findings showed: Multi-faceted perceptions Difficulties to define, which suggest greater difficulties for service-users Links to crafts/expressive activities Choice was associated with OT skill over client selection

11. Literature Review Play and Flow Persson’s (1996) case study of creative occupations with chronic pain patients was the only study identified to investigate both play and flow Simultaneous consideration of play/flow restricted understanding of the relative importance of play and flow, supporting need for independent investigation Credibility for flow was reduced due to a lack of autotelic activities: the researcher planned the workshops without declared participant input

12. Components of playfulness in adults and their relationships (Guitard, Ferland & Dutil, 2005)

13. Flow Evidence of flow as a qualitative primary research topic was limited. Findings referenced to flow were associated with intrinsic motivation and the just-right-challenge, supporting relevance to OT (Dickerson, 2000; Fieldhouse, 2003; Scheerer, Cahill, Kirby & Lane, 2004) Quantitative studies of flow supported integrity of the flow channel, with art/hobbies most likely to engender flow (Massimini, Csikszentmihalyi & Carli, 1987) However, a further study with healthy adults found flow occurred most frequently during work, attributed to many leisure activities requiring low-level skills and challenges, which suggested flow occurrence may differ according to health status (Csikszentmihalyi & Le Fevre, 1989)

14. Creativity A majority of studies regarding creativity were linked to textile and craft activity participation, of which repetitive and structured methods were comparable to routine activities of daily living Intellectual and kinaesthetic forms of creativity were identified References to flow included included feelings of control, timelessness and pleasure Association with playfulness was through problem-solving (intellectual creativity), spontaneity and continual reference to creativity (Dickie, 2004; Howell & Pierce, 2000; Pierce, 2001; Reynolds, 1997; 2002; 2004a & 2004b; Reynolds & Prior, 2003)

15. Justification & Aims To independently consider the meanings of the concepts and components of flow and playfulness (creativity, curiosity and spontaneity) To validate the existence of subjective flow experiences. To identify self-perceived creative occupations To identify any relationships between play and flow

16. The research proposal question What are the meanings of creativity, curiosity and spontaneity during leisure activities? – An investigation to improve an understanding of playfulness and identify a relationship to flow, towards developing OT creative intervention

17. Future Developments A proposed Model for Creative Intervention to facilitate engagement and improve client-centred practice

18. For further information please contact: Lesley Osbiston Email: losbiston@googlemail.comlosbiston@googlemail.com

19. References Bundy, A. C. (1993). Assessment of Play and Leisure: Delineation of the Problem. The American Journal of Occupational Therapy. 47(30); 217-222. Csikszentmihalyi, M. (1975). Beyond Boredom & Anxiety. USA: Josey-Bass Inc. Publishers. Csikszentmihalyi, M. (2002). Flow: The classic work to achieve happiness. USA: Harper & Row. Dickie, V. A. (2004). From drunkard’s Path to Kansas Cyclones: discovering Creativity Inside the Blocks. Journal of Occupational Science. 11(2); 51-57. Emerson, H. (1998). Flow and Occupation: A review of the literature. Canadian Journal of Occupational Therapy. 65(1); 37-45. Fieldhouse, J. (2003). The Impact of an Allotment Group on mental health Clients’ Health, Wellbeing and Social Networking. British Journal of Occupational Therapy. 66(7); 286-296. Guitard, P., Ferland, F., & Dutil, E. (2005). Towards a Better Understanding of Play in Adults. Occupational Therapy Journal of Research/ Occupation, Participation and Health. 25(1). 9-22. Keilhofner, G. (2002). Doing and becoming: Occupational Change and Development. In: Keilhofner, G. (ed.) A Model of Human Occupation: Theory and application. (3rd ed.). Philadelphia. Lippincott, Williams & Wilkins.

20. Massimini, F., Csikszentmihalyi, M., & Carli, M. (1987). The Monitoring of Optimal Experience: A Tool for Psychiatric Rehabilitation. Journal of Nervous and mental Disease. 175(9); 545-59. Mosey, A. C. (1987). Psychosocial Components of Occupational Therapy. USA: Raven Press. Persson, D. (1996). Play and Flow in an Activity Group – A Case study of Creative Occupations with Chronic Pain Patients. Scandinavian Journal of Occupational Therapy. 3; 33-42. Reynolds, F. (1997). Coping with chronic illness and disability through creative needlecraft. British Journal of Occupational Therapy. 60(8); 352-356. Reynolds, F. (2002). Symbolic aspects of coping with chronic illness through textile arts. Arts and Psychotherapy. 29; 99-106. Reynolds, F. (2004a). Textile Art Promoting Well-being in Long-term Illness: Some General and Specific Aspects. Journal of Occupational Science. 11(2); 58-67. Reynolds, F. (2004b). Conversations about creativity and chronic illness II: textile artists coping with long-term health problems reflect on the creative process. Creativity Research Journal. 16(1); 79-89.

21. Reynolds, F. & Prior, S. (2003). ‘A life-style coat hanger’: A phenomenological study of the meanings of artwork for women coping chronic illness and disability. Disability Rehabilitation. 25(14); 785-794. Schmid, T. (2004). Meanings of Creativity within Occupational Therapy Practice. Australian Occupational Therapy Journal. 51(2); 80-88. Vandenberg, B. & Keilhofner, G. (1982). Play in Evolution, Culture, and Individual Adaptation: Implications for Therapy. American Journal of Occupational Therapy. 36(1); 20-28.