The Transformative Potential of Craft and Creative Occupations for People in Vulnerable Life Situations

Modern- day health challenges are not only physical, but often related to loneliness, poverty and alienation. People in vulnerable situations can be at risk of becoming passive, being excluded, or taking up destructive activities. This implies a requirement for more efforts from health and social workers in the field of health promotion for people in vulnerable life situations. There is a need for both traditional and experimental interventions to develop scientific knowledge useful for these challenges. The overall aim of this thesis is to contribute to an understanding of how craft and creative activities, used by people in vulnerable life situations, might enhance their participation in everyday occupations. This is explored from the subjective experiences of pioneers, homeless people, asylum seekers, and people with mental health illness. Their engagement in crafts and creative activities will be studied from an occupational science perspective, revealing these occupations and their transformative potential for the involved participants. The thesis includes four studies (Paper I-IV), which use a qualitative explorative methodological design. The first study (Paper I) investigates the history of professional use of craft activities, and explores the reasoning of six occupational therapist pioneers using craft activities as therapy in the 1950s. Based on a hypothesis of the healing potential of creative occupations, three additional studies were designed. The first of these (Paper II) explores engagements in a theatre-project for eleven asylum seekers who were living at asylum centres. A theatre-performance was developed based upon the participants’ narratives. The next study (Paper III) explores the narratives presented by homeless people in ethnodrama, and how they related this to meaning in their everyday lives. The fourth study (Paper IV) explores the potential of engaging in crafts and creative activities at a meeting- place for people with long-term mental illness. Data was gathered through guided conversations, participant observations and ethnographic participation. Data analysis methods were textual analysis, interpretive analytic method and paradigmatic analysis. The results of Paper I present the therapists’ belief in the healing sources of occupation. Paper II presents how participation in a theatre project led to liberation, collaboration and relationship for the participants. Paper III shows how drama was used as a tool to liberate homeless people’s resources, and Paper IV presents how a crafts- group at a meeting place enabled the participants to find strategies to make changes for the better. Through these studies, connections can be drawn regarding past, contemporary and anticipated future occupational perspectives. The overall results from Papers II and III reveal how some of the participants were not afforded basic human rights, such as societal inclusion, and how this hindered their engagement in ordinary, everyday occupations. The thesis presents and discusses how participants’ engagement in craft and creative activities promoted personal, social and environmental transformations. At a personal level their engagements catalyzed changes including moving from victimised positions to being in charge of their own lives, brought new characters into existence, and developed problem-solving strategies to manage problematic situations and to cope with everyday occupations. Their participation in crafts and creative activities also led to social transforms, including the transition from being invisible to become visible in their local environments, enabling peer support, and developing sense of meaning. Further the findings presented how transformation of knowledge and tolerance between the participants and their local communities occurred from the engagement in these activities. Through knowledge and experiences from the participants’ engagements in craft and creative activities, this thesis contributes with knowledge about oppressive mechanisms for people in vulnerable life situations and how the context of society affects people’s everyday occupations. Further the thesis exemplifies and contributes to knowledge about the transformative potential of craft and creative occupations, and how participation in these activities contributes to personal, social and environmental changes for people in vulnerable life situations