Occupational therapists believe that engagement in occupation contributes to health through an individually balanced use of time, a positive focus for one's physical and mental energy, and the provision of a sense of purpose. Flow is a construct which describes optimal experiences or enjoyment in everyday activities. A review of the literature suggests that the theory of optimal experience is complementary to occupational therapy beliefs and that an understanding of the flow experience may contribute to our understanding of human occupation. Specifically, flow may be useful in understanding those aspects of the occupation, environment and person that contribute to a “just right” challenge, and to enabling occupational performance through enjoyable, structured and purposeful activity. Occupational therapists are encouraged to explore whether optimal experiences facilitate occupational performance for individuals with a disability. Future research could explore whether the occupational opportunities available to persons with a disability provide the degree of challenge required to elicit the optimal experience. Finally, research could explore whether the client-driven selection of meaningful occupation, and therapist enablement of the “just right” challenge, influences optimal experience, occupational performance, and life satisfaction for those with a disability.
AllisonM.T.CarlisleDuncan M. (1988). Women, work and flow. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: psychological studies of flow in consciousness. New York: Cambridge University Press.
2.
American Occupational Therapy Association. (1979). Resolution D(532-79): Occupation as the common core of occupational therapy. American Journal of Occupational Therapy, 33, 785.
3.
BanduraA. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.
4.
BreinesE. (1989). The issue is: Making a difference: A premise of occupation and health. American Journal of Occupational Therapy, 43, 51–52.
5.
Canadian Association of Occupational Therapists. (1997). Enabling occupation: An occupational therapy perspective. Ottawa, ON: CAOT Publications ACE.
6.
CarlsonM.E.ClarkF.A. (1991). The search for useful methodologies in occupational science. American Journal of Occupational Therapy, 45, 235–241.
7.
CarlsonM.DunleaA. (1995). Further thoughts on the pitfalls of partition: A response to Mosey. American Journal of Occupational Therapy, 49, 73–80.
8.
CsikszentmihalyiM. (1975). Beyond boredom and anxiety: The experience of play in work and games. San Francisco: Jossey-Bass.
9.
CsikszentmihalyiM. (1988). In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.). (1988). Optimal experience: Psychological studies of flow in consciousness. New York: Cambridge University Press.
10.
CsikszentmihalyiM. (1990). Flow: The psychology of optimal experience. New York: Harper & Collins.
11.
CsikszentmihalyiM. (1993). Activity and happiness: Toward a science of occupation. Occupational Science, 1, 39–42.
12.
CsikszentmihalyiM.CsikszentmihalyiI. (Eds.). (1988). Optimal experience: Psychological studies of flow in consciousness. New York: Cambridge University Press.
13.
CsikszentmihalyiM.GraefR. (1980). The experience of freedom in daily life. American Journal of Community Psychology, 8, 401–414.
14.
CsikszentmihalyiM.KleiberD.A. (1991). Leisure and self-actualization In DriverB.L.BrownP.J.PetersonG. L. (Eds.), Benefits of leisure. (pp. 91–02). State College, PA: Venture Publishing.
15.
CsikszentmihalyiM.LarsonR. (1987). Validity and reliability of the experience-sampling method. The Journal of Nervous and Mental Disorders, 175, 526–536.
16.
CsikszentmihalyiM.LeFevreJ. (1989). Optimal experience in work and leisure. Journal of Personality and Social Psychology, 56, 815–822.
17.
CsikszentmihalyiM.RathundeK. (1992). The measurement of flow in everyday life: Toward a theory of emergent motivation. In Nebraska symposium on motivation, (pp. 57–97). Omaha, NE: University of Nebraska Press.
18.
deCharmsR. (1968). Personal causation: The internal affective determinants of behavior. New York: Academic Press.
19.
Delle FaveA.MassiminiF. (1988). Modernization and the changing context of flow in work and leisure. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: Psychological studies of flow in consciousness, (pp. 193–214). New York: Cambridge University Press.
20.
EmersonH. (1996). Enjoyment as described by persons with schizophrenia. Unpublished master's thesis. The University of Western Ontario, London, Ontario.
21.
EmersonH. (1998). Flow and occupation: A review of the literature. Canadian Journal of Occupational Therapy, 65, 37–44.
22.
EstroffS.E. (1989). Self, identity, and subjective experiences of schizophrenia: In search of the subject. Schizophrenia Bulletin, 15, 189–196.
23.
GraefR.CsikszentmihalyiM. (1975). Flow deprivation. In CsikszentmihalyiM. (Ed.), Beyond Boredom and Anxiety, (pp. 161–178). San Francisco, CA: Jossey-Bass.
24.
GraefR.CsikszentmihalyiM.McManamaG.S. (1983). Measuring intrinsic motivation in everyday life. Leisure Studies, 2, 155–168.
25.
HacheyR.MercierC. (1993). The impact of rehabilitation services on the quality of life of chronic mental patients. Occupational Therapy in Mental Health, 12(2): 1–26.
26.
HanS. (1988). The relationship between life satisfaction and flow in elderly Korean immigrants. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: Psychological studies of flow in consciousness, (pp. 138–149). New York: Cambridge University Press.
27.
KielhofnerG. (1983). Health through occupation: Theory and practice in occupational therapy. Philadelphia, PA: F.A. Davis.
KleiberD.LarsonR.CsikszentmihalyiM. (1986). The experience of leisure in adolescence. Journal of Leisure Research, 18, 169–176.
30.
KubeyR.CsikszentmihalyiM. (1990). Television and quality of life. Hillsdale, NJ: Erlbaum.
31.
LarsonR. (1985). Flow and writing. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: Psychological studies of flow in consciousness. New York: Cambridge University Press.
32.
LawM. (1991). Muriel Driver Lecture. The environment: A focus for occupational therapy. Canadian Journal of Occupational Therapy, 58, 171–179.
33.
LawM.CooperB.StrongS.StewartD.RigbyP.LettsL. (1996). The person-environment-occupation model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63, 9–23.
34.
LewinsohnP. M.LibetJ. (1972). Pleasant events, activity schedules, and depression. Journal of Abnormal Psychology, 79, 291–295.
35.
MaslowA. (1968). Toward a psychology of being. New York: Van Nostrand Reinhold.
36.
MaslowA. (1970). Motivation and personality. New York: Harper & Row.
37.
MassiminiF.CsikszentmihalyiM.CarliM. (1987). The monitoring of optimal experience: A tool for psychiatric rehabilitation. The Journal of Nervous and Mental Disorders, 175, 545–549.
38.
MassiminiF.CsikszentmihalyiM.Delle FaveA. (1988). Flow and biocultural evolution. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: Psychological studies of flow in consciousness, (pp. 60–81). New York: Cambridge University Press.
39.
MeyerA. (1922). The philosophy of occupational therapy. Archives of Occupational Therapy, 1, p. 1–10. Reprinted In (1977), American Journal of Occupational Therapy, 31, 639–642.
40.
MitchellR.G. (1988). Sociological implications of the flow experience. In CsikszentmihalyiM.CsikszentmihalyiI. (Eds.), Optimal experience: Psychological studies of flow in consciousness, (pp. 36–59). New York: Cambridge University Press.
41.
MoseyA.C. (1989). The proper focus of scientific inquiry in occupational therapy: Frames of reference. The Occupational Therapy Journal of Research, 9, 195–201.
42.
NelsonD.L. (1988). Occupation: Form and performance. American Journal of Occupational Therapy, 42, 633–641.
43.
PiagetJ. (1962). Play, dreams and imitation in childhood. New York: W.W. Norton.
44.
RebeiroK.L. (1997). Opportunity not prescription: The experience of occupational engagement. Unpublished master's thesis. The University of Western Ontario, London, Ontario.
45.
ReillyM. (1962). Occupational therapy can be one of the great ideas of 20th century medicine. American Journal of Occupational Therapy, 16, 1–9.
46.
ReillyM. (1966). A psychiatric occupational therapy program as a teaching model. American Journal of Occupational Therapy, 20, 61–67.
47.
ReillyM. (1974). Play as exploratory learning. Beverly Hills, CA: Sage Publications.
48.
SeligmanM.E.P. (1975). Helplessness: On depression, development, and death. San Francisco, CA: Freedman.
49.
SteinF.SmithJ. (1989). Short-term stress management programme with acutely depressed in-patients. Canadian Journal of Occupational Therapy, 56, 185–191.
50.
StrongS. (1995). An ethnographic study examining the experiences of persons with persistent mental illness working at an affirmative business. Unpublished master's thesis. McMaster University, Hamilton, Ontario.
51.
SutoM.FrankG. (1993). Future time perspective and daily occupations of persons with chronic schizophrenia in a board and care home. American Journal of Occupational Therapy, 48, 7–18.
52.
TromblyC. (1995). Occupation: Purposefulness and meaningfulness as therapeutic mechanisms. American Journal of Occupational Therapy, 49, 960–972.
53.
WilcockA. (1993). A theory of the human need for occupation. Occupational Science: Australia, 1(1): 17–24.
54.
YerxaE.J. (1991). Seeking a relevant, ethical, and realistic way of knowing for occupational therapy. American Journal of Occupational Therapy, 45, 199–204.
55.
YerxaE.J.ClarkF.FrankG.JacksonJ.ParhamD.PierceD.SteinC.ZemkeR. (1990). An introduction to occupational science: A foundation for occupational therapy in the 21st century. In JohnsonJ.YerxaE. J. (Co-eds.). Occupational Science: The foundation for new models of practice, (pp. 1–17). Binghamton, NY: Haworth Press.
