consciousness
and the environment
The basic premise being acted on was that by manipulating Barry’s
environment in the fullest sense I would change his consciousness.
Therefore I did not try to act on him directly as an individual.
The knowledge which I needed was of the environment and the things
that went on in it. I needed this knowledge at all levels, of
the activity itself and of the way that any activity would then
fit into the world. In the basic four stories of the lizard, the
troll, the cupboard doors and the work with Rose, I had enough
knowledge of both the environment and the thing being done to
facilitate the process for him.
As Barry progressed he became much better able to do increasingly
complex tasks. However the carpentry tasks were essentially ‘closed’.
They could tell him what to do for the duration of the task, but
they did not lead on seamlessly to the next task. It was especially
the case that once he got a supported employment position that
the connections began to flow. The tasks that he did in this job
might have been very simple, but the job stayed the same so that
he knew what to do whenever he came in. The ‘rules’
were such that he was able to get the hang of it and could ‘know
how to go on’.
Craft
One of the things which I quickly realised about Barry was that
he had the ability to do also do relatively complex tasks when
he was given the support to do so. In each of the tasks that he
did Barry had no problems in recognising and following the rules
inherent in what he was doing. The cupboard doors really had to
be hung correctly, both for himself and for Rose. In following
the rules of what needs to be done, Barry himself disappears.
His labour incorporates itself with its subject. There is no sign
of the brain-injured Barry, with all his problems in the things
which he did. The last thing that anyone wants to see is a sign
of the individuality of Barry if this individuality takes the
form of cupboard door which are not hung correctly.
He obeyed the natural laws of the craft when he was hanging the
cupboard doors. There is clearly the idea of ‘achieving
a preconceived result by means of consciously controlled and directed
action’. He was involved in planning what he did and he
ensured that it was planned in a way which fitted the conventional
idea of what he was doing. Therefore, in putting up Rose’s
cupboard door, he ensured that it was put up in a manner in which
all the other cupboard doors were put. He transformed raw material
into a finished product.
Work
Most of what I did with Barry in the core stories falls under
the definition of work or craft, but this is not the case with
the final story, where I describe the beginning of his supported
employment situation. There were two sides to the work which Barry
did, which could be categorised as work and labour (Arendt 1958)
or as work and a job (Green 1968). The handyman tasks were the
work element in what he did and the supported employment situation
was the labour / job aspect. They both gave different things to
him.
The handyman activity engaged in by Barry was a ‘work’
activity in the sense outlined by Arendt and specifically a craft
activity outlined by Collingwood. As a piece of work it produced
an enduring object and the things that he made took on a life
of their own. Part of this life that they had was the way that
they began to demonstrate his own capacity back to himself. In
a very small way they began to create a space where he could be
honoured for what he was capable of doing.
This is different in kind to the companionship which he got from
the labouring part of his existence. The supported employment
work that he did at the Students Association has given him a whole
range of things which he could never get from working as a handyman.
It allowed him to work alongside and to take part in the shared
meanings and commonality that labour and an ordinary job can give.
Those simple jobs can give a satisfaction that is different in
kind from the work of making things. It is repetitive and obvious,
it is something that is consumed and consuming. Putting up posters
and taking them down again when they are out of date is not inherently
very meaningful, but it is a necessary thing. Putting up posters
must be done over and over again, the effort put into it never
frees him from repeating it over and over again. It may however
be satisfying to be engaged in something that relates to a necessity,
especially when you are disconnected from your own maintenance
needs as someone like Barry. The fact that he earns money for
the job that he does might not ever enter Barry’s head at
a conscious level, but the fact is that he is doing that kind
of thing that other people do to earn a living. This is a very
profound step towards bringing him in touch with his own subsistence
needs, which he has been alienated from by the compensation package
which he has been granted. This employment gives a peer group
in a way that work never can, work being essentially isolating
in this sense. The supported employment position therefore fits
in with Green’s definition of a ‘job’ as something
which was done for remuneration. It also, fits in with both Arendt
and Green’s definition of labour.
Both the labour and the work aspects of his existence are very
necessary. Green believes that the point of education is to help
people to find out what their life work is. I could not be so
bold as to think that I have found Barry’s life work, he
hardly exhibits the love and passion which would make this the
truth. But I can feel secure that this might potentially be an
area which turns into his life work, given time. If this was not
the case I would simply encourage him to spend all his time at
his job in the student association. It is so much easier to find
and to continue in a job, than it is to find and continue in a
life work. But there is a different kind of worth associated with
work, which comes from you and which can give the genuine sense
of having a purpose that is real and worthwhile.
Therefore it seems that the handyman work that he did was something
which engaged him in an activity that put him in connection with
the world in a very real way. He could really help people and
be appreciated for what he was doing, he took part in the work
of building the world which is an essential part of dwelling in
the world too. He obviously gained a huge amount from this kind
of work. However, in the supported employment situation he began
to be somewhere that gave him some answers about knowing how to
go on. The structure given by work is not just an infrastructure,
where different activities are slotted during the day. The activities
themselves have a structure which also tell him what to do. He
needs to know how to go between activities during the day and
how to engage fully in those activities which need to be done.
It is only through this active engagement that he can really know
how to go on. His work at the Student Association provided him
with a job which was not stretching him to his limits every minute
that he was doing it. It was something repetitive and having done
it once or ten times he began to really know what the job involved.
In this knowing he began to be able to belong to the workplace
as an equal and he finally found a peer group. The work as a handyman
/ craftsman is essentially lonely. The supported employment may
not allow any great communication in a space which truly acknowledges
the individuality of a person, but it does allow one to share
in the commonality of man. This opportunity to enter into the
common things of life is precisely what has been lacking in Barry’s
life.
In the long term I can imagine a situation where Barry might
have a small business as a handyman and he will gain much self
confidence from this (Arendt). There is no doubt that he could
possibly become a valued member of his community if he continues
in the way that he is going. However, it does not matter how long
he does this job for, he will always need a huge amount of support
to make it work. He will never get anything like the flow that
he gets from his job in the Student Association. At this moment
it seems right that he should have work which could become a life’s
work, and a job which tells him what to do and which connects
him in some way with his subsistence needs. The eventual outcome
if he continues as he is will be membership of a community in
much the same way as anyone else without a head injury would be
a member.
Next page: Facilitation
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Abstract
Introduction
Methods and Ethics
Guestbook (to be enabled soon)
Brain damage stories-
Stories intro
Story 1 - The accident
Story 2 - The OT arrives
Story 3 - The CD rack
Story 4 - The troll
Story 5 - The door
Story 6 - At work
Story 7 - The letterbox
Story 8 - Employment
Occupation in Literature -
Literature intro
Occupation
Alienation
Being "well occupied"
The practitioner / OT
The person with brain injury
Discussion -
The need for occupation
Becoming well occupied
Facilitation
Ethical concerns
Occupation and neurology
Future research
Conclusion
Works cited
Bibliography
Brain
injury and head injury resources
Occupational
Therapy and carer resources
OT
jobs
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