occupational engagement and meaning: the experience of ikebana practice
TRANSCRIPT
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Occupational Engagement and Meaning:The Experience of Ikebana PracticeAllison M. Watters MOT, BA a , Christine Pearce MOT, BA b ,Catherine L. Backman PhD, OT(C), FCAOT c & Melinda J. Suto PhD,OT ca Surrey Memorial Hospital , Surrey , British Columbia , Canadab Comox Valley Child Development Association , Courtenay ,British Columbia , Canadac Department of Occupational Science and Occupational Therapy ,The University of British Columbia , Vancouver , British Columbia ,CanadaPublished online: 03 Aug 2012.
To cite this article: Allison M. Watters MOT, BA , Christine Pearce MOT, BA , Catherine L. BackmanPhD, OT(C), FCAOT & Melinda J. Suto PhD, OT (2013) Occupational Engagement and Meaning:The Experience of Ikebana Practice, Journal of Occupational Science, 20:3, 262-277, DOI:10.1080/14427591.2012.709954
To link to this article: http://dx.doi.org/10.1080/14427591.2012.709954
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Occupational Engagement and Meaning:
The Experience of Ikebana Practice
Allison M. Watters,Christine Pearce,Catherine L.Backman &Melinda J. Suto
Engagement and meaning are essential properties of occupation that have
been associated with well-being in the occupational science literature. A
deeper examination of subjective experiences while engaging in particular
occupations may illuminate how specific occupational characteristics con-
tribute to the relationship between occupation and well-being. Consequently,
this study investigates the concepts of personal meaning and occupational
engagement by exploring the experience of ikebana (Japanese flower
arrangement) among practitioners. As a symbolic and disciplined art form
anchored in cultural history, ikebana is a highly suitable occupation for
examining subjective experiences of occupation and characteristics like
personal meaning and engagement. Descriptive phenomenology informed
the study design and data were gathered using semi-structured interviews
with nine ikebana practitioners, including novices and teachers. Three themes
identified through inductive analysis were: 1) ikebana as an avenue to a richer
life; 2) transformation of the self through ikebana, and 3) ikebana supports
harmony in life. The themes represent qualities of ikebana practice that
facilitate ongoing engagement in this and other occupations, and support
practitioners’ sense of well-being. These findings reinforce the powerful
influence of occupation on individual experience and elucidate the reciprocal
relationships among meaning, engagement and well-being.
Keywords: Occupation, Leisure, Engagement, Meaning, Subjective experience,
Ikebana
Occupational scientists continue to
investigate the mechanisms by
which occupation contributes to
health and well-being. Occupations
may be seen as individually crafted,
distinct and uniquely felt experi-
ences (Pierce, 2001) that are purpo-
sefully chosen by individuals to
achieve and shape identity (Phelan
& Kinsella, 2009). Occupations
allow expression and reconstruction
of those identities (Asaba & Jackson,
2011), and may be restorative,
prompting a sense of rejuvenation
that extends beyond the time of
participation (Howell & Pierce,
2000). Individuals may attain spiri-
tual well-being through participa-
tion in occupations and affirming
occupations have the capacity to be
a ‘‘natural mechanism for health
with the potential to keep all parts
of the organism honed and working
well’’ (Wilcock, 2003, p. 4). In the
absence of occupation, individuals
may struggle with identity loss and
stigmatization, sacrificing the integ-
rity of their well-being (Stone,
2003). Despite strong commitment
to the foundational principles above,
there remains a need to investigate
and further define the core concepts
j Allison M. Watters, MOT,
BA, Occupational Therapist,
Surrey Memorial Hospital,
Surrey, British Columbia,
Canada
j Christine Pearce, MOT, BA,
Occupational Therapist,
Comox Valley Child
Development Association,
Courtenay, British Columbia,
Canada
j Catherine L. Backman, PhD,
OT(C), FCAOT, Professor,
Department of Occupational
Science and Occupational
Therapy, The University of
British Columbia, Vancouver,
British Columbia, Canada
j Melinda J. Suto, PhD, OT,
Assistant Professor,
Department of Occupational
Science and Occupational
Therapy, The University of
British Columbia, Vancouver,
British Columbia, Canada
j Correspondence to:
– 2013 The Journal of
Occupational Science
Incorporated
Journal of Occupational Science,
2013
Vol. 20, No. 3, 262�277,
http://dx.doi.org/10.1080/
14427591.2012.709954
262 JOURNAL OF OCCUPATIONAL SCIENCE, Vol . 20 , No. 3 , 2013
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underlying the subjective experience of specific
occupations. Investigations in this area may
illuminate and further clarify the influence of
occupation on well-being (Hammell, 2004;
Jonsson, 2008).
One approach to understanding the essence of an
occupation is by examining it directly (Dickie,
2003). The study described here focuses on a
cohort of individuals who chose ikebana as a
valued occupation. Revealing the subjective ex-
perience of study participants illustrates how
occupation carries specific meanings that, in
turn, influence perceptions of well-being and
support continued engagement in both ikebana
specifically and other occupations, reflecting
symbiosis between occupation and well-being.
Ikebana, the art of Japanese flower arranging, is a
creative and symbolic form that uses plant
materials to express awareness of nature and
human life (Moriyama & Moriyama, 1999). Based
on a rich history and philosophy, ikebana differs
from Western forms of floral arrangement in both
purpose and structural composition. Western
forms value symmetry, abundant displays of
flowers and are often created solely for the
purpose of aesthetic appeal. Ikebana appears
minimalist in contrast; it values line, simplicity,
asymmetry (Lau, 2010; Moriyama & Moriyama,
1999), and select use of flowers and other
materials such as branches, stones, and contain-
ers. See Figures 1 and 2. Further, the practice is
highly symbolic, with each plant material, line
and form carrying a meaning and significance
(Moriyama & Moriyama, 1999). The artist ob-
serves and is inspired by nature to select materials
and create a composition, similar to other art
forms like painting. Ikebana emerged in 6th
century Japan in the form of a Buddhist custom
of dedicating flowers atop temple altars. Although
individuals may learn to apply basic principles to
ikebana-inspired arrangements, the techniques,
history, and inherent discipline take dedicated
study (Lau, 2010). The popularity of contempor-
ary ikebana has grown, with more than 2,000
secular schools of ikebana presently operating
world-wide (Moriyama & Moriyama, 1999; Van-
couver Ikebana Association, 2012a). The different
schools represent unique artistic styles but share a
Figure 1: Ikebana Arrangement in a Black Vase by Hollis Ho (Photographer: Hollis Ho, Teacher, Sogetsu School.Published with permission.)
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common approach to learning through the gra-
dual progression of structured lessons as skills are
developed over many years of practice under the
guidance of a master teacher or sensei (Moriyama
& Moriyama, 1999; Vancouver Ikebana Associa-
tion, 2012b). A brief history and summary of the
major forms of ikebana are described by Lau
(2010).
Given the rich tradition and extensive investment
of its practitioners to learning it, ikebana was
selected as an appropriate occupation for study-
ing subjective experiences and the meaning of
occupation. Appreciating the subjectivity of oc-
cupational engagement is paramount to this
research. While ‘‘the ‘doing’ aspect of an occupa-
tion may be conducted in a remarkably similar
way from one individual to another, the subjec-
tive experience of that doing (i.e., the ‘being’)
will always be unique’’ (Hayward & Taylor, 2011,
p. 135).
The notion that meaning is central to occupation
is reflected throughout the occupational science
literature and, simply put, meaning is essential for
health and well-being (Hasselkus, 2011; Kuo,
2011; Reid, 2008; Shank & Cutchin, 2010). It
has been proposed that meaning is created and
Figure 2: Ikebana Arrangement in a White Vase by Hollis Ho (Photographer: Hollis Ho, Teacher, Sogetsu School.Published with permission.)
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attributed to occupations through three dynamic
processes: 1) participation in occupations with
meaningful characteristics, 2) social relationships
experienced by involvement in occupation, and
3) experiencing transcendence; an escape or
break from difficult situations or worries
(Griffiths, Caron, Desrosiers, & Thibeault,
2007). It has also been argued that meaning
results from individuals’ efforts to make sense of
their experiences in daily situations and emerges
through participation in occupations (Hasselkus,
2011). Meaning is constantly negotiated and re-
developed to conform to the person and place
(Shank & Cutchin, 2010). It is this dynamic and
context-dependent nature of meaning that con-
firms its role throughout an individual’s life span.
An additional perspective on the creation and
experience of meaning through occupation posits
that occupations are viewed as meaningful if they
have concrete, symbolic and self-renewal value to
the participant (Persson, Erlandsson, Eklund, &
Iwarsson, 2001). Concrete value was described as
the tangible products or characteristics of the
occupation whereas symbolic value was perceived
as the level of personal, cultural, and universal
significance for the participant. Self-renewal value
referred to rewards such as enjoyment, develop-
ment and satisfaction that were inherently part of
the occupation and provided a feeling of regen-
eration or refreshment. It has also been suggested
that individuals are empowered to create meaning
by relying on past experiences (Kuo, 2011). By
consciously selecting occupations to engage in,
those occupations become a means to create
experiences that truly matter, promoting overall
well-being. However, empirical evidence to sup-
port this relationship could be strengthened.
This study addresses the identified need for
research on occupation (Bedding & Sadlo, 2008;
Hocking, 2009; Wilcock, 2007) and adds to
existing literature on the subjective experience
of occupation (Jacob, Guptill, & Sumsion, 2009;
Reed, Hocking, & Smythe, 2010; Scheerer, Cahill,
Kirby, & Lane, 2004). Meaning and engagement
were viewed as essential properties of occupation
that could be explored through described
experiences of ikebana practice. Thus, the objec-
tives of this study were to discover the meaning
and experience of ikebana among practitioners
and to explore how the practice of ikebana may
promote occupational engagement.
Methodology
The researchers adopted an essentialist worldview
by allowing language to reflect meaning and
experience in a unidirectional manner (Braun &
Clarke, 2006). A descriptive phenomenological
approach guided the study (Lopez & Willis,
2004), acknowledging that universal truths or
‘essences’ can emerge from the compilation of
individuals’ accounts of lived experiences (Finlay,
1999; Lopez & Willis, 2004). Accordingly, de-
tailed reports of experiences and meanings were
solicited from participants through interviews.
Overall descriptions were created that depict the
intrinsic meaning of ikebana in the eyes of the
practitioners. The researchers undertook a re-
fined process of ongoing self-reflection and peer
critique in place of traditional bracketing techni-
ques (Finlay, 2009; Wojnar & Swanson, 2007).
Writing field notes and periodic memos allowed
the team to discuss potential assumptions and
biases, and monitor the extent to which these
perspectives influenced the analysis. This process
aligned with views that traditional bracketing
techniques are untenable (Carpenter & Suto,
2008; LeVasseur, 2003).
Participant recruitmentPurposeful sampling recruited practitioners with
varied experiences (student to master), via per-
sonal and printed invitations to an ikebana
association in Vancouver, Canada. Volunteer
participants were ikebana practitioners aged 19
or over who could communicate in English. The
University of British Columbia Behavioural Re-
search Ethics Board approved the study and
written informed consent was obtained before
each interview occurred.
Data collectionOver a 2-month period, one semi-structured
interview was conducted with each participant,
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scheduled at a time and location selected by
participants. Semi-structured interviews lasted
approximately 60 minutes. The first authors
(AW, CP) developed the interview guide and
conducted all of the interviews together. The
interview guide contained eight main questions
and several focused questions that elicited further
description (probes). Sample questions are listed
in Table 1. Interviews were audio-recorded and
transcribed verbatim by the first authors (AW,
CP). Further data were gathered via e-mail as part
of the analytical process and a form of member
checking.
Data analysisThematic analysis (Braun & Clarke, 2006) was
used by the first authors, who are developing
skills with qualitative methods, in consultation
with the senior authors. This process accommo-
dates ongoing, iterative data analysis to create an
essential structure of the phenomena studied and
retains participants’ unique experiences. Analysis
began during the data acquisition phase and
continued throughout all other phases of the
project as outlined in Table 2. An inductive
approach identified patterns arising directly
from the data and themes were created on a
semantic level, based on prevalent and related
concepts throughout the data set (Table 3).
Themes describe the essential meaning and
experience of ikebana practice, explore broader
meanings and offer implications for occupational
science.
TrustworthinessThe interviewers documented their observations,
questions and ideas related to interviews in field
notes and these data were discussed among the
research team. Reflective journaling in the form of
recording thoughts, feelings and interpretations
encourages researchers to evaluate the changing
nature of their roles as interviewers and inter-
preters of data (Ortlipp, 2008). Journaling and
discussion supported the interviewers to identify
personal values and experiences that could influ-
ence the research process such as their belief in
the meaning and power of occupation to posi-
tively affect well-being. None of the research team
members were of Japanese (or Eastern) origin.
The interviewers differed in their previous ex-
posure to ikebana practice: One was frequently
exposed to ikebana arrangements through a social
connection to a family of practitioners, while the
other was newly-exposed to ikebana during this
Table 1: Interview Guide
Examples of Broad Questions Examples of Focused Questions
Can you tell me about creating an
arrangement?
What is the process from beginning to end with the materials, your
body (physical experience), feelings, mind (thoughts)?
How does ikebana relate to other aspects/
activities in your life?
How does ikebana fit into your life as a whole?
Why do you continue with ikebana? How would your life be different/stay the same if you no longer
practiced ikebana?
Is there a goal/purpose/reason to the practice
of ikebana (in general)?
What does ikebana practice mean to you?
How have your experiences changed over
time?
Are your experiences of practicing ikebana different now compared to
when you first began to practice?
Demographic questions How long have you been practicing ikebana?
General and Member Checking Questions (mailed to participants)
What does the practice of ikebana contribute to your life?
What are the main aspects of ikebana that motivate you to continue with the practice?
Are there concepts (within these themes) that do not fit with your experience?
Are there any important aspects of your experience that we are missing?
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study. Neither interviewer was familiar with the
creative process or the perceived meaning of
engagement in ikebana from a participant point
of view. Accordingly, they embraced a learner role
in relation to participants, who embraced a
mentor role while sharing their ikebana knowl-
edge. To strengthen the credibility of the findings,
member checking involved e-mailing general and
individualized follow-up questions to the partici-
pants and inviting comments on provisional
themes (see Table 1). These data helped refine
the themes.
Results
Participants were nine female ikebana practi-
tioners (three teachers and six students) asso-
ciated with three local ikebana schools.
Participants were diverse in their cultural heritage
Table 2: Data Analysis Procedures: Thematic Analysis (adapted from Braun & Clarke, 2006)
Step Procedure
Pre-Thematic Analysis Phase
Data Acquisition Independent review and discussion of each interview by two primary researchers
Thematic Analysis Begins: Familiarization with Data
Transcription and Review Transcription and review against audio for accuracy
Discussion and documentation of key points in transcripts
Generating Initial Codes
Generating Preliminary Codes Compilation of preliminary list of codes based on ‘key points’ and further
discussion
Coding Transcripts Independent coding of all transcripts
Discussion with full research team and refinements to codes
Searching for Themes
Collating Codes into Potential
Themes
Similar codes clustered and reviewed in light of study aims
Code clusters used to develop categories and sub-categories
Potential broader themes developed based on categories
Relevant quotations extracted from each category
Concept maps employed to further develop themes
Gathering Data for Themes Review of entire data set to ensure capture of all data points
Transcripts reviewed for general meanings
Field notes and previous reflective discussions reviewed
Reviewing Themes
Checking Fit between Data and
Themes
Review of data points and excerpts within potential themes to ensure fit and
promotion of a unified concept
Themes reviewed against transcripts to ensure meaning and experience expressed
by participants is captured
Themes reviewed against data set for overall fit
Refining, Defining and Naming Themes
Definition and Refinement of
Themes
Development of definitions to distinguish themes
Search for literature related to themes
Follow-up responses coded and integrated into themes
Refinement of themes based on research team discussions
Naming Themes Theme names developed to reflect content
Provisional themes returned to participants for feedback
Producing the Report
Selecting Quotes Selection of vivid examples
Final Analysis Situation of findings within occupational science literature
Further refinement of themes and quote examples as study report is formed
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and their ikebana practice, ranging from few to
over 40 years, with an average of 14 years. To
preserve anonymity, participants are referred to
by pseudonyms.
Analysis resulted in a general description of
fundamental aspects of ikebana that situate
participants’ practice and provide a background
for understanding specific experiences and mean-
ings. Briefly, they positioned ikebana as a creative
activity that is leisure for students and a compo-
nent of work for teachers. They described an
awareness of the history, culture, and traditions of
ikebana as well as characteristics of specific
ikebana schools and practice groups. Techniques
were learned gradually through progressive les-
sons and ongoing practice. Ikebana was perceived
generally as an enjoyable and beneficial activity
that is imbued with meaning. Three themes were
developed to describe the salient features of
occupational experience and meaning in the
context of ikebana practice.
Ikebana as an avenue to a richer life‘‘There are many ways to get a richer life with
ikebana’’ (Amy). Ikebana created opportunities to
enrich participants’ lives. Opportunities that
characterized this theme were engagement in
other activities, bringing beauty into the home,
work, self-expression, connections to nature,
social connections, and historical/cultural con-
nections. In contemplating her possible engage-
ment in future ikebana-related events, Gillian
observed ‘‘There are so many avenues by which
Table 3: Data Analysis: Code Examples, Categories and Themes
Code Examples Categories Theme
Events/shows
Travel
Other activities Ikebana as an avenue
to a richer life
Artistic expression
Creativity
Opportunities for self expression
Gardener connection
Co-participants’ connection
Connections to others
Connection to outside surroundings
Connection to plants
Connections to nature
Development of ‘‘the eye’’
Beauty in the home
Enhancement of the aesthetic self Transformation of the self
through ikebana
Journey of learning
Learning
Engagement with the learning process
Self-exploration
Challenge
Connection to self
Way of thinking
Personal growth
Past transcendence
Present transcendence from bad mood/worry
Transcending a difficult experience
Flow
Losing time
Flow experience Ikebana supports
harmony in life
Way of life
Balance
Other activities
Compatibility with life
Physical health
Well-being
Relaxation
Health promotion
Spirituality
Philosophy of ikebana
Philosophical/spiritual perspective
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one could proceed’’ while Frances exclaimed ‘‘It’s
really opened my eyes to what’s available out there!’’
From home decorating to gardening, photogra-
phy and other activities, ikebana was perceived to
‘‘open up the idea to other things’’ (Gillian). Ikebana
shows, meetings and conferences occur through-
out the year and practitioners attend local and
international events, providing opportunities to
travel and meet new people. Many participants
valued and enjoyed these activities, but for others
this type of participation was less meaningful.
Carrie observed ‘‘some are very enthusiastic about-
. . . going to the show . . . [but] I’m just happy with
what I can make in my home.’’ Participants also
described the pleasure of having arrangements at
home, characterizing this as an opportunity to
bring beauty into their lives.
Regarding opportunities for work, the more
experienced practitioners described requests to
design arrangements for special events such as
weddings or funerals. Such requests could provide
an opportunity to earn money and contribute
something meaningful to important occasions in
others’ lives. Ikebana was also strongly endorsed
by all participants as creating opportunities for
self-expression. Heather explained that, when one
begins to study ikebana, ‘‘all your creativity that
you didn’t know was in there begins to come out and
it comes out through the materials . . . [the materials]
help you to . . . express yourself.’’ At the time she
began to practice, Amy found that ikebana was ‘‘a
wonderful artistic outlet . . . knew that I was artistic
� but never had the opportunity to do much.’’
The concepts of developing connections with
people, nature and culture through ikebana
were strong and appeared in different forms
throughout the transcripts. Heather suggested
that ‘‘ikebana takes you that one � two, three steps
more . . . it almost takes you inside nature.’’ Expand-
ing on the link to nature Ingrid said, ‘‘I fell in love
with cherry trees in a way I hadn’t before [involve-
ment with ikebana].’’
Participants acknowledged and appreciated op-
portunities to learn, share and develop friend-
ships with others who had similar interests.
Gillian observed that ‘‘there is this natural connec-
tion because . . .we all enjoy the same thing,’’ while
Beth offered ‘‘you get to really appreciate what other
people bring to the table.’’ Heather expressed peer
appreciation when she exclaimed ‘‘these members
of our club . . . aren’t they incredible? . . . I just love
them! I get so much from them!’’
Participants viewed sharing ikebana as a way,
through actions rather than words, to facilitate
connections to others. For example, Frances
described some instances of sharing arrangements
at work and church, noting ‘‘people appreciate
it . . . so it’s opened up some communication.’’ Shar-
ing ikebana was reported to ‘‘bring joy to other
people’’ (Beth) and decrease quarrels (Evelyn),
thus nurturing family relationships. Gillian de-
scribed offering ikebana arrangements at graves
as a form of remembering deceased loved ones.
Several participants shared that having mothers,
grandmothers and/or daughters who practiced
ikebana facilitated inter-generational connections
and that the continuity of ikebana practice over
generations was a significant element of practice.
Some practitioners identified the importance of
connections to the historical tradition of ikebana:
‘‘When I practice, there’s a connection with people
centuries ago who studied’’ (Gillian). The cultural
aspects of ikebana as a Japanese art form were
appreciated by participants from diverse cultural
backgrounds. For participants who identified
with their Japanese heritage, ikebana was per-
ceived as a way to maintain connection: ‘‘It is a
cool way to keep in touch with your culture’’
(Heather). For others, ikebana was a way of
learning about an unfamiliar and interesting
culture. As Denise stated, ikebana helped ‘‘create
more of an interest in Japanese culture in general,
and Japanese arts in particular.’’
Transformation of the self through ikebana‘‘I expect to grow with it’’ (Amy). This second
theme presents ikebana practice as a tool to
transform the self. Four elements contribute to
this theme and describe the changes experienced
by participants: personal growth, transcendence
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of difficult experiences, enhancement of aesthetic
sense, and engagement with the learning process.
Ikebana was perceived to promote and support
personal growth. Amy explained: ‘‘I feel I can
control myself better in difficult situations . . .we
need to have patience to do ikebana and it has given
me that for sure.’’ Gillian explained how ikebana
played a role in her process of self-discovery. She
took up the practice of ikebana at a time in her
life when she was ‘‘starting to discover who I really
was.’’ She reported thinking ‘‘how do I [her
emphasis] want to arrange these flowers?’’ and
exclaimed ‘‘it’s wonderful to figure out what I want
to do!’’ Other participants observed that ikebana
supports self-development through creativity. De-
nise described her experience: ‘‘I believe I am
learning to be more creative and my sense of
imagination has expanded not only in the art of
ikebana, but in fashion, home decorating, and even
food preparation.’’
Participants also reported how ikebana practice
became a tool to transcend stress and difficult life
experiences. Amy explained ‘‘it’s very comforting
when you feel a little bit down . . . your problems
disappear � temporarily. You kind of relax.’’ An-
other participant said there was something about
the contemplation of flowers that could ‘‘ease the
pain’’ when she was unhappy. A couple of
practitioners shared examples of how their prac-
tice had helped them through very difficult times.
Heather recalled her practice around the time of
her mother’s illness and death, and said:
That’s when I really stretched myself and I
just went really deep inside to come up with
stuff I didn’t even know . . . that helped me go
through it . . . it helped my mother to feel
better because I would do ikebana for her.
Gillian described ikebana as ‘‘a refuge’’ from
disturbing memories of past events in her life,
observing that:
It was only through the ikebana practice
where I felt as if, there was joy . . . I think
that for me, the remembrance . . .was actu-
ally somewhat relieved because I was creat-
ing beauty out of something and I figure that
with ikebana you can’t fail.
The enhancement of aesthetic sense speaks to
participants’ development of an artistic apprecia-
tion for line and form in nature and in other areas
of life. Denise commented that ikebana ‘‘changes
the way you see things . . . clothing, housing, dec-
orating, colours, design in general.’’ The process by
which this comes about was described by Beth:
You’re taught some of the rules of how a
branch grows [then] you start to notice
those things around you a lot more . . . and
instead of thinking ‘oh, it’s a tree’ � you’ll
recognize it for all the beautiful shapes and
lines in it that you can see as a practitioner
of ikebana.
Participants described an ongoing learning pro-
cess that they recognized as transformative over
time. Several referred to new experiences, explor-
ing self, developing self by teaching others, and
always learning something new while doing
ikebana, attributing various levels of transforma-
tion to their ikebana practice. Carrie said, ‘‘I am
learning . . . in each arrangement I find new findings
� new experience . . . so I believe that I am exploring
myself . . . I hope that I am growing (laughs).’’
Ikebana supports harmony in life‘‘The main thing for ikebana is to have harmony’’
(Evelyn). Ikebana practice facilitates harmony in
life, accomplished by improving the alignment of
self in relation to others and the outer world. This
theme is represented by four descriptive cate-
gories: flow experience, compatibility with life,
health promotion, and philosophical/spiritual
perspectives.
Flow is a type of self-motivating, rewarding
engagement wherein people become intensely
absorbed in an occupation that matches their
competencies, to the extent of losing awareness of
the passage of time (Csikszentmihalyi, 1990).
Beth described her experience: ‘‘You don’t really
think about anything else . . . you’re in your own
little mindset for awhile and you can just focus on
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what you’re creating and everything else just sort of
disappears out of your mind.’’ Other participants
concurred, suggesting this experience of flow
allows an altered perception of the world bene-
ficial to practitioners, as Carrie observed:
‘‘Sometimes I am so rushed . . . but flower arrange-
ment is something that you cannot rush. So it’s more
like a feeling that I am jumping to a different time
zone . . . so usually I am more relaxed when I am
done.’’
Practitioners commented on ways in which
ikebana complemented their lives and enhanced
experiences of other activities. There were several
examples in relation to gardening, photography
and other artistic pursuits. Carrie explained how
the practice supported her working life:
Healing is my very important theme when I
work with the patients because I cannot cure
them . . . they have to do their job; I can only
help them to do it . . . doing the flower
arrangement just keeps reminding me of
doing those principles.
Ikebana was also seen to complement life if it
contrasted with other aspects of practitioners’
lives. This was the case for Beth, who perceived
ikebana as providing ‘‘a little bit of artistic balance’’
in her life. Amy described the role ikebana played
in helping her achieve a better fit with her life:
For me it has been a very good way of
balancing my life when I stopped working,
moved to a new environment and I was not
balanced. So, I needed something, just to
keep my feet on the ground, to feel in
control. And with ikebana I feel in control
of what I do, what I decide to do.
Ikebana was perceived by participants as a means
of promoting physical and mental health and
well-being. Amy described some of the benefits of
practice: ‘‘It is a wonderful outlet against high blood
pressure . . . and I found that it’s good for arthritis
too.’’ Denise observed that ikebana helped her
take care of herself because it was relaxing, and
Heather also spoke of health promotion: ‘‘It makes
you get outside a lot more of course. So that’s going
to influence your health . . .walking or working with
material hands on, pulling weeds in the garden,
raking leaves, any of that kind of thing.’’ In addition
to specific benefits obtained through practice,
participants described how the flowers used in
arrangements were perceived as beneficial, and
that they gave flowers to others to acknowledge
life events or help them feel better when recover-
ing in hospital.
The philosophical and spiritual qualities of ike-
bana practice were mentioned by several partici-
pants as meaningful in their lives. Participants
often used flowers and ikebana practice as
symbols of their personal/spiritual beliefs. For
example, Evelyn explained her perspective on the
practice:
I think ikebana is more or less kind of
spiritual . . . you have to look into yourself,
right? And look at the flowers . . .when you
look into the flowers you also notice that life
is also just like that . . . you can apply all the
theory into your daily life.
Heather described how ikebana could influence a
practitioner’s life: ‘‘The philosophical balance of
making an ikebana . . . the three main
stems . . . heaven, earth and man and trying to create
the balance and the harmony of those three things
together . . . it flows into your lifestyle and makes it
much healthier.’’ For others, this philosophical/
spiritual aspect of ikebana practice was de-
emphasised and held less personal meaning:
‘‘For me, religion is one thing, art is something
else, and I don’t think of them together but I respect
people who do’’ (Amy). These participants’ per-
spectives tended to be more strongly represented
in other categories within this theme.
Discussion
This study explores the meaning of ikebana to
students and teachers of the art, and elucidates
the concept of meaningful occupation. Partici-
pants found ikebana practice to be transforma-
tive: it lead to a richer life, supported personal
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growth, and represented harmony in life. These
three primary (and inter-related) themes encom-
pass and represent the characteristics of ikebana
that were especially meaningful for participants,
motivated their continued engagement in the
occupational form, and subsequently enhanced
their sense of well-being. We first discuss
ikebana as meaningful occupation, followed by
the attributes of ikebana that foster occupational
engagement.
Ikebana as a meaningful occupationIkebana was perceived by participants as a mean-
ingful occupation because it was enjoyed, appre-
ciated and important in their lives. Ikebana
practitioners become active agents in their occu-
pational trajectory when they recognized the
power of occupation to promote health and
well-being (Kuo, 2011). Their continued partici-
pation in ikebana and descriptive qualities of
ikebana practice substantiate participants’ experi-
ence of this practice as meaningful. Participants
identified opportunities for other activities, self-
expression, home enhancement and connections
to others, culture and nature as meaningful
characteristics of ikebana practice. They de-
scribed how refreshing and valuable it was to
explore their creativity. Occupations that promote
utilization of creativity are meaningful because
they empower humans to relate to themselves,
each other and the world around them (Pollard,
2011). Consistent with other investigations, the
meaning of occupation gleaned from the explora-
tion of lived experiences is difficult to apprehend
and far from simple (Reed, Hocking, & Smythe,
2010). Aspects of meaning are mutable, interact-
ing with and influencing each other.
Participants described transformative experiences
through ikebana. They identified personal
growth, development of aesthetic sense, learning
and transcendence as meaningful characteristics
and as potential tools for lifelong self-
development. These characteristics are consistent
with Caldwell’s (2005) finding that leisure activ-
ities are meaningful because they promote knowl-
edge, skills and self-development. Research on
flow has shown that individuals are more inclined
to achieve positive meaning from engagement if
the ratio of challenge to skills is sufficient to
prompt full use of their skills sets (Wright et al.,
2007). The element of challenge supports active
engagement by providing growth opportunities
and the satisfaction of acquiring new knowledge,
as well as the rewarding quality of external
attention and feedback when one meets the
challenge successfully (Tonneijck, Kinebanian,
& Josephsson, 2008).
Humans’ innate desire to gain knowledge and
explore � represented in this study by ikebana
practitioners learning the history and philosophy
of their occupation and enacting that knowledge
in the choice of materials and design of their
arrangements � generates connections between
individuals and between individuals and their
physical environment (Dickie, 2003). Ikebana
encourages aesthetic sense through its creative
requirements; practitioners are empowered to
make aesthetic choices which in turn influence
their pride in the final product. These findings
correspond with experiences of practitioners of
traditional Japanese tea ceremony (Sakuae &
Reid, 2011). Engagement in the practice of tea
ceremony promoted learning and personal devel-
opment within the tea room and in the context of
practitioner’s daily lives, and fostered connections
to co-participants and to the physical environ-
ment in the near (tea room) and broader sense
(nature and changing seasons).
Meaning can be elicited through transcendence
(Griffiths et al., 2007) and this was illustrated by
a participant who described ikebana as a refuge
from disturbing memories of past events. Parti-
cular occupations promote harmony and allow
seclusion from the rest of the world (Tonneijck
et al., 2008), and creative occupations have been
identified as a medium to nourish the soul and
transcend daily experiences (Blanche, 2007).
Participants in Blanche’s study described ‘‘losing
themselves in the act of creation and later
emerging from it having learned something valu-
able about their most intimate self ’’ (p. 27). When
one becomes absorbed in occupation, there
is potential to lose self-consciousness and nega-
tive thoughts disappear (Wright et al., 2007).
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Thus, transformation of self is achieved through
elements such as refining one’s skills, developing
aesthetic discretion, allowing transcendence, and
experiencing a just right challenge.
Within the ‘Harmony in Life’ theme, participants
described characteristics that facilitated improve-
ments in self and alignment with their outer
world, including flow experiences, the compat-
ibility of ikebana with life, and health, spiritual
and philosophical perspectives. Flow experiences
have been frequently described as a meaningful
aspect of participation in creative occupations
(e.g., Hegarty, 2009) and were identified by all
participants. Research participants also experi-
enced meaning through valuing specific aspects
of practice, as proposed by Persson and collea-
gues (2001). For example, ikebana practice
produces flower arrangements as tangible pro-
ducts and facilitates the development of technical
skills. Further, some participants experienced
meaning through valuing ikebana as a symbolic
activity, representing various levels of personal,
cultural or universal significance. Symbolic mean-
ing was discussed in the context of ikebana as
extending beyond an arrangement to the beliefs
and way of life behind the art. Participants
explained that meaning arose through self-
renewal, or rewards such as enjoyment or
self-development, which provided a feeling of
regeneration consistent with the findings of
Persson and colleagues (2001).
Ikebana as an engaging occupationParticipants’ descriptions support ikebana as an
engaging occupation that holds potential to
facilitate feelings of high involvement and satis-
faction, as did Lau (2010). Elements of the
general descriptions and three themes in the
present study are strongly aligned with positive
meaning, regular involvement, related activities,
and community involvement � characteristics of
engaging occupations (Jonsson, 2008). As the
previous section on meaning illustrates, the
themes in the present study are replete with
examples of positive meaning. The length of
involvement varied among participants, from a
few years to a lifetime of practice and all
participants anticipated continuing with ikebana.
Although participants were clearly committed to
their practice, they spoke of ikebana as a
pleasurable and freely chosen activity rather
than naming it as a commitment or responsibility,
although teachers spoke of their commitment to
students.
Engaging occupations have been found to be
analogous to work in terms of the seriousness and
commitment with which they were pursued
(Jonsson, 2008). In the present study, the oppor-
tunity for work is described within the ‘Richer
Life’ theme and a few participants considered
ikebana to be aligned with work through teaching
or flower related businesses, but it was not a
strong characteristic. This discrepancy may be
due to differences between participant samples;
on average, participants in the present study were
younger than the sample described by Jonsson
(2008) and the majority had work-related re-
sponsibilities other than ikebana. Nevertheless,
the participants described ikebana as an expres-
sion of their identity and were sufficiently serious
about their practice to suggest that Jonsson’s
‘‘seriousness and commitment’’ characteristic re-
flects an element of meaningful occupation.
Promoting engagement through ikebana practiceParticipants were clearly enthusiastic about and
fully engaged in ikebana. What promoted this
level of engagement? First, ikebana may facilitate
positive feelings (e.g., satisfaction) or fulfill an
innate human need to discover meaning and
support well-being through occupation (Stanley,
1995; Wilcock, 2007). From an atomistic per-
spective, features of ikebana may play a contrib-
utory role in promoting engagement. The themes
offer a means to examine possible links between
occupation and the promotion of engagement.
Within the ‘Richer Life’ theme ikebana acts as a
bridge, facilitating engagement in new opportu-
nities that arise (Craik & Pieris, 2006; Griffiths,
2008). Also, success achieved in one activity may
increase confidence to try other activities (Brehm,
Kassin, & Fein, 1999). Optimal engagement in
activity yields enthusiasm that helps individuals
focus on a goal or vision to work towards (Wright
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et al., 2007). The enthusiasm derived from
ikebana may positively influence an individual’s
approach to alternate occupations.
Secondly, some participants indicated that their
continued involvement in ikebana was facilitated
through opportunities for creative expression.
Researchers have suggested that creative occupa-
tions may promote engagement through fulfilling
an innate need for creativity and self-expression
(Bedding & Sadlo, 2008; Lloyd, Wong, &
Petchkovsky, 2007; Reynolds & Prior, 2003).
Thirdly, opportunities to connect with nature
may positively influence psychological states
and feelings (Heliker, Chadwick, & O’Connell,
2001; Jonasson, Marklund, & Hildingh, 2007). A
study investigating gardening in women with
cancer revealed a prevalent theme of participation
based on connection with nature and interaction
with living things (Unruh, Smith, & Scammell,
2000). Physical elements of the garden, such as
visual pleasure, were motivating. Plants and
flowers were meaningful because they became
symbols of life, promoting continued engagement.
Similarly, social connections and encouragement
from others (the sensei/teacher and classmates)
were strongly endorsed by participants as pro-
moting ongoing engagement in ikebana. Indivi-
duals are motivated to continue engagement as a
means to maintain positive feelings (Brehm,
Kassin, & Fein, 1999); this proposition is con-
sistent with theorizing about occupation and
belonging wherein inclusion and reciprocity
may arise from sharing and interacting with
others (Hammell, 2004).
The theme ‘Harmony in Life’ presents several
aspects of ikebana practice that can promote
ongoing engagement. It has been suggested that
individuals experience anxiety and are ill at ease
when they believe their outer world does not
match their inner world, and feel confidence and
peace when the two perspectives are consistent
(Brehm et al., 1999). This feeling of authenticity
may reinforce participation in occupations. Flow
experiences can occur when one’s skills match the
demands of an occupation; such circumstances
can promote feelings of vitality, satisfaction and
joy that individuals are motivated to maintain
(Csikszentmihalyi, 1990). People may feel satis-
faction and gain temporary relief from unpleasant
situations through ikebana, and this can reinforce
participation (Caldwell, 2005). People may also
continue to participate in occupations that they
believe are beneficial for their health (Poole et al.,
2001). Through participants’ descriptions of
meaning and engagement, ikebana is depicted as
an appealing occupation that not only fosters
continued engagement with the occupation of
flower arranging, but also promotes engagement
in other occupations. The themes that emerged
from participants’ descriptions represent qualities
of ikebana practice that are part of a perpetuating
cycle of occupational engagement. This observa-
tion advances occupational science: the qualities
of meaning and engagement that draw partici-
pants to the specific practice/occupation (in this
case ikebana) lead to ongoing involvement in it
and other occupations, which in turn bolsters the
personal meaning derived from engagement.
Understanding that engagement in ikebana is
fostered by features that continue to sustain
participation, reflects the reciprocity that is found
in the concept of self-perpetuating occupations
(Carlson, 1996).
The concepts of ‘engagement’ and ‘meaning’ are
key aspects of occupation that can influence
health and well-being, yet remain underdeve-
loped (Garci & Mandich, 2005; Griffiths et al.,
2007; Stanley, 1995). This small study contributes
to the discourse on these concepts as they relate
to a particular occupation, ikebana, itself imbued
with cultural and historical significance.
Strengths, limitations and future directionsThe purposeful sampling of participants, the use
of semi-structured interviews, and member
checking procedures all contributed to rich,
credible findings that are reflective of partici-
pants’ thoughts and experiences. Study findings
need to be interpreted with caution however, as
the themes are not generalizable beyond the
participants studied, who were female, drawn
from a narrow social class, and highly involved.
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Further, it is anticipated that elements within the
themes, and their contribution to the promotion
of engagement are interrelated and more complex
than can be presented in this study, especially
given the relatively short time in the field.
The context of practice and culture, important
contributors to meaning and experience, were not
fully explored in the course of the research, and
may represent a valuable avenue for future
investigations. Additionally, future studies might
explore the meaning and experiences of people
who have less intense levels of engagement in
ikebana, which may provide valuable insight into
the themes discussed here.
Conclusion
Ikebana is depicted as a meaningful, engaging
occupation with capacity to promote well-being
and practitioners’ involvement in other occupa-
tions. The subjective experience of meaning and
engagement in ikebana described here clarifies
and informs the ongoing discussion about these
concepts. The themes contribute to a holistic
view of a specific occupation. Further, this study
offers support for investigating other engaging
occupations as a means to promote well-being
within a broader population of adults.
REFERENCES
Asaba, E., & Jackson, J. (2011). Social ideologies
embedded in everyday life: A narrative analysis
about disability, identities, and occupation.
Journal of Occupational Science, 18, 139�152.
doi:10.1080/14427591.2011.579234
Bedding, S., & Sadlo, G. (2008). Retired people’s
experience of participation in art class. British
Journal of Occupational Therapy, 71, 371�378.
Blanche, E. I. (2007). The expression of creativity
through occupation. Journal of Occupational
Science, 14, 21�29. doi:10.1080/14427591.2007.
9686580
Braun, V., & Clarke, V. (2006). Using thematic
analysis in psychology. Qualitative Research
Psychology, 3, 77�101. doi:10.1191.
1478088706qp063oa
Brehm, S., Kassin, S., & Fein, S. (1999). Social
psychology (4th ed). New York: Houghton Mif-
flin.
Caldwell, L. L. (2005). Leisure and health: Why is
leisure therapeutic? British Journal of Guidance
and Counselling, 33, 7�26. doi:10.1080/
03069880412331335939
Carlson, M. (1996). The self-perpetuation of
occupations. In R. Zemke & F. Clark (Eds.),
Occupational science: The evolving discipline
(pp. 143�157). Philadelphia: F. A. Davis.
Carpenter, C., & Suto, M. (2008). Qualitative
research for occupational and physical therapists:
A practical guide. Oxford: Blackwell.
Craik, C., & Pieris, Y. (2006). Without leisure
. . . ‘it wouldn’t be much of a life’: The meaning
of leisure for people with mental health pro-
blems. British Journal of Occupational Therapy,
69, 209�216.
Csikszentmihalyi, M. (1990). Flow: The psychol-
ogy of optimal experience. New York: Harper &
Row.
Dickie, V. A. (2003). The role of learning in quilt
making. Journal of Occupational Science, 10,
120�129. doi:10.1080/14427591.2003.9686519
Finlay, L. (1999). Applying phenomenology in
research: Problems, principles and practice.
British Journal of Occupational Therapy, 62,
299�305.
Finlay, L. (2009). Debating phenomenological
research methods. Phenomenology & Practice,
3, 6�25.
Garci, T. C., & Mandich, A. (2005). Going for
gold: Understanding occupational engagement
in elite-level wheelchair basketball athletes.
Journal of Occupational Science, 12, 170�175.
doi:10.1080/14427591.2005.9686560
Griffiths, S. (2008). The experience of creative
activity as a treatment medium. Journal of
ALLISON M. WATTERS, CHRISTINE PEARCE, CATHERINE L. BACKMAN & MELINDA J . SUTO
JOURNAL OF OCCUPATIONAL SCIENCE, Vol . 20 , No. 3 , 2013 275
Dow
nloa
ded
by [
McM
aste
r U
nive
rsity
] at
06:
50 1
6 D
ecem
ber
2014
Mental Health, 17, 49�63. doi:10.1080/
09638230701506242
Griffiths, S., Caron, C., Desrosiers, J., &
Thibeault, R. (2007). Defining spirituality and
giving meaning to occupation: The perspective
of community-dwelling older adults with auton-
omy loss. Canadian Journal of Occupational
Therapy, 74, 78�85. doi:10.2182/cjot.06.0016
Hammell, K. W. (2004). Dimensions of meaning
in the occupations of daily life. Canadian Journal
of Occupational Therapy, 71, 296�305.
Hasselkus, B. (2011). The meaning of everyday
occupation (2nd ed). Thorofare, NJ: Slack.
Hayward, C., & Taylor, J. (2011). Eudaimonic
well-being: Its importance and relevance to
occupational therapy for humanity.
Occupational Therapy International, 18, 133�141. doi:10.1002/oti.316
Hegarty, B. (2009). The value and meaning of
creative leisure. Psychology of Aesthetics, Crea-
tivity and the Arts, 3, 10�13. doi:10.1037/
a0014879
Heliker, D., Chadwick, A., & O’Connell, T.
(2001). The meaning of gardening and the
effects on perceived well-being of a garden
project on diverse populations of elders.
Activities, Adaptations & Aging, 24, 35�56.
doi:10.1300/J016v24n03_03
Hocking, C. (2009). The challenge of occupation:
Describing the things people do. Journal of
Occupational Science, 16, 140�150. doi:10.1080/
14427591.2009.9686655
Howell, D., & Pierce, D. (2000). Exploring the
forgotten restorative dimension of occupation:
Quilting and quilt use. Journal of Occupational
Science, 7, 68�72. doi:10.1080/14427591.2000.
9686467
Jacob, C., Guptill, C., & Sumsion, T. (2009).
Motivation for continuing involvement in a
leisure-based choir: The lived experiences of
university choir members. Journal of Occupa-
tional Science, 16, 187�193. doi:10.1080/
14427591.2009.9686661
Jonasson, I., Marklund, B., & Hildingh, C.
(2007). Working in a training garden: Experi-
ences of patients with neurological damage.
Australian Occupational Therapy Journal, 54,
266�272. doi:10.1111/j.1440-1630.2007.00634.x
Jonsson, H. (2008). A new direction in the
conceptualization and categorization of occupa-
tion. Journal of Occupational Science, 15, 3�8.
doi:10.1080/14427591.2008.9686601
Kuo, A. (2011). A transactional view: Occupation
as a means to create experiences that matter.
Journal of Occupational Science, 18, 131�138.
doi:10.1080/14427591.2011.575759
Lau, A. (2010). Harnessing the creative power of
ikebana in promoting personal well-being.
Mental Health and Social Inclusion, 14, 30�35.
LeVasseur, J. J. (2003). The problem of bracketing
in phenomenology. Qualitative Health Research,
13, 408�420. doi:10.1177/1049732302250337
Lloyd, C., Wong, S., & Petchkovsky, L. (2007).
Art and recovery: A qualitative investigation.
British Journal of Occupational Therapy, 70, 207�214.
Lopez, K. A., & Willis, D. G. (2004). Descriptive
versus interpretive phenomenology: Their con-
tributions to nursing knowledge. Qualitative
Health Research, 14, 726�735. doi:10.1177/
1049732304263638
Moriyama, M., & Moriyama, M. (1999). A
comparison between asymmetric Japanese ike-
bana and symmetric western flower arrange-
ment. Forma, 14, 355�361.
Ortlipp, M. (2008). Keeping and using reflective
journals in the qualitative research process.
Qualitative Report, 13, 695�705. Retrieved Sep-
tember 14, 2011 from: http://www.nova.edu/
ssss/QR/QR13-4/ortlipp.pdf
Persson, D., Erlandsson, L., Eklund, M., &
Iwarsson, S. (2001). Value dimensions, meaning
and complexity in human occupation: A tenta-
tive structure for analysis. Scandinavian Journal
of Occupational Therapy, 8, 7�18. doi:10.1080/
110381201300078447
Phelan, S., & Kinsella, E. A. (2009). Occupational
identity: Engaging socio-cultural perspectives.
Journal of Occupational Science, 16, 85�91.
doi:10.1080/14427591.2009.9686647
Pierce, D. (2001). Untangling occupation and
activity. American Journal of Occupational
Therapy, 55, 138�146. doi:10.5014/ajot.55.
2.138
ALLISON M. WATTERS, CHRISTINE PEARCE, CATHERINE L. BACKMAN & MELINDA J . SUTO
276 JOURNAL OF OCCUPATIONAL SCIENCE, Vol . 20 , No. 3 , 2013
Dow
nloa
ded
by [
McM
aste
r U
nive
rsity
] at
06:
50 1
6 D
ecem
ber
2014
Pollard, N. (2011). The idea of creativity. Journal
of Occupational Science, 18, 190�191.
doi:10.1080/14427591.2011.575763
Poole, G., Matheson, D., & Cox, D. (2001). The
psychology of health and healthcare. Toronto,
ON: Prentice Hall.
Reed, K., Hocking, C., & Smythe, L. (2010). The
interconnected meanings of occupation: The
call, being-with, possibilities. Journal of Occupa-
tional Science, 17, 140�149. doi:10.1080/
14427591.2010.9686688
Reid, D. (2008). Exploring the relationship
between occupational presence, occupational
engagement, and people’s well-being. Journal
of Occupational Science, 15, 43�47. doi:10.1080/
14427591.2008.9686606
Reynolds, F., & Prior, S. (2003). A lifestyle coat-
hanger: A phenomenological study of the mean-
ings of artwork for women coping with chronic
illness and disability. Disability and
Rehabilitation, 25, 785�794. doi:10.1080/
0963828031000093486
Sakuae, M., & Reid, D. (2011). Making tea in
place: Experiences of women engaged in a
Japanese tea ceremony. Journal of Occupational
Science, 19(3), 283�291. doi:10.1080/
14427591.2011.610775
Scheerer, C. R., Cahill, L. G., Kirby, K., & Lane, J.
(2004). Cake decorating as occupation: Mean-
ing and motivation. Journal of Occupational
Science, 11, 68�74. doi:10.1080/14427591.
2004.9686533
Shank, K. H., & Cutchin, M. P. (2010). Transac-
tional occupations of older women aging-in-
place: Negotiating change and meaning. Journal
of Occupational Science, 17, 4�13. doi:10.1080/
14427591.2010.9686666
Stanley, M. (1995). An investigation into the
relationship between engagement in valued
occupations and life satisfaction for elderly
South Australians. Journal of Occupational
Science: Australia, 2, 100�114. doi:10.1080/
14427591.1995.9686400
Stone, S. D. (2003). Workers without work:
Injured workers and well-being. Journal of
Occupational Science, 10, 7�13. doi:10.1080/
14427591.2003.9686505
Tonneijck, H. I. M., Kinebanian, I., & Josephsson,
S. (2008). An exploration of choir singing:
Achieving wholeness through challenge.
Journal of Occupational Science, 15, 173�180.
doi:10.1080/14427591.2008.9686627
Unruh, A. M., Smith, N., & Scammell, C. (2000).
The occupation of gardening in life-threatening
illness: A qualitative pilot project. Canadian
Journal of Occupational Therapy, 67, 70�77.
Vancouver Ikebana Association. (2012a). Ikebana
schools. Retrieved January 28, 2012 from http://
vancouver-ikebana.ca/blog/schools
Vancouver Ikebana Association. (2012b). Home.
Retrieved January 28, 2012 from http://
vancouverikebana.ca/blog/
Wicks, A. (2006). Do it now: Promoting partici-
pation in engaging occupations during retire-
ment. Retrieved January 28, 2012, from http://
ahsri.uow.edu.au/content/groups/public/@web/
@chsd/@aosc/documents/doc/uow094082.pdf
Wilcock, A. A. (2003). Making sense of what
people do: Historical perspectives. Journal of
Occupational Science, 10, 4�6. doi:10.1080/
14427591.2003.9686504
Wilcock, A. A. (2006). An occupational perspective
of health (2nd ed). Thorofare, NJ: Slack.
Wilcock, A. A. (2007). Occupation and health:
Are they one and the same? Journal of Occupa-
tional Science, 14, 3�8. doi:10.1080/
14427591.2007.9686577
Wojnar, D., & Swanson, K. (2007). Phenomen-
ology. Journal of Holistic Nursing, 25, 172�180.
doi:10.1177/0898010106295172
Wright, J. J., Sadlo, G., & Stew, G. (2007).
Further explorations into the conundrum of
flow process. Journal of Occupational Science, 14,
136�144. doi:10.1080/14427591.2007.9686594
ALLISON M. WATTERS, CHRISTINE PEARCE, CATHERINE L. BACKMAN & MELINDA J . SUTO
JOURNAL OF OCCUPATIONAL SCIENCE, Vol . 20 , No. 3 , 2013 277
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] at
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