Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review

Background: Occupational science and occupational therapy typically perceive occupations as promoting health and well-being. However, this perspective overlooks the many occupations that are viewed as illegal, unhealthy, or risky, such as drug use. Due to its negative association with health, drug u...

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Main Authors: Emma Guyonnet, Katherine E Stewart, Jane A Davis
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Substance Abuse: Research and Treatment
Online Access:https://doi.org/10.1177/11782218221150113
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author Emma Guyonnet
Katherine E Stewart
Jane A Davis
author_facet Emma Guyonnet
Katherine E Stewart
Jane A Davis
author_sort Emma Guyonnet
collection DOAJ
description Background: Occupational science and occupational therapy typically perceive occupations as promoting health and well-being. However, this perspective overlooks the many occupations that are viewed as illegal, unhealthy, or risky, such as drug use. Due to its negative association with health, drug use is perceived as not holding significance or meaning in people’s lives. Objective: This study explores how individuals perceive and describe the meaning of their cannabis use in the context of their lives, from an occupational perspective. Methods: A scoping review was conducted using Levac et al.’ modifications to Arksey and O’Malley’s framework. To examine the peer-reviewed literature, 7 databases were searched using terms related to cannabis and meaning. Descriptive statistics were used to describe the selected studies, and reflexive thematic analysis identified cross-study themes. Results: Fourteen studies were selected. Most studies have been published since 2008, with 5 published in the last 2 years. Four themes were identified across the studies: (a) preserving life; (b) navigating the routines of everyday life; (c) understanding the self, identity, and belonging; and (d) expanding the view of the world. Conclusions: Cannabis use was revealed in this study as a support for navigating occupational routines and enhancing occupational repertoires and engagement, feelings of belonging, and collective user identities. As such, substance abuse treatment practices, including those provided by occupational therapists, should recognize the potential significance of cannabis use within people’s lives. Using a harm reduction approach, occupational therapists can acknowledge the ways in which clients use cannabis to manage their daily routines, while also focusing on supporting clients to reduce the ill-effects of cannabis. As individuals become more engaged in occupations that are significant in their lives, their need for and meaning of cannabis use may change leading to a possible reduction in its use and a shift in their identity construction.
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spelling doaj.art-2c02a805d93446cc995b24e2322c08cb2023-01-18T13:33:19ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182023-01-011710.1177/11782218221150113Revealing the Meaning of Cannabis Use as an Occupation: A Scoping ReviewEmma Guyonnet0Katherine E Stewart1Jane A Davis2University of Toronto, Toronto, ON, CanadaWestern University, London, ON, CanadaUniversity of Toronto, Toronto, ON, CanadaBackground: Occupational science and occupational therapy typically perceive occupations as promoting health and well-being. However, this perspective overlooks the many occupations that are viewed as illegal, unhealthy, or risky, such as drug use. Due to its negative association with health, drug use is perceived as not holding significance or meaning in people’s lives. Objective: This study explores how individuals perceive and describe the meaning of their cannabis use in the context of their lives, from an occupational perspective. Methods: A scoping review was conducted using Levac et al.’ modifications to Arksey and O’Malley’s framework. To examine the peer-reviewed literature, 7 databases were searched using terms related to cannabis and meaning. Descriptive statistics were used to describe the selected studies, and reflexive thematic analysis identified cross-study themes. Results: Fourteen studies were selected. Most studies have been published since 2008, with 5 published in the last 2 years. Four themes were identified across the studies: (a) preserving life; (b) navigating the routines of everyday life; (c) understanding the self, identity, and belonging; and (d) expanding the view of the world. Conclusions: Cannabis use was revealed in this study as a support for navigating occupational routines and enhancing occupational repertoires and engagement, feelings of belonging, and collective user identities. As such, substance abuse treatment practices, including those provided by occupational therapists, should recognize the potential significance of cannabis use within people’s lives. Using a harm reduction approach, occupational therapists can acknowledge the ways in which clients use cannabis to manage their daily routines, while also focusing on supporting clients to reduce the ill-effects of cannabis. As individuals become more engaged in occupations that are significant in their lives, their need for and meaning of cannabis use may change leading to a possible reduction in its use and a shift in their identity construction.https://doi.org/10.1177/11782218221150113
spellingShingle Emma Guyonnet
Katherine E Stewart
Jane A Davis
Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
Substance Abuse: Research and Treatment
title Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
title_full Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
title_fullStr Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
title_full_unstemmed Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
title_short Revealing the Meaning of Cannabis Use as an Occupation: A Scoping Review
title_sort revealing the meaning of cannabis use as an occupation a scoping review
url https://doi.org/10.1177/11782218221150113
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