The Framework of Doing-Being-Becoming describes the theme of “doing”, “being”, and “becoming” in occupational therapy practice. In this framework, “Doing” refers to occupation and occupational performance of an individual, which is essential for the individual to interact with others and develop own identity, and to create and shape the society. “Being” refers to being true to self, that people are required to spend time thinking and reflecting themselves. This helps an individual describes and sustains the own roles. “Becoming” means how people redefine their values and rethink their priorities to prepare transformation of their new roles. This concept of becoming may change continuously overtime, reflective of how a person sees his or her future. Furthermore, there are three aspects of becoming, including becoming, becoming competent, and becoming a social being. All the three of becoming aspects hold the potential for growth and self-actualization of the individual. It is thus suggested that occupational therapists help people by enabling them to do and to be, and through the process of becoming in clinical practice. The synthesis of doing, being, and becoming is integral to health and well-being of the individual who can achieve health through engaging in meaningful occupations.
Domain of occupation
This framework is usually applied to patients who have occupational issues, and a good therapeutic relationship is important to gain sufficient information when using this framework.
Wilcock, A. A. (1998). Reflections on doing, being and becoming. Canadian Journal of Occupational Therapy, 65, 248-256.
The fundamental message of this Do-Live-Well framework is “what you do everyday matters”, and they are essential to one’s health and wellbeing. In this framework, there are four main sections, and each represents a building block to “Do-Live-Well". The four sections are (1) dimensions of experience, (2) activity patterns, (3) health and wellbeing outcomes, and (4) forces influencing activity engagement.
The Client-centred Strategies Framework (CSF) aims to help clinicians in creating environments and contexts that facilitate client-centered practice. This framework consists of five categories; personal reflection, client-centered process, practice settings, community organizing, and coalition advocacy and political action. Each category provides strategies that can be used by clinicians in facilitating client-centered practice. The personal reflections category is the clinician’s process of gaining insight from clinical and individual experiences.
The Model of Occupational Wholeness focuses on the four dimensions of occupation: doing, being, becoming, and belonging, as well as how these dimensions lead to an individual’s wholeness, health, and wellbeing. This model is illustrated by triangles. A black proportionate triangle illustrates the hypothetical ideal relationship between doing (in the middle), being, become, and becoming (each is a corner of the triangle).
The three-phase framework helps to view the life resuming process of people who suffer from long-term disabilities such as stroke, traumatic brain injury, and whiplash, and to provide the right intervention at the right time. In this framework, the reestablishment of previous role(s) of the clients and/or the development of a new role are the most important. The role achievement is believed to be the primary goal of therapy intervention for people with long-term disabilities. The three phases are included as named for this framework.
The clinical reasoning framework aims to guide practitioners in selecting strategies in approaching sensory challenges in order to optimize participation of children with autism spectrum disorder. Several clinical reasoning considerations are based on this framework, and these include research evidence, client- and family-centeredness, practice contexts, occupation-centeredness, and risks. This framework emphasizes on the use of mutual information-sharing and coaching to empower families or teachers and develop their own solutions to supporting children’s participation.