Objectives. Occupational therapy literature has long recognized meanin
g as central to therapy. By focusing almost exclusively on how the the
rapy process influences the experience of meaning, the literature has
neglected to examine how the patient's experiences before therapy infl
uence the creation of meaning in therapy. Method. Building on a previo
us study of how patients discover and recount the meaning of their own
lives in volitional narratives, we investigated the effect of those n
arratives on the experience of therapy. Results and Conclusion. Our ex
amination of the therapeutic experiences of two patients enrolled in a
psychiatric day hospital program reveals how they assigned meaning to
therapy as an episode within their larger volitional narrative.