FORs and Model

Subdecks (6)

Cards (139)

  • Occupational Therapy use Frame of References as a theoretical basis for its treatment approach.
  • Frame of References is the theoretical or conceptual ideas that have been developed outside the profession, but, with judicious
    use, are applicable within the occupational therapy practice.
  • Psychodynamic FOR - It equally focused on the patient’s relationship with his/her external world.
  • psychodynamic for - identifies symptom-producing unconscious content
  • psychodynamic for - The goals of psychodynamic are client’s
    self-awareness & understanding of the influence of the past on the present behavior.
  • psychodynamic for - It enables the client to examine unresolved
    conflicts & symptoms that arise from past dysfunctional relationships & manifest themselves in the need & desire to abuse substances.
  • behavioral for - emphasizes on the use of behavioral modification to shape behaviors
  • behavioral for - support to increase the tendency of adaptive behaviors or to decrease the probability of maladaptive learned behavior
  • movement centered - directed toward and adolescent or adult population identifies as having cns dysfunction
  • movement centered - typically having behavior and performance problems and often having psychiatric diagnoses
  • movement centered - this population is believed to have problems with processing sensation into normal, fluid movement, which in turn relates to impoverished body image, confidence, and social behavior
  • cognitive disability - a limitation in sensorimotor actions originating in the physical or chemical structures of the brain and producing observable and assessable limitations in routine task behavior
  • lifespan development - approach will be assisting clients with transitional tasks.
  • model of human occupation - conceptual framework that addresses how and why we engage in meaningful daily assessment
  • occupational adaptation - the more adaptive the person is, the more functional they become
  • ecology of human performance - occupation is determined by the person, environment and occupation
  • kawa model - Group of japanese occupational therapists embarked on a project that aimed to develop an alternative approach that would transform their occupational therapy and bring it more in line with their client’s day-to-day realities and experiences of disablement.
  • Spatiotemporal Adaptation - Each individual has a unique spatiotemporal orientation to environmental experiences.
  • rehabilitative - Rehabilitation as the process of facilitating
    patients in fulfilling daily activities and social roles with competence.
  • biomechanical - A remedial approach focusing on impairments that limit occupational performance
  • biomechanical - Assumes clients are able to acquire the voluntary motor skills necessary to perform the desired human
    occupation, meaning that the underlying impairment is amenable to remediation.
  • sensorimotor - views client who has sustained a cns insult to the upper motor neuron as having poorly regulated control of the lower motor neurons
  • sensorimotor approach - use of sensory stimulation to evoke a motor response, either through facilitatory or inhibitory effect on muscle
  • proprioceptive neuromuscular facilitation - Developmental sequencing of movement and the balanced interplay between
    agonist and antagonist in producing volitional movement.
  • four theoretical assumptions of rehabilitative FOR:
    1. A person can regain independence through compensation
    2. Motivation is a basic requirement for independence, it cannot be separated from the volitional and habitual subsystems
    3. Motivation cannot be separated from environmental context
    4. A minimum of emotional and cognitive prerequisite skills are needed to make independence possible
  • REHABILITATIVE FOR
    Clinical reasoning should take top-down approach → client-centered
  • Kawa Model follows
    the more ‘primitive’
    ontological view of
    people and nature,
    drawing no clear
    distinctions or
    separations between
    selves and their
    context of reality.
  • “Kawa” means river
    and this model uses it
    as a metaphor for life
    flow.
  • River (kawa): fluid and
    integrative image to
    represent the
    complexity and
    harmony of the client’s
    occupational life flow.
  • Water (Mizu):
    symbolizes their life
    journey, flowing
    through time and
    space.
  • Rocks (Iwa):
    problematic life
    circumstances that are
    difficult to remove
  • River side walls
    (Kawa no soku-heki)
    and bottom (kawa no
    zoko): environmental
    issues affective the
    flow of the river and
    determining
    boundaries, shape,
    and flow of river.
  • Driftwood (Ryboku):
    personal assets such
    as material or
    immaterial resources
    (liabilities).
  • Space between the
    obstruction in the
    river (Sukima):
    Occupation.
  • ecology of human performance
    • Occupational Performance is the primary outcome of interest.
    • provide assessment and intervention that focus on ENVIRONMENT
  • OA Process:
    • Highly interactive, complex and self-organizing process with the goal of achieving mastery.
    • Goal is not to achieve a determined balance or equilibrium.
    • Goal is a continuous process of order and disorder and reorganization.
  • MOHO
    Composed of 3 interacting elements
    1. volition (personal causation, values, interest)
    2. habituation (habits, internalized roles)
    3. performance capacity