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Frames of Reference (OT)
Frames of Reference (OT)
Terms in this set (49)
Psychodynamic: Domain of concern (DOC)
You have an unconscious mind that suppresses your hidden desires. Personality 3 parts, Id, ego, and super-ego.
Psychodynamic: basic assumption
Patient is valuable and a unique individual. Client is the expert in his or her life.
Psychodynamic: Function/ Dysfunction
Dysfunction: fixated on thoughts and inability to participate in life. ...Function: free to love and participate in life.
Psychodynamic:Motivation & Change
Help them adapt their ego to mediate better, they will then gain insight. People change as a result of insight
Interview, ink-blot. Personality test. Treatment, meaningful expressive activities, i.e. journal writing, music, theater, art. Express feelings through creative ways.
Group interventions. Activities to test reality. Activities to express emotions. Establishing behavior norms.
Expensive, take too long, most people relapse or do not improve. Limited understanding by clinicians. Client needs capacity for insight.
Behavioral: Domain of Concern
Society issues shape behavior.
Behavioral: Basic assumption
Behavior is predicable, observable and measureable
Behavioral: Function/ Dysfunction
Dysfunction: Maladaptive behavior. Skill deficits, performance deficits. Function: behavior fits norms
Behavioral: Motivation and Change
Positive reinforcement leads to positive behaviors. But reinforces must be meaningful to the person.
Objective or subjective. Structured interview or behavior rating scales. Stress management questionnaire. Checklists that assist clients with identifying areas of dysfunction. Positive reinforces also need to be defined during assessment process, things the client finds meaningful to them.
Reeducate to change maladaptive behaviors... shaping, forward and backward chaining, learning contracts, role reversal, token economy, modeling, behavior rehearsal, desensitization.
Not applicable when there is not a specific skill or performance deficit. Complex intervention plan. Focus on cognition, motivation, and meaning limited. If there is no carry over it dies...not flexible. Creative soul doesn't like this frame.
Cog-Behavioral: Domain of Concern
Here and now behaviors. Each person is largely responsible for creating his or her own problems.
Short term. -Psycheducational approach
Must take responsibility for change. -One feels the way one thinks. -Automatic thoughts lead to auto feelings. -Focus on self-regulation.
Cog-Behavioral: Function/ Dysfunction
Function: Self-satisfaction comes when you take responsibility for your life patterns. Dysfunction: consumed with self-defeating defeats and behaviors.
Cog-Behavioral: Motivation of change
By correcting your faulty concepts and modifying your inaccurate thoughts person gains self control.
Interview, (tell me how you do it). (Show me how you do it). Task analysis.
Treatment: coaching skills, increase coping skills, and educating. Example. Homework for patients is cognitive behavioral.
Artsy, free spirit people will not like this. Structured people will like this, people who like to get to the point, like this model.
MOHO: Domain of Concern
Mind body connection. It's an eclectic model, planned pieces of every model.
MOHO: Basic Assumption
Man is an open system that includes input, throughput, output, and feedback. Focus is on health.
MOHO: Function / Dysfunction
Functional is your life is balanced, gain self-satisfaction from your occupations. Dysfunctional if you are in a state of disorder.
MOHO: Motivation and Change
Mans inherent biological and psychological needs seek to master our occupation, our intrinsic motivators lead to our growth.
MOHO people write MOHO assessments, patient driven. Main goal is to balance, work, and self-care.
3 levels of treatment, exploratory, competency, achievement.
Not for cognitively impaired or people suffering from mental health. Not for young population.
Cog-Dysfunction (Allen's): Domain of Concern
Behavior is the result of brain functioning; cognitive impairment is typically permanent and not cured.
Cog-Dysfunction (Allen's): Basic Assumption
All people with psychosocial dysfunction have some cognitive impairment as well as other cognitive impairment, the results of biological defects. Meds or natural healing can change the disease process, which can lead to increase function, but involvement in activity alone does not improve function. Assessment and management of a cognitive disability are the main purposes of treatment. Our job to assess and manage problems.
Cog-Dysfunction (Allen's): Function / Dysfunction
Scale 1-6. 6 is normal and 1 is dysfunctional. Anything below 6 is dysfunctional.
Cog-Dysfunction (Allen's): Motivation & Change
They may change if they have medicine or they may not. It is our responsibility to change the environment; people will try to do their best.
Cog-Dysfunction (Allen's): Assessment
Cog-Dysfunction (Allen's): Treatment
Activities are used to monitor; Environment is adapted; Just right challenge.
Cog-Dysfunction (Allen's): Limitations
Cognitively impaired persons will do well in this frame. Non-OT's do not understand the power of this frame. "It works well..."
Sensory integration:Domain of Concern
Mind body & brain interconnected to process the world. Mind is psychosocial brain is neurological
Sensory integration: Basic Assumption
Sensory experiences must be processed and organized to yield purposeful responses. This organization allows for successful negotiations of our environment
Sensory integration:Function / Dysfunction
Function: Correct processing of the info, correctly get through and negotiate environment. Dysfunction: Deficits in sensory processing are going to result in the inability to modulate your behavior.
Sensory integration:Motivation & Change
The therapist takes full responsibility, must re-mediate the SI deficit, so the person is motivated to interact with the environment.
Sensory integration: Assessment
SIPD: (sensory integration praxis test). It is for children.
Sensory integration: treatment
Want to increase the brains ability to organize and control sensory input. Go on a sensory diet of alerting and calming activities.
Sensory integration: Limitations
People who'd like it...people who walk to their own drummer, mixed media people. Applied behavior people don't like this.
CMOP: Domain of Concern
Client centered very flexible
CMOP: Basic Assumption
Client centered very flexible. Clients are capable of choice. Therapist is a facilitator or enabler. Spirituality. Success is measured by self-report, by the client. Client makes all the decision about goal attainment. The therapist has to understand the environment and when the client is ready for their expertise.
CMOP: Function / Dysfunction
Functional: It depends; it's all what you think and want. Your goals. All self decided.
CMOP: Motivation & Change
It's up to the client. Self motivation
Client is at the center of his or her treatment. Depended on how they rank the assessment, based on what they rank on assessment.
Mental health perspective has serious issues because depressed and mentally ill people will not have motivation for this model. Works well with those with high cognitive function.
This set is often in folders with...
AOTA: Neurological Impairments
Theories/Frames of reference
FIM, OTR 526 ADLs (Final)
NBCOT Review: Practice Tests
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