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Pre-OT ideologies
moral treatment, pragmatism, arts and crafts, social work
Pre-OT moral contributors
Pinel, Tuke, Rush
Pragmatism contributors
James, Dewey
Pragmatism
learn by doing, knowledge is flexible
Settlement movement contributors / Hull House
Adams, Starr, Lathrop
Paradigm of Occupation
humans need occupation and balance, occupation influences health, lack of engagement creates dysfunction, occupation is therapy
Paradigm of Occupation Contributors
Dunton jr, Barton, Tracy, Kinder, Johnson, Hall, Slagle, Meyer
Elanor Clark Slagle
attended and worked at Hull House
Adolf Meyer
humans need balance
first crisis
science and tech boom, OT fitting in with STEM
mechanistic paradigm
focus on biological systems and media treatment
mechanistic paradigm contributors
fidler, ayres, llorens, roods
second crisis
reductionism vs mind-body-environment, pathology vs habits
contemporary paradigm
dynamic system theory, occupational justice, nature of humans and occupation as domain of concern
dynamics system theory
context and environment influences people
contemporary paradigm contributors
Reilly, Baum, Iwama, Christiansen, Kielhofner
Carolyn Baum and Christiansen
PEOP dev
current PEOP model
person, environment, occupation, performance in relation to narrative on personal, organizational, and population levels
occupation
what is being done (activities, tasks, and roles)
6 types of person factors
cognition, physiological, psychological, sensory, motor, spiritual
4 types of environment factors
culture, social determinants, policy, assistive technology
participation
engagement in the occupation including how often, how much, and how involved
Piaget Theory of cognitive development
Cognitive development occurs through interactions with the environment from infancy to adolescents
Vygotsky’s Theory of Social Development
Culture and social interactions influence learning and development. Learning occurs through scaffolding.
Balt’s Theory of selection and optimization
Development occurs throughout the lifespan as one successfully utilizes their environment. emphasis on adaptability and maximizing gains
Erikson’s Theory of psychosocial development
Social interactions influence sense of self. Must overcome internal battles through life.
Piaget how does change occur?
assimilation and accommodation of new information
Erikson how does change occur?
facilitate successful resolution of age-relates crisis
Vigotsky how does change occur?
successful zone of proximal development and scaffolding
Baltes how does change occur?
select, optimize, and compensate as needed (use environment to succeed)
Piaget evaluation
assess current cognitive ability
Piaget intervention considerations
learn-by-doing experiences like play-based activities
Erikson evaluation
assess current social context (behavior skills and environment)
Erikson intervention considerations
enhance social skills and interactions
Vygotsky evaluation
assess performance of activities in relation to social support available
Vygotsky intervention considerations
use cueing or grading to match clients needs (target zone of proximal dev)
Baltes evaluation
identify client goals and assess performance
Baltes intervention considerations
match client’s desired goals and life roles