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Propositions
Formal statements about causes and effects of natures of relationships among features of the world
Assumptions
Ideas we believe to be true
They cannot be definitively proven true or false.
Cultural Embeddedness in Theories
Theories about human behavior are true for every culture.
Theories were developed by Western, White Majority Countries.
Broad Theory
A plausible or scientifically acceptable general principle or body of principles offered to explain phenomena
Discrete Theories
A hypothesis assumed for sake of argument or investigation
Where do theories come from?
Developed in response to an observation or experience that person cannot adequately account for using existing explanations
MOHO
Developed by Gary Keilhofner in 1970s
recognized that factors beyond motor, cognitive, & sensory impairments contribute to difficulties in everyday occupation
Concepts address
(a) motivation for occupation,
(b) routine patterning of occupations,
(c) nature of skilled performance,
(d) influence of environment on occupation.
Volition
process by which people are motivated toward & choose occupations; involves personal causation – thoughts & feelings about one’s abilities & effectiveness as they engage in everyday occupations
Habituation
process whereby people organize their actions into patterns & routines; Habits are learned ways of doing things that unfold automatically
Performance Capacity
a person’s underlying mental & physical abilities & how those abilities are used & experienced in occupational performance
Occupational Identity
Cumulative sense of who people are & who they wish to become as occupational beings
Occupational Participation
Engaging in work, play, or activities of daily living that are desired & meaningful
Performance Capacity
Ability to do things provided by status of underlying objective, physical & mental components
Occupational Performance
doing a task related to participation in a major life area; discrete purposeful actions
Occupational Competence
Degree to which people are able to sustain a pattern of doing that enacts their occupational identity
Occupational Adaptation
creation of an occupational identity & ability to enact that identity in various circumstances
Validating
Attending to and acknowledging clients experience
Identifying
sharing a range of personal, procedural, and/or environmental factors to facilitate performance
Giving Feedback
Sharing your understanding of clients situation
Advising
Recommending intervention goals/strategies
Negotiating
Give and Take approach with Client
Structuring
parameters for performance; offering alternatives & setting limits
Coaching
instructing, demonstrating, guiding, & verbally/physically prompting
Encouraging
Emotional Support and Reassurance
Providing Physical Support
To aid in completing an occupational task
EHP
The Ecology of Human Performance model
Uses Tasks
PEOP
The Person-Environment-Occupational Performance Model
PEO
The Person-Environment-Occupation Model
COMP- E
The Canadian Model of Occupational Performance
Establish/Restore
Targets Person; Developing Skills and abilities so that person can perform tasks in contexts
Adapt/Modify
Interventions that change environment or task to increase performance range; assistive devices or changes to physical environment
Alter
Interventions that are designed to make a better fit between person, task, or environment. Activity analysis and environmental assessment, match skills with job
Prevent
Intervention to change course of events when a negative outcome is predicted ; occurs before problem develops
Create
Does not assume a problem has or will occurs; designed to promote and enrich performance in context
OA Model
Engagement and Participation in occupations
A transaction with environment
A manner of responding to change, altered situations and life transitions
A manner of forming identity
Press for Mastery
manifestation between person, environment, & occupational participation creates press for mastery.
Occupational Roles
person-identified behaviors; societal expectations; culture & context
Occupational Challenges
person’s current abilities; desire for mastery; environmental demands
Role Demands or Expectations
roles assert a combination of internal/external role demands
Occupational Responses
person identifies how to respond to challenges, roles, & demands
Adaptive Responses
overcome or help manage occupational challenge & promote mastery & competence in occupation
Dysadaptive Responses
do not overcome occupational challenge & person may feel unable to perform occupations
Adaptive Capacity
person’s ability to perceive need to change, modify, or refine responses to occupational challenges in environment
Kawa Model
Uses metaphor of a river to explain each person’s life journey
Mizu (Water)
Life Energy, Life and Occupation
Kawa Zoko (River Walls)
Proximal Immediate Environment
River’s Side and Floors represent client’s environment
Iwa (Rocks)
Difficulties Problems, and Challenges
Ryuboku (Driftwood)
Personal Factors
neutral effect floating along with water flow,
negative value when caught with other structures, or positively mobilized to move or destroy obstacles
Sukima (Spaces)
Channels through which client’s life flows
Considered Strengths
We (Harmony)
State of balance between self, circumstances, and all elements of nature
Occupational Wholeness
refers to one’s sense of Being a Whole through their Doings. A sense of occupational wholeness is associated with a sense of contentment & satisfaction with life, the world, & self-fulfillmen
Being
who we understand ourselves to be. Need for survival, autonomy, competence, & affiliation. Shaped by choice-making, meaning-making, & reflecting on what individuals choose to do or not do
Belonging
expanding sense of Being outside self to build relationships, & create affiliations with places, objects, & concepts. subjective experience, a need for connection, & positive regard. Elements– sharing, identification, similarities, closeness, & trust.
Becoming
when humans’ need to exercise autonomy & competence is linked to the future. Includes hopes, aspirations, & plans.
Expecting
Belief about something that influences Doings
Demanding
Insisting or requiring certain Doings
Encouraging
Instilling hope and confidence for Doings
Facilitating
Making Doings Easier
Supporting
Bear part or all of weight to make doings happen
Restricting
Put a limit on, control doings
Blocking
Prevent Doings
Opposing
Causing conflict in Doings or compete with Doings
Hypothetical/Theoretical Triangle
Represents all available Doings
Actual Triangle
Shows what helpees currenly Do or Not Do to meet their 3bs
Ideal Triangle
Shows helpee’s ideals for meeting their 3Bs
Tailored/Reality Triangle
Represents changes that helper and helpee agree on, plan, and implement together
Precontemplation
Person demonstrates a behavior that is perceived by others as needing to be changed
Contemplation
person is likely to be aware of their problem and is thinking about overcoming it
Preparation
Person demonstartes both intention to change and small changes in their behavior
Action
Person is committed to making change and is involved in change behaviors on a regular basis
Maintenance
Person puts forth considerable effort to maintain change
Termination
Person no longer experiences temptation to return to the behavior
Occupational Deprivation
•lack of access to engagement in an array of occupations that have meaning to an individual, family, or community, & can result in ill health & cascading occupational injustice
Health Disparity
•inequality, discrimination, & limitations placed on a group of people, which then create negative effects on health of persons in that group