OT7 - Types of Theoretical Groups

7/30/2019 OT7 - Types of Theoretical Groups

1/19


2/19

Consists of those who apply OTs philosophicalprinciple directly to practice without definingexplicitly a scientific theory and modify work indirective relationships between symptoms orbehaviors and activities.

Deals with treatment of long-term mentally ill inhospitals or in the community; OT in generalhospitals or in day-treatment of chronic

patients to independent living in thecommunity. These populations can be treated with almost

all OT theoretical approaches with appropriatemodifications


3/19

They should benefit from Allens cognitivetheory which provides a measure offunctional level and task analysis procedureto guide treatment of chronic patients

Other theoretical approaches includeFidlers rehabilitation approach, Humanoccupation model, Moseys acquisition ofdevelopmental FOR, Kings application ofsensory integration

The main point to stress here is theimportance of using a conceptual model inclinical practice which guides systemicevaluation, interviewing and the research


4/19

This group presents practices which workalso on the basis of OT philosophicalprinciples, but in accordance with theories

outside OT which are directly applied topractice.

In this group, all ages are included andrequire long-term intervention in in-patientfacilities.

May include methods and techniquestaken from other fields such as relaxationtechniques, play and family therapy, andon psychodrama.


5/19

Describes OT interventions with speciallydefined populations such as children withautism, adolescents with conduct disorders,

head injuries, and anorexia or bulimianervosa.

Could be incorporated within acquisitionalframe of reference, or in combination withanother model such as occupationalbehavior.

Regarding children with autism, OT sensoryintegrative procedures may be beneficialfor them.


6/19

With regard to head injuries, a cognitiveapproach based on neuropsychology in

combination with Allens theory and inaccordance with Lurias approach,could also be utilized.

A cognitive group treatment can bebased on Moseys activities groups anddevelopmental frame of reference aspresented by Lundgren and Persechino.


7/19

Another example of such applications,and although OT developed unique

transformations of this knowledge base,these are not used.


8/19

This group consist of clinical proceduresw/c are based on OT philosophical

principles and accordance to define OTtheories.


9/19

Dealing with pediatric in OT in integrationwith developmental perspectives

Also utilized in forensic psychiatry On social skills training together with

behavioural modification method.


10/19

Allens cognitive approach would bebeneficial and seems in accordance

with the practice described: Sequencing steps in work accordance to

capability and success

Structured task projects accordance to

cognitive levels w/c are used to reorganizedrehabilitation activity group


11/19

Acquisitional FOR (mosey) is mentionedtogether w/ fidlers concepts of doing

although what is describe is not a fullysystematic approach


12/19


13/19


14/19

Fidlers task oriented group Moseys activity group

Howe & schwatzbergs functional group


15/19

Activities are among OTs legitimatetools and are part of almost all of theprofessions frame of reference as outlineby Bruce

Allens cognitive approach a detaileddescription of task group according to

cognitive level is provided by Erdhardt inAllen.


16/19

The problem are of the patient

The characteristic of the population

The age

The setting in w/c the intervention takes

place

The therapists belief and expertise


17/19

Unfamiliarity w/ OT theory is among thereasons explaining the situation

Diane Gibson the editor of occupationalmental health research Wrote a compelling article : The death of

mental health research in OT, in w/c shestresses the need of research based ontheoretical frameworks to substantiate oureffectiveness in practice


18/19

Internalizing values and attitudes

towards knowledge development ispresented as central and critical for thefuture of OT and its credibility among thehealth professions.

Without theory which guides practiceand research no further growth ispossible.


19/19

Presents findings from single subjectresearch to demonstrate the effectivenessof treatment in specific cases.

This method of research is advocatedrecently by Ottenbacher and Ottenbacherand Bonder as most appropriate andfeasible method for clinical analysis.

This methos of research should not be theonly one but it provides practitioners w/cone more way to study their evaluation andtreatment procedures.

OT7 - Types of Theoretical Groups

Documents

Transcript of OT7 - Types of Theoretical Groups