Agentic and victimic model of chronic pain management

The theoretical base of biomechanical frame of reference (FOR) is considered as a remedial approach focusing on impairments that limit occupational performance. This FOR 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. It also assumes that engaging in occupation and therapeutic activities has the potential to remediate the underlying impairment, and results in improvement in occupational performance.

This model aims to contextualize challenges that youth with persistent concussion symptoms face during recovery by considering the person, occupation, and environment factors that influences occupational performance. The model suggests that the relationship between the amount of allostatic load and occupational performance is represented as a normally disturbed curve.

The cognitive-behavioral frame of reference (FOR) emphasizes five aspects of life experience: thoughts, behaviors, emotion/mood, physiological responses, and the environment. These aspects are interrelated, meaning that changes in one factor can lead to improvement or deterioration in other(s). Each is influenced by the social and physical environments. One key theoretical component in this FOR is the hierarchical levels of cognition. Automatic thoughts is the most accessible, which are uninvited and immediate thoughts. Beliefs are conditional beliefs we hold about ourselves.

Cancer-related fatigues (CRF) is multifactorial and all potential contributing factors are needed to be assessed to understand the unique presentation on the individual’s life. This framework proposes a number of factors associated with CRF. Of these factors, the medical status of fatigue, which is predetermined and cannot be modified by therapists, includes disease-related factors (e.g., type of disease), treatment-related factors (e.g., treatment required), comorbidities, and underlying biomedical factors.

The Dunn’s Model of Sensory Processing proposes four basic patterns of sensory processing which are emerged from the interaction of the neurological threshold and self-regulation. Neurological threshold is a personal range of threshold for noticing and responding to different sensory events in everyday life. People who have low sensory threshold would notice and respond to stimuli more often because their neurological system activates easier and more readily to sensory events.