Adult

The theory of occupational reconstructions emphasizes the mind-body engagement to deal with an inherently transformational injustice or problematic situation. This theory views occupations as pragmatic with meaning of inquiry. In other words, occupations are experiments for searching the truth. Occupations are creative, and engagement in occupations are intrinsically motivated (the hallmark of occupational therapy). This theory consists of seven principles, 1) Occupational reconstructions respond to a problematic situation (i.e.

The Person-Environment-Occupation (PEO) model is a model that emphasizes occupational performance shaped by the interaction between person, environment, and occupation. The person domain includes role, self-concept, cultural background, personality, health, cognition, physical performance, and sensory capabilities. The environmental domain includes physical, cultural, institutional, social, and socio-economic environment. The occupation refers to the groups of tasks that a person engages in and meets his/her self-maintenance, expression and fulfillment.

The Model of Human Occupations (MOHO) is a model that describes how humans generate and modify their occupations in interaction with environment, which presents a dynamic open cycle system of human actions. The system considers information from environment and the feedback of performed action as input, and then goes through the internal part of system. The internal part consists of three subsystems: Volition, Habituation, and Performance. Volition subsystem initiates one’s action, consisting of three components.

Agentic and victimic model of chronic pain management is a model explaining the agentic (active) and victimic (passive) approaches of clients towards chronic pain management. According to this model, the processes of “being”, “doing” and “becoming” interact and influence the “management” of clients.

The Neuro-Developmental Treatment (NDT) frame of reference is used to analyze and treat posture and movement impairments based on kinesiology and biomechanics. To identify difficulties and plan for intervention, the following concepts are to be considered in NDT, including planes of movement, alignment, range of motion, base of support, muscle strength, postural control, weight shifts, and mobility. NDT assumes that posture and movement impairments are changeable. Thus, it utilizes movement analysis to identify missing or atypical elements.

The Model of Occupational Self Efficacy describes a process in accepting the consequences and occupational limitations for the individuals that suffer from traumatic brain injury. It consists of four stages. At stage 1 (a strong personal belief in functional abilities), clients usually develop feelings of frustration, demotivation, and anger due to the loss of daily life function after brain injury. Therapists will provide encouragement for the clients by creating a specific environment that can improve and develop the feeling of acceptance.

Psychodynamic Frame of Reference (psychodynamic FOR) is based on Dr. Sigmund Freud’s idea that human has the initiative to invest emotions and psychic energy to achieve basic needs and maintain relationship. When an individual fails to maintain healthy relationships due to the conflicts or insufficient ego defense mechanism, dysfunction will occur. Occupational therapists can base this psychodynamic FOR to help treat the dysfunction using two main approaches including explorative and supportive approach.

Data Driven Decision Making (DDDM) is a framework for therapists to implement clinical reasoning within occupational therapy process and has a focus on the use of observation, testing and intervention results to guide and measure outcomes. This framework consists of 11 steps. Step 1, the therapists have to identify the participation challenges and goals. In step 2, therapists need to describe the level of the client’s functioning in each part of the body or the brain.

This framework aims to assist occupational therapists in describing aspects of work functioning in work assessments on different situations. There are three separate dimensions of work functioning. Dimension 1 is work participation and society. Work participation is an individual’s ability and opportunity he/she has, to acquire and maintain a work position in the society, and to fulfill a worker role. The complex interaction between personal, environmental, and temporal factors affects a person’s work participation.

The three-phase framework helps to view the life resuming process of people who suffer from long-term disabilities such as stroke, traumatic brain injury, and whiplash, and to provide the right intervention at the right time. In this framework, the reestablishment of previous role(s) of the clients and/or the development of a new role are the most important. The role achievement is believed to be the primary goal of therapy intervention for people with long-term disabilities. The three phases are included as named for this framework.