Clinical reasoning process underlying teaching transfer skills: An integrative framework

The Meaning Perspectives Transformation Model is characterised by three phases: the trigger phase, the changing phase, and the outcome phase. These three phases move the process of meaning perspective transformation in the physical, emotional, cognitive, or spiritual dimensions. Critical self-reflection acts as a catalyst and represents as a moment of “readiness of change”. This allows clients to identify their assumptions, question meaning, and develop alternative ways of performing.

This model includes two basic concepts, adaptation (i.e. adjustment to the environment) and occupation (i.e., action or behavior of a member in the group). Through individual member’s actions within the group, adaptation occurs. The model is action-orientated and promotes adaptation through action. By participating in purposeful activities, the members in the group adapt, exhibit goal-oriented behaviors, and experience feelings of personal satisfaction.

The four-quadrant model of facilitated learning (4QM) is used by teachers and practitioners in selecting effective learning strategies based on changing needs of the learners during acquisition of new skills. When occupational therapists use skill acquisition as intervention strategy, the 4QM provides a way of understanding, planning, and organizing the use of learning strategies. Through acquiring occupational performance components, the goal is for improve performance in the targeted occupation.

This model focuses on resilience in daily occupations of the mothers of children with autism spectrum disorder, which consists of four categories: (1) creating and re-creating accepting conditions, (2) finding solutions, (3) striving for balance among daily occupations, and (4) thinking about her child’s future. Resilience serves to help the clients in finding solutions to problems and strive for balance among daily occupations. First, creating and re-creating accepting conditions forms a solid base for the client’s resilience in daily occupations.

This model aims to describe the symbiotic relationship between occupation and the brain, as a chaotic, self-organized, and complex system. It assumes that changes in human condition do not follow a linear path. The model views occupational therapy as a complex intervention and a result of dynamic integration of several factors and unpredictable outcomes. The concept of neuro-occupation is complex and holistic, and aims to help occupational therapists to apply the non-linearity principles.