ISBN-10:
0803611374
ISBN-13:
9780803611375
Pub. Date:
04/28/2004
Publisher:
F. A. Davis Company
Conceptual Foundations in Occupational Therapy / Edition 3

Conceptual Foundations in Occupational Therapy / Edition 3

by Gary Kielhofner

Hardcover

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Overview

Nearly a century ago, Susan Tracy, one of the founders of occupational therapy in North America, sent a greeting card to another occupational therapist, Jennie K. Allen. On the front of the card was a beautiful watercolor painting of a bluebird perched on the branch of a blossoming tree. On the back of the card, Tracy wrote, "Done without help by a patient sent from [the psychiatrist] tagged, 'Not able to concentrate at all!'" The point Tracy was making in her brief story about the watercolor (pictured on the cover) continues to lie at the heart of occupational therapy practice and the field's understanding of its therapeutic tool: occupation. In this new, third edition text, Gary Kielhofner provides an in-depth overview of the evolution, current status, and future of knowledge in support of the practice of occupational therapy. He presents a framework for understanding what kind of knowledge is needed to support practice and critically examines existing knowledge in the field.

Product Details

ISBN-13: 9780803611375
Publisher: F. A. Davis Company
Publication date: 04/28/2004
Edition description: REV
Pages: 416
Product dimensions: 7.20(w) x 10.10(h) x 0.70(d)

Table of Contents

Section 1
Chapter 1Introduction2
Occupational Therapy Practice4
Identity and Competence6
The Relationship of Conceptual Foundations to Identity and Competence6
The Plan of This Book7
Chapter 2The Organization and Use of Knowledge10
The Relationship of Knowledge to Practice11
A Scholarship of Practice12
Conceptual Foundations as Concentric Layers of Knowledge14
The Paradigm15
Conceptual Practice Models20
Related Knowledge22
Dynamics of Conceptual Foundations24
Conclusion24
Chapter 3The Development of Occupational Therapy Knowledge27
Paradigm Development29
The Moral Treatment Preparadigm30
The Paradigm of Occupation31
Core Constructs32
Focal Viewpoint35
Values42
Summary43
Crisis in Occupational Therapy44
Reductionism in Medicine44
The Mechanistic Paradigm46
Focal Viewpoint47
Core Constructs47
Values54
Summary54
The Second Crisis55
The Call for a New Paradigm57
Conclusion57
Chapter 4The Contemporary Paradigm: A Return to Occupation as the Professional Core64
Focal Viewpoint65
The Systems Approach to Understanding Occupation66
Core Constructs66
The Occupational Nature of Humans66
Occupational Problems/Challenges67
Occupation and the Dynamics of Therapy68
Values70
Conclusion70
Section 2
Chapter 5Conceptual Practice Models73
The Nature and Purpose of Conceptual Practice Models74
Components and Dynamic Processes of Models74
Interdisciplinary Base74
Theory75
Technology for Application76
Research76
Development of Models of Practice77
Models in Perspective78
Current Models in Occupational Therapy78
Chapter 6The Biomechanical Model79
Interdisciplinary Base80
Theory80
Organization80
Dynamics of Movement Capacity81
Self-Maintenance of the Musculoskeletal System82
Problems and Challenges82
Maintenance and Prevention83
Restoration83
Compensation83
Technology for Application84
Assessment84
Intervention84
Role of Occupation in Maintenance, Prevention, and Restoration85
Compensatory Technology86
Work Hardening87
Research87
Discussion88
Summary: The Biomechanical Model90
Chapter 7The Canadian Model of Occupational Performance94
Interdisciplinary Base95
Foci96
Theory96
Organization96
Problems and Challenges98
Therapeutic Intervention99
Technology for Application100
The Canadian Occupational Performance Measure101
Research102
Use and Outcomes of Client-Centered Principles in Practice103
Discussion104
Summary: The Canadian Model of Occupational Performance106
Chapter 8The Cognitive Disabilities Model110
Interdisciplinary Base111
Theory112
Organization112
Problems and Challenges113
Therapeutic Intervention114
Technology for Application115
Client Assessment115
Use of Assessment Data117
Task Analysis117
Treatment Applications118
Research119
Discussion120
Summary122
Chapter 9The Cognitive-Perceptual Model126
Definitions of Perception and Cognition127
Interdisciplinary Base128
Theory129
Organization129
Problems and Challenges132
Therapeutic Intervention134
Technology for Application136
Assessment136
Treatment137
Modalities Used in Therapy139
Research140
Discussion141
Summary: The Cognitive-Perceptual Model142
Chapter 10The Model of Human Occupation147
Interdisciplinary Base148
Theory148
Volition148
Habituation148
Performance Capacity150
The Environment150
Organization of Occupation151
Participation, Performance, and Skill152
Occupational Adaptation, Identity, and Competence152
Summary153
Problems and Challenges153
Therapeutic Intervention155
Technology for Application156
Assessment Tools156
Formal Strategies for Intervention and Programs160
Research160
Discussion161
Chapter 11The Motor Control Model171
Interdisciplinary Base172
Traditional Interdisciplinary Concepts172
Contemporary Interdisciplinary Concepts173
Theory and Technology for Application of the Neurodevelopmental Approaches175
The Rood Approach175
Bobaths' Neurodevelopmental Treatment177
Brunnstrom's Movement Therapy178
Proprioceptive Neuromuscular Facilitation179
Summary of Neurodevelopmental Approaches180
Theory and Technology for Application of the Contemporary Motor Control Approach182
Theory182
Summary and Comparison of the Neurodevelopmental and the Contemporary Motor Control Approaches185
Research185
Discussion186
Chapter 12The Sensory Integration Model196
Interdisciplinary Base197
Theory198
Organization198
Problems and Challenges201
Therapeutic Intervention204
Technology for Application205
Assessment205
Treatment Approach206
Contemporary Guidelines for Application of This Model207
Research208
Discussion209
Summary: The Sensory Integration Model210
Chapter 13Conceptual Models of Practice: The State of the Art213
Phenomena Addressed by the Models214
Phenomena Related to the Person214
Phenomena Related to the Environment216
Problems Identified and View of Therapy217
Theory Offered by the Models220
Predominantly Descriptive Models220
Descriptive and Explanatory Models221
Research222
Conclusion: Further Directions for Model Development223
Section 3
Chapter 14The Nature and Use of Related Knowledge227
Types of Related Knowledge228
Three Exemplary Bodies of Related Knowledge228
Discussion229
Chapter 15The Medical Model230
Interdisciplinary Base231
Theory231
Organization231
Problems and Challenges232
Action Implications233
Research234
Discussion234
Summary235
Action Implications236
Research236
Discussion236
Chapter 16Disabilities Studies238
Interdisciplinary Base239
Deconstructing and Reconstructing Conceptions of Disability240
Disability as a Medical Problem Rooted in Impairment240
The Impairment Model as a Tool of Social Control241
Disability as an Economic Problem242
Reformulating Disability as Oppression243
Social Constructions of Disability244
Summary245
Action Implications245
Empowerment and Civil Rights Advocacy246
Disability Identity, Culture, and Pride247
Transforming Social Perceptions247
Research248
Discussion248
Summary250
Chapter 17Intrapersonal and Interpersonal Concepts254
Interdisciplinary Base255
Organization255
Problems and Challenges257
Action Implications257
Research259
Discussion259
Summary260
Section 4
Chapter 18Professional Identity and Competence264
Professional Identity265
Historical Challenges to Professional Identity in Occupational Therapy265
Professional Competence266
Naming and Framing Problems266
Deciding a Course of Action267
Therapists' Responsibilities in Using the Field's Conceptual Foundations268
Conclusion270
Chapter 19Future Directions for the Development of Occupational Therapy's Conceptual Foundations272
Paradigm Development273
Occupational Science273
The Theory-Practice Gap275
Developing Models Through a Scholarship of Practice278
Index281

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