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Theory of Occupational Adaptation: Making Connections between Theory, Practice and Research

Lorrie George-Paschal, PhD, OTR/L

November 1, 2017

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Question

It says the section of the OAPG that guides the client in actual generation of an occupational response, what does it mean by actual generation? 

When an adolescent persists hanging out "with the wrong crowd",  does that represent a blended and mature response in the occupational response? 

According to Schkade and Schultz, when they talk about the person, would that be considered the internal process?

Answer

If we are working with a client, this is the program planning section I'm going to have the client tell me what their specific objective is for their occupational activities here. So if they want to be able to put their clothes on then they're going to write there and you have to have all of our detail and our goals. But they're going to be a part of that writing process or reflecting process. And then the specific methods. We're going to have them talk about using the existing methods or modifying if they need to and those kinds of things. The actual generation of what they're going to do is written here as steps. And then over here are the secondaries, those are in case their strength is not adequate and those kinds of things. And then we're going to talk to them about and share with them as a therapist some things that we can help them do to help build their strength if they need to build their strength, for their primary objective of getting dressed. So I hope that helps, but we're going to have the client participate in the generation of the plan. Sorry, let me back up here.

I would say that reflects a primitive response. That is going to be an immature/primitive response because they are doing the same thing. If they are going back and forth between hanging out with good people and bad people, that is more transitional. Thy are making an effort, but they are in that bargaining phase. It is hard to move forward when they do that. We want to try to help them look at what can they do to make new friends. We want them to find friends with similar interests and get away from those friends that are more negative.

I think when you are talking about the person, you are talking about the person as a whole. We have different systems that make up our whole, like sensorimotor, cognitive, and psychosocial.


lorrie george paschal

Lorrie George-Paschal, PhD, OTR/L

Dr. Lorrie George-Paschal is an occupational therapist with 33 years of clinical experience. She has been actively engaged in preparing occupational therapy students for best-practice at the University of Central Arkansas (UCA) since 1994. She earned her Bachelor's Degree from the University of Central Arkansas (1983) and her Master's (1996) and PhD from the Texas Woman's University (2001). She holds advanced certification in Assistive Technology through the Rehabilitation Engineering and Assistive Technology (RESNA). She remains current in practice by providing colleague consultation and pro-bono services.


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