Frames of Reference & Models for Treatment

Frames & Models of Treatment

•Frames of reference and Models have been developed by Occupational Therapists.   •They are principles to guide day to day treatment of patients/clients in Occupational Therapy

Psycho-dynamic Approaches

These approaches based on psychoanalytic theory and object relations.   Gail Fidler •Worked primarily in psychiatry. •Co-wrote first text on Psychiatric Occupational Therapy •Believed that purposeful planned activity core of the OT process

Gail Fidler cont: •She used the term “doing” to connote performing, producing or causing purposeful action in order to •1. test a skill •2. clarify a relationship or •3. create an end product   •Felt we have innate drive to master and explore the environment •She used task oriented groups and felt that there was a relationship between problems encountered in groups and in the outside world

Psycho-dynamic Approaches

Gail Fidler cont: Discussed 4 areas of function: 1. Ability to care for and maintain self at greater level of independence than dependence 2. Engage in a variety of “doing” experiences that satisfy needs and provide intrinsic gratification 3. To contribute to need fulfillment and welfare of others 4. Enter into and sustain reciprocal relations

Psycho-dynamic Approaches

Psycho-dynamic Approaches

Anne Cronin Mosey •Studied with Gail Fidler early in her career •Used term recapitulation of ontogenesis:    •Individual progresses through developmental stages and if stage missed    may have to make up later skills missed    •Felt that individuals seek equilibrium.    •If in state of disequilibrium motivates individual to re-establish state of equilibrium

Anne Cronin Mosey Talked about adaptive skills each with a set of sub-skills          1.Sensory integration          2.Cognitive          3.Dyadic interaction          4.Group interaction          5.Self-identity          6.Sexual identity •Continuum of function-dysfunction •Felt that learning occurs through interactions with objects •Just interested in functioning in the here and now

Psycho-dynamic Approaches