Chapter 3

Question 1

• Recapitulation of ontogenesis (return to, or review of early stages of development) is another name for this OT practice model
• Stage-by-stage repeating of development for clients who have not mastered all of the stages of development appropriate for their chronological age
• Conceived by Mosey and based on developmental concepts

Answer 1

development of adaptive skills

Question 2

6 areas of adaptive skills identified by Mosey.

Answer 2

1) Sensory Integration skill
2) Cognitive skill
3) Dyadic interaction skill
4) Group interaction skill
5) Self-identity skill
6) Sexual-identity skill

Question 3

The ability to participate in a variety of relationships involving one other person.

Answer 3

Dyadic interaction skill

Question 4

The ability to receive, select, combine, and use information from the vestibular, tactile, and proprioceptive senses to perform functional activities.

Answer 4

Sensory integration skill

Question 5

The ability to perceive, represent, and organize sensory information for thinking & problem solving.

Answer 5

Cognitive skill

Question 6

The ability to accept one’s sexual nature as natural and pleasurable and to participate in a relatively long-term sexual relationship that considers the needs of both partners.

Answer 6

Sexual identity skill

Question 7

The ability to recognize one’s own assets and limitations and to perceive the self as worthwhile, self-directed, consistent, and reliable.

Answer 7

Self-identity skill

Question 8

The ability to participate successfully in a variety of groups (being able to act as a productive member of the group)

Answer 8

Group interaction skill

Question 9

6 OT practice models used successfully with clients with Psychiatric disorders

Answer 9

• development of adaptive skills
• role acquisition
• psychoeducation
• sensory integration
• cognitive disabilities
• MOHO (model of human occupation)

Question 10

1 - the therapist must provide an environment that facilitates growth
2 - subskills are mastered in order
3 - subskills from different areas may be addressed at the same time, provided they are normally acquired at the same chronological age
4 - the patient’s intrinsic motivation (desire) for mastery of subskills must be engaged

Answer 10

4 basic concepts, which guide the use of the Development of Adaptive Skills Model.

Question 11

Mosey’s title for the development of adaptive skills model. Refers to the return to or review of early stages of development.

Answer 11

recaptitulation of ontogenesis

Question 12

Skills used to relate to other people in a variety of situations.

Answer 12

social skills

Question 13

The ability to apply a skill or behavior to new situations that are similar to the one in which it was learned.

Answer 13

generalization

Question 14

The ability to recognize differences in situations that call for a change in behavior.

Answer 14

discrimination

Question 15

A method of learning by copying or mimicking the behavior of another person.

Answer 15

imitation

Question 16

The new behavior to be learned in the immediate treatment situation. Also known as the short-term goal (STG).

Answer 16

target behavior

Question 17

The long-term goal (LTG). A desired behavior that will be mastered by the completion of the treatment program.

Answer 17

terminal behavior

Question 18

Teaching the interpersonal skills needed to relate to other people effectively in varied situations - such as dating and applying for a job.

Answer 18

Social skills training

Question 19

Learning daily life, work, and leisure skills that enable one to participate in social and productive roles. (Roles = student, worker, family member, leisure participant, etc.)

Answer 19

Role acquisition

Question 20

4 distinct phases of a social skills training session

Answer 20

1 - motivation
2 - demonstration
3 - practice
4 - feedback

Question 21

1st stage in the cycle of skills training.
The target behavior is identified and its importance explained.
The therapist gives examples of the desired behavior & discusses why it is relevant to the person’s goals.

Answer 21

motivation phase

Question 22

2nd stage in the cycle of skills training.
During this phase the patient only watches and observes, while the therapist shows the person how the behavior is performed (ex. - modeling, role-playing, films)

Answer 22

demonstration phase

Question 23

3rd stage in the cycle of skills training.
The client attempts the target behavior & repeats it until he or she becomes comfortable with the skill.
(Having the client rehearse the desired behavior by talking through first can reduce anxiety and is included in this phase.)

Answer 23

practice phase

Question 24

4th stage in the cycle of skills training.
Client’s performance of the target behavior is reviewed and summarized.
(Most effective when given immediately after the behavior. It includes positive aspects and specific information about what can be done to improve performance.)

Answer 24

feedback phase