Chapter 6 — The Person Flashcards
Is OT practice driven by symptomatology?
No!!!
What does knowing of psychiatric diagnoses do for an OTP?
Facilitate in treatment and understanding potential occupational performance
In the PEO model the person is viewed (1) in what way, with (2) what types of experiences that shape the individuals identify?
- Viewed holistically
- With spiritual, social, cultural experiences?
Central to recovery is asking people with mental illness what two things?
What they WANT and NEED
What does a client-centered perspective do?
Promote hope
Hears the person
Respect lived experience
Sees person as equal member of society
What type of language demonstrates that the individual is valued and the person comes first?
Person-first language
Statements such as:
“A person with schizophrenia” or “An individual with a developmental disability” are considered to be?
Person-first language
When the disability becomes the focus because it is viewed as a point of pride, this is called?
Identity-first language
Referring to someone as “autistic” or “disabled” is known as
Identity-first language
How do we determine which language to refer to a client as?
Ask them to be sure, duh
What does the DSM-5 stand for?
Diagnostic and Statistical Manual of Mental Disorders, 5th edition
What does the DSM-5 do?
Classification system of psychiatric diagnosis
What is the APA?
American psychiatric association
The APA notes that the DSM serves 3 main purposes. What are they?
To serve as a guide for assessment
To support and facilitate research
To support the teaching and learning of psychopathology
Identity the 9 performance skills that contribute to treatment within mental health
Cognition
Cognitive beliefs
Sensory processing
Coping and resilience
Motivation
Emotion
Communication and socialization
Pain regulation
Time use and habits
Functions such as attention, memory, and executive functions refers to
Cognition
Concerns of how people think themselves and world, and can leaded to distorted thoughts, enhancing occupational performance problems
Cognitive beliefs
This skill can be helpful in vocational rehabilitation, where person/environment “fit” is a core intervention approach
Sensory processing
This clinician created sensory approaches to reduce restraints and seclusion in psychiatric hospitals to avoid sensory overload
Jean Ayres
Transitional services is an example of
Vocational rehab
This performance skill has two overarching classification systems to categorize certain strategies
Coping and resilience
The two classification systems in coping in resilience:
Emotion or problem focused
&
Approach or avoidance oriented
Person seeks to reduce negative emotional consequences of a negative life event
Emotion focused coping/resilience
Changing or confronting the stress is a classification of what performance skill
Problem focused coping
This strategy involves dealing with the issue
Approach-oriented
This strategy involves escaping from a situation by distraction, denial, or some other method
Avoidance strategies
If this performance skill is impaired it can interfere with performance of meaningful occupations
Motivation
The willingness to do is called
Volition
This drives a person to action
Volitional subsystem
What is an example of motivational interviewing?
An interest inventory
This performance skills is affected by what we experience at the time
Emotion
This term is defined as being a core component of dialectical behavior therapy and other approaches
Emotion regulation
Many people with psychiatric disabilities can experience challenges with this Performance skill due to fear of embarrassment or shame, even during periods of sadness.
Communication and socialization
This performance skill states that there is a reciprocal relationship between pain and psychiatric disabilities
Pain regulation
Pain sensitivity is increased in individuals with
Alzheimer’s disease
Pain sensitivity is decreased in individuals with
Schizophrenia
Chronic pain often co-occurs with
Major depression
What two aspects should an OTP consider of the person-holistic practice
Physical and psychosocial
This performance skill is influenced by age, gender, physical status, psychosocial status, cognition, and personal beliefs
Time use and habits
How do we recognize the individual nature of performance skills
Understand that each person is unique and do not make assumptions
True/ False: impairment in performance skill does not directly translate to impaired occupational performance
True
How does an OTP appreciate the lived experience of a person in recovery. How can this be done as an intervention approach?
By knowing their story.
This can be done through narrative or story telling
How can narrative be used for assessment
Through structured interviews
Assessment that provides a method for children in youth to describe their own perspectives regarding occupational competence and values.
The child Occupational Self-Assessment
How can narrative be used in intervention
To encourage self-discovery
Promote cognitive and psychosocial processing of experience
Sharing stories to connect persons w/ similar experiences
Examples of creative media to share narratives and implement self-expression
Writing or verbal expression, photography, art, drama, music, dance
How can we understand the person we are treating
Through underlying client factors, performance skills, diagnosis, and symptoms
Recovery-oriented perspective basically tells us that
Each person is unique
This area can be a barrier to successful engagement in occupations, should not be considered in isolation, and requires consideration of environmental context and occupational performance when treating a client with mental health disorders
Performance skills
How can stories be useful for an OTP and their client
In understanding lived experience and serve as a means of promoting recovery
