KAWA

Question 1

Who conceptualized Kawa Model

Answer 1

Michael L. Iwama

Question 2

Kawa Model uses the metaphor of a ______ to represent life flow. It refocuses
occupational therapy into facilitating life flow rather than increasing an individual’s self –
efficacy.

Answer 2

River

Question 3

The _____________ is useful in highlighting how the Kawa Model is employed to
understand a person’s life flow and the role that occupational therapy might have in
facilitating this.

Answer 3

River metaphor

Question 4

Facilitate life flow in the context of a harmonious balance with all aspects
of the river which is used to describe a person’s life history.

Answer 4

OT

Question 5

The river is composed of various elements, such as

Answer 5

• Mizu (Water)
• Kawa no soku – heki (River Side – Wall) and Kawa no zoko (River Bottom)
• Iwa (Rocks)
• Ryuboku (Driftwood)
• Sukima (Space)

Question 6

Represents the individual’s life energy/life flow.

Answer 6

Mizu (Water)

Question 7

This element envelops, defines and affects these other
elements of the river in a similar way to which the
same elements affect its volume, shape and flow rate.

Answer 7

Mizu (Water)

Question 8

Pertains to the clients’ environment.

Answer 8

Kawa no soku – heki
(River Side – Wall) and
Kawa no zoko (River
Bottom)

Question 9

Most important determinant of a person’s life flow.

Answer 9

Kawa no soku – heki
(River Side – Wall) and
Kawa no zoko (River
Bottom)

Question 10

Subject’s physical and social contexts – those who
share a direct relationship with the individual.

Answer 10

Kawa no soku – heki
(River Side – Wall) and
Kawa no zoko (River
Bottom)

Question 11

Represent family member, pets, workmates, friends in
a recreational club, deceased family members/friends.

Answer 11

Kawa no soku – heki
(River Side – Wall) and
Kawa no zoko (River
Bottom)

Question 12

Discrete circumstances that are considered to be
impediments to one’s life flow.

Answer 12

Iwa (Rocks)

Question 13

Life circumstances perceived by the client to be
problematic and difficult to remove.

Answer 13

Iwa (Rocks)

Question 14

Subject’s personal attributes and resources such as
values, character, personality, special skill, immaterial
and material assets and living situation that can
positively or negatively affect the subject’s
circumstance or life flow.

Answer 14

Ryuboku (Driftwood)

Question 15

Points through which the client’s life energy evidently
flows.

Answer 15

Sukima (Space)

Question 16

Factors that sustain the client’s hope of seeing a new
day.

Answer 16

Sukima (Space)

Question 17

Are potentials channels for the client’s flow, allowing
client and therapist to determine multiple points and
level of intervention.

Answer 17

Sukima (Space)

Question 18

What are the three concepts fundamental

Answer 18

Centrality of the Individual

Occupational Beings

Reconceptualizing Occupation

Question 19

Individual self is the focal point (person – centered).

Answer 19

Western View

Question 20

Each individual is one of many different elements that combine a
mutually influencing way to constitute life.

Answer 20

Eastern View

Question 21

humans obtain mastery over the environment by
acting upon it.

Answer 21

existential perspective

Question 22

personal agency does not logically lead to enhanced
health and well – being through mastery over the environment.

Answer 22

collectivist perspective

Question 23

Steps in APPLICATION TO OCCUPATIONAL THERAPY

Answer 23

1. Who is the client?
2. Clarify the context
3. Prioritize Issues According to Client’s Perspectives
4. Assessing Focal Points of Occupational Therapy Intervention
5. Intervention
6. Evaluation