OT Process Flashcards
Tools of Practice, Clinical Reasoning, Types of Groups, Group Leadership Roles
Purposeful Activities
processes that are directed toward a desired outcome
Types of Clinical Reasoning
Procedural Interactive Narrative Pragmatic Conditional
Procedural Reasoning
The “doing” of the practice
Involves identifying problems related OTs domain of concern, goal setting, and tx planning
Implements strategies by gathering and interpreting client data
Interactive Reasoning
Deals with how the disability/disease affects the person
Narrative Reasoning
Deals with the individuals occupational story and focuses on the process of change needed to reach an imagined future
Identifies roles and activities that were/are important to client before/after illness
Pragmatic Reasoning
The context in which the OT practitioners thinking occurs
Considers the tx environment and OT practitioner’s values, knowledge, abilities, and experiences
Conditional Reasoning
Involves an ongoing revision of tx
Represents an integration of interactive, procedural, and pragmatic reasoning
Group Origin Phase
leader composes protocols and planning
Group Orientation Phase
involves members learning what the group is about, making a commitment to the group, and developing initial connections with other members
Group Intermediate Phase
members develop interpersonal bonds, group norms, and specialized member roles thru involvement in goal-directed activities and clarification of group’s purpose
Group Conflict Phase
Challenges the group’s structure, purpose, or process with dissension and disagreement among the group.
Unsuccessful resolution results in dissolution of group.
Successful resolution results in modifications enabling the group to move to the next phase
Group Cohesion Phase
involves members regrouping after conflict leading to group stability
Group Maturation Phase
members use their skills and energies to be productive and to achieve group’s goals
Group Termination Phase
Involves dissolution of the group due to lack of engagement of the members, inability to resolve conflict, administrative complaints, goal attainment, or task accomplishment.
Directive Group Leadership
OT is responsible for the planning and structure of group
Members have limited cognitive, verbal, and social skills (parallel/project)
Leader’s goal is task accomplishment
Facilitative Group Leadership
OT shares responsibility for the group and for group process with members
Members skill levels and engagement are moderate (egocentric-cooperative/cooperative)
Leader’s goal is to have members acquire skills thru experience
Advisory Group Leadership
OT functions as a resource to the members who set the agenda and structure the group’s functioning
Members skills and engagement are high (mature)
Leader’s role is to have members understand and self-direct the process
Continuum of Groups
Parallel Project Egocentric-Cooperative Cooperative Mature
Parallel Group
Members perform individual tasks in the presence of others
Develops a basic level of awareness, trust, and comfort with others in the group
Project Group
Perform a shared, short-term activity with another member of the group in a comfortable cooperative manner
Egocentric-Cooperative Group
Members select and implement a long-range activity that reqs group interaction to complete
Enable members to identify and meet the needs of themselves and others
Cooperative Group
Members engage in a group activity that facilitates free expression of ideas and feelings
Enables members to identify and meet socioemotional needs
Mature Group
Members to assume all functional socioemotional and task roles within the group
Universality
curative factor gained from other members’ sharing of similar feelings, thoughts, and problems.
Using Fidler’s task-oriented group as a context for treatment to help participants explore healthy ways to deal with conflict. Which of the following activities would be BEST for this group?
An activity that is challenging and likely to cause tension among members
A group environment in which conflicts are likely to occur can help participants practice resolving conflict in appropriate ways.
