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

Psycho-dynamic Approaches

• 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

• 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

Psycho-dynamic Approaches

• 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