Model of Human Occupation (MOHO) is a theoretical approach created by Gary Kielhofner that explains how humans interact and utilize occupation. When looking at the Fredrick’s family, Ron could utilize from MOHO intervention. To begin, MOHO identifies an input that can be either positive or negative that affects the person’s life (Cole & Tufano, 2008). For Ron, this would be the loss of his job as a software engineer (Fredrick’s Case 2, 2017). At this point, an analysis of how Ron feels about this situation would occur. This is identified within this theory as throughput, and consists of several subsystems that help to explain how the client is reacting to his input. These three subsystems are volitional, habituation, and mind-brain-body (Cole …show more content…
& Tufano, 2008). For Ron, his volitional subsystem and habituation are the most affected.
The volitional subsystem refers to sources of motivations that guides individual’s in all that they do. Three categories within this exist. They include personal causation, which is one’s sense of competence and effectiveness in their life, values, which are an individual’s beliefs, and interests, which are those things that a person enjoys doing. Within the habituation subsystem, there are habits and roles (Cole & Tufano, 2008). When evaluating a person for these, a practitioner would take direct quotes relating to each category. In Ron’s case, for personal causation, it could be expected that he would say, “Since I lost my job, I feel like I am no longer an effective caregiver”. For roles, he may say, “I am a failure at providing for my family since I lost my job”. Both of these show how Ron is handling his difficult input. (Fredrick’s Case 2, …show more content…
2017). The next step in the MOHO process would be to identify how he is performing, also labeled output within the MOHO model. This consists of three more subsections: motor skills, process skills, and communication skills. For Ron, his communication skills have decreased since he lost his job and this would be noted. The practitioner might record that he is able to fully communicate with his friends, but his depression leaves him with no desire to communication with them (Fredrick’s Case 2, 2017). Finally, after the therapist would evaluate each of these sections, they would provide feedback. In Ron’s case, the therapist might say that his loss of employment has impacted him and makes him feel worthless. He is going through a big change and difficult time and need to work with the therapist to find a new job so that you can again find meaning in your life. Although this is the standard way to assess using MOHO, there are multiple assessment tools that are used to evaluate these components in creative ways.
The Volitional Questionnaire (VQ) could be used to gather all information on the MOHO process when pertaining to Ron. This will help the therapist see what motivates Ron and how his environment impacts him to better understand how they could intervene and help him regain optimal quality of life (University of Illinois Board of Trustees, 2017). With all of the information found from this, the therapist might learn that Ron’s motivation is low since his job loss and they need to work on ways to increase this. When planning interventions, they may focus of tactics to help Ron feel motivated again to engage in social participation and work again. For example, the therapist might help Ron set up a Facebook page. This way, he can not only connect with friends online, but also share a resume or inform friends of his need to find a job. This will help Ron engage in social participation, while still allowing him to remain in the comfort of his own home and also allows him to share his resume to people who may be good potential employers. Overall, MOHO could be a great assessment tool to help an occupational therapist understand what it is that Ron needs and how they can help him regain his prior levels of
functioning.
Casey was that of the Person Environment Occupation Performance Model. This model was developed by Charles Christiansen and Carolyn Baum in 1991 (Lee, 2010). The PEOP is a client centred approach that looks at occupational performance and how it is influenced by the relationship that exists between a person and their environment (Cole and Tufano, 2008). The OT student felt this model applied to Ms. Casey, as it was evident that her physical impairment had impacted on her performance of meaningful occupations and engagement within her environment. There are four components to this model: Occupations, Performance, Person, Environment (Cole and Tufano, 2008). Person comprises of the ‘physiological, psychological, neurobehavioural, cognitive and spiritual factors’ that are intrinsic factors (Cole and Tufano, 2008, pp. 128), while Environment consists of the ‘physical, natural, cultural, societal, and social interactive factors and social and economic systems’ that are extrinsic factors (Cole and Tufano, 2008, pp. 128). The PEOP model supports client centred practice, as partnership between the client and therapist is necessary in order to enable the client to set goals and establish an approach that supports performance and participation in occupation (Christiansen and Baum, 2015). Initial assessment was guided by the PEOP model, which was conducted by the OT student in order to identify Ms. Casey’s
Various occupational therapy models aim to explain the relationship between the person, environment, occupation, and adaptation with different degrees of emphasis on the person (MOHO), environment (EHP), the transaction between the person and environment (PEOP, PEO) and adaptation (PEOP). However, the OA framework views occupational performance as a result of occupational adaptation in which all three components, the person, environment, and interactions between the two are equally important. For Julia, the deficits in the person system, the influence of her occupational environment and the ongoing interaction between the two contribute to Julia’s perception of occupational demands and her occupational
Does personality determine behavior? Phelps (2015) dived into this discussion in his article by reviewing the perspectives of personality, how psychology relates to behavior and the idea of self, and further, how behaviorists define personality and all of its components. Phelps (2015) compares and contrasts the common beliefs of personality and the view of self as attributed to personality theorists with those characterized by behavioral theorists. A typical understanding of personality is one that defines it as an internal substance that drives behavior, and therefore, by seeking to understand a person's personality we can almost assume their actions (Phelps, 2015). Behavioral theorists, on the other hand, do not lean on vague internal conditions to explain behavior, but rather they evaluate a person's past and present settings to define behavior, according to Phelps (2015). The conclusion is that behaviorists' perspectives on these topics are far more parsimonious in nature and most popular views of personality speak to a more internal and far-reaching position rather than the behavior itself (Phelps, 2015). Likewise, Phelps (2015) addresses the issue of meeting specific criteria for discerning whether a theoretical viewpoint is valid in helping us understand people. He continued to remark that behaviorists' stances meet a large portion of the criteria as presented by Gordon Allport (Phelps, 2015). For example, they have less assumptions, they are consistent, and not to mention, they are testable and falsifiable, Phelps (2015) supports. In my opinion and critical review, this article is useful because it provides an unbiased assessment of a variety of personality theories and definitions of personality and the self. Likewise, it is simple and easy to understand, thus qualifying it as parsimonious. Overall, I think the article did its ultimate job of evaluating different perspectives and
After a person reads this article, I can highlight some of the main points in the article to give them a better understanding of what is occupational therapy is in the psychosocial aspect. It is important for me to keep this article on hand because if someone wants to look up what I do and they do not know where to begin, I can give them this article to read to get a basic understanding of what I do and they can get an idea of what to research. This article is not only for clients and client’s friends and family, but it can be used for occupational therapists and occupational therapy assistances. This article can be used as a refresher for a therapist if they are having a hard time remembering something about this
Townsend, E. (ed.) (2002) Enabling occupation: an occupational therapy perspective. Ottawa: Canadian Association of Occupational Therapists.
An understanding of occupation and its science dimension enables the therapist to gain knowledge about how patients orchestrate their lives through the doing of occupations in any given context. The occupational therapy proce...
The Model of Human Occupation is an occupation-focused theoretical model that is categorized into concepts that examine the person’s volition, habituation, and performance capacity when participating in an occupation (Forsyth et al, 2014, p. 506). By applying MOHO to my community partner Sunshine, the dynamics of how his personal factors and environmental factors influence his overall occupational participation are analyzed.
People across the world participate in recovery programs every day. Dedicated people in professions, such as occupational therapy, work to help each person regain his or her ability to engage in everyday activities. One wishing to pursue a career in occupational therapy would first need to evaluate the career and the significant effects on themselves and the clients.
Motivational interviewing is based on a client centered approach to therapy that uses open-ended questions, affirmation, reflective listening and summaries to help the client recognize the pros and cons of change and their reasons for resisting change thereby eliminating their ambivalence about change. Once the client deals with their ambivalence the Miller and Rollick believe that the client will be able to make the necessary changes. In addition, motivational interviewing gets the client to argue for change not the counselor. Furthermore, the client not the counselor is responsible for their progress.
Cole, M. B., & Tufano, R. (2008). Applied theories in occupational therapy: A practical approach. Thorofare, New Jersey, United States of America: Slack Inc.
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).
As stated in the article written by Kormanik and Rocco, “Rotter provided grounded theory on the locus of control construct in a discussion of generalized expectancies for internal versus external control of reinforcement” (as cited in Rotter, 1966). Internal control of reinforcement refers to the ability to any person can be rewarded by their “own behavior” or their “own relatively permanent characteristics or traits” (Kormanik & Rocco, 2009). While internal control of reinforcement depends on each individual person and situation, external control of reinforcement refers to “factors beyond one’s control” such as “luck, chance, [or] fate” (Kormanik & Rocco, 2009). Through the use of a scale referred to as the “Internal-External Locus of Control Scale,” Rotter was able ...
Occupational therapy oriented my religious upbringing and principles with the desire to improve the health and welfare of others. It provided me with the an avenue in which I could help others regain control over aspects of their life that were lost and thus provide hope. Occupational therapy is defined as “helping people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities”. The inherent value of occupational therapy is often underestimated and passed over. Occupational therapists do everything from helping children with disabilities so that they can fully engage in school activities to helping those who lost bodily functions in accidents to recover usage of their limbs.
The First habit is to be proactive, or “proactivity”, it is explained that being proactive means that we as humans are responsible for our own lives. Our performance in life is up to us and is not the result of things that have happened or experiences but the choices that we choose to make and how we view our lives as a whole. It is our obligation to choose how we respond to the experiences in our lives. Take for instance, Viktor Frankl, he was a prisoner of the death camps in Nazi Germany. Frankl had terrible experiences such as being tortured, starved, being naked, and losing almost his whole family. At the time while all of this was going on, Frankl decided he was not going to let all of this to affect him. He became aware that he had the freedom to choose his own response to what was happening and the meaning to all of it which then in turn gave him self-fulfillment. As I look at the statement “What I do is largely controlled by actions of others”, I am certain the author of this book would most definitely disagree with this. The reason I say this because...
“You can’t connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future. You have to trust in something- your gut, destiny, life, home, whatever. This approach has never let me down, and it has made all the difference in my life” (Steve Jobs, 1955). Throughout all of my 25 years blessed on planet earth, my personality have somewhat been compared to that of a roller coaster, filled with many ups and downs, positives and negatives, rewards and punishments. As such, I have frequently embarked on numerous journeys in a dyer attempt to discover and recollect the shattered fragments left of me. With this being said, the term personality however, could be defined as “the patterns of behavior and ways of thinking and feeling that are distinctive for each individual” (Tischler, 2007). At the completion of this paper, I intend to achieve answers to some pertinent questions for instance how has the development of personality affected or impacted on human nature. I also hope to discover the various transitions of my personality starting from infancy to present and the reason or motives behind such changes. Finally, I would like to be able to gain an in-depth understanding of a variety of Personality Theories especially the Psychoanalytical Theory of