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Titre du document / Document title

Theory and and practice of the Model of Occupational Adaptation in Practice - Processes of occupational adaptation in social psychiatry = Theorie und Praxis des Model of Occupational Adaptation in Practice - Prozesse der Betätigungsanpassung in der Sozialpsychiatrie

Auteur(s) / Author(s)

Clausnitzer Th (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Hogeschool Zuyd, Heerlen (NL)

Résumé / Abstract

OBJECTIVE: The aim of the article is to give a brief overview of the theory of occupational adaptation and to discuss the term OCCUPATIONAL ADAPTATION. The author investigates if processes of occupational adaptation in psychiatrically disabled persons can be supported specifically by using the MODEL OF OCCUPATIONAL ADAPTATION IN PRACTICE. BACKGROUND: The process of occupational adaptation is an important link in the “occupational chain” (Handlungskette) of every human being, enabling us to face up to the demands of everyday life. If these processes of adaptation fail, e. g. due to mental impairments, occupations/actions (Handlungen) are performed incorrectly and participation in social life is restricted. The “Theory of Occupational Adaptation” and the MODEL OF OCCUPATIONAL ADAPTATION IN PRACTICE, both developed in the 1990’s by Schulz and Schkade and Schkade and McClung respectively, claim to be specifically supportive of occupational adaptation. METHODS: After a theoretical insight into the construct of occupational adaptation, the four individual elements of the MODEL OF OCCUPATIONAL ADAPTATION IN PRACTICE are described. Experiences with four mentally impaired persons are presented in the form of single case studies; the resources and barriers included in the adaptational process are documented as well as how these patients organized the process of adaptation. RESULTS: The MODEL OF OCCUPATIONAL ADAPTATION can be used to systematically organize and implement interventions, and to depict the major processes of the therapy, focusing on how well an individual can achieve a balance between his or her own desire to carry out an occupation, the demands of this particular occupation, and the pressure from the environment to be able to master it. The results of the single case analysises suggest that there are sex-specific differences: Initially, the male participants were highly motivated to experience their possibilities and limitations in terms of occupation. However, their resources and limitations suggested that, due to their longstanding psychiatric experiences, some hospitalisation effects have occured and that a consolidation of old occupational patterns has taken place. The two female participants described clearer processes of occupational adaptation and interpreted them as important steps in overcoming their current life-crisis. They were very interested in the concept of occupational adaptation and from the very beginning had been highly motivated to communicate their ideas about change and their intermediate steps, and to work intensively on their development. CONCLUSIONS: For use in German-speaking countries, the proper translation of key terms must be discussed and the dependency of the model on cultural fundamentals must be investigated. The single case studies give first hints that the model may be suitable for therapeutic treatment of psychiatrically disabled persons. However, the results need to be put on a broader base and to be analyzed more accurately with larger numbers of study participants.

Revue / Journal Title

Ergoscience    ISSN  1861-6356 

Source / Source

2008, vol. 3, no03, pp. 100-111 [12 page(s) (article)]

Langue / Language

Allemand

Editeur / Publisher

Thieme, Stuttgart, ALLEMAGNE  (2006) (Revue)

Mots-clés d'auteur / Author Keywords

occupational adaptation

;

occupation

;

Model of Occupational Adaptation in Practice

;

Localisation / Location

35400060064426.0003

Tous droits réservés © Georg Thieme Verlag Stuttgart, New York, 2008
Nº notice refdoc (ud4) : 20447286



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