week 3 and 4 Flashcards
(48 cards)
who created MOHO
- Gary Kielhofner
dates around MOHO
- First introduced in 1980s
- First book 1985
- Edition 2 1955 substantial revisions in the performance component
- Edition 3 2002 substantial refinement to the model and more related assessment
- Edition 4 2008 substantial new information on how to put MOHO into practice
- Edition 2017 further emphasise on illustrating how to put MOHO into practice
what is MOHO
: is a theory that occupational therapist use to guide their practice.
- A way to identify and frame issues and to find solutions for problems
- An explanation of some phenomena
why learn MOHO
- Helps explain the relationship between the person environment and occupation.
- Provides an evidence base for occupation focused practices
- 75% of OTS in the US use it in practice
- Addresses all areas of OT practice.
how is MOHO interdisciplinary based
- Psychology and anthropology- human needs and motives
- Sociology, social psychology and early OT literature- how occupation is organised into everyday patterns
- Philosophy- performance capacity
- Environmental psychology and sociology- influence of the environment
- Systems theory- how these factors are organised together in human action and experience
whats the three key concepts of MOHO
person
environment
occupation
whats the there components of person
volition
habituation
performance capacity
whats volition
the process by which persons are motivated toward and choose what they do.
whats the tree types of thought patterns that influence movies
interests:unique configuration of preferred things to do that one has accumulated from experience.
values: what a person finds important and meaningful to do
personal caustaiton: how capable an effective one feels- recognising strengths and weaknesses, feeling confident or anxious
whats personal convictions
- a view of how the world is and the identification of what matters
whats a sens lof obligation
a strong emotional disposition to follow what are perceived as right ways to act
whats a sense of personal capability
self assessment of ones physical, intellectual and social abilities.
whats a sense of efficacy
a persons thoughts and feelings about his/her effectiveness in using personal abilities to achieve desired outcomes in life. People who feel capable and effective will seek out opportunities, use feedback to correct performance and persevere to achieve goals. Individuals who feel less capable and lack a sense of efficacy will shy away from opportunity, avoid feedback and have trouble persisting.
whats habituation
- the process whereby doing is organised into patterns and routines.
- Connects people to and makes them functional within their familiar context
- Regulate routine ways of doing things allowing people to automatically recognised and respond to familiar environments and situation
- Relies on ability to appraise cues in the environment.
whats habituation broken into
habits
roles
whats habits
ways of doing things that are patterns of behaviours that are easily repeatable. Helps us respond to repeated time cues or time frames. Eg brushing teeth. Learned from repetition. Creates a sense of routine and regularity in everyday life. Allows us to perform in a consistent and effective way, decreases the effort required for occupation performance and frees up conscious attention for other purposes.
whats roles
give people an identify and sense of obligations that go with that identify. Give us the necessary social bearing to act effectively.
- Through interaction with others, people internalise attitudes and ways of behaving that belong to a given role. Eg student
- Roles serve as a framework for looking out on the world and for acting.
purpose of roles
- Shapes ones attitudes and actions but also profoundly influence a persons sense of identity/who they are.
- Provide wat to behave.
habits and roles together
- Together give a person a sense of order and purpose.
- Participating in a specific role develops habits and routines to sustain this role that in turn organise his or her time
- A person who lacks socially or personally defined roles is more likely to have difficulty maintain habits and routines.
whats role loss
- May lead to lack of identity, purpose and structure in everyday life.
- Patient or suck role- passivity and compliance expected, rather than being a role that brings purpose and meaning.
what’s performance capacity
- the underlying objective mental and physical abilities and the lived experience that shapes performance.
- Dependent on the capacities of musculoskeletal, neurological, cardiopulmonary, cognitive and other body systems.
- When we are doing, we exercise our physical and mental capacities.
- Capacity for doing/performing depends on underlying objective physical and mental capacities and corresponding subjective experience.
- Interval viewpoint: what the individual is experiencing/feeling
- External viewpoint: what is observable by others.
whats environment broken into
physical features
social features
occupational forms
occupational setting
whats physical features
spaces
oobject
what social feature
social group
