Chaotic Occupational Therapy: Collective Wisdom for a Complex Profession

Royeen, Charlotte Brasic

doi:10.5014/ajot.57.6.609

Cited by 47 publications

(48 citation statements)

References 81 publications

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“…Application of the tenets of complexity theory at the level of the human as a dynamic system by occupational scientists represents a fruitful endeavor (Royeen, 2003). These important contributions are clearly in line with the mission of occupational science in developing a greater appreciation of the human as an occupational being (Yerxa, 2000).…”

Section: Complexity and Occupational Sciencementioning

confidence: 75%

“…Consistent within the models presented by Persson et al (2001) and Royeen (2003) are multi-leveled systems which are hypothesized to engender mutually influencing effects upon the enactment of occupation. The brain, the body (or behavior) and the environment reflect the hierarchical levels posited by Royeen, in addition to the interaction of discrete occupations.…”

Section: Complexity and Occupational Sciencementioning

confidence: 87%

“…The study of occupations as a socially constructed phenomenon should offer a rich framework within which to explore the dynamics of social complexity. There has been a tendency on the part of theorists of occupation to direct the application of dynamic systems or chaotic systems to the level of the individual (Ikiugu, 2005;McLaughlin Gray et al, 1996b;Persson et al, 2001;Royeen, 2003). However, as suggested in the bulk of this review, shifting the gaze to the level of the group, such that person-to-person interactions become one of a number of key aspects of study, might afford occupational scientists an additional perspective on occupation and social complexity.…”

Section: Socially Constructed Occupation and Complexity Sciencementioning

confidence: 99%

“…Occupational science is just beginning to consider humans as occupational beings from the perspective of complexity science. The efforts to date have focused their level of analysis upon the individual as a complex system (McLaughlin Gray, Kennedy, & Zemke, 1996a, 1996bPersson, Erlandsson, Eklund, & Iwarsson, 2001;Royeen, 2003). Within these perspectives the symbolically rich aspects of social interaction are considered, though as environmental factors with which the individual interacts.…”

Section: Introductionmentioning

confidence: 99%

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Occupation and Social Complexity

Eakman¹

2007

Journal of Occupational Science

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Section: Complexity and Occupational Sciencementioning

confidence: 75%

Section: Complexity and Occupational Sciencementioning

confidence: 87%

Section: Socially Constructed Occupation and Complexity Sciencementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Occupation and Social Complexity

Eakman¹

2007

Journal of Occupational Science

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“…This is one of the most recent models in occupational therapy which improves one's ability to function following a disease or injury that interrupts the functionality of an individual's daily living skills. This model accepts the key underpinning concept that our occupation shapes development of the brain, which changes its function and vice versa [6]. It also describes a dynamic process in which occupations establish a network at three heterarchical levels in the brain, i.e.…”

Section: Introductionmentioning

confidence: 99%

Effect of Mirror Therapy on Upper Limb Function: A Single Subject Study

Derakhshanrad

Piven

Ghoochani

et al. 2017

IRJ

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Objectives: Mirror therapy is a unique treatment with a touch of modality that is purported to improve the motor function of the affected limb in individuals with hemiplegia. Previous studies have focused on the neuro-physiological factors underlying the mechanism of the clinical effect of this technique. The present study aims to understand the mechanism using the rehabilitation method and neuro-occupation model as well as analyze the effects of mirror therapy on the upper limb function of subjects with spastic hemiplegic cerebral palsy. Methods:Single subject design known as withdrawal design was used by a convenience sample of four subjects. The study involved three observational phases known as baseline, treatment, and withdrawal phases that took place during a 10 week period. The study contained a home-based mirror therapy protocol whereby the participants were instructed to do some exercises on a daily basis. The improvement of the hand function of the hemiplegic side was examined by Box and Block test along with two more activities including Threading Beads and Stacking Rings. Results:The ability to perform the Box and Block test, Threading Beads, and Stacking Rings tended to remain steady in the baseline phase, whereas there was a noticeable improvement during the treatment phase and a decline in the withdrawal phase.Discussion: From the perspective of visual feedback neuro-occupation model, it could be hypothesized that alterations to the sensory system caused by the mirror reflection of non affected hand may have led to the destabilization of the sensory cortices that changed the participants' intention, meaning, and perception, thereby improving the subject's motor control.

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Exploring the Nature of the Intention, Meaning and Perception Process of the Neuro‐occupation Model to Understand Adaptation to Change

Derakhshanrad

Piven

Hosseini

et al. 2015

Occupation Therapy Intl

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The theoretical model of neuro-occupation, intention, meaning and perception, sought to describe the symbiotic relationship between occupation and the brain, as a chaotic, self-organized, complex system. Lack of evidence has limited its applicability to practice. The aim of this study was to track the postulates of the model within the daily experiences of subjects. Structured matrices were created for content analysis, using a qualitative multiplecase-study design, typically used for testing models. An underpinning principle of the model, defined a circular causality feedback process, which was confirmed as described through tracing the repetitive processes within the lived experience of two Iranian men. The process suggested that continual adaptation occurred in lives interrupted by cerebrovascular accident, which enabled the subjects to return to expression of meaning through purposeful occupation and continually re-shaped their perceptions. The primary limitation of this study was that it was the earliest attempt to test the model and to substantiate the process by comparing the similarities and differences between too few subjects. Future research should identify the same process in more subjects and validate a practical assessment tool for clients. These findings may inform practitioners about intentional use of occupational challenges to elicit adaptive behaviours in clients.

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Chaotic Occupational Therapy: Collective Wisdom for a Complex Profession

Cited by 47 publications

References 81 publications

Occupation and Social Complexity

Occupation and Social Complexity

Effect of Mirror Therapy on Upper Limb Function: A Single Subject Study

Exploring the Nature of the Intention, Meaning and Perception Process of the Neuro‐occupation Model to Understand Adaptation to Change

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