.........and if cognition cannot be remediated? Joan -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Ron Carson Sent: October 9, 2008 7:47 PM To: Joan Riches Subject: Re: [OTlist] Best Practice and OT expertise
Hello Joan: Thanks for writing. I really need to get the updated Enabling Occupation book... I admit that my experience with OT is SEVERELY limited to adult phys-dys. But, I strongly disagree that my approach is reductionistic. In fact, I will argue that it's just the opposite. I don't see how I'm "throwing out" peds. Children play. Impairment hinders play. Peds therapists help children play. This is basically the same approach that I use with adults. Also, if occupation is limited by cognition and cognition can be remediated, then that's what I would do. So again, I don't see where my approach excludes cognition. But, maybe I'm wrong! Ron -- Ron Carson MHS, OT ----- Original Message ----- From: Joan Riches <[EMAIL PROTECTED]> Sent: Thursday, October 09, 2008 To: [email protected] <[email protected]> Subj: [OTlist] Best Practice and OT expertise JR> Hello JR> I am very pleased to see some of the vocabulary from Enabling Occupation JR> II 'shaping' and 'enabling' appearing in the discussion. 'Contrived' is JR> the other side of that coin. The way we express ourselves has a huge JR> effect on the way we are able to think. Hans Jonsson has done some JR> really helpful work with this. (Journal of Occupational Science Vol JR> 15(1) April 2008. Page 3) JR> Ron you seem to be viewing this whole issue through an adult physdis JR> lens and backing yourself (and us) into a very reductionist corner. I JR> can see your frustration with the UE focus and I agree with it but you JR> are throwing out most of paeds practice as well as lots of the cognitive JR> disability work along with hand therapy with your distortion of the JR> Canadian Model of Occupational Performance. This model is now CMOP-E - JR> and Engagement. The work of Townsend and Polatajko opens up great JR> possibilities for both the growth and definition of the profession. JR> My take on 'expertise' which I have been holding back thinking that JR> there is a lot more to write than this, like my process of coming to JR> this conclusion. I'll trust the list to weigh in with examples and JR> arguments. JR> My formulation of the expertise of the profession of Occupational JR> Therapy (not necessarily the expertise of individual therapists) is; JR> - to become consciously aware of mismatches between basic JR> abilities and task demands (cognitive, psychological, social and JR> physical), which interfere with the performance of needed, wanted, JR> expected or potential occupations; JR> - to analyze the mismatches; and JR> - to design and offer interventions to mediate the mismatches. JR> I acknowledge the thinking from this list, the Canadian practice JR> document (Enabling Occupation II)especially the Taxonomic Code of JR> Occupational Performance (TCOP), and the work I have been doing with JR> Sarah Austin to articulate the theory of the Cognitive Disabilities JR> Model in seeing that our expertise is a particular application of the JR> concept of occupation. JR> Joan Riches B.Sc.O.T., OT(C) JR> Specialist in Cognitive Disability JR> Riches Consulting JR> High River, Alberta, Canada JR> 403 652 7928 -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] No virus found in this incoming message. Checked by AVG - http://www.avg.com Version: 8.0.173 / Virus Database: 270.7.6/1715 - Release Date: 10/9/2008 9:44 AM -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
