Hey Joe:

For brevity, I've snipped your message.

The  below  paragraph is sort of a mechanistic approach to therapy. This
type  of  approach  assumes that by fixing the person's "broken" pieces,
the  whole  person  will  be restored. For example, if someone loses the
ability  to drive secondary to decreased balance, a mechanistic approach
assumes  that  by  resorting  their balance, their ability to drive will
also  be  restored. While for some cases, this approach may be true, for
others it is just as likely to be false.

Driving,  like  ALL  occupations,  is a complex phenomenon that includes
physical,   social,   emotional,   environmental   and  mental  factors.
Successful  engagement  in occupation is not dependent on any one factor
but  on  the  culmination of ALL the factors. A therapist that assumes a
mechanistic  approach  may focus on only the most apparent factors, such
as  physical  impairment,  and  thus  may  miss  other  factors that are
preventing successful engagement in occupation.

It  is important to assess occupational dysfunction and then to directly
document  the  dysfunction.  If  occupation  is  made the goal, then the
therapist  is  much more likely to see the whole picture of occupational
performance rather than seeing only the pieces that make up occupation.

Ron


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On 8/30/2003,[EMAIL PROTECTED] wrote:


JW> Obviously,  you realize on further interrogation one may ask- what's
JW> the  end  result  (goal) for increased tolerance, increased balance,
JW> decreased  pain,  decreased  stiffness-  all  would lead to the same
JW> goal-  increased  occupational  independence, whether or not that is
JW> addressed directly on paper.


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