Psychosocial Occupational Therapy : A Clinical Practice

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  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2004-07-16
  • Publisher: Cengage Learning
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An excellent resource for coursework in psychosocial occupational therapy, this revised edition focuses on the clinical applications of psychosocial occupational therapy to prepare the reader for working with actual clients in real-life contexts. With a novice friendly approach focusing on diagnosis, this book is filled with case illustrations to demonstrate therapy in clinical practice. Current issues with a clinical focus have been contributed by experts in the field and include an international perspective. Keeping current with developments in the profession, extensive revisions and reorganization reflect the recent Occupational Therapy Practice Framework (AOTA, 2002). Chapters have been reorganized to reflect the long-standing value placed on treating the whole person. This reorganization mirrors the general trend in psychiatry and mental health to intervene more aggressively using medicine and assessments, to evaluate and treat more briefly, to focus on function, and to use community settings. Thoroughly revised and restructured, this text is an important addition to any occupational therapy library. New to the Edition: Reorganized into seven sections on the mental health context, theoretical concepts, diagnosis and dysfunction, mental health across the lifespan, mental health with physical disorders, occupational therapy intervention in mental health, expanded roles for occupational therapists in mental health, and clinically related roles to better reflect clinical practice. New chapter on assessment including an overview of the evaluation process, observation, and interview techniques. New, separate chapters on mental health of children, mental health of adolescents, and mental health of the elderly provide more detailed information for each of these populations. Includes a new chapter on environmental and cultural considerations.

Author Biography

Elizabeth Cara, PhD, OTR/L, MFT: Associate Professor, San Jose State University, California Anne MacRae, PhD, OTR/L: Professor, San Jose State University, California

Table of Contents

Preface to Second Editionp. ix
Preface to First Editionp. xiii
About the Authorsp. xxiii
Contributorsp. xxv
The Mental Health Contextp. 1
The Client and Family Experience of Mental Illnessp. 3
Introductionp. 4
The Family Perspective--Who Is the Client?p. 4
Responses to Mental Illnessp. 10
Conflictsp. 14
Involvement of Family in the Treatment Regimep. 16
The Professional Working with Familiesp. 20
The Role of Occupational Therapyp. 22
Advocacy and Support Networkingp. 22
Summaryp. 23
Environmental and Cultural Considerationsp. 26
Introductionp. 27
Environmentp. 27
Culturep. 37
Summaryp. 52
Theoretical Conceptsp. 55
The History and Philosophy of Psychosocial Occupational Therapyp. 57
Introductionp. 58
Treatment of the Insane before the Twentieth Centuryp. 58
The Founding of Occupational Therapyp. 61
Treatment of Mental Illness in the Twentieth Centuryp. 69
The Evolution of Psychosocial Occupational Therapyp. 71
Summaryp. 75
Theories of Mental Health and Illnessp. 80
Introductionp. 81
Humanistic Perspectivep. 82
Biological Perspectivep. 86
Psychodynamic Perspectivep. 94
Behavioral Perspectivep. 102
Cognitive Perspectivep. 108
Summaryp. 111
Diagnosis and Dysfunctionp. 117
Psychopathology and The Diagnostic Processp. 119
Introductionp. 120
Psychopathologyp. 121
Diagnosisp. 129
Summaryp. 138
Schizophreniap. 140
Introductionp. 141
Myths and Misconceptionsp. 141
Etiology of Schizophreniap. 144
Diagnosis of Schizophreniap. 145
Positive Symptomatologyp. 147
Negative Symptomatologyp. 150
Prognosisp. 151
Interdisciplinary Treatmentp. 152
Occupational Therapy Interventionp. 155
Summaryp. 158
Mood Disordersp. 162
Introductionp. 163
Diagnostic Criteriap. 163
Causes, Occurrence, and Theories of Mood Disordersp. 166
Clinical Picturep. 170
Common Evaluation and Managementp. 173
Occupational Therapy Treatmentp. 176
Summaryp. 189
Anxiety Disordersp. 193
Introductionp. 194
Encountering People with Anxiety Disorders: Settingsp. 195
Description of Anxiety Disordersp. 196
Impact on Daily Functioningp. 199
DSM-IV Descriptions of Anxietyp. 199
General Treatment Strategiesp. 204
Occupational Therapy and Self-Management Techniquesp. 209
Summaryp. 230
Personality Disordersp. 235
Introductionp. 236
The Personality Continuum and Etiology of Personality Disordersp. 236
The DSM-IV Personality Disordersp. 240
Interdisciplinary Assessment and Treatmentp. 249
Occupational Therapy Treatment Interventionsp. 253
Summaryp. 258
Mental Health Across the Lifespanp. 263
Mental Health of Childrenp. 265
Introductionp. 266
DSM-IV Diagnosesp. 267
Helpful Concepts for Treating Childrenp. 271
Child Settings and Programsp. 278
Implementing Programming for Childrenp. 280
Summary and Current Trendsp. 292
Mental Health of Adolescentsp. 298
Introductionp. 299
Adolescent Developmentp. 300
Diagnoses and Presenting Problemsp. 302
Helpful Concepts for Treating Adolescentsp. 302
Adolescent Settings and Programsp. 312
Implementing Programsp. 315
Summary and Current Trendsp. 325
Mental Health of the Older Adultp. 334
Introductionp. 335
The Demographics of Agingp. 335
Psychiatric Diagnosisp. 336
Mental Health Assessmentp. 340
Occupational Therapy Interventionp. 345
Summaryp. 353
Mental Health with Physical Disordersp. 357
Psychosocial Issues in Physical Disabilityp. 359
Introductionp. 360
Occupational Therapy and the International Classification of Functioningp. 361
Cultural and Societal Factorsp. 362
Concept of Selfp. 364
Models of Adapting to Physical Disabilityp. 366
Life Satisfaction and Quality of Lifep. 372
Specific Psychosocial Issues with Select Disabilitiesp. 375
Summaryp. 388
The Cognitive, Behavioral, and Psychosocial Sequelae of Brain Injuryp. 394
Introductionp. 395
Diagnosis and Etiologyp. 396
Prognosis for Recoveryp. 397
Premorbid Psychosocial Factorsp. 401
Cognitive Sequelae following Brain Injuryp. 402
Behavioral Sequelae following Brain Injuryp. 406
Psychosocial Sequelae following Brain Injuryp. 409
Interdisciplinary Assessment and Treatmentp. 411
Occupational Therapy Interventionsp. 419
Summaryp. 419
Psychosocial Aspects of Chronic Painp. 423
Introductionp. 424
Diagnostic Criteriap. 425
Neurobiological Basis of Painp. 427
Mental Attitudep. 428
Factors in Chronic Painp. 430
Multidisciplinary Treatment Approachp. 436
Specific Occupational Therapy Assessments and Treatmentp. 440
Summaryp. 440
Occupational Therapy and Substance Use Disordersp. 446
Introductionp. 447
Diagnostic Criteriap. 448
Assessment and Intervention for Substance Usep. 452
Summaryp. 469
Occupational Therapy Intervention in Mental Healthp. 475
Evaluation and Assessmentp. 477
Introductionp. 478
The Evaluation Processp. 478
Criteria for Selecting Toolsp. 493
Communicating Evaluation Findings and Intervention Recommendationsp. 498
Other Considerations in Evaluation: Assessment, Screening, and Outcome Evaluationsp. 499
Summaryp. 503
Methods and Interpersonal Strategiesp. 508
Introductionp. 509
Interpersonal Strategiesp. 510
Occupational Therapy Methodsp. 515
Summaryp. 527
Groupsp. 529
Introductionp. 530
Overview of Group Therapyp. 532
Occupational Therapy Groupsp. 549
Summaryp. 563
Expanded Roles for Occupational Therapy in Mental Healthp. 565
Occupational Therapy in the Criminal Justice Systemp. 567
Introductionp. 568
Criminal Justice Settingsp. 569
Clinical Competencies in a Criminal Justice Settingp. 578
Summaryp. 585
Vocational Programmingp. 591
Introductionp. 592
History of Work Programming in Occupational Therapyp. 593
Expanding Roles of Occupational Therapistsp. 595
Implementation of Occupational Therapy Servicesp. 597
Summaryp. 616
Case Managementp. 620
Introductionp. 621
History of Case Managementp. 621
Models of Mental Health Case Managementp. 622
Case Management Service Interventionsp. 625
The Client-Case Manager Relationshipp. 646
Summaryp. 647
Clinically Related Rolesp. 651
Fieldwork Supervision in the Mental Health Settingp. 653
Introductionp. 654
Dimensions of Fieldwork Education and Supervisionp. 656
Theoretical Models of Supervisionp. 658
Practical Models and Methods of Supervisionp. 659
Maximizing Learning--Benefiting from Supervisionp. 675
The Transition to Fieldwork Educator or Supervisorp. 677
Summaryp. 683
Demonstrating Effectiveness in Occupational Therapyp. 687
Introductionp. 688
Communicationp. 689
Evidence-Based Practicep. 690
Documentationp. 691
Researchp. 696
Promotionp. 701
Presentation and Publicationp. 703
Summaryp. 704
Psychopharmacology for the Occupational Therapistp. 711
Resourcesp. 719
Glossaryp. 725
Indexp. 735
Table of Contents provided by Rittenhouse. All Rights Reserved.

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