Occupational therapy has always had problems explaining itself in reductionistic biomedical terms. This article looks at the reasons for this, challenges the ability of the model of human occupation to address this problem, and offers Engel's biopsychosocial model as an alternative.
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References
1.
Blom-CooperL. Occupational therapy: An emerging profession in health care. London: Duckworth, 1989.
2.
KielhofnerG. Health through occupation, theory and practice in occupational therapy. Philadelphia: F A Davis, 1983.
3.
KielhofnerGNicolM. The model of human occupation: A developing conceptual tool for clinicians. Br J Occup Ther1989; 52(6): 210–14.
4.
KielhofnerGPosateryburkeJ. Occupational therapy after 60 years. An account of changing identity and knowledge. Am J Occup Ther1977; 31(l):674–89.
5.
EngelG. The need for a new medical model: A challenge for biomedicine. Science1977; 196(Apr): 129–36.
6.
KielhofnerG. The model of human occupation workbook. Edinburgh, York: Kielhofner Workshops, 1989.
7.
GreerG. Sex and destiny. London: Secker and Warburg, 1984.
8.
WeissP. The living system: Delineism stratified. In: KoestlerASmithierSIR, eds. Beyond reductionism. Boston: Beacon Press, 1969.
9.
EngelG. The clinical application of the biopsychosocial model. Am J Psychiatry1980; 137(5): 535–44.
10.
KingJ. Coronary care. In: TurnerA, ed. The practice of occupational therapy: An introduction to the treatment of physical dysfunction. Edinburgh: Churchill Livingstone, 1987.
11.
KingJNixonP. A system of cardiac rehabilitation: Psychophysiological basis and practice. Br J Occup Ther1988; 51(11): 378–84.
12.
BarnittR. Knowledge, skills and attitudes; what happened to thinking?Br J Occup Ther1990; 53(11): 450–56.
13.
MocellinG. A perspective on the principles and practice of occupational therapy. Br J Occup Ther1988; 51(1): 3–7.
14.
WhiteheadCBricklD. Cerebrovascular accident (stroke). In: TurnerA, ed. The practice of occupational therapy: An introduction to the treatment of physical dysfunction. Edinburgh: Churchill Livingstone1987.
15.
TortoraGAwangnostaniosN. Principles of anatomy and physiology. New York: Harper and Row, 1987.
