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frames of reference

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Question
Answer
What are the 4 parts of a Frame of Reference?   Theoretical Base (Philosophy/beliefs) Function/dysfunction continuum, Behaviors indicative of Function/dysfunction; Postulates re intervention (treatment)  
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Existential/Humanistic F of R - theoretical base   Human beings most important (OT roots) Rights of all, Maslow, Rogers, Yalom)  
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concepts of Existential/Humanistic FoR   Respect, genunineness, non-judgmental acceptance, deep understanding, self-actualization  
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Tx for Existential/Humanistic FoR   Pts must want to change self; Create safe atmosphere, help improve self-concept & understanding, self-awareness activities, increase self-confidence, clarify values, used open-end questions  
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Psychoanalytic FoR   FREUD: ID, ego, Superego, Oral, Anal, Phalic, Latent, Genital stages  
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Defense mechanisms - psychoanalytic   Sublimination, Projection, Regression, Acting Out  
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Cognitive Disabilities FoR   Claudia Allen: ability to perform ADLs, tasks reflect health & cognitive function; restriction in motor action is from brain dysfunction  
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What level must you be to take ACL?   at least a 3 - b/c at 3 can grasp object  
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Developmental FoR   Develop thru stages, problems if skip a stage, interaction w/environment stimulates acquisition of skills  
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Tx for Development Frame of Ref   Go to most primitive stage first - make sure all subskills are mastered before going to next level  
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Neurodevelopmental/ SI   Ayres for children, King for (schizo) adults, Rood, Brunstrum, Bobath  
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Theory base of Neurodevelopmental/SI   Brain dysfunction at root of SI, perceptual, cognitive problems; vestibular stimuli is important for pleasure, holistic; brain organized by sensory, vestibular, tactile stimuli  
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Acquisitional Frame of Reference   Teacher-Learner - takes from behavioral & learning theories and is suitable for any age group  
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Acquisitional FoR theory   acquire by doing, behavior influenced by environment, learned behavior = people, non-stage specific, here and now, operant conditioning, positive reinforcement  
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MOHO - Kielhofner, Reily   3 concepts - Occupation is core of humanity; System theory - input, throughput, output - interaction with open system & environment;  
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MOHO theory   environment important for Arousal & Environmental Press (expectations of environment)  
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MOHO subsystem:   Volition, Habituation, Performance Skills  
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How is schizophrenia Dx?   presence of psychotic symptoms for 6 mos or more  
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What is schizoaffective disorder?   schizophrenic behavior with mood disorder  
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what is the most common hallucination?   auditory  
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causes of schizophrenia   dopamine levels too much; elevated levels of norinephrine in spinal fluid, seratonin levels high, ventricles in brain large, viral, environment  
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What are some delusion types   grandeur, persecution, control, somatic, thought broadcasting, ideas of reference - messages in newspaper  
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negative symptoms of schizophrenia   affective blunting, alogia (can't speak), avolition (lack of goals); anhedonia; attentional impairments  
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Regressed/bizarre schizophrenic behaviors   polydipsia - excessive thirst; peculiar mannerisms, odd appearance, hoarding, stealing, spitting, starving malnutritious eating, negativism - do opposite  
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What is the prodromal phase of schizophrenia?   level of function deteriorates, hygiene decreases, interaction, role ability decreases  
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Active phase of Schizophrenia   psychotic, hallucinating, deluded  
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Residual phase   remission from worst symptoms, still bad hygiene  
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percentage of suicide attempts among schizophrenics   20% with 2-3% succeeding  
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Meds for schizophrenia   neuroleptics, major tranquilizers, antipsychotics, anti-depressants, lithium  
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Adverse effects of meds   Parkinsonian syndrome, tardive dyskinesia, akasthesia, dystonia, akinesia, dry mouth  
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OT Tx for Schizophrenia   work on proprioception & vestibular input to increase perceptual function  
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OT tx task groups for schizo   purposeful activity,  
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OT tx social skills for schizo   make friends instruction, role play, feedback, task groups  
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OT tx schizo - cognitive   visual instructions, lmtd sensory stim, repetitious, limited problem solveing, graded task difficulty, frequent feedback, info process strategies  
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OT tx considerations for schizo   NAMI, energy conserve, work simplify, problem solve, re-emphasize reality, fam education, feelings over hallucinations  
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Performance components of schizo for OT tx   sensorimotor, cognitive, psychosocial/psychological  
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