Adaptation, Narratives, Temporal Adaptation

1
Adaptation, Narratives, Temporal Adaptation

• OT 606

2
Story From Lloyd Alexander

• Listen to the story How the Cat Swallowed
  Thunder.
• Reflect on how the story portrays
• Function/Dysfunction
• Adaptation within the person (character)
• Adaptation within the environment
• Adaptation within occupation
• Discuss with a partner or small group.
• Share discussion with larger group.

3
Questions to Ponder From Last Time

• What is function?
• What is dysfunction?
• How does adaptation relate to function?
• Within the person
• Within the environment
• Within the occupation
• How does adaptation relate to dysfunction?
• Within the person
• Within the environment
• Within the occupation

4
Use of Narratives and Adaptation (Spencer et al,
1996)

• Adaptation to change and challenges
• Past adaptive repertoire (strategies)
• Help us in present to adapt and
• Prepare for the future
• How do we, as therapists find out about these
  past strategies?
• NARRATIVES! The Occupational Profile (part of
  the OT Practice Framework AOTA, 2002) asks us
  to use narratives when evaluating clients.
• We ask our clients about their lives in general
• Find out the adaptive strategies they use, if any
• See if any of the strategies are applicable to
  their current situation.

5
Reflection Activity - Narratives

• Think about a time when you were faced with a
  challenge or change.
• What strategies did you use to adapt to that
  change/challenge?
• What, if anything, did you change within
  yourself?
• What, if anything. Did you change about your
  environment?
• What, if anything, did you change about the
  occupations you typically do?
• Write a paragraph or two answering the questions
  and be prepared to share your thoughts with the
  group.
• The paragraph (s) that you write is a narrative.

6
Temporal Adaptation (Kielhofner, 1977)

• Being Temporally Adaptive is
• supportive of health on an ongoing daily basis
• People are unique
• because they recognize the passage of time.
• Health
• Satisfactory balance of life spaces for the
  individual and society.
• Life Space Activities
• self-maintenance, work and play
• In therapy, using temporal adaptation, we would
  evaluate/address
• patterns of doing and routine from the
  perspective of time.
• These patterns are called performance patterns
  in the OT Practice Framework (AOTA, 2002).

7
Temporal Adaptation Reflection Activity

• What are some of your goals?
• What are some of the things that you do to meet
  those goals?
• Are some of those that you do to meet those goals
  things that you do
• daily?
• Weekly?
• Monthly?
• Over the course of a semester?
• Yearly?
• What would happen if you could not/did not manage
  your time - would you still meet your goals?

8
Questions and Answers

• ?