Abstract
Human behavior can be explained by a variety of biological, psychosocial, and environmental factors interacting on a person over time. The values, beliefs, and goals that determine the behaviors one engages in are developed through cognitive processes unique to each individual as a result of the interplay between previous learning and the aforementioned factors. When considered together, the Model of Human Occupation and Cognitive-Behavioral Therapy give an explanation for this view of human behavior. These frames of reference are reviewed in regards to their conceptions of behavior, dysfunction, treatment approach, and their relevance to occupational therapy.
Cognitive-Behavioral Therapy and the Model of Human Occupation
Man is an open system that can change and develop through interaction with the environment. Behavior is an expression of psychosocial, biological, and environmental factors interacting within the system. Biological factors may predispose someone to a certain disease or dysfunction which may be expressed in the presence of stress. Factors such as family structure, work environment, and culture can contribute to positive or negative experiences from which an individual learns. There is an innate drive within humans for self-efficacy; the ultimate goal is to master one's environment. A person's values, beliefs, and goals determine the behaviors one engages in to accomplish the ultimate goal of environmental mastery. These values, beliefs, and goals are developed through cognitive processes unique to each individual and are a result of the interplay between previous learning and psychosocial, biological, and environmental factors throughout life. Because each person's cognitive processes are unique, experiences are subjectively interpreted in different ways. People react in context with their desire for environmental mastery and their personal beliefs and values learned throughout
References: Barris, R., Kielhofner, G., & Watts, J. H. (1988). Cognitive approaches to therapy. In G. Kielhofner (Ed.), Bodies of knowledge in psychosocial practice (pp. 89-100). Thorofare, NJ: Slack. Bootzin, R. R., & Acocella, J. R. (1988). Abnormal psychology: Current perspectives (5thed.). Bruce, M. A. & Borg, B. (1993). Psychosocial occupational therapy: Frames of reference for intervention. Thorofare, NJ: Slack. Craig, A. R., Hancock, K., Dickson, H., & Chang, E. (1997). Long-term psychological outcomes in spinal cord injured person: Results of a controlled trial using cognitive behavior therapy Cole, M. B. (1998). Group dynamics in occupational therapy: The theoretical basis and practice application of group treatment (2nd ed.) Johnston, M. T. (1987). Occupational therapists and the teaching of cognitive-behavioral skills. Miller, R. J., Sieg, K. W., Ludwig, F. M., Shortridge, S. D., & Van Deusen, J. (1988). Gary Kielhofner Pizzi, M. (1990). The model of human occupation and adults with HIV infection and AIDS. Stein, F. & Culter, S. K. (1998). Theoretical models underlying the clinical practice of psychosocial occupational therapy Yakobina, S., Yakobina, S. & Tallant, B. K. (1997). I came, I thought, I conquered: cognitive behavior approach applied in occupational therapy for the treatment of depressed females