Mr. Foran (Pseudonym) is a 53 year old male who is suffering from depression and Generalised Anxiety Disorder.
Depression: Mr. Foran received a diagnosis of depression secondary to prolonged physical illness, which is a common occurrence in individuals with chronic conditions, as research evidence suggests that such individuals are three times more likely to experience depression than the general population (Guthrie et al., 2016). According to the DSM-IV-TR, the criteria that must be met for an individual to receive a diagnosis of mood disorder due to a general medical condition are as follows (DSM-IV-TR):
a. Prominent and persistent depressed mood
b. Reduced interest or pleasure in activities
c. Irritable mood
Generalised …show more content…
Gary Kielhofner (Bruce et al., 2016). The development of this model was influenced by Mary Reilly’s Occupational Behavioural model, which highlights the importance of occupation in human life (Bruce et al., 2016).
This model is a client centered, occupation focused model that emphasizes that ‘through therapy, persons are helped to engage in occupational behaviours that maintain, restore, reorganize or develop their capacities, motives and lifestyle’ (Kielhoffner and Barrett, 1997, pp. 204 as cited in Cole and Tufano, 2008, pp 95).
The MOHO is made up of three main concepts that explain how an individual is motivated to engage in particular occupations, organize their actions into routines and use their mental and physical abilities to perform occupations (Bruce et al., 2016). These three concepts are referred to as volition, habituation and performance capacity.
- Volition refers to an individual’s motivation to choose and participate in their daily occupations (Bruce et al., 2016). Volition consists of an individuals thoughts and feelings regarding their competency and contentment in they way in which their occupations are executed (personal causation), what they perceive as important and meaningful in their lives (values) as well as what occupations they consider enjoyable …show more content…
and Tomenson, B. (2016). Depression predicts future emergency hospital admissions in primary care patients with chronic physical illness. Journal of Psychosomatic Research, 82, pp.54-61.
Barret, M., Martineau, C., Rahmi, G., Pellerin, O., Sapoval, M., Alsac, J., Fabiani, J., Malamut, G., Samaha, E. and Cellier, C. (2015). Chronic Mesenteric Ischemia: A Rare Cause of Chronic Abdominal Pain. The American Journal of Medicine, 128(12), pp.1363.e1-1363.e8.
Brown, C., Stoffel, V. and Munoz, J. (2011). Occupational therapy in mental health. Philadelphia: F.A. Davis Co.
Cole, M. and Tufano, R. (2008). Applied theories in occupational therapy. Thorofare, NJ: SLACK.
Kielhofner, G., Dobria, L., Forsyth, K. and Kramer, J. (2010). The Occupational Self Assessment: Stability and the Ability to Detect Change over Time. OTJR: Occupation, Participation, Health, 30(1), pp.11-19.
Kielhofner, G. (2008). Model of human occupation. Baltimore, MD: Lippincott Williams & Wilkins.
Bruce, M., Borg, B., Krupa, T., Kirsh, B., Pitts, D. and Fossey, E. (2016). Bruce & Borg's Psychosocial frames of