Cases and Concepts in Occupational Adaptation

Cynthia Lee Evetts, PhD, OTR, FAOTA is a professor and director of the School of Occupational Therapy at Texas Woman’s University in Denton, Texas. Her educational background in industrial arts education, occupational therapy, and community health education fuels her desire to demonstrate the power of meaningful occupation to prompt adaptive behavior, enhance quality of life, and improve health. Mary Frances Baxter, PhD, OT, FAOTA received her BS in occupational therapy from Colorado State University in Fort Collins, Colorado; her MA in rehabilitation technology for occcupational therapy from Texas Woman’s University in Denton, Texas; and her PhD in kinesiology and health from the University of Houston in Houston, Texas. She is currently a professor in the School of Occupational Therapy at Texas Woman’s University and serves as the associate director of the Houston campus.

1 Overview of the Occupational Adaptation Theory: What’s Occupational Adaptation? 2 Desire for Mastery, Demand for Mastery, Press for Mastery: How Do the Person and the Environment Relate? 3 Occupational Challenge, Internal and External Expectations, Person, and Occupational Environment: Where Do Occupational Role Expectations Fit? 4 Adaptive Response Generation, Adaptive Response Mechanism: How Does the Person Begin to Produce the Response? 5 Adaptation Gestalt: What’s the Plan to Carry Out the Response? 6 Adaptive Response Evaluation, Relative Mastery: What’s Going on Here? 7 Adaptive Response Integration, Adaptive Repertoire: How Has the Person Changed or Adapted? 8 Assessment by the Occupational Environment, Incorporation into the Occupational Environment: How Does the Environment Respond? 9 Assessment and Measures: How Can We Tell Adaptation Is Needed or Occurred? 10 Intervention Tools, Therapist as Agent of the Environment, Client as Agent of Change: What Does the Therapist Do? 11 Documentation and Dissemination, Interprofessional and Intraprofessional Communication: How Do You Describe Occupational Adaptation to Others? Occupational Adaptation Practice Models 12 Practice Models Highlighting Occupational Adaptation Across the Life Span 13 Setting-Specific Occupational Adaptation Practice Models Appendix A: Janette K. Schkade on Adaptive Capacity Appendix B: Worksheet Answer Keys