Reed K L
Am J Occup Ther. 1986 Sep;40(9):597-605. doi: 10.5014/ajot.40.9.597.
Occupational therapists have used many media and methods over the years to achieve the therapeutic potential of occupational therapy. Yet the reasons for selecting a specific medium or method frequently have been lost or changed without consideration of the result to the therapeutic situation. When neither therapist nor patient understands fully the rationale for a medium or method, the therapeutic potential of that medium or method may be compromised. The author suggests there are eight factors that influence the selection and discarding of media and methods in the practice of occupational therapy. The effects of the eight factors can be summarized in 14 assumptions. Three examples--arts and crafts, sanding blocks, and work-related programs--are used to illustrate the factors and assumptions. It is suggested that improved analysis of occupations based on values and interests could reduce the separation of meaning and purpose in the selection and discarding of media and methods used in occupational therapy practice.
多年来，职业治疗师运用了多种媒介和方法来实现职业治疗的治疗潜力。然而，选择特定媒介或方法的原因常常在未考虑对治疗情况的结果的情况下就已丢失或改变。当治疗师和患者都不完全理解一种媒介或方法的基本原理时，该媒介或方法的治疗潜力可能会受到损害。作者提出有八个因素会影响职业治疗实践中媒介和方法的选择与摒弃。这八个因素的影响可归纳为14条假设。通过三个例子——工艺美术、砂光块和与工作相关的项目——来说明这些因素和假设。有人认为，基于价值观和兴趣对活动进行改进分析，可以减少职业治疗实践中在选择和摒弃媒介及方法时意义与目的的分离。
