Kleinman B L, Bulkley B L
Am J Occup Ther. 1982 Jan;36(1):15-9. doi: 10.5014/ajot.36.1.15.
The concept of occupational therapy as a "science of adaptive responses," as proposed by King in her 1978 Eleanor Clarke Slagle Lecture, is explored and expanded on in this article. The authors postulate an adaptation continuum consisting of homeostatic reactions, adaptive responses, adaptive skills, and adaptive patterns--a continuum that places the adaptive response in a sequential and interdependent relationship to other human responses that serve an adaptive function. Assuming that authentic occupational therapy practice is "eliciting adaptive responses" (1), the authors use the continuum to delineate the domain of occupational therapy as compared to the primary concerns of other health disciplines and to indicate the nature of collaboration between them in areas that overlap. Finally, they draw attention to some of the issues and questions that emerge from the analysis.
本文探讨并扩展了金在其1978年埃莉诺·克拉克·斯莱格尔演讲中提出的职业治疗作为“适应性反应科学”的概念。作者假设了一个由稳态反应、适应性反应、适应技能和适应模式组成的适应连续体——这个连续体将适应性反应与其他具有适应功能的人类反应置于一种顺序和相互依存的关系中。假设真正的职业治疗实践是“引发适应性反应”（1），作者使用这个连续体来划定职业治疗的领域，与其他健康学科的主要关注点进行比较，并指出它们在重叠领域合作的性质。最后，他们提请注意分析中出现的一些问题。
