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The therapist with the three-track mind.

M H Fleming1

  • 1Department of Occupational Therapy, Graduate School of Arts and Sciences, Tufts University-Boston School of Occupational Therapy, Medford, Massachusetts 02155.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|November 1, 1991
PubMed
Summary

Occupational therapists utilize three key reasoning types: procedural, interactive, and conditional. Experienced therapists adeptly integrate these modes for effective clinical problem-solving and patient care.

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Area of Science:

  • Occupational therapy
  • Clinical reasoning
  • Healthcare professional cognition

Background:

  • Occupational therapists employ complex reasoning skills in daily practice.
  • Understanding these reasoning processes is crucial for effective patient care and professional development.

Purpose of the Study:

  • To identify and describe the distinct types of clinical reasoning used by occupational therapists.
  • To explore how therapists integrate different reasoning modes to solve clinical problems.

Main Methods:

  • The study investigated clinical reasoning through the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study.
  • Analysis focused on therapists' problem-solving approaches in practice.

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Main Results:

  • Three primary reasoning types were identified: procedural, interactive, and conditional.
  • Procedural reasoning addresses physical performance issues.
  • Interactive reasoning focuses on understanding the patient as an individual.
  • Conditional reasoning integrates other modes and involves future projection.

Conclusions:

  • Experienced therapists demonstrate fluid transitions between procedural, interactive, and conditional reasoning.
  • This integration allows for comprehensive analysis, interpretation, and resolution of clinical challenges.