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What is clinical reasoning?

C Mattingly1

  • 1Department of Occupational Therapy, University of Illinois at Chicago 06012.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|November 1, 1991
PubMed
Summary
This summary is machine-generated.

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This study redefines clinical reasoning in occupational therapy as a tacit, imagistic, and phenomenological process. It emphasizes experience and improvisation over explicit justification and scientific theory alone.

Area of Science:

  • Occupational Therapy
  • Health Professions Education
  • Philosophy of Science

Background:

  • Traditional definitions of clinical reasoning often focus on explicit justification and scientific theory.
  • Occupational therapy practice involves complex patient situations requiring more than procedural knowledge.

Purpose of the Study:

  • To propose a novel concept of clinical reasoning in occupational therapy.
  • To highlight the tacit, imagistic, and phenomenological aspects of clinical reasoning.
  • To differentiate this concept from traditional health professions' definitions.

Main Methods:

  • Conceptual analysis of clinical reasoning in occupational therapy.
  • Exploration of phenomenological and tacit knowledge in clinical practice.

Related Experiment Videos

  • Comparison with traditional scientific and explicit reasoning models.
  • Main Results:

    • Clinical reasoning is presented as a largely tacit, imagistic, and phenomenological mode of thinking.
    • It encompasses habitual knowledge gained through experience, beyond explicit justification.
    • Effective clinical reasoning requires improvisation to address the unique meaning of disability for each patient.

    Conclusions:

    • Clinical reasoning in occupational therapy transcends simple theory application and explicit rationalization.
    • Tacit understanding and experiential knowledge are crucial components of expert clinical reasoning.
    • A phenomenological approach better captures the nuanced nature of clinical decision-making in occupational therapy.