OTA 222 Ch 4 & some Ch 5

Work time drops off considerably- leisure prime occupation - loss of work role (pos. & neg. consequences)

Childhood major mental disorders typical age of onset

Habits and routines influenced by need to manage time for multiple involvements

Tremendous development of skills transforming from helpless infant to active agent in worlds of family, play school

Need for eyeglasses, hearing aids; continued high level of involvement helping sustain greatest capacity and skill lvl

Co-occupations within family, community and workplace

family roles & social roles increase in importance

Schizophrenia Spectrum progression - remission of psychotic symptoms

Self-maintenance habits; routines established by parental scheduling; gradual shift to more control by child

shifting interests affected by peer or environmental pressure

Sense of efficacy possibly challenged by diminished physical capacity

Importance (Value) of work possibly declining as family & social values increase

What are the three levels of motivation for occupation

Adulthood major mental disorders typical age of onset

Maturation personal causation, interest, value cumulating in choice of occupation

Work 2 produce value 2 society (important 4 self-esteem, sense of identity, & place in social hierarchy, reason 4 being)

Increasing drive for autonomy; considering choice of occupation; weighing parental vs peer values

Self-worth may be dependent on cultivating new interests, and challenges, and social contact

Personal causation developing through social interaction & play

Increasing self-regulation; acquisition of habits of time management

Adolescence major mental disorders typical age of onset

The desire to attain, compete with or surpass a standard of excellence- external or by person (Third and highest level)

Three main groups of occupations include

Values of culture taught

Age-related changes in musculoskeletal, neurological, cardiopulmonary systems varying in intensity

psychotic symptoms (hallucinations & delusions), deterioration in functioning from a previously higher level, 6 month +

Social relations with peers fostering expanded communication & interaction skills; co-occupation with peers

What information can the OTA learn from the DSM-5 diagnosis?

Values increasingly important in motivation behavior

What is the purpose of the disorders proposed for study in the DSM-5?

Describe the categorical approach used in the DSM-5

Continued devleopment of skills in motor, process, communication, interaction

Interests possibly not addressed by work; avocational activities possibly especially fulfilling

Student, friend roles learned

Most important developmental task - consider future adult occupations

Multiple roles (spouse, parent, worker, friend, etc)despite role conflict multiple role involvement satisfying

Schizophrenia Spectrum progression - psychotic symptoms surface

The desire 2 influence the environment in a specific way & get better at it (sustain motivation by exploration)

What is the purpose of the DSM-5? How is it used?

Habits of a lifetime well established; new habits hard to acquire

Peak abilities; mastery of many work-related skills; declining capacity -from physical changes leading 2 reduced energy

opportunity in retirement to pursue interests more rigorously

Schizophrenia Spectrum progression - level of functioning deteriorates

May rely on others for personal care as capacities diminish

Adjustments, adaptations to continue using skills; adaptive equipment, environmental aids helping sustain skills

age of exploration & increasing competence; co-occupations frequent

Work time (not always paid employment) exceeds play time. Competence at work satisfies the urge to achieve

Interests enacted through choice of activity

Reality & rules(guide actions)learned through play, involves no work at all. As matures, simple work introduced (chores

Later Adulthood major mental disorders typical age of onset

Parental loss of major roles and role companions through retirement, physical disease, death (work,friend,spouse role)

Playtime exceeds work time (school/chores) May become focused on competence in 1/more task (sports, grades, popularity)

Exploration of roles; role experimentation expanded; more independent student role; 1st enactment of worker role

The desire to act, to explore, for the pleasure of it (Primary/1st Motivation)