The Journal of Japan Academy of Health Sciences
Online ISSN : 2433-3018
Print ISSN : 1880-0211
ISSN-L : 1880-0211
Research of the classification on clinical reasoning in occupational therapy for cerebral palsy
Ryutaro NagataniTakashi Yamada
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2007 Volume 10 Issue 2 Pages 101-115

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Abstract

It was clarified that a little research was done on clinical reasoning especially in the field of occupational therapy for developmental disorders as a result of the literature review. Then clinical reasoning of occupational therapy for cerebral palsy was researched by the participant observation, video image and interview with the agreement of the research of five occupational therapists with clinical experience of ten years or more, and five occupational therapists with clinical experience of less than four years. Corresponding reasoning to the basic classification of clinical reasoning presented in foreign countries was used through the analysis. Reasoning attached importance to most in the occupational therapy for cerebral palsy children was scientific reasoning, and the deductive scientific thinking process had decided treatment goals for the motor skill problems. Narrative reasoning contains understanding and an insight of the future of cerebral palsy children living with the chronic disease. Pragmatic reasoning is frequently used in the occupational therapy scene of the preparation for apparatus, notes in correspondence, the selections of the place and the play equipment, and the influences on the object person, etc. In the ethical reasoning, there is a conflict between the sense of ethics to put importance on functional recovery and the sense of ethics to put importance on life recognizing the limitation of functional recovery. Moreover, there is a script in a clinical scene, and the correction of the script has been done by the occupational therapist. The atmosphere of a clinical scene plays an important part in reasoning. To sustain and encourage clients' occupational performance and development, it was shown that to maintenance and change the atmosphere of the clinical scene was important typology of clinical reasoning in occupational therapy.

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2007 Japan Academy of Health Sciences
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