Literature Review for the application of the concepts of Clinical Reasoning in Occupational Therapy

  • Nagatani Ryutaro
    Kanagawa University of Human Services, Faculty of Health and Social Work, School of Rehabilitation, Division of Occupational Therapy
  • Yamada Takashi
    Tokyo Metropolitan University, Faculty of Health Science, Occupational Therapy Department

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Other Title
  • 作業療法におけるクリニカルリーズニング概念の活用に関する文献的研究
  • サギョウ リョウホウ ニ オケル クリニカル リーズニング ガイネン ノ カツヨウ ニ カンスル ブンケンテキ ケンキュウ

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Abstract

The analogy in the Occupational Therapy is valued in the therapeutic practice, and it is educated as Clinical Reasoning. The research papers that how clinical reasoning concept was used in the practice until today were reviewed. As the result of bibliographical search from 1983 to 2005 in Japan, there were 4 researches about clinical reasoning, about the reasoning analysis of therapeutic change in intervention to the case of mentally and developmentally disordered clients and the results of the survey of questionnaire method for teaching effectiveness. As the result of bibliographical search from 1956 to 2005 in Europe and the United States, there were 70 researches about clinical reasoning. The researches up to 1993 discussed the concept and the classification of the clinical reasoning for Occupational Therapy and there was no change in the conceptual classification. Over the half of researches discussed the occupational therapy education and therapeutic intervention and it shows the clinical reasoning has close relations to the education and the practice of Occupational Therapy, and it is supposed that clinical reasoning will take a major part in PBL and PBP. Comparing research papers in the education and practice, a few researches were done in the psychiatric practice. The analogy in the Occupational Therapy is valued in the therapeutic practice, and it is educated as Clinical Reasoning. The research papers that how clinical reasoning concept was used in the practice until today were reviewed. As the result of bibliographical search from 1983 to 2005 in Japan, there were 4 researches about clinical reasoning, about the reasoning analysis of therapeutic change in intervention to the case of mentally and developmentally disordered clients and the results of the survey of questionnaire method for teaching effectiveness. As the result of bibliographical search from 1956 to 2005 in Europe and the United States, there were 70 researches about clinical reasoning. The researches up to 1993 discussed the concept and the classification of the clinical reasoning for Occupational Therapy and there was no change in the conceptual classification. Over the half of researches discussed the occupational therapy education and therapeutic intervention and it shows the clinical reasoning has close relations to the education and the practice of Occupational Therapy, and it is supposed that clinical reasoning will take a major part in PBL and PBP. Comparing research papers in the education and practice, a few researches were done in the psychiatric practice.

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