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Clinical Reasoning in Occupational Therapy



Clinical Reasoning in Occupational Therapy

Linda Robertson (Editor)

ISBN: 978-1-405-19944-5 May 2012 Wiley-Blackwell 160 Pages


Clinical Reasoning in Occupational Therapy is a key text for occupational therapy students and practitioners.

Written by an internationally renowned group of clinicians, educators and academics and with a central case study running throughout, the book covers the theory and practice of the following key topics: Working and Thinking in Different Contexts; Teaching as Reasoning; Ethical Reasoning; Diversity in Reasoning; Working and Thinking within 'Evidence Frameworks'; Experience as a Framework; The Client.


  • includes case studies
  • problem-solving framework
  • questions at the end of each chapter
  • commentaries on key topics
  • relates theory to practice
List of Contributors vii

Foreword ix

Preface xi

Acknowledgements xv

1 Problem Solving in Occupational Therapy 1
Linda Robertson and Siân Griffiths

2 Abductive Reasoning and Case Formulation in Complex Cases 15
Bronwyn Thompson

3 Ethical Reasoning: Internal and External Morality for Occupational Therapists 31
Mary Butler

4 Occupational Therapists, Care and Managerialism 45
Ruth Fitzgerald

5 Context and How It Influences Our Professional Thinking 63
Susan Ryan and Carol Hills

6 The Novice Therapist 77
Linda Robertson

7 Artistry and Expertise 93
Margo Paterson, Joy Higgs and Catherine Donnelly

8 Kai Whakaora Ngangahau – Ma¯ ori Occupational Therapists’ Collective Reasoning 107
Jo-Anne Gilsenan, Jane Hopkirk and Isla Emery-Whittington

9 Reasoning That Is Difficult to Articulate 129
Linda Robertson

Index 137

"An interesting aspect reflected upon by the author is the difference in the clinical reasoning of occupational therapists when treating those from their culture and when practicing in a setting that is ethnically or linguistically different from their own.  The geographical context of New Zealand, used in the example, is an ethnically diverse country where health care is provided within a mixed public/private system.  Cross- cultural factors are addressed in the chapter discussing therapy services for Maori clients in New Zeland. . . Many different aspects of clinical reasoning are covered in this book that would interest an advanced student."  (Canadian Journal of Occupational Therapy Article, 1 August 2013)