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OT Lifespan
slides for important things
116
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Graduate
10/05/2009

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Term
 5 Major Domains of human development
Definition
– Biophysical
– Cognitive: involves thought “mental functions” ie expressing yourself through written and spoken language, read, think and perform task from planning through completion
– Affective: feelings happiness, sadness, anger, intelligence, temperament, and personality
– Social
– Spiritual
Term
 Freud
Definition
 Id(basic instincts), ego(intellectual activities and logical thought), superego (consciences and awareness),
 conflict between instincts
 Psychosexual stages-oral, anal phallic, latency, genital
Term
Adler
Definition
emphasized social NOT biological fators to explain human motivation, therapist and patient one equal level
Term
Jung
Definition
emphasized ethics and religion
Term
Erikson
Definition
series of conflicts and crises
Term
Maslow
Definition
hiarchy of needs, self actualization needed to be all one can be
Term
Kohlberg
Definition
stages of moral development
Term
Preconventional
Definition
movitvated by rewards and punishment
Term
Conventional
Definition
pleansing others as good members of society
Term
Post conventional
Definition
follows laws because they are base on universal ethical principles. Laws that violate principles ignored
Term
Case
Definition
believed early stages of development bio factors are main influence, but that we age, cultural, and social influence take over
Term
Vgotsky
Definition
zone of proximal development in which skill that is almost comprehended will be successful with a minimal amt of support(scaffolding)
Term
Piaget
Definition
how humans come to know what they know. org and adapt hierachial
Term
Sensory motor
Definition
• Reflexive: infant is more reactive to stimuli
• Primary Circular Reactions: (1-4months) infants can repeat interesting actions
• Secondary Circular Reactions : (4-8)infant begins to act more upon objects repeatedly making interesting events last longer
• Coordination of secondary circular reactions: (8-12) infant begins to use objects instrumentally to accomplish goal
• Tertiary circular reactions : means and end are combined in order to experiment w/ actions to determine consequences
• Invention of new means through mental combinations: child is able to mentally devise means to manipulate env’t
Term
Piaget
Definition
– Preoperational 2-7
– Concrete operational 7-12
– Formal operational 12 and up
Term
object permanence
Definition
– an object still exists even when it is out of sight
Term
egocentrism
Definition
inability to take another person’s iewpoint
Term
centration
Definition
focus on one aspect to exclusion of others
Term
 Laws of Developmental Direction
Definition
Cephalocaudal
Proximal to distal
Medial to lateral
Up against gravity
Term
Pavlov
Definition
Classical Conditioning
Term
Skinner
Definition
Operant Conditioning
Term
nativist school
Definition
genetic predisposition and innate abilities
Term
empirical school
Definition
formation of associations btw various sensations is foundation of perception
Term
gestalt school
Definition
perception CANNOT be reduced to parts, WHOLE>sum of parts
Term
motor development
Definition
acquisition of motor behavior heavily maturated in origin>maturation or genetic component learned behaviors
Term
Behaviorsim
Definition
theoretical perspective attributes ALL behavior cann describe by princple of conditioning
Term
social learning
Definition
acquistion of behavior w/ in social context
Term
Global mental function
Definition
consciousness, energy, and drive
Term
specific mental function
Definition
memory, language, calculation, attention, thought, higher cognitive functions, mf of sequencing complex mov’t
• Easily quantified
• More often a focus of intervention following brain injury
Term
attention
Definition
process of detecting and orienting to important or desired env’t stimuli. Focus on one thing while something else going on simultaneously is excluded
Term
memory
Definition
: is registering and storing info and retrieving it as needed. (immediate, recent, and remote memory)
 Bower-Memory-mnemonics
Term
habituation response
Definition
the decline of a conditioned response following repeated exposure to the conditioned stimulus.
Term
sensitization response
Definition
A process in which a given behavior increases in intensity simply with repeated occurrences.
Term
object constancty
Definition
the tendency for objects to be perceived as unchanging despite variations in the positions in and conditions under which the objects are observed 4-5months recognize bottle
Term
object permanance
Definition
infant knows something continues to exist even when it is out of sight 8-12months
Term
cause-effect relationship
Definition
begins early in infancy within 1-2 months, skill advances as cognitive skills advance and memory skills advance
Term
Cause-effect ages and abilities
Definition
Infants: immediate relationships = shake rattle & hear a sound
Toddlers: beginning to anticipate response but response needs to happen relatively soon after the action
Preschoolers: can understand longer time periods before a response; use of memory; can begin to think about consequences from past experiences
School-age & adolescence: using cause-effect to plan ahead
Term
perceptual function
Definition
functions that include mental processes of matching sensations with meaning by using information from individual’s sensory environment. (smelling something burning)
Term
Gardner's Learning Style
Definition
• Linguistic: good @ memorizing names, dates, learns by saying, hearing and seeing words
• Logical/Mathematical: likes to figure things out, ask ?, explores patterns and relationships good@math, reasoning, logic, problem solving. Learns categorizing, classifying&abstract patterns/relationships
• Spatial Learner: likes to draw, build, design, and create things. Good@imagining things, sensing changes, slolving mazes/puzzles, reading maps and charts. Learns by visualizing, dreaming, working w/ colors/pic
• Musical Learner: good @ picking up sounds, remember melodies, noticing pitch/rhythm&keeping time. Learns by rhythm, melody, music
• Bodily/Kinesthetic : likes to move around, touch, and use body language. Learns interacting w/ space and processing knowledge through bodily sensation
• Interpersonal: talks w/ people join groups. Learns interacting w/ space and processing knowledge through bodily sensation
• Intrapersonal : work alone, pursue own interest. Learn best by working alone, individual project, using self-paced instruction, having own space
Term
temperament
Definition
disposition of individual to react in particular way to situation
Term
easy temperment
Definition
They adjust easily and quickly to new situations and changes in routine they usually react mildly. When babies with easy temperaments are fussy, they are usually able to find ways to soothe or calm themselves down. Babies with easy temperaments are generally even-tempered
Term
slow to warm
Definition
: low activity level and difficulty initiating interactions, and adapts slowly to change or unfamiliar routines
Term
difficult
Definition
Babies with difficult temperaments engage in almost constant physical activity. Children with this temperament may seem restless at times, and they are usually easily distracted. Difficult babies respond vigorously to hunger and other discomforts. Their crying is often loud and intense. At times, difficult babies are very hard to soothe when they're fussy. They also have difficulty soothing themselves. They are usually very light sleepers, and they demand a great deal of attention from parents.
Term
goodness of fit
Definition
compatibility with demand and expectation of enviornment
Term
communication
Definition
: includes any behavioral act that is intentional or not, that influences the behavior, ideas, or attitudes of another person. Ability to convey information (verbal and non-verbal means)
Term
expressive communication
Definition
ability to produce vocalizations, gestures, and/or speech
Term
receptive communication
Definition
ability to receive and/or comprehend the communicative signals of others
Term
language
Definition
complex, conventional system of arbitrary symbols that are combined and used in a rule-governed manner for communication
Term
phronology
Definition
rules that govern combination of phonemes producing meaningful words
Term
global mental function
Definition
I.C.E.t.o.p
Intellectual
conciousness
energy and drive
temperment
orientation
personality
Term
semantics
Definition
meaning parameter of language, many different types of meaning can be studied
Term
syntax
Definition
word order of our language
Term
pragmatics
Definition
rules for talking or rules governing what he say and HOW we say it
Term
Prelinguistic period 0-6month
Definition
o 0 - 6 months:
 Babies make sounds, facial expressions, gesture under different circumstances - adults ascribe meaning to them and respond
 Social-affective exchange between infant & care-giver provides the foundation for development of communication skills
 Infants can orient to sounds & recognize familiar voices
 Infant’s facial expressions, body posture, vocalizations, skin color communicate information to care-giver about state of health, playfulness, alertness
Term
Prelinguistic 3-8 months
Definition
o 3-8 months:
 Increasing ability to engage attention of care-giver through behavior & vocalizations
 Action-based turn-taking develops
 Develop ability to understand tones in adults voice or understand familiar words & actions (games)
Term
Protolanguage 8-12months
Definition
 Intentional use of communication signals to have specific preplanned effects on the behaviors of others
 Behavioral regulation: signal to another to request or reject objects & actions, protesting or requesting another's behavior
 Social interaction: signals to attract attention and maintain attention of another (greeting, calling, requesting a routine or comfort)
 Joint attention: signals to direct another's attention to interesting objects or event
Term
Protolanguage 12-24
Definition
o 12 - 24 months: Early Vocabulary
 More consistent ability to respond to language directed to them, less need for contextual or environmental cues.
 Follow simple directions
 Respond to inhibition (no)
 Developing vocabulary: locate & label familiar objects, body parts, starting to combine words for simple phrases
Term
Phonological development&semantics
Definition
• Phonological Development & Semantics:
o 24 - 36 months
 Increased ability to respond to words referring to objects/persons not in immediate environment
 Increasing use of vocabulary (understand more vocabulary then they use)
 Learning basics of sentence grammar, increasing number of words in a sentence
 Ability to communicate about future or past events
 Comprehension of language (receptive language skills) better than expressive language skills
Term
Phonological Development and Semantics 3-5 years
Definition
o 3 - 5 years
o Increased vocabulary (1500+ words by age 4)
o Grammar concepts & syntax developing
o Pronunciation improving
o Gap between comprehension (receptive language) and speech (expressive language) closes
Term
definition
Definition
shared beliefs, values, attitudes, language, traditions or customs that defines & characterizes a group of people’s ways of living, approaches to living and interacting with their environment.
Term
race
Definition
distinct biologic attributes possessed by a group of people
Term
ethnicity
Definition
reflect the influence of both race and culture on behavior
Term
health
Definition
absence of illness
Term
illness
Definition
contrast to disease, refers to negative changes in a person’s well being and social positions w/in cultural group
Term
ethnocentrism
Definition
evaluating other cultures according to the preconceptions of one’s own
Term
cultural relativism
Definition
: The idea that behaviors/actions need to be judged in relation to the context of the culture in which it occurs (Bohannan, Van der Elst. 1998. Asking and Listening: Ethnography as personal adaptation. Prospect Heights, IL: Waveland Press, Inc.) Looking at activity evaluating what meaning of interaction based on what you know in context
Term
cultural competency
Definition
the ability to interact & intervene effectively with individuals from a wide array of cultures. (Bonder, Martin, Miracle. 2002. Culture in Clinical Care. Thorofare, NJ: Slack, Inc, pg. 179)understanding value sets of other group and yours be diplomat
Term
Expressive/overt communication
Definition
convey’s feelings ideas, or moods in open way (Italian)
Term
restrained formal communication
Definition
controlling emotions or passion and adhearing to traditon standard of correctness w/out emotion
Term
inherented genetic conditions
Definition
: (part of person’s genetics)cystic fibrosis, Muscular dystrophy, spinal muscular atrophy
Term
chromosone issues& mutation
Definition
anomalies(germinal stage any syndrome) that occur during the germinal stage: Down syndrome, Fragile X, Trisomy 13 & 18, Cornelia de Lange syndrome
Term
maternal factors
Definition
infant is affected directly or indirectly by mother’s state of health and nutritional intake
Term
prenatal care
Definition
poverty or no insurance possible high risk delivery and delay (if issue medical team finds early can be fixed)
Term
nutrition
Definition
adequate nutrition during last 4 months is critical(baby growing a lot fatty layer, brain grown, lay down neurons no enough protein reduces brain cell growth 40%,low birth weight)
Term
maternal diabetes
Definition
: heart defects, limb defects, larger than should be, hyper glycemic
Term
cariac disease&high blood pressure, anemia
Definition
growth, not enough oxygen to fetus cardiac issue, not enough birth during delivery
Term
drugs&alcohol
Definition
depends on drugs, timing,amount
Term
exposure to radiation
Definition
impact fetal growth
Term
exposure to lead
Definition
neurologically
Term
incompetent
Definition
cervix doesn’t stay close premature delivery
Term
toxemia
Definition
increase blood pressure, edema, creates protein in blood
Term
prolonged pregnancy
Definition
placenta less efficent, fetus not getting enough oxygen
Term
high stress
Definition
birth weight, neurological subtle ones
Term
fetal factors
Definition
• Multiple births (twins or more): premature birth, second born increase risk of oxygen deprivation, share same placenta discordant twins
• Site of implantation: sometimes implant near cervix no way out need to have csection
• Malformations with no known cause: muscular skeletal problem, organ transposed vessels of heart
Term
Gestational Age (GA)
Definition
Gestational age ( how long in uterus)
– Term: WHO 37 - 41 weeks GA
– Pre-term: <37 weeks GA
– Post-term: >42 weeks GA
Term
AGA
LGA
SGA
Definition
AGA: appropriate for gestational age (range of normal)
– LGA: large for gestational age (more than ga)
– SGA: small for gestational age (under ga)
Term
APGAR
Definition
scoring system to correlate with recovery from birth process
Term
startle/motorflex
Definition
5-6months–(supine)abduction of upper extremities with extension of elbows wrist and fingers . Response to a sudden change in head position or loud noise
Term
grasp flex
Definition
on supine fingers flex around person’s 0-2 months fingers
Term
TLR
Definition
Tonic Labrinthine reflex When infant is in prone flexion is initiated. While in supine extension is initiated.
Term
ANTR
Definition
tonic neck reflex Turning head to one side, causing upper and lower limbs to extend on the side that the baby is looking. The opposite side flexes
Term
egocentrism
Definition
unable to see view point of another person
Term
centration
Definition
focus on one aspect of problem and ignoring other parts of the problem
• Focus on states: does not understand how a object can transform to another state (Example: ice melts into water)
Term
magical thinking & illogical thought
Definition
cannot logically understand the outcome of a sequence of events (must be magical); may order sequence of events unrealistically; fantasy/imaginary thinking (Example; cartoon character super powers are “real”)
Term
irreversibility
Definition
cannot follow a line of reasoning back to the beginning
Term
Palmar supinate grasp
Definition
 Crayon held in fist
 Wrist flexed & in slight supination
 Arm moves as a unit
Term
digital-pronate grasp
Definition
 Crayon held in fingers
 Wrist straight & pronated, slight ulnar deviation
 Forearm moves as a unit
Term
static tripod grasp
Definition
 Crayon held in crude approximation of thumb, index & middle fingers
 Proximal grasp on crayon
 Hand moves as a unit at the wrist
Term
dynamic tripod grasp
Definition
 Crayon held with thumb, index & middle finger opposition
 Ring & little finger form an arch
 Wrist slightly extended
 Crayon grasped distally
 MCP joints stabilized; movement at PIP joints
Term
developmental progress of prewritting and drawing skills
Definition
 1-1 1/2: scribbles
 2 - 3 years: horizontal, vertical & circular strokes
 3 - 4 years: copies circle, cross
 4 - 6 years: copies square, triangle, diamond
Term
Development progress scissors
Definition
 Prerequisite skills:
 Attention & interest
 Ability to open/close hand
 Muscle strength
 Bilateral control & eye-hand coordination
Term
use of scissors
Definition
 Use of scissors requires:
 Perceptual & visual-motor skills
 Ability to maintain body position
 Ability to control hand holding scissors
 Ability to control other hand to hold paper
Term
Play aids in development of gross&fine motor skills
Definition
reaching & grasping; moving to get toys; developing balance & mobility; joy of skill mastery as child learns what their body can do during play; sensory stimulation through movement & exploration
Term
Play aids in development of cognitive skills
Definition
size, shapes, classification, object permanence, cause-effect, relationships between properties of objects
Term
play aids in spiritual development
Definition
learn to develop a sense of moral responsibility, learning roles & responsibilities; concern for others
Term
play aids in social develpment
Definition
learn imitation, role-play, and cooperation, turn taking
Term
unoccupied behavior
Definition
: sensory-motor play through movement of own body, looking about environment (infancy)
Term
solitary play
Definition
independent play with toys, engrossed in onw play w/ minimal attention to proximity of others (toddler-preschool)
Term
onlooker play
Definition
observe activites of peers, may ask question or make suggestions but often will not actively join in (toddler-early preschool years)
Term
parallel play
Definition
2 or more children engaged in simliar activites in close proximity with occasional interaction, not usually cooperative in activities (preschool)
Term
associative play
Definition
child is still interested in his/her own interest but w/in group. Borrowing&lending toys may occour NO group goal (preschool)
Term
associative play
Definition
organized activities center on a group goal. Usuall one or 2 leaders (school-aged)
Term
exploratory play
Definition
begins 0 – 2 years) sensory-motor: learning characteristics of objects & movement interaction with those objects
Term
symbolic/imaginary/pretend play
Definition
(begins 2 – 4 years) Associated with language development; Child uses objects to represent feelings, actions, roles
 Appropriate objects or toys: household objects, dolls, stuffed animals, dress-up materials, & toy sets (farm, etc.)
Term
creative or constructive play
Definition
(begins ~4 – 7 years) Use of materials to make another object; task oriented
 Appropriate objects or toys: Arts & crafts, construction toys
Term
games play
Definition
(begins~7+ years) Actions & result of actions are based on rules
 Appropriate objects or toys: cards, game boards etc.
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