Genevieve Pepin, Ph.D. (c), M.Sc. erg
Department de readaptation, Universite Laval, Canada
With the Model of Human Occupation, I don't have a still picture of
my patient. I learn to know my client instead. I can understand his or
her past, at least make sense of it, and knowing that allows me to understand
what needs to be developed, strengthened, or maintained. The dynamic
aspect of the model, the interrelation between its components and its
constant interaction with the environment, gives me a “movie” about
my client instead of a still picture. In this “movie” the client
changes, lives, moves, goes through things, like in real life. Life is
more than the picture of a specific moment in time. I need to find out
the “movie” of my client to be able to follow the plot
of my client's progress (and understand it because I know about his previous
experiences, roles, choices, etc...) and be part of it with my knowledge
and my skills as a therapist.
I decided to use the MOHO in my PhD to describe how the parents
of clients were dealing with the illness of their loved ones.
The MOHO explains human daily living and human occupation. It
illustrates and makes it easier to understand the impact that
being occupied (or not being occupied) has on daily functioning.
In addition, I found the OPHI II to be very helpful in my area
of practice. The occupational identity and occupational competence
scales were especially useful as they could really “zero in” on
the problems. The narrative slope also opened the door to rich discussions
as far as precipitating factors were concerned, and other major life
events and their relationship to the development of the disorder. This
is what describes best what the MOHO helped me understand.