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Research Article  |   November 1991
The Therapist With the Three-Track Mind
Author Affiliations
  • Maureen Hayes Fleming, EdD, OTR, FAOTA, is Associate Professor, Department of Occupational Therapy, Graduate School of Arts and Sciences, Tufts University–Boston School of Occupational Therapy, Medford, Massachusetts 02155
Article Information
Research
Research Article   |   November 1991
The Therapist With the Three-Track Mind
American Journal of Occupational Therapy, November 1991, Vol. 45, 1007-1014. doi:10.5014/ajot.45.11.1007
American Journal of Occupational Therapy, November 1991, Vol. 45, 1007-1014. doi:10.5014/ajot.45.11.1007
Abstract

This article reports some of the results of the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study. Therapists are thought to use three different types of reasoning when solving problems in day-to-day practice. Procedural reasoning guides the therapist in thinking about the patient’s physical performance problems. Interactive reasoning is used when the therapist wants to understand the patient as a person. Conditional reasoning is used to integrate the other two types of reasoning as well as to project an imagined future condition or situation for the person. Experienced occupational therapists seem to shift smoothly from one mode of thinking to another in order to analyze, interpret, and resolve various types of clinical problems.