Journal of Taiwan Occupational Therapy Research and Practice
Human occupation refers to the doing of work, play, or activities of daily living within a temporal, physical, and sociocultural context that characterizes much of human life. Model of Human Occupation (MOHO) is a model that constructs the important concepts of occupation. The first concern of MOHO is to understand how persons are motivated toward and choose to do the things that fill their lives (volition component). The second phenomenon addressed by MOHO is the recurrent pattern of doing that makes up everyday life (habituation component). The third phenomenon addressed by MOHO is that when human beings do things, they exhibit an extraordinary range of capacity for performance (performance component). This article used the MOHO as a framework to analyze a chronic schizophrenic client. The client showed physical complaints, irregular attendance, and poor insight, and only desired to be discharged. We reformed personal thoughts to improve insight and structure value which correspond with reality in the volition subsystem. We built up a suitable role and the habit for the patient in the habit subsystem, and tried to solve the physical problems of performance subsystem. The article identified a therapeutic reasoning process, whereby the therapist used the theory to understand the client and to develop a treatment plan with the client.