Foundation
What population does this model focus on?
All types of Acquired Brain Injury
T/F: The environment plays a critical role in how someone performs a task
True
The therapist gives a hint instead of the answer, What is this called?
Cueing
What is an example of a cognitive strategy?
A client insists they have “no memory problems,” but forgets items during a task, they are demonstrating what?
Reduced self-awareness (anosognosia) — they lack insight into their deficits
Who developed the Dynamic Interactional Approach?
Joan Toglia
What three main factors interact in Toglia’s model?
Person, task, and environment.
True/False: The therapist should always correct the client’s errors right away
False — the therapist should use guided cues to help the client self-correct
What is a self-awareness strategy?
A client can remember the steps of a recipe in therapy but forgets at home. What concept does this demonstrate?
Lack of transfer of learning
This approach is based on what key idea about cognition?
Cognition is dynamic and influenced by the interaction between the person, the task, and the environment.
What are the two types of awareness Toglia identifies?
Self-awareness and on-line awareness (awareness during task performance)
The therapist gives less and less help each time. What is this called?
Graded cueing
What is the role of the therapist in this approach?
To guide discovery, promote self-awareness, and help clients develop and test strategies
If a client has poor self-awareness, what intervention focus would be most appropriate?
Awareness training (helping the client recognize deficits through feedback, video review, or reflection).
What will the assessments and interventions focus on using this model?
Self-awareness and the capacity to use cognitive strategies within occupational engagement
What is transfer of learning?
Applying learned strategies or skills to new situations or environments.
What is the first step before giving any of Toglia’s assessments?
Establish a baseline and observe performance
Stop, think, _____, _____?
do, check
You are working with a client who keeps forgetting steps while making a sandwich. What strategy could you teach?
Use a checklist or verbal rehearsal
What is the main goal of the Multicontextual Approach in the Dynamic Interactional Model?
To help clients generalize and apply strategies and concepts across various real-world contexts.
What is structural capacity?
Brain's physical limits in its ability to process and interpret information
What is one assessment used in this model?
Options:
Why is using multiple environments important in this approach?
It helps promote transfer and generalization of learned strategies to different real-life settings.
A client uses a checklist in therapy to stay organized and begins using it at home. What principle is shown?
Generalization of strategy use (transfer of learning)