As an occupational therapist (OT), the gap between theory and practice is not only wide, it is littered with loosely defined terms and turf wars among the leading theoretical proponents. As a consequence, much of the burden of applying these theoretical models to real world practice is limited, fragmented, and largely unrecognized. In my exploration of non-linear dynamics, I've improved the ability to recognize models created using linear scientific approaches and have worked to begin integrating a more fluid platform that better demonstrates the nonlinear dynamical essence of OT services. What I presented last year at the Winter Conference was my latest work in the area of human cognition and how the ambiguity of this term can lead to aberrant data transposition. I proposed and explored with the workshop participants, a way to use a nonlinear approach to define and assess human cognition, that places the onus on the interaction of the practitioner and client, taking into account the collaborative and contextual phase space supporting assessment and rehabilitation outcomes.

By focusing on cognitive function more explicitly, many of the theoretical OT models lost coherence, making it clear to me that inclusion of the fundamentals of nonlinear dynamics permits practitioners to not only create models that more accurately describe and direct the selection and use of assessment tools and outcomes of rehabilitation services, but require and deeply support engagement in relationship-centered practice. This element will be further demonstrated in my upcoming presentation on Activities for Dynamic Living that I plan to share at Winter Conference '09.

Additionally, I have co-created the opportunity to begin developing an occupational therapy institute at the Center for Human Development, our host site, which I plan to call the Institute for Dynamic Living. I hope to use a portion of my presentation time to elicit ideas and potential resources from the Winter Conference participants, to help identify nonlinear principles and resources to enhance the ability to utilize a nonlinear dynamic approach to the Institute’s development.