Summary :
Cognitive disorders and their impact on daily life performance and participation are common reasons for occupational therapy intervention. Internationally, occupational therapy relies on the concept of functional cognition to guide interventions. Rooted in a dynamic and interactive vision of cognition, this concept better meets the objectives of interventions focused on occupation and daily life than an approach centered on stimulating underlying, damaged cognitive processes. It provides an integrated view of cognitive processes based on the interaction between operating skills, activities demands, and the influence of the environmental context—three components that affect the effectiveness of occupational performance. In this article, we will first present functional cognition and then discuss Joan Toglia’s multicontextual approach. This clinical application, developed in the early ’90s, is based on functional cognition. We analyse nine studies published between 2007 and 2025 involving a total of 155 adult patients with cognitive disorders of various origins. These studies demonstrate the clinical effectiveness of the multicontextual approach and clarify its main principles of application.
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Article rédigé par :
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Eric Sorita
Ergothérapeute, PhD
eric.sorita@u-bordeaux.fr
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Julie Criquillon-Ruiz
Ergothérapeute DE, Msc
IFE, Centre Hospitalier Universitaire
de Bordeaux
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Virginie Provost
Ergothérapeute DE, Msc
Clinique de rééducation Les Grands Chênes,
INICEA, Bordeaux
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Marie-Ange D'Almeida
Ergothérapeute DE
Hôpital Charles Perrens, Talence
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Delphine Arnaud
Ergothérapeute DE
Hôpital Charles Perrens, Talence
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Julie Bonvallet
Ergothérapeute DE, PhD student
Hôpital Charles Perrens, Talence
SANPSY, UMR6033,
CNRS Université de Bordeaux