Date of Award


Document Status

Open Access

Degree Type


Degree Name

Occupational Therapy (M.S.)


Occupational Therapy

First Advisor

Scott Truskowski


Background: Developmental trauma is a current issue facing the nation. It adversely affects participation in occupations across the lifespan. This paper examines how the clinical reasoning of practicing pediatric occupational therapists changes when treating clients who have experienced developmental trauma.

Methods: A phenomenological approach was applied using multiple cases. Four individuals, who identified as working with clients with developmental trauma, were interviewed using a series of semi-structured and open-ended questions on their experience treating these clients.

Results: Narrative transcripts were reviewed by the authors and organized into themes of performance patterns of the therapist and the context of developmental trauma which illustrate how clinical reasoning is affected. Conclusions: This study found a connection between the demonstrated clinical reasoning and the experience and education of the participants when treating clients of developmental trauma.

Available for download on Saturday, July 16, 2022