The State-Trait Anxiety Inventory (STAI) measured two types of anxiety: state anxiety, fluctuating and transitory, and trait anxiety. Aimed to compare a new occupational therapy curriculum with an old curriculum being discontinued and was administered to separate groups of students from each curriculum completing their programs concurrently. The primary purpose of the anxiety study was to test the hypothesis that students with an early introduction to Level I fieldwork (the new curriculum) would have significantly less state anxiety in anticipation of Level II fieldwork than students with a later introduction to Level I fieldwork (the old curriculum). Statistical analysis failed to support the hypothesis. Also discussed are: the significant reduction in anticipated anxiety when students report for fieldwork, and the validity and reliability of the STAI.

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Here, clinical reasoning in occupational therapy is described as a largely tacit, highly imagistic, and deeply phenomenological mode of thinking. It is argued that clinical reasoning involves more than the ability to offer explicit reasons that justify clinical decisions because it is also based on tacit understanding and habitual knowledge gained through experience. Clinical reasoning also involves more than a simple application of theory, particularly theory as understood in the natural sciences, because complex clinical tasks often require that the therapist improvise a treatment approach that addresses the unique meaning of disability as it relates to a particular patient.
http://ajot.aota.org/article.aspx?articleid=1877117