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MOHO Framework — MRCPsych Paper B MCQ

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ModerateRehabilitationMOHO FrameworkMRCPsych Paper B

An occupational therapist in a psychiatric rehabilitation service uses the Model of Human Occupation (MOHO) to formulate a patient's difficulty re-engaging in meaningful activities. Which conceptual formulation is most characteristic of MOHO?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Occupational participation reflects volition, habituation and performance capacity interacting with the environment.

Explanation lettering: B = shown as A · D = shown as B · A = shown as C · C = shown as D

B is correct. MOHO explains occupational participation through interacting components: volition, including interests, values and personal causation; habituation, comprising habits and internalised roles; and performance capacity, encompassing the physical and mental abilities used in occupation. These operate dynamically within the person's physical, social and cultural environment. Option A most closely describes the person–environment–occupation approach rather than the distinctive MOHO formulation. Option C reflects a biomechanical frame of reference, while option D describes a compensatory cognitive rehabilitation approach. Option E resembles models that classify occupation into self-care, productivity and leisure, but it omits MOHO's central mechanisms of volition, habituation and performance capacity.

Reference: East London NHS Foundation Trust. Occupational Therapy: Bedfordshire and Luton, Model of Practice section. 2025. https://www.elft.nhs.uk/sites/default/files/2025-11/ot_for_professionals_beds_spld.pdf