Introduction: The article aims to provide information on the Kawa Model and its application in occupational therapy. The model uses the metaphor of a river to depict a human life journey. Particular constructs connected with a river such as water, river side walls, driftwood or rocks represent elements of individuals′ social environment as well as their resources and limitations. Case study: The application of the Kawa Model in occupational therapy makes it possible to recognize and interpret the state of a patient taking into account social and cultural contexts. It also helps to structure an individual’s narration. Description: The situation of a patient diagnosed with paranoid schizophrenia is analysed according to the presented model and shown in both graphic and descriptive versions. Conclusions: As well as analysing theoretical aspects of implementing the Kawa Model, the present study shows elements of practical applications of this concept when working with a schizophrenic patient.
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