Earlier papers in this series conceptualized occupation as an open system phenomenon, with change the central theme. This paper presents an explanation of adaptive and maladaptive changes in the concept of benign and vicious cycles. Hypothetical case material is used to illustrate how the model could be applied to an explanation of change in occupational behavior. The paper also outlines how the concept of benign and vicious cycles, as conceptualized in the present model, can guide clinical intervention.

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