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This article has been peer reviewed. It is the author’s final published version in The American Journal of Occupational Therapy, Volume 52, Issue 6, June 1998, Pages 419-422.

The published version is available at DOI: 10.5014/ajot.52.6.419. Copyright © American Occupational Therapy Association


In reading and contemplating Yenca's (1998) article, I was immediately struck by the utility of the ideas she offers on a number of clinical fronts. We are presented with occupation-based strategies that are directly applicable to our work with patients and program development; we can make use of the language and ideas that are offered as a way to begin talking to one another (therapist to therapist) in clinical settings about occupation; and we are given the opportunity to think about the contribution, value, and efficacy of occupation and how we might convert those ideas into clinically based research actions. This last point is especially useful given Yerxa's powerful view of the complex and compelling human and person issues that are looming on the horizon (achieving healthfulness, finding valued substitutes for work). In response to these person dilemmas of the future, it is exciting to consider what kinds of new treatment approaches, programming ideas, and research questions might be most appropriate for us to develop on me basis of our understanding of the importance of occupation to health.

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