come on people!
I'm starting to find the whole debate a little depressing!  I think its
great that we are able to discuss the differing aspects of OT and PT
(and I believe that they are different - coming from different theory
bases), but lets not turn it into some kind of slanging match.  I can
only speak about things from a British perspective.  I believe that
there is strength in numbers and I think that if physio and OT continue
to bicker it weakens our ability to present a united front to all those
in management who are in favour of cutbacks.  I also want to throw
something else into the discussion.  At present in the UK, there is a
big push for allied health professionals to move into extended scope
practice - see the following website for details-
http:/www.doh.gov.uk/chpo/ and download the following document "The
Ten Key Roles for Allied Health Professionals.  The cynics among us (of
which I am one) will be inclined to say that its all lip service from
the government and AHPs moving into extended scope is all about covering
up the deficit in medical staff and perhaps if this shortfall is ever
recouped, then we would lose all of our gained autonomy.  Who knows?  I
think that we should take this opportunity to demonstrate that in many
cases, AHPs can really be the most effective professionals.  In some
cases physios would be more suited to certain types of extended scope
practice, and in others, OTs.  I think that both professions have
extremely valuable contributions to make to healthcare and I've never
been in favour of amalgamating them into one bumper profession. I don't
see how we could do our patients justice, as I think we would end up
having a rather superficial understanding of key theories.  However, I
think that its fair to say that surely there is a little bit of PT in
every OT and vice versa.  Surely we can't condemn a PT who when working
with an extensor tendon repair, takes this person's job and hobbies into
consideration when designing and implementing a treatment programme? Not
to do so would be negligent.  Couldn't we consider the ancient symbol of
yin and yang - two concepts side by side in balance, each accepting that
this balance exists because each contains a little bit of the other?
looking forward to seeing what others think.
all good wishes
Claire
 
>>> [EMAIL PROTECTED] 11/27/03 12:46am >>>
I'm sorry, but I'm very confused.  Why are the PTs interested in
ruminating about "occupation" anyway?  What's next?  I've already heard
and gagged over the discussion about the Castaway and the ladder. 
Talking with PTs about occupation is  like discussing peripheral vision
with a horse wearing blinders . I frankly take offense at the whole idea
of PT attempting to define and explain from their limited perspective
key concepts of our OT profession in order to prescribe our roles. 
Don't you guys have something else to talk about, such as physical
therapy concepts and theory? Are you so bored with your own profession
that you are looking over fence to see what else you can appropriate and
call your own?
No peace, brothers!
-----Original Message-----
From:   Barrett Dorko [mailto:[EMAIL PROTECTED] 
Sent:   Wed 11/26/2003 10:36 AM
To:     [EMAIL PROTECTED] 
Cc:     
Subject:        Re: [OTnow]  Re: PT/OT Who does what and why?

At 09:18 AM 11/26/2003 -0500, you wrote:
>At  this point Barrett, I need to ask if you understand occupation?

Ron,

Well, I've read through the posts about "occupation" in the archive and
can 
say without hesitation that I agree with everybody. Of course, this
does 
not mean I actually understand the whole issue or have anything more to

contribute specifically. I'm only hoping that by saying this that I
won't 
be asked to take sides.

Back to the movie. For many (certainly me) one very striking scene is
the 
one revealing the transformation of this pudgy, soft, pasty executive
into 
a lean, mean fish-spearing machine. Perhaps it's my roots in PT that
draws 
my attention. Surely without the effort it took to become like this our

hero might not have survived, and you get there through repetitive,
largely 
mindless work-including what it takes to acquire the spear throwing 
expertise. So I think it's fair to say that the principles of PT assist
in 
survival-and here I'm using the "remain alive" definition of the word.

Of course, there's more to life than merely surviving. I feel that when

this man writes on the package that it "saved my life" he acknowledges
the 
gifts occupation offers us. Without the avenues of art all of our
strength 
and physical skill means little, and, after all, the man doesn't write

"This package saved me from starving." PT kept him strong enough to 
survive, OT saved his life. I think many who have received both
services 
might agree.

Finally there is this from the OT literature-specifically AJOT 25 
(July-August 1971) "Occupational Therapy-A Historical Perspective
Legacy of 
Moral Treatment 1800s-1910" by J. Sanbourne Bockoven: "...occupational

therapy is based first and foremost upon respect for human
individuality 
and on a fundamental perception of the individual's need to engage in 
relation to his fellow man.

To me, this definition doesn't bear much relation to PT as I see it 
practiced today, and that concerns me. I'm grateful that the OTs
understand 
its potential and work to make that perception a real part of
recovery.

Barrett L. Dorko, P.T.
<http://barrettdorko.com>
Also <http://rehabedge.com>




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