Ok - I understand what you're saying, but let's just say that it was 
not possible that this person receive a lens replacement and everything 
did not get better and the problem could not be fixed.  In this case, 
occupation and compensation WOULD come to the forefront, no?

----- Original Message -----
From: Ron Carson <[EMAIL PROTECTED]>
Date: Wednesday, April 26, 2006 7:34 am
Subject: [OTlist] Occupation
To: [email protected]

> Hello All:
> 
> Recently Biraj pointed out that I:
> 
> > always   championed   and   advocated,  very  strongly I  might  
> add,> occupation-based   practice  but  now  it  seems  [I  am]  
> extremely> disappointed of anything the term has to do with in the 
> OT profession.
> 
> Biraj is correct about my past vocalizations but today I don't 
> feel that
> I  am  disappointed  about  occupation.  I  still  feel  the  same 
> aboutoccupation  but  I  think  that  I  am becoming a bit jaded 
> at trying to
> integrate  occupation  into  my private practice. You see, 
> occupation is
> important,  it's  important  to  ALL of us, but what I am 
> discovering is
> that  treating  occupational  deficits does not fit well with my 
> clientsbecause  clients don't consider occupational deficits to be 
> the problem.
> Here's  a  non-OT  story  to  make my point.
> 
> Recently,  someone  I  know  was diagnosed with cataracts. The 
> cataractsaffected his vision to the point that modifications were 
> needed to read,
> work  and  play.  Now, what do you think this person saw as the 
> problem;cataracts  or  occupations.  Obviously,  the impact on his 
> occupation is
> what  brought the cataracts to the forefront and motivated him to 
> seek a
> lens  replacement,  but  cataracts  are  the  problem,  not  the 
> loss of
> occupation. So, the person received a lens replacement and 
> everything is
> getting better. Well, how does this 'story' apply to OT.
> 
> Simple,  our  clients  are  seeking answers to problems. They want 
> theseproblems  fixed.  But  the problems are not occupation, the 
> problems are
> things  like weakness, loss of balance, developmental delay, 
> depression,etc. Clients see these 'components' as the problem and 
> this is what they
> expect  their  therapist to address. This is the way the entire 
> world of
> medicine works and for OT to be any different just doesn't work.
> 
> What  I  think needs to be done is for our patients to recognize 
> loss of
> occupation  as the primary problem. Then, they recognize the need 
> for an
> occupational therapist. And as far as I can tell, the ONLY way 
> that this
> is  going  to  happen  on  a  large  scale is for AOTA to put 
> together a
> NATIONAL  ad  campaign directed at educating people about 
> occupation and
> thus occupational therapy.
> 
> Finally, there are settings were occupation is the concern but 
> about the
> only  one  that  I  know  of  is long-term mental health. And 
> given that
> therapeutic  occupation  is  rooted in mental health, this makes 
> perfectsense.  But  for  the  majority  of OT's working in the US, 
> I think that
> trying  to  integrate  occupation as our main form and outcome is 
> a lost
> battle,   unless   patients   are  EDUCATED,  INTEGRATE  and  
> EXPERIENCEoccupation-based therapy.
> 
> Ron
> 
> 
> 
> 
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