Having come from all the international roots mentioned below, I remember when I 
first moved to US from Australia thinking I did not need to bring all the 
resources with me I had for my professional practice because I was going to the 
US. I regretted that decision every day of my clinical life for the next 10 
years. I find the US OT profession is very egocentric but then so is the 
country really. For those of us who were trained in countries like Australia 
and Canada there was never a move away from Occupation to the degree there was 
here in the US (mind you my experience of the other educational systems is from 
many years ago). So the occupational focus seems very common to us.
 
The socialized medical systems of the other countries, for better or for worse, 
at least provide some support for more community based models of practice 
versus the stronger focus here due to where the money is on practice from the 
medical models. But again as Joan has so clearly stated and my fellow aussie, 
the breakdown that we see in persons overall performance is frequently 
multifactorial no matter where the specific obvious impairment is. For example 
people overall balance of occupation in their life.
 
David was this the quote you were thinking of: "That man through the use of his 
hands, as they are energizd by the mind and the will, can influence the state 
of his own health: Reilly 1962 Eleanor Clarke Slagle Lecture. 
 
> Date: Sun, 26 Oct 2008 09:18:43 +1100> From: [EMAIL PROTECTED]> To: 
> [email protected]> Subject: Re: [OTlist] ideas for fine motor warm ups for HW 
> students? A story- long> > Hi Joan,> in Australia we might call you a 
> "stirrer" for that kind of comment i.e. > someone with a predisposition 
> towards gentle leg pulling ; - )> > I spent yesterday morning engaged in a 
> presentation to the Australian > Assoc of Hand Therapists. Title of the 
> workshop session was Ergonomics > and Computer Access". Content was 50/50 lit 
> review and equipment demo. > Lit review section was primarily research 
> concerning social and > psychological/personality factors that predispose to 
> computer work > related UL trauma and the best management thereof. There's a 
> growing > body of excellent studies around to show that many of these type of 
> > extremely costly injuries (both in terms of compensation/loss of > business 
> but also in the worker's loss of capacity to engage in > occupations right 
> across their lives) are related to the whole person - > not just the 
> structures of their ULs and the ways they use them. My > reading of the 
> audience receptiveness to this was "excellent". For Hand > Therapists (most 
> of whom but not all were OTs) they seemed to have a > very good grounding in 
> thinking Occupationally - and not cutting up > people's activities into nice 
> little cause and effect pathways.> > In the course of my employment I've 
> known a few other Hand people who > tend to bristle quite openly at the 
> suggestion that they've sold out OT > in some way. I'm afraid I can't recall 
> the name at present; but isn't > there a pioneer of OT who said something 
> like "- apologies if I've got > this quote completely wrong - but sure it's 
> at least vaguely on track!> > And on the issue of the L's and the R's - in my 
> state of Victoria, OT's > aren't required to to be registered. We can be 
> "Accredited" - which > means we submit our CPD (Continuing Professional 
> Development) Plan to > our National Association; but it's by no means 
> compulsory. I'd make the > necessary points easily with all the 
> presentations, reading and projects > I'm required to do do as part of my job 
> - frankly though, I'd rather > give the fee they ask to my chosen charity. 
> Since I've just got a > Bachelor of OT (four year degree course) I choose 
> just to sign "OT" like > your mate from Argentina as well.> > cheers,> David 
> Harraway OT> > > > Joan Riches wrote:> > >From one perspective this 'play' 
> looks like hand therapy to me and what> > my young cowboy was doing was not 
> play. His personal goal setting got> > him through his therapy which was 
> preparing him for almost all the> > occupations he will perform for the rest 
> of his life. He was not the> > only stakeholder in this. Working for the 
> knots certainly made my life> > easier because without them it would have 
> been much harder to achieve> > the goals of his teacher, his family, his team 
> mates, the school board,> > the provincial government, the taxpayers. This is 
> equally true with a> > somewhat different configuration for the seniors I 
> treat who cannot> > begin to articulate their goals in the way you are 
> demanding but whose> > personal goals for comfort, for safety, for inclusion, 
> for meaning in> > their lives help me to serve them and the goals of the 
> community in> > which they live. We are a social species, we live in 
> community. As a> > profession we can facilitate the potential occupational 
> performance of> > our society by addressing occupational dysfunction in 
> individuals, and> > in social structures. We have gone through a period of 
> being imprisoned> > in the medical model. We are getting out. Do I not 
> remember you> > advocating for a client who needed social support? - that 
> was> > Occupational Therapy. This is who we are.> > The US is not the only 
> country in the world nor is AOTA the only> > national association. Students 
> are being taught occupation - witness the> > post from one of the new members 
> on the list. > >> > Joan Riches B.Sc.O.T., OT(C)> > Specialist in Cognitive 
> Disability> > Riches Consulting> > High River, Alberta, Canada> > 403 652 
> 7928> >> >> > -----Original Message-----> > From: [EMAIL PROTECTED] 
> [mailto:[EMAIL PROTECTED] On> > Behalf Of Ron Carson> > Sent: October 25, 
> 2008 3:41 AM> > To: Veronica> > Subject: Re: [OTlist] ideas for fine motor 
> warm ups for HW students? A> > story- long> >> > You see, this is why OT is a 
> PERFECT fit with kids!!! Kids love to> > play and play is therapeutic!!!! I 
> often wish I had become a peds> > therapist!> >> > Ron> > --> > Ron Carson 
> MHS, OT> >> >> >> >> > --> > Options?> > 
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