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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Advocating? Agitating? Activism? Anti-Oppressive Change-Making in Occupational Therapy.

Brenda L Beagan, Stephanie Bizzeth, Xavier Hartley

    Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
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    Summary

    Occupational therapists can promote justice by engaging in advocacy and activism, which are professional duties requiring moral courage. These actions challenge inequities and transform harmful social conditions through collective efforts.

    Keywords:
    ActivismeAdvocacyactivismcompétence professionnelle*défense des droits et des intérêtsinjusticejustice occupationnelleoccupational justiceprofessional competence*responsabilité sociale*social responsibility*

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    Area of Science:

    • Occupational therapy
    • Social justice
    • Professional ethics

    Background:

    • Canadian occupational therapy competencies (2021) mandate promoting equity and anti-oppressive practice.
    • This involves addressing privilege and oppression in practice and transforming societal conditions.
    • Advocacy is established, but activism may be less familiar.

    Purpose of the Study:

    • To examine advocacy, activism, and agitating as a spectrum of justice-oriented change-making in occupational therapy.
    • To reflect on professional experiences and literature regarding these practices.
    • To argue for the professional and ethical necessity of engaging in social justice work.

    Main Methods:

    • Reflective practice.
    • Literature review.
    • Analysis of power dynamics and social inequities.

    Main Results:

    • Advocacy, activism, and agitating involve analyzing and mobilizing power to address inequities.
    • These justice-oriented efforts have been historically viewed as "unprofessional."
    • The authors contend these actions are professional, requiring ethical commitment and courage.

    Conclusions:

    • Confronting social inequities is an essential professional duty for occupational therapists.
    • Collective action and solidarity are crucial for effective social transformation.
    • Justice-oriented change-making is integral to the profession's role in public service.