This landmark book challenges occupational therapists to examine the generally accepted assumptions and key concepts of their profession by looking at the social and political mechanisms that influence people's access to useful and meaningful occupations. It also explores the new idea of occupational apartheid — the separation between those who have meaningful, useful occupations and those who are deprived of, isolated from, or otherwise constrained in their daily life. * Includes contributions from worldwide leaders in occupational therapy research and practice * Describes concrete initiatives with under-served and neglected populations * Links philosophy with practical examples of engaging people who have transformed their lives rather than remain dependent and marginalized * Allows the voices of survivors from around the world to be heard — giving the reader a global OT perspective * Questions generally accepted assumptions and key concepts of the profession * Looks at social and political mechanisms that influence people's access to useful and meaningful occupations.