Governing the Majority World? Critical reflections on the role of occupation technology in international contexts.
BACKGROUND
Within occupational therapy, increasing attention has been focussed on international development work. However, many have critiqued the focus of knowledge development within occupational therapy and occupational science, arguing that it is focussed on Western values. Questions arise about how occupational therapy and occupational science, and the knowledge and therapeutic technologies that are associated with these communities, will affect the 'developing' world, which, recently, some have described as the Majority World.


OBJECTIVE
Using Foucauldian analytical tools, this paper reflects on specific discourses that are foundational for development work. Specifically, this paper attempts to better understand how concepts like 'occupational justice' and the 'occupational being' are presented in the literature and relate to practices in international contexts. Within this analysis, attention is focussed on how practices associated with occupational development work might also be enmeshed in power dynamics.


RESULTS
This paper outlines how occupational discourses may shape and order life in particular ways and challenges researchers and practitioners to develop a better understanding of how power can operate through occupational discourses and occupational therapy practices. This paper also adds to the literature through the interpretation and explication of various theories that may underpin work in international contexts.
Suggestions for future directions that will enable the development of more politically and culturally sensitive knowledge and practices are also explored. It is crucial that as a community we become more aware of how our theoretical frameworks may impact and shape practice.
Molke
Daniel K
DK
Occupational Science Field, Graduate Program in Health and Rehabilitation Sciences, The University of Western Ontario, Ontario, Canada. dmolke@uwo.ca
Rudman
Debbie Laliberte
DL
D003695:Delivery of Health Care / Q000458:organization & administration*; D014943:Global Health; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D038622:Internationality; D009788:Occupational Therapy / Q000458:organization & administration*; D018802:Patient-Centered Care; D011209:Power, Psychological; D012935:Social Justice