Northern philosophies and professional neocolonialism in occupational therapy: a historical review and critique

In this article, the authors conduct a historical review of recent philosophies influencing the Occupational Therapy profession in the United States (analytic philosophy and Continental varieties such as neopragmatism). Four philosophical categories are explored: epistemology, axiology, ontology, and praxis. The dominant strand of analytic philosophy is characterized by reductionist views of knowledge and reality, with little sustained attention to ethics and practical action. Competing but lesser recognized Continentally-inspired philosophies offer a critical and more phenomenological approach which values human subjectivities, narratives, and social agency. The authors argue that the dominance of analytic philosophy has created the intellectual foundations for neoliberalism to thrive and permeate the profession of Occupational Therapy in its curricula, practice models, reimbursement systems, and research agenda. As this Northern (United States) version of Occupational Therapy expands globally, the danger exists for professional neocolonialism to occur which can negatively influence or contradict more local ways of knowing and doing. The article concludes by offering strategies to unmask, disentangle, and dismantle Occupational Therapy from its Northern roots towards wider acceptance of Southern epistemologies, ethics, and collective action.