A debate on the professional identity of occupational therapists

Introduction The issue of occupational therapy's professional identity has been debated for many years and continues today. Lack of clarity has resulted in occupational therapists' perceptions of holding a low status and of colleague and public misunderstanding. Method A range of international literature was reviewed. Inductive analysis elicited two major themes - reasons for issues with identity and the consequences of issues with identity. The development of communities of practice is discussed. Results The analysis of the causes and consequences of issues with professional identity was used to suggest how the profession might become a mature community of practice. Lack of deep knowledge of the profession's unique beliefs was shown to cause inconsistent messages about its identity. Consequently, practitioners believed they were undervalued. Understanding, owning and reinforcing an occupational paradigm were seen as vital elements for creating professional communities of practice. Conclusion To function as a community of practice requires occupational therapists to use a range of strategies that reinforce their unique occupation-based practice. Where all members commit to a single set of values and beliefs this can afford a unique identity, reinforced by the ability to demonstrate and articulate this through a clear, single message.