Du Toit defines the uniqueness and attributes of dual trained occupational therapists and warns against generic working and the provision of ‘hobby activities’ resulting in the loss of OTs specific contribution to treatment. She advocates for a more specific interpretation of occupation suggesting it be defined as "creative participation culminating in work participation". The requirements of work are described which du Toit suggests cannot be fulfilled within a craft-related treatment programme. Considering work as the focus of treatment programmes, the reasoning behind suggested therapeutic media are described (e.g. independence training, graded creative media, graded work-related tasks, sports and recreational techniques) in order to restore personal involvement, spiritual and physical independence, creative participation and ultimately work participation.
A work-related treatment programme for a quadriplegic patient (addressing both physical and psychological issues relating from injury) is described from the level of Tone through to competitive contribution.
Du Toit, V, (1968) Motivation and activity in occupational therapy. Paper presented to the Australian Association of Occupational Therapists.