Core focus:
The CMOP-E conceptualises occupational performance and engagement as the dynamic interaction of the person, occupation and environment. It proposes that occupational therapy practice requires both client-centred practice and enablement (Townsend & Polatajko, 2007). Presented in figure 1 is the three-tier system of person, occupation and environment, with person at the core to conceptualise the client-centred approach to therapy. Occupation is represented as the link that connects person and environment; and environment is considered broadly, and includes the cultural, institutional, physical, and social elements that lie outside of individuals, which affords occupational possibilities (CAOT, 1997, p. 180). Due to the interdependent relationship between person, environment and occupation, a change in one component will result in changes to the other domains. Person:
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23). A distinctive strength of CMOP-E is that it is the first framework to acknowledge spirituality in human occupation and recognises people’s intrinsic values, beliefs and goals. Spirituality refers to the essence of self and the place where self-determination and meaning are drawn (CAOT, 1997, p. 183). Samir’s spirituality stems from participating and engaging in sporting activities. He describes himself as an excellent sprinter who is very involved in