The motivational theories behind five theoretical approaches in occupational therapy that claim to be generic are explained. With the exception of the occupational behavior approach, the motivational perspectives are only implied features of the following other occupational therapy approaches discussed: object relations analysis, action consequence approach, recapitulation of ontogenesis, and developmental facilitation. These motivational explanations are developed and then applied to a case example. Finally, the occupational therapy approaches are analyzed in terms of the viability of their motivational perspectives to determine their adequacy as generic approaches for the profession.

The purpose of this pilot study was to explore the effect of disfigurement on sexual competence and the relationship between self-reported activity level and sexual competence in burn-disfigured adults. Because of a small sample size and methodological limitations, findings were intended to be informative for planning further research rather than definitive. Results showed a strong positive correlation between activity level and sexual competence. Additional findings showed surprisingly high activity levels reported by subjects who were greatly disfigured. It was speculated that denial may have affected the results of this study. Based on this, the clinical implications of denial were explored, and suggestions for future research were generated.

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