“…The neoliberal premise that "human activity is negotiated, chosen and performed by individuals" (Aoyama et al, 2012, p. 214, emphasis added), and that "humans have to, and are able to, change their thinking, ethics and lifestyles" (Persson & Erlandsson, 2014, p. 20, emphasis added) has informed the occupational therapy profession. Accordingly, individuals have been exhorted to change and adapt their occupational patterns and behaviors, and to make more sustainable and "reflected" (Persson & Erlandsson, 2014) occupational and lifestyle choices (e.g., Aoyama, 2014;Aoyama et al, 2012;Hocking and Kroksmark, 2013;Hudson and Aoyama, 2008;Ikiugu et al, 2015;Ikiugu and McCollister, 2011;Whittaker, 2012). Such presumptions and practices ignore the structural and environmental inequities that disproportionately impact the health, wellbeing, and horizons of occupational possibility for people marginalized through poverty, racism, class exclusion, colonialism, and other mechanisms of exclusion (Masuda et al, 2010).…”