Disability is not a natural, inevitable phenomenon. It does not merely exist, nor is it a fatality that must be accepted as it is; it is constructed and can be deconstructed, as long as the underlying reasons are identified. Being holistic and client-centred, empowering and humanistic, focusing on spirituality and the maximisation of opportunities and espousing ideas of justice and social inclusion, occupational therapy surely sounds fantastic. Or does it? Can we look into the reasons that cause the occupational injustices faced by our clients (current and potential)? I believe that we are up to the job. The question is, however, do we want to do it? (PsycINFO Database Record (c) 2007 APA, all rights reserved)