This paper was presented at the interdisciplinary conference on ‘Health Promotion: An investment for the Future’, organised by the College of Occupational Therapists, London, on 12 May 1993. It draws heavily on material previously published in Work: A Journal of Prevention, Assessment, & Rehabilitation 1992; 2(3): 15–20, and in The Journal of Occupational Science: Australia 1993; 1(1): 17–24, from both of whom permission has been received to publish here.
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