The article explores the proposition that loss is a central, but neglected and taken-for-granted, concept within occupational therapy. A reappraisal of loss was stimulated by a module entitled ‘Loss and life-threatening conditions’ in the South Trent In-Service Diploma Course In Occupational Therapy. The student-negotiated curriculum is described. The evaluations highlighted the personal value and professional relevance of the concept of loss. These were confirmed during a staff development workshop for 37 experienced and expert therapists at Nottingham City Hospital. A framework that combines toss, mastery, mystery and occupation is offered as a professional model with practical implications. Encouragement is provided to re-evaluate and perhaps rediscover the pivotal place of loss within occupational therapy.
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