To the Editor: In examining the article by Robert Paul Liberman, M.D., and colleagues, I found many inaccuracies regarding the definition of occupational therapy and in the research design. First, I was surprised that no occupational therapist who contributed to the study was listed as coauthor. Second, the title of the study is misleading. The authors’ definition of psychosocial occupational therapy, "in which expressive art and crafts and recreational activities are the media" (p. 1087), is outdated. Psychosocial occupational therapists today use a holistic approach and purposeful activities to increase the individual’s repertoire of social and self-care skills, work behaviors, and leisure activities and use biofeedback, stress management, social skills training, exercise, and vocational exploration (1).