Dr. Liberman and associates began their article by defining occupational therapy as "expressive arts and crafts and recreational activities…through which therapists build self-esteem and productivity" (p. 1087). This definition, and the subsequent study’s conclusion, is deceiving. Inherent in occupational therapy practice is occupation, which is synonymous neither with arts and crafts nor with activities. Occupation reflects the participation in tasks and roles that allow for productivity within a personally relevant context, such as self-care/maintenance, work, or leisure. Modalities used within occupation are regularly subjected to a complex process of activity analysis in order to determine and monitor their therapeutic potential. This includes attention to specific skills that support adequate role function and skills that fall within the physical, cognitive, perceptual, psychological, and social arenas. Although some occupational therapists may occasionally use the types of activities described by Dr. Liberman and colleagues, many do not. Most occupational therapists who work with individuals with persistent forms of schizophrenia may address the psychological issues that affect performance, but they primarily structure assessments and treatment programs along a rehabilitative model oriented toward the development and maintenance of social and living skills.