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Evolved Living Podcast

Evolved Living Podcast

著者： Dr. Josie Jarvis OT
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🎙️ The Evolved Living Podcast with Dr. Josie Jarvis, PP-OTD, MA-OTR/L, BA, BS Hosted by occupational therapist, occupational scientist, and open citizen science advocate Dr. Josie Jarvis, The Evolved Living Podcast explores how we can bridge art, science, and wisdom to co-create more liberatory, ecological, and collaborative systems of care. Each episode invites critical yet compassionate dialogue across disciplines—connecting practitioners, educators, researchers, and community members who are working toward holistic, trauma-informed, and life-affirming change. Together, we translate occupational science into real-world practice and collective wellbeing through honest, inclusive, and transformative conversations.

josiejarvisot.substack.comDr. Josie Jarvis OT 生物科学 社会科学 科学
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  • Overlap Is Not Duplication: Making Space for Emerging OT Practice informed by Occupational Science

    Overlap Is Not Duplication: Making Space for Emerging OT Practice informed by Occupational Science
    2026/09/06
    I wrote this piece in response to some discourse I was tagged in around OT’s role in sports medicine and supporting high performance athletes.The reflection is specifically in response to this three-part LinkedIn series:Part 1: What OT Adds to Sports MedicineRead the original post on LinkedInPart 2: Collaboration and Professional RolesRead the original post on LinkedInPart 3: Advocacy, Scope, and the FutureRead the original post on LinkedInMuch of the discourse in the comments was centered on concerns of overlap with athletic trainers and presumptions that what OT is offering would be essentially duplicative and disrespectful to more traditionally prominent members of the sports medicine ecosystem.I had to modify my response on LinkedIn to match their character limit, so I thought I would publish the full response here. It covers content that feels relevant to much of the endless discourse that is largely driven by shorthand misinformation, presumptions, and various insecurities that get stirred when our focus is on eliminating rather than expanding possibilities for care and innovation.Why occupational science literacy mattersA big part of why I am a proponent of increased occupational science literacy for OTPs worldwide is to encourage us to use our own distinct lens and concepts when communicating about the innovations, roots, and foundations of our practice so we can get out of this trap of being reduced to limited paradigms and understandings of other professions in bad faith.First, we tend to be undermined for possibly not having the same competencies as another discipline or profession. Then, when we reveal that we do have the same competencies, or we catch up, we are framed as essentially duplicative or redundant and not unique.This is why communicating about our identity and skills from our own foundations and core terminology, including our cosmological, philosophical, epistemic, and emerging practice developments, on our own terms, alongside the formal policy developments that have shaped our practice from the beginning, is so important.Especially if we do so with pride in our unique integrative foundations rather than shame or presumed incompetence, very often this pattern is deeply rooted in the internalization of structural sexism and misogyny as it relates to female-dominated health care professions and integrated care approaches overall.OTPs need to start recognizing that when we are met with such suspicion and accusation, it can actually be a sign of our strength and competence as a threat rather than a sign of our own incompetence or need to prove or defend ourselves where we typically already currently belong.We keep de-skilling each otherIt’s so interesting how often in this type of discourse we default to pigeonholing and limiting all skilled providers to the bare minimum of responsibilities in institutional settings.For example, often between OT and PT the discourse can reduce both professions down to upper extremity versus lower extremity, even though we all know both disciplines in the real world are full-body therapists.With the discourse around athletic trainers, it seems like we’re reducing all professions to the most basic elements of those responsibilities, rather than exploring nuanced conversations about strengths, weaknesses, opportunities, gaps, and intersections that could lead to more comprehensive care.Unlike competitive athletics, health and human services are not competitive sports.When providers compete, our clients are always the ones who lose out on comprehensive care.I also think this pattern of discourse has consequences beyond any single profession. When we continually reduce skilled professions to their bare foundations and then treat overlap at that level as evidence of duplication, we can inadvertently create conditions that discourage innovation and advancement across health and human services.The bare foundations are the floor of professional capacity, not necessarily the ceiling.If we treat the floor as the ceiling, then every advancement into an emerging specialty, every new application of foundational knowledge, and every development in professional reasoning has to first defend itself against the existence of something another profession already does.That creates a very different condition for professional development than asking what becomes possible when skilled professionals build beyond their foundations.Overlap is not duplicationOverlap between providers is not new and never has been new. It’s actually essential to communication and efficiency for there to be essential overlap.One profession having a specific body area or modality in their scope does not mean that it is somehow unlawful or an automatic restriction or duplication for another provider to be skilled and competent in those areas. It simply means more than one profession has core competencies to perform a specific function.It means there are options rather than a basis for ...
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    34 分
  • Integrating Creativity and Spirituality in Occupational Therapy: Embracing Arts, Science, and Ancestral Wisdom with Libby Lamb OT, Poet, and Creativity & Spirituality Coach

    Integrating Creativity and Spirituality in Occupational Therapy: Embracing Arts, Science, and Ancestral Wisdom with Libby Lamb OT, Poet, and Creativity & Spirituality Coach
    2026/08/31
    Here is a voice-over of the article for those who prefer audioHi everyone! I’m thrilled to share this episode with you today. If you’ve been following this podcast since it started in 2023, you might know it grew out of my doctoral capstone project during my time in the University of Utah’s Post-Professional Clinical Doctorate program from 2019 to 2023. This journey unfolded during the challenges of the COVID-19 pandemic, which highlighted the global impact that devaluing public health initiatives has had on collective on health and well-being, and made deeply evident the barriers and costs to humanity created by maintaining dynamics of scientific elitism, and the lack of accessible frameworks for translating impactful health interventions and knowledge from the academy to the field, especially frameworks informed by disability and occupational justice.After navigating two stalled capstone projects due to pandemic-related challenges, I shifted my focus to creating resources for field clinicians to develop occupational science literacy for direct practice. Over three years, I poured my heart and all my spare time into building a fully virtual introduction to occupational science, using innovative online learning tools and best practices in adult education. If you’re curious, you can explore this project at engage.evolvelivingnetwork.com, and just by subscribing to this Substack, you can get free access to the OS 101 guide, which includes a glossary of all foundational occupational science terminology. My journey back into occupational therapy higher education began after feeling disillusioned during my first two years of clinical and school-based practice as a travel therapist. I was searching for a space where I could thrive using holistic approaches that integrated mental and physical health. Initially, I hoped to work in pediatric and school-based settings, but I quickly encountered policy limitations that narrowed the focus of occupational therapy to handwriting and fine motor skills. This was disheartening, especially since my master’s research centered on executive dysfunction supports for adolescents and assistive technology in schools, areas that were largely controversial for occupational therapists in traditional settings at the time.These challenges revealed deeper issues within the field, including limited access to occupational science developments and foundational frameworks like the “Occupational Therapy Practice Framework Fourth Edition.” I realized through my my more in-depth study that these barriers were tied directly to historical inequities, such as structural sexism in higher education and healthcare leadership sourcing all the way back to the 1500s. This understanding fueled my passion for creative problem-solving and building community around these issues. I have a free training in the evolved living collaborative skool community on how Occupational Science is integrated with the Occupational Therapy Practice Framework Fourth Edition for anyone who is looking to get caught up on out latest practice guidence updates. After graduating, I launched this podcast to raise awareness about Occupational Science and my capstone course. Later, I collaborated on a textbook chapter proposal for the “Occupational Therapy Without Borders” third edition, exploring innovative ways to circulate knowledge beyond traditional academic institutions. While the chapter ultimately missed the publication deadline, the experience taught me valuable lessons about resilience and navigating academic challenges.Since then, however, I have been challenged in relation to this podcast by writer’s block, perfectionism, shame around missing the deadline, and a lack of direction without the structure of a prompt, deadline, or institutional affiliation to prove the value of my work to or rebel against. I’ve been on a personal journey of healing and rediscovery, exploring the roots of occupational therapy in the moral treatment and arts and crafts movements, and deepening my understanding of decolonial healthcare frameworks. This has included honoring the wisdom of indigenous and folk healers whose contributions have often been suppressed or commodified by modern healthcare systems. To support my own recovery, I created a podcast and community called “Rewilding the Mythic Self,” where I’ve been reconnecting with creativity, spirituality, and interdisciplinary collaboration outside of formal institutions. Over time, however, I have come to realize that fracturing out these parts of myself wasn’t really possible and was actually disconnecting me from the type of integrative work I am passionate about reviving in Occupational Therapy practice throughout the world and thank goodness I am not alone in this mission! One of the most transformative moments in this journey recently has been discovering the work of Libby Lamb an occupational therapist and poet (Author of the Acacia Project) based ...
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    1 時間 19 分
  • Clinical Reflections on Occupational Apartheid: Ethics, Policy, and Systems Change in Occupational Therapy

    Clinical Reflections on Occupational Apartheid: Ethics, Policy, and Systems Change in Occupational Therapy
    2026/03/17
    Why this Occupational Science series mattersIf you are an occupational therapy practitioner in the United States, chances are you are already using occupational science.You just might not have been given the words for it yet.That gap is part of why I created this Occupational Science Alphabet Series, a public learning series designed to make occupational science more accessible and more visible in everyday life and traditional practice settings.This first composite series begins with A for Occupational Apartheid.Recording Timestamps:00:00 “Occupational Apartheid Analysis”06:01 “Occupational Apartheid Challenges”16:11 “Systemic Barriers in OT”18:04 “Enhancing Accessibility through Advocacy”25:20 “Defining Occupational Apartheid”33:06 “Occupation and Systemic Inequality”39:23 “Advocating Equity in OT Practice”45:04 “Occupational Therapy for Healing”48:04 “Advancing Occupational Justice”54:55 “Occupational Ethics Evolution”58:50 “Occupational Apartheid Ethics”01:03:58 “Justice and Veracity”01:10:17 Healthcare Bias and Scientific Integrity01:15:59 “Addressing Maternal Health Disparities”The phrase can feel intense at first.It should.Because it names something real.It gives language to the ways people are systematically denied access to meaningful participation in everyday life, not simply because of individual impairment or diagnosis, but because of how social, economic, political, and cultural systems are organized.And that matters deeply for occupational therapy.Because when we only look at barriers inside individual bodies, we miss the wider context shaping participation.We miss the insurance policy.The school policy.The zoning code.The inaccessible architecture.The transportation gap.The labor condition.The funding cap.Occupational science helps us see those patterns clearly.And once we can see them, we can respond more ethically and more effectively.The Secret of OccupationOne of the most powerful insights of occupational science is that occupation always transcends the individual.Yes, participation includes personal capacity, motivation, and health status.But occupation is also shaped by:environmentculturepolicyhistoryeconomicssocial relationshipsWhen occupational therapists work with clients, we are rarely working with bodies alone.We are working with people in systems.Occupational science simply gives us a language to describe those systems more clearly.Why Occupational Apartheid MattersThe concept of occupational apartheid helps us name situations where social systems restrict access to meaningful participation in everyday life.Frank Kronenberg describes occupational apartheid as:“systematically enacted negations of humanity that divide and subjugate collectives of people to the benefit of some at the expense of others.”(Kronenberg, 2018) These restrictions can occur through intersecting social mechanisms such as:racismclassismsexismableismxenophobiaeconomic inequalityThese forces shape who has access to resources that sustain dignified living.They shape who can participate fully in everyday life.And they show up in everyday occupational therapy practice more often than we might initially realize.When Systems Become HabitOne of the most profound insights connected to occupational apartheid comes from the concept of occupational consciousness, developed by Elelwani Ramugondo.Occupational consciousness invites us to examine how systems of power become embedded in everyday activity.Because the truth is:Systems do not reproduce themselves automatically.They reproduce themselves through what people do every day.Policies become habits.Beliefs become routines.Social hierarchies become normalized through everyday actions.Over time, these patterns become so familiar that they operate below the level of conscious awareness.This is where occupation becomes incredibly important.Occupation is the point where ideas turn into action.And when those actions become automated habits, they can quietly reproduce systems of inequality, even after the laws that created them have been formally abolished.When Systems End but Patterns PersistHistory shows us that oppressive systems rarely disappear completely when policies change.Segregation in the United States was formally dismantled decades ago.Apartheid in South Africa was officially abolished in the 1990s.And yet racial disparities, inequities in access to housing, healthcare, education, and safety persist in both societies today.Why?Because systems do not only exist in policy.They exist in everyday occupations.They exist in patterns of:where people livewho receives serviceswho gets referred to carewhose needs are believedwho feels welcome in public spaceswho has access to transportation, education, and healthcareThese patterns often persist through habits and assumptions that operate subconsciously.Occupational consciousness asks us to notice those patterns.Occupational apartheid helps us name their structural ...
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    1 時間 18 分
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