Occupational science’s stalled revolution and a manifesto for reconstruction

ABSTRACT This publication develops a keynote presented at the 27th USC Chan Occupational Science Symposium, “Occupations disrupted: Pandemics and the reshaping of everyday life,” on November 5, 2021. I used the social theory of occupational reconstructions—shared problem-solving through narrative alignments and collective action—to reflect on occupational science’s progress since its founding 30 years ago. I argue that (1) the science of occupation has stalled in today’s neoliberal university; and that (2) ‘consequential questions’ must be formulated across the discipline to develop useful knowledge from different locations, positionalities, and contexts. A ‘consequential question,’ I propose, produces knowledge useful to solving problems of wide concern to the discipline, other disciplines, and the public; and sets up a scientific research program that progresses empirically and theoretically. I explain why the founders’ pragmatist framing of occupation as mind-body experience remains important to recent critiques of the discipline and its future advancement. Likewise, I explain how pragmatism can and must transact with various critical (Marxist, poststructuralist) philosophies and other (positivist, alternative) epistemologies regarding societal problems such as occupational justice, human rights, decolonization, political polarization, and the erosion of democracy. I suggest that federally funded biomedical research in the neoliberal university is not currently designed to advance a science of occupation, although it could if occupational scientists were to face the discipline’s contradictions under neoliberalism and reconstruct its common purpose.