Abstracts
Abstract
We are a Collective of occupational therapists from all areas of practice and roles with longstanding commitments to working for human rights in the context of colonial oppressions, including genocide. We aim to affirm our deep commitment to occupational therapy’s values and principles by naming and acting against the ongoing genocide of Palestinian people. This paper is an act of collective resistance, self-assertion and solidarity for all those in the profession who have been erased, denied, and harmed by the silence of occupational therapy’s national and international governing bodies, as well as the silencing. We write this piece anonymously to add our voices to those healthcare professionals who are speaking out – including those working in healthcare in Gaza. We begin by naming the injustice, citing recent evidence and the rulings of various international bodies considered authoritative and legitimate. Then we address the injustice of silence, as experienced in the occupational therapy profession through the silencing of its members. We continue by reviewing relevant professional obligations and ethical responsibilities of occupational therapists, including the requirement to speak out against occupational injustices. This is followed by an outline and critique of our profession’s governing bodies’ problematic responses and complicity, naming the harms caused from within. We conclude this paper by indicating the only ethical option for action; one that also applies to other healthcare professions whose institutions have been silent, hoping this will incite them to break their silence.
Keywords:
- occupational justice,
- war,
- expanded awareness,
- bioethics,
- immigrant settlement
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Bibliography
- Abbas, S. & Mitchell, L. (2024). Australian medical leadership’s silence on Gaza is a moral failure. The Lancet, 403 (10432): 1138-1139 https://doi.org/10.1016/S0140-6736(24)00401-X
- Abdo, N. (2024). Israel’s settler-colonialism and the genocide in Gaza. Studies in Political Economy: A Socialist Review, 105(1), 94-106.
- Abi-Rached, J.M. & Reinhart, E. (2024). The Palestinian challenge to US medical ethics. The Lancet, 403(10441), p.2285 https://doi.org/10.1016/S0140-6736(24)00877-8
- Abu-Saif, A. (2024). Don’t look left. A diary of genocide. London: Fasila.
- Abu Salmiya, M. (2024). Stop the Gaza genocide immediately. The Lancet (Online First). https://doi.org/10.1016/S0140-6736(24)00135-1
- ACOTRO, ACOTUP, & CAOT. (2021). Competencies for Occupational Therapists in Canada/Référentiel de compétences pour les ergothérapeutes au Canada. https://acotro-acore.org/wp-content/uploads/2021/11/OT-Competency-Document-EN-web.pdf
- Ahmed, S. (2007). ‘You end up doing the document rather than doing the doing’: Diversity, race equality and the politics of documentation. Ethics and racial studies, 30(4), 590-609.
- Al Jazeera (October 9, 2023). Israeli defence minister orders ‘complete siege’ on Gaza. https://www.aljazeera.com/program/newsfeed/2023/10/9/israeli-defence-minister-orders-complete-siege-on-gaza
- Alyan, H. (Octover 5, 2023). The Palestinian Double Standard. The New York Times. The Times: New York City, NY. https://www.nytimes.com/2023/10/25/opinion/palestine-war-empathy.html
- Alyan, H. (January 28, 2024). ‘I am not there and I am not here’: a Palestinian American poet on bearing witness to atrocity. The Guardian. https://www.theguardian.com/world/2024/jan/28/gaza-palestine-grief-essay-poetry
- Amnesty International (2022). Israel’s apartheid against Palestinians: Cruel system of domination and crime against humanity. https://www.amnesty.org/en/documents/mde15/5141/2022/en/
- Arab Canadian Lawyers Association (2022). Anti-Palestinian Racism: Naming, Framing and Manifestations. Community Consultations and Reflections. ACLA: https://static1.squarespace.com/static/61db30d12e169a5c45950345/t/627dcf83fa17ad41ff217964/1652412292220/Anti-Palestinian+Racism-+Naming%2C+Framing+and+Manifestations.pdf
- Babish, Y. R., Nammoura, L., & Abu-Asabeh, K. (2024b). The Effects of Culture and Gender on Occupational Therapy Practice for Adults: From Palestinian Therapists’ Perspective. Occupational Therapy In Health Care, 1–20. https://doi.org/ 10.1080/07380577.2024.2366331
- Babish, Y., El-Hallaq, M. & Simaan, J. (2024a). The Tent of Hope: Occupational Therapy and Participation in War-Torn Gaza. Occupational Therapy Now. (Special issue on Trauma- Informed Care and Occupational Participation)
- Bakan, A.B. & Abu-Laban, Y. (2024). Anti-Palestinian racism, antisemitism, and solidarity: considerations towards an analytic of praxis. Studies in Political Economy: A Socialist Review, 105(1), 107-122. https://doi.org/10.1080/07078552.2024.2325300
- Basu, B. (March 6, 2024). ‘Abuse of power’: Hospitals, med schools crack down on Palestine advocacy. The Breach: Journalism for Transformation. https://breachmedia.ca/abuse-of-power-hospitals-med-schools-crack-down-on-palestine-advocacy/
- Burke, J., Tantesh, M.A. (2024) Thousands of displaced Gazans are on the move again, packing their lives into carts and pickup trucks, as Israel’s campaign against Hamas rages on. Guardian Weekly, 17 May 2024, 11-12.
- Canadian Association of Midwives (October 19, 2023). Statement: Urgent access to reproductive care and protection of pregnant and vulnerable people and midwives in the Middle East. https://canadianmidwives.org/statement-urgent-access-to-reproductive-care-and-protection-of-pregnant-and-vulnerable-people-and-midwives-in-the-middle-east/
- Canadian Association of Occupational Therapists (2020) No silence in the face of inequality and injustice. https://caot.ca/document/7299
- Canadian Association of Occupational Therapists (2021) Competencies for occupational therapists in Canada. Ottawa; CAOT. caot.ca
- Canadian Association of Occupational Therapists (2023) Occupational therapy statement of commitment to Indigenous peoples in Canada. caot.ca
- Canadian Association of Occupational Therapists (2024) Joint position statement. Toward equity and justice: Enacting an intersectional approach to social accountability in occupational therapy. Ottawa; CAOT. coat.ca
- Chelouche, T. (2021). Teaching hard truths about medicine and the Holocaust. AMA Journal of Ethics, 23(1), 59-63. https://www.doi.org/10.1001/amajethics.2021.59
- Doctors without Borders (December 15, 2023). 2023 is the deadliest year on record for Palestinians in the West Bank. Retrieved from: https://www.doctorswithoutborders.org/latest/palestinians-west-bank-2023-was-deadliest-year-record
- Emery-Whittington, I. G. (2021). Occupational justice—Colonial business as usual? Indigenous observations from Aotearoa New Zealand: La justice occupationnelle: sous régime colonial comme d’habitude? Observations d’autochtones d’Aotearoa en Nouvelle-Zélande. Canadian Journal of Occupational Therapy, 88(2), 153-162. https://doi.org/10.1177/00084174211005891
- Erakat, N. (2014). No, Israel Does Not Have the Right to Self-Defense In International Law Against Occupied Palestinian Territory. Jadaliyya. Retrieved from: https://www.jadaliyya.com/Details/27551
- Erakat, N. (2020). Justice for some: Law and the question of Palestine. Stanford University Press.
- Erakat, N. & Paul, J. (2024). Report of the Independent Task Force on National Security Memorandum-20 Regarding Israel. https://www.justsecurity.org/wp-content/uploads/2024/04/NSM20-TF-Report-_-Final.pdf
- Euro-Med Human Rights Monitor (November 2, 2023). Israel hits Gaza Strip with the equivalent of two nuclear bombs. Retrieved from: https://euromedmonitor.org/en/article/5908/Israel-hits-Gaza-Strip-with-the-equivalent-of-two-nuclear-bombs
- Fricker, M. (2007). Epistemic Injustice. Power and the Ethics of Knowing. Oxford, UK: Oxford University Press
- Giroux, H. A. (2024). Genocide in Gaza and the Politics of False Equivalencies. Policy and Practice: A Development Education Review 38: 120-125. https://www.developmenteducationreview.com/issue/issue-38/genocide-gaza-and-politics-false-equivalencies
- Hanbali, L., Kwong, E.J.L, Neilson, A,, et al (2024). Israeli necropolitics and the pursuit of health justice in Palestine. BMJ Global Health, 9:e014942. https://doi.org/10.1136/bmjgh-2023-014942
- Homer, C. on behalf of the Strategic and Technical Advisory Group of Experts on maternal, newborn, child, and adolescent health and nutrition. (2024) End humanitarian catastrophe in conflict settings. Lancet, 403, January 6th, 24. https://doi.org/10.1016/S0140-6736(23)02695-8
- Horton, R. (2024). Offline: The death of civilian immunity. The Lancet, 403 (10434), p.1322. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00679-2/fulltext
- Human Rights Council. (2024). Anatomy of a genocide. Report of the Special Rapporteur on the situation of human rights in the Palestinian territories occupied since 1967, Francesca Albanese. (Advance unedited version). United Nations: Geneva, Switzerland. https://www.ohchr.org/sites/default/files/documents/hrbodies/hrcouncil/sessions-regular/session55/advance-versions/a-hrc-55-73-auv.pdf
- Human Rights Watch (2023). Gaza: Unlawful Israeli Hospital Strikes Worsen Health Crisis. https://www.hrw.org/news/2023/11/14/gaza-unlawful-israeli-hospital-strikes-worsen-health-crisis
- Human Rights Watch. (2024). Israel: Palestinian Healthcare Workers Tortured. https://www.hrw.org/news/2024/08/26/israel-palestinian-healthcare-workers-tortured
- Huynh, B.Q., Chin, E.T. & Spiegel, P.B. (2024). No evidence of inflated mortality reporting from the Gaza Ministry of Health. The Lancet, 403 (10421): 23-24 https://doi.org/10.1016/S0140-6736(23)02713-7
- International Court of Justice (2024a). Order of 19 July 2024. Legal Consequences arising from the Policies and Practices of Israel in the Occupied Palestinian Territory, including East Jerusalem. https://www.icj-cij.org/sites/default/files/case-related/186/186-20240719-sum-01-00-en.pdf
- International Court of Justice (2024b). Order of 26 January 2024. Case 192 - Application of the Convention on the Prevention and Punishment of the Crime of Genocide in the Gaza Strip (South Africa v. Israel). https://www.icj-cij.org/node/203447
- Khatib, R., McKee, M., & Yusuf, S. (2024). Counting the dead in Gaza: difficult but essential. The Lancet. https://doi.org/10.1016/S0140-6736(24)01169-3
- Khan, M.S., Tinua, A.T. (2024). Israel-Palestine: dehumanization and silencing. Lancet, 403, March 2, p.805. https://doi.org/10.1016/S0140-6736(24)00043-6
- Nijim, M. (2023) Genocide in Palestine: Gaza as a case study. International Journal of Human Rights, 27,165-200.
- Office of the High Commissioner for Human Rights (2024a). A/HRC/55/28: Human rights situation in the Occupied Palestinian Territory, including East Jerusalem, and the obligation to ensure accountability and justice - Report of the United Nations High Commissioner for Human Rights. https://www.ohchr.org/en/press-releases/2024/02/un-report-calls-accountability-justice-violations-all-parties-opt-and-israel
- Office of the High Commissioner for Human Rights (2024b). UN experts deeply concerned over ‘scholasticide’ in Gaza. Retrieved from: https://www.ohchr.org/en/press-releases/2024/04/un-experts-deeply-concerned-over-scholasticide-gaza
- Open letter from Jewish writers (November 2, 2023). A Dangerous Conflation. N plus one Magazine. Retrieved from: https://www.nplusonemag.com/online-only/online-only/a-dangerous-conflation/#:~:text=A%20group%20of%20Jewish%20writers,their%20lawyers%20advised%20against%20it
- Orr, Z., & Fleming, M. D. (2023). Medical neutrality and structural competency in conflict zones: Israeli healthcare professionals’ reaction to political violence. Global Public Health, 18(1). https://doi.org/10.1080/17441692.2023.2171087
- Oxfam International (January 11, 2024). Daily death rate in Gaza higher than any other major 21st Century conflict - Oxfam. https://www.oxfam.org/en/press-releases/daily-death-rate- gaza-higher-any-other-major-21st-century-conflict-oxfam
- Palestinian Association of Occupational Therapists. (2024, February). Standing in solidarity with the Palestinian Occupational Therapy Association (Online post). Google Drive. https://drive.google.com/file/d/19a-DAfUVVMLzrm3z2WaO-Cy_jiPWChAf/view
- Pappé, I. (2007). The ethnic cleansing of Palestine. London, One World.
- Pappé, I. (2017a). Ten myths about Israel. London, Verso.
- Pappé, I. (2017b). The biggest prison on earth. London, One World.
- Penn Faculty for Palestine (May 24, 2024). Sospicide. Retrived from : https://www.instagram.com/p/C7XBh7gxIIw/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
- Petsko, C.D., et al., (2021). Blatant dehumanization in the mind’s eye: Prevalent even among those who explicitly reject it? Journal of Experimental Psychology: General, 150(6): 1115-1131. https://doi.org/10.1037/xge0000961
- Pooley EA, Beagan BL. (2021). The Concept of Oppression and Occupational Therapy: A Critical Interpretive Synthesis. Canadian Journal of Occupational Therapy, 88(4):407-417. doi:10.1177/00084174211051168
- Puar, J.K. (2017). The Right to Maim: Debility, Capacity, Disability. Duke University Press.
- Restall, G., Gerlach, A., Valavaara, K., & Phenix, A. (2016). The Truth and Reconciliation Commission’s calls to action: How will occupational therapists respond?. Canadian Journal of Occupational Therapy, 83(5), 264-266. https://doi.org/10.1177/0008417416678850
- Sah, S. & Dawas, K. (2024). Israel is using starvation as a weapon of war in Gaza. British Medical Journal, 385:q1018 http://dx.doi.org/10.1136/bmj.q1018
- Saïd, E. (2007). From Oslo to Iraq and the Road Map: Essays. Vintage
- Salaita, S. (2014). Uncivil Rites. Palestine and the Limits of Academic Freedom. Haymarket Books.
- Salam. (2024). There is no way to leave Gaza. Lancet, 403. https://doi.org/10.1016/S0140-6736(23)02676-4
- Salamanca, O.J., Qato, M., Rabie, K., Samour, S. (2012). Past is present: Settler colonialism in Palestine. Settler Colonial Studies, 2,1,1-8 https://doi.org/10.1080/2201473X.2012.10648823
- Simaan, J. (2018). Olive growing in Palestine: A decolonial ethnographic study of collective daily-forms-of-resistance. Journal of Occupational Science, 24(4), 510-523. https://doi.org/10.1080/14427591.2017.1378119
- Sridhar, D. (2024). Scientists are closing in on the true, horrifying scale of death and disease in Gaza. The Guardian. Retrieved from: https://www.theguardian.com/commentisfree/article/2024/sep/05/scientists-death-disease-gaza-polio-vaccinations-israel
- Stanton, G.H. (2016). Ten Stages of Genocide. Retrieved from: https://genocideeducation.org/wp-content/uploads/2016/03/ten_stages_of_genocide.pdf
- Suslovic, B., Rasmussen, C., Kim, M., Sarantakos, S., Dettlaff, A., Roe, C., & Guevara, V. (2024). Speaking Against Silence: Examining Social Work’s Response to Genocide. Abolitionist Perspectives in Social Work, 2(1).
- Truth, & Reconciliation Commission of Canada. (2015). Final Report of the Truth and Reconciliation Commission of Canada, Volume One: Summary: Honouring the Truth, Reconciling for the Future. James Lorimer & Company.
- UN Office of the High Commissioner of Human Rights (2022). The Independent International Commission of Inquiry on the Occupied Palestinian Territory, including East Jerusalem, and Israel. https://www.ohchr.org/en/hr-bodies/hrc/co-israel/index
- United Nations (n.d.). Genocide. Office on genocide prevention and responsibility to protect. https://www.un.org/en/genocideprevention/genocide.shtml
- United Nations (2024). UN General Assembly demands Israel end ‘unlawful presence’ in Occupied Palestinian Territory. https://news.un.org/en/story/2024/09/1154496
- United Nations Human Rights (2024). Palestinians with disabilities subject to unbearable consequences of the ongoing hostilities and violence in the OPT. Retrieved from: https://www.ohchr.org/en/statements/2024/05/palestinians-disabilities-subject-unbearable-consequences-ongoing-hostilities
- United Nations Human Rights Office of the High Commissioner (2024). UN Commission finds war crimes and crimes against humanity in Israeli attacks on Gaza health facilities and treatment of detainees, hostages. Retrieved from: https://www.ohchr.org/en/press-releases/2024/10/un-commission-finds-war-crimes-and-crimes-against-humanity-israeli-attacks
- United Nations Office for the Coordination of Humanitarian Affairs (n.d.). Data on Casualties. Retrieved from: https://www.ochaopt.org/data/casualties
- University Network for Human Rights (2024). Genocide in Gaza: Analysis of International Law and its Application to Israel’s Military Actions since October 7, 2023. United States of America: Author. https://www.humanrightsnetwork.org/genocide-in-gaza
- Vrkljan B. (2024) Looking Forward to the Next 90 years by Reimagining the Canadian Journal of Occupational Therapy Today. Canadian Journal of Occupational Therapy. https:// journals.sagepub.com/doi/10.1177/00084174241266379
- Watson, R.M. (2008). South African Occupational Therapy Values: 1997 submission to the Truth and Reconciliation Commission. South African Journal of Occupational Therapy, 38, 18-22). http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332008000200005&lng=en&nrm=iso
- WC4BL National Working Group. (November 9, 2023). Regarding the Increasing Harassment and Punishment of Pro-Palestine Healthcare Workers. Retrieved from: https://whitecoats4blacklives.org/2023/11/09/pro-palestine-retaliation-response/
- Weinberg, D. (November 4, 2023). War with Hamas has turned half a million Israelis into refugees – opinion. The Jerusalem Post. Retrieved from: https://www.jpost.com/opinion/article-771441
- Whyman, T., Murrup-Stewart, C., Young, M., Carter, A., & Jobson, L. (2021). ‘Lateral violence stems from the colonial system’: settler-colonialism and lateral violence in Aboriginal Australians. Postcolonial Studies, 26(2), 183–201.
- World Federation of Occupational Therapists (2016), Minimum Standards for the Education of Occupational Therapists. wfot.org
- World Federation of Occupational Therapists (2006). Position Statement: Human Rights. wfot.org
- World Federation of Occupational Therapists (2014). Position Statement: Human Displacement. wfot.org
- World Federation of Occupational Therapists (2019). Position Statement: Occupational Therapy and Human Rights (Revised). wfot.org
- World Federation of Occupational Therapists (2020). Statement on Systemic Racism. wfot.org
- World Federation of Occupational Therapists (2023). Public Statement: Humanitarian aid and access to health systems. wfot.org
- World Federation of Occupational Therapists (2023). Communication regarding Israel and Palestine. https://wfot.org/news/2023/wfot-communication-regarding-israel-and-palestine
- World Federation of Occupational Therapists (2024). Position Statement: Occupational therapy and disaster management. wfot.org