Unpacking the middle-class worldview in occupational science using cultural-historical activity theory

Background Occupational science continues to study occupation from a Westernised, Eurocentric, and middle-class perspective despite efforts to incorporate Global South perspectives. As such, this middle-class worldview is used as universal, following normative ways of thinking and doing while neglecting the socioeconomic, political, and historical conditions that shape class. This paper unpacks the middle-class perspective in occupational science by drawing attention to how this concept shapes occupational therapy practice.