Occupational therapy practitioners1
view human performance as a transactive relationship among the client (people, groups, or populations), the client’s occupations (daily life activities), and environments and
contexts. Environments are the external physical and social aspects that surround clients while they engage
in an occupation. Contexts are the cultural, personal, temporal, and virtual aspects of this engagement;
some contexts are external to the client (e.g., virtual), some are internal to the client (e.g., personal), and
some may have both external features and internalized beliefs and values (e.g., cultural; American Occupational Therapy Association [AOTA], 2014b).