25/03/2026
This 👇👇👇👇Learn Play Thrive 💛
Hear me out: As OTs and SLPs, we absolutely can support our clients’ autonomy, skill-building, and long-term well-being. That matters. But the way we center “independence” as the ultimate goal deserves a closer look.
Where did this value come from?
Many Indigenous cultures have long emphasized interdependence: community care, mutual reliance, and shared responsibility. In contrast, “independence” as an ideal largely emerged from Enlightenment philosophy, colonial systems, and industrialization.
So who does it serve?
When independence is prioritized over collective care, it aligns neatly with capitalism: your worth is tied to productivity. If you can work and generate profit, you’re valued. Caregiving, on the other hand, is often unpaid, underpaid, or pushed onto families - especially within the isolated nuclear household.
This shift replaces community with pressure: be self-sufficient, no matter your needs. But humans aren’t meant to function in isolation - we all rely on each other.
And this doesn’t exist in a vacuum. These values are deeply intertwined with capitalism, colonialism, and white supremacy - systems that prioritize efficiency, productivity, and control over collective well-being.
Instead of asking "How can my client be more independent?" The question becomes "What supports does my client need to get their deepest needs met?"
For example, many disabled people will access their best life by living interdependently with caregivers. In fact, all of us thrive when we mutually care for each other. That's a normal part of being human.
For communication access, a person who uses partner-assisted scanning for communication is communicating autonomously, but not independently. And that access is incredibly important.
Coregulating together with a child helps them develop the skills they need to self-regulate AND to coregulate with others for their entire lives.
We need each other. It was always supposed to be that way. Let's let our practices reflect the inherent worth and value of our clients.