A differentiated model of self-esteem, based on William James’s (1890), C. H. Cooley’s (1902/1968), and G. H. Mead’s (1925/1968) works and developed by Dr. Susan Harter (1983), is presented as a valuable tool for the occupational therapist to use in evaluation and intervention. Competence and social support are considered important components, and discounting is presented as a mechanism for the maintenance or improvement of self-esteem. Social comparison, social desirability, and defensiveness are discussed as important considerations, particularly regarding children with disabilities.
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Copyright © 1990 by the American Occupational Therapy Association, Inc.