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Mary M. Evert, MBA, OTR, FAOTA, is President of the American Occupational Therapy Association and adjunct faculty member, Washington University Medical School, St. Louis, Missouri (Mailing address: 6434 Tucker Avenue, McLean, Virginia 22101-5265). This presidential address was given in June 1993 at the 73rd Annual Conference of the American Occupational Therapy Association, Seattle, Washington