{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:38:42Z","timestamp":1787031522940,"version":"build-2736575974"},"reference-count":0,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2005,9,1]],"date-time":"2005-09-01T00:00:00Z","timestamp":1125532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:p>In this paper, I present a viewpoint about prevention and spina bifida that is not usually expressed within the occupational therapy literature. Using an autoethnographic account, I convey my experiences as a person with impairments from spina bifida in order to problematize current preventive efforts undertaken to eradicate this birth defect. This self-reflexive account connects my personal experiences to historical and medical views about spina bifida. The messages inherent in preventive efforts are discussed from a disability rights perspective. Occupational therapists are challenged to examine their attitudes toward disability, act as advocates in their practice, and, in a more informed manner, support or contest policy initiatives.<\/jats:p>","DOI":"10.5014\/ajot.59.5.527","type":"journal-article","created":{"date-parts":[[2011,10,13]],"date-time":"2011-10-13T14:22:03Z","timestamp":1318515723000},"page":"527-539","source":"Crossref","is-referenced-by-count":8,"title":["The Problem With Prevention: The Case of Spina Bifida"],"prefix":"10.1177","volume":"59","author":[{"given":"Ann","family":"Neville-Jan","sequence":"first","affiliation":[{"name":"Ann Neville-Jan, PhD, OTR, FAOTA, is Associate Professor, Department of Occupational Science and Therapy, University of Southern California, 1540 Alcazar Street, CHP-133, Los Angeles, California 90089-9003;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2005,9,1]]},"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.59.5.527","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/59\/5\/527\/66237\/527.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.59.5.527","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T12:36:50Z","timestamp":1785155810000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.59.5.527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2005,9]]}},"alternative-id":["10.5014\/ajot.59.5.527"],"URL":"https:\/\/doi.org\/10.5014\/ajot.59.5.527","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,9]]}}}