Background. Research on racism within occupational therapy is scant, though there are hints that racialized therapists struggle. Purpose. This paper examines experiences of racism in occupational therapy, including coping strategies and resistance. Method. Ten therapists from racialized groups (not including Indigenous peoples) were recruited for cross-Canada, in-person or telephone interviews. Transcripts were coded and inductively analysed, with data thematically organized by types of racism and responses. Findings. Interpersonal racism involving clients, students, colleagues and managers is supported by institutional racism when incidents of racism are met with inaction, and racialized therapists are rarely in leadership roles. Structural racism means the experiences of racialized people are negated within the profession. Cognitive sense-making becomes a key coping strategy, especially when resistance is costly. Implications. Peer supports and community building among racialized therapists may be beneficial, but dismantling structures of racism demands interrogating how whiteness is built into business-as-usual in occupational therapy.

背景。关于职业治疗中的种族主义的研究很少，尽管有迹象表明种族化的治疗师会挣扎。目的。本文探讨了职业治疗中的种族主义经历，包括应对策略和抵抗。方法。十名来自种族化群体（不包括原住民）的治疗师被招募进行跨加拿大、面对面或电话采访。对成绩单进行编码和归纳分析，数据按种族主义和反应类型按主题组织。发现。当种族主义事件遇到不作为时，涉及客户、学生、同事和经理的人际种族主义得到制度性种族主义的支持，而种族化治疗师很少担任领导角色。结构性种族主义意味着种族化的人的经历在行业内被否定。认知意义构建成为关键的应对策略，尤其是当抵抗代价高昂时。影响。种族化治疗师之间的同侪支持和社区建设可能是有益的，但拆除种族主义结构需要质疑白人是如何融入职业治疗中的一切照旧的。