Their dependency on other people adds the carer's needs into necessary considerations. Long-term carers are depended on to set-up, direct, and supervise the actions or activities. Their efforts need to make sense to them too. An appreciation for the value of doing enjoyable actions and activities is best developed by watching an expert demonstrate how to do it and identifying with the person's pleasure. When you demonstrate, have them observe the person first and then teach them the details about the set-up. The goal is pleasure in doing something. The secondary gain is using up their time and energy, which prevents troublesome behaviour later.
Identifying with the person's enjoyment makes it easier to sustain a caring relationship. Building carer support into your goals and methods is an important part of occupational therapy.