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Occupational therapists are generally positive towards use of measuring tools. However, such use may be problematic. To illuminate hidden and adverse effects of using measuring tools in occupational therapy. A Foucauldian inspired thematic analysis of the use of measuring tools in 13 reports of practice development projects in Denmark. Three themes were constructed "Categorisation of loss", "Conduct of conduct Self-tracking and competition", and "Conforming to expected forms of everyday living". Measuring tools tended to produce g