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Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice
BACKGROUND. Client-centred practice has been part of occupational therapists’ identity for several decades. However, therapists have begun to question whether the term obstructs critical relational aspects of therapy. PURPOSE. The purpose of this article is to summarize critiques of the use of the t...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489689/ https://www.ncbi.nlm.nih.gov/pubmed/34238027 http://dx.doi.org/10.1177/00084174211022889 |
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author | Restall, Gayle J. Egan, Mary Y. |
author_facet | Restall, Gayle J. Egan, Mary Y. |
author_sort | Restall, Gayle J. |
collection | PubMed |
description | BACKGROUND. Client-centred practice has been part of occupational therapists’ identity for several decades. However, therapists have begun to question whether the term obstructs critical relational aspects of therapy. PURPOSE. The purpose of this article is to summarize critiques of the use of the term client-centred and propose an expanded descriptor and a fundamental shift in how occupational therapists engage with individuals, families, groups, communities, and populations. KEY ISSUES. Three themes summarize critiques of how client-centred practice has been envisioned: (a) the language of client-centred, (b) insufficient appreciation of how the therapist affects the relationship, and (c) inadequate consideration of the relational context of occupation. We propose collaborative relationship-focused practice that has key relational elements of being contextually relevant, nuanced, and safe, and promotes rights-based self-determination. CONCLUSION. We argue that these essential relational elements, along with a focus on occupations, are required to promote occupational participation, equity, and justice. |
format | Online Article Text |
id | pubmed-8489689 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-84896892021-10-05 Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice Restall, Gayle J. Egan, Mary Y. Can J Occup Ther Original Articles / Articles originaux BACKGROUND. Client-centred practice has been part of occupational therapists’ identity for several decades. However, therapists have begun to question whether the term obstructs critical relational aspects of therapy. PURPOSE. The purpose of this article is to summarize critiques of the use of the term client-centred and propose an expanded descriptor and a fundamental shift in how occupational therapists engage with individuals, families, groups, communities, and populations. KEY ISSUES. Three themes summarize critiques of how client-centred practice has been envisioned: (a) the language of client-centred, (b) insufficient appreciation of how the therapist affects the relationship, and (c) inadequate consideration of the relational context of occupation. We propose collaborative relationship-focused practice that has key relational elements of being contextually relevant, nuanced, and safe, and promotes rights-based self-determination. CONCLUSION. We argue that these essential relational elements, along with a focus on occupations, are required to promote occupational participation, equity, and justice. SAGE Publications 2021-07-09 2021-10 /pmc/articles/PMC8489689/ /pubmed/34238027 http://dx.doi.org/10.1177/00084174211022889 Text en © CAOT 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles / Articles originaux Restall, Gayle J. Egan, Mary Y. Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title | Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title_full | Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title_fullStr | Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title_full_unstemmed | Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title_short | Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice |
title_sort | collaborative relationship-focused occupational therapy: evolving lexicon and practice |
topic | Original Articles / Articles originaux |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489689/ https://www.ncbi.nlm.nih.gov/pubmed/34238027 http://dx.doi.org/10.1177/00084174211022889 |
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