Collaborative Relationship-Focused Occupational Therapy: Evolving Lexicon and Practice

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<jats:sec><jats:title>Background.</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Purpose.</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Key Issues.</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Conclusion.</jats:title><jats:p> We argue that these essential relational elements, along with a focus on occupations, are required to promote occupational participation, equity, and justice. </jats:p></jats:sec>

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