By Thelma Sumsion PhD OT Reg(Ont) FCAOT
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Extra resources for Client-Centred Practice in Occupational Therapy. A Guide to Implementation
The challenge for the professional is to accept the client’s interpretation of the problem and theories related to it, and to take these interpretations seriously. A client-centred approach requires therapists to surrender power, but there is a certain threat attached to educating others to do what a therapist has traditionally done. If therapists provide families or clients with the tools to treat themselves, then will the servant become the master? The traditional approach places the therapist as the helper in the stronger position over the person being helped.
Their home is 100 miles from the rehabilitation centre so Mrs C could visit only when someone was able to drive her or she was able to take the train on her own. On admission to the rehabilitation facility Mr C was unable to walk, turn himself over in bed, eat or dress independently, and could not write or use the telephone. He worked extremely hard at his rehabilitation and 3 months later could walk with a walker, feed himself, dress his upper body and use the telephone. Four months after his admission to the rehabilitation centre Mr C was able to return home for a 5-day visit.
Expertise and power can be used to: ■ ■ ■ ■ ■ ■ suppress and control the client’s wishes to ﬁt with the referral request control available funding for equipment refuse access to information the therapist decides would be harmful deny family participation in treatment limit available choices deny someone the right to return home when the therapist determines that they cannot function independently. In summary, health professionals can misuse their power over issues related to money, knowledge and social authority (Goodyear-Smith & Buetow 2001).