Mortenson W Bennett, Dyck Isabel
University of British Columbia, School of Rehabilitation Sciences, Vancouver, Canada.
Can J Occup Ther. 2006 Dec;73(5):261-71. doi: 10.2182/cjot.06.008.
Although problems with power sharing are frequently described in discussions about client-centred practice, little research has explored occupational therapists' experiences with this model of service delivery. To critically examine this aspect of occupational therapy, an insider study was conducted.
The objectives of the study were to explore therapists' experiences with client-centred practice and to reveal how power works within this practice and in the health service environment.
Semi-structured interviews with 9 therapists were conducted, and a thematic analysis of these transcripts was completed. A variety of institutional documents were reviewed and analysed.
Three main themes were identified: the different interpretations of occupational therapy discourse, the power of context, and the continuum of client-therapist interactions.
It is important to consider the various competing discourses and institutional practices that frame the therapeutic relationship when evaluating methods to improve client-centred practice.
尽管在关于以客户为中心的实践的讨论中经常提到权力共享问题，但很少有研究探讨职业治疗师在这种服务提供模式中的经历。为了批判性地审视职业治疗的这一方面，开展了一项内部研究。
该研究的目的是探索治疗师在以客户为中心的实践中的经历，并揭示权力在这种实践以及健康服务环境中是如何运作的。
对9名治疗师进行了半结构化访谈，并对这些访谈记录进行了主题分析。对各种机构文件进行了审查和分析。
确定了三个主要主题：职业治疗话语的不同解释、背景的力量以及客户与治疗师互动的连续性。
在评估改善以客户为中心的实践的方法时，考虑构成治疗关系的各种相互竞争的话语和机构实践非常重要。
