Expanding client-centred thinking to include social determinants: a practical scenario based on the occupation of breastfeeding

Scandinavian Journal of Occupational Therapy
Jennifer S PitonyakDonald Fogelberg

Abstract

Client-centred thinking in occupational therapy underemphasizes the influence of social determinants and societal-level factors on occupation across the life course. When client-centred thinking focuses solely on the local or immediate contexts of individuals, therapists may not fully recognize or understand how social determinants can create barriers to occupational participation and performance. This article critically examines gaps in traditional thinking concerning client-centredness and demonstrates how the complex interplay between social determinants and societal-level factors may lead to occupational injustices. A practical example from a recent study on breastfeeding and accompanying scenario is used to examine limitations in current client-centred reasoning. The Life Course Health Development framework, a theoretical framework examining contexts of health disparities, is applied to illustrate the opportunity to expand thinking about client-centredness. The Life Course Health Development framework may be a useful addition to client-centred thinking about social determinants of occupation. Expanding client-centred thinking to include awareness, understanding, and respect for social determinants of occupation may enhance...Continue Reading

References

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Citations

Sep 5, 2015·Scandinavian Journal of Occupational Therapy·Lena Nordgren, Anne Söderlund
Jan 24, 2019·Disability and Rehabilitation·Manel Djebrouni, Gregor Wolbring
Apr 24, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Ana Paula Serrata MalfitanoRoseli Esquerdo Lopes
Jan 25, 2018·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen Whalley Hammell
Jan 25, 2018·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen Whalley Hammell
Oct 27, 2015·Maternal and Child Health Journal·Jennifer S PitonyakAndrea Crivelli-Kovach
Mar 25, 2020·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Jennifer S PitonyakJyothi Gupta
Jul 25, 2019·International Journal for Equity in Health·Andrew MoscropAndrew Papanikitas
Sep 12, 2015·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Tracy M MrozNatalie E Leland
Nov 6, 2021·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen Whalley Hammell

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