The illusion of client-centred practice

Scandinavian Journal of Occupational Therapy
Jyothi Gupta, Steven D Taff

Abstract

A critical analysis of occupational therapy practice in the corporate health care culture in a free market economy was undertaken to demonstrate incongruence with the profession's philosophical basis and espoused commitment to client-centred practice. The current practice of occupational therapy in the reimbursement-driven practice arena in the United States is incongruent with the profession's espoused philosophy and values of client-centred practice. Occupational therapy differentiates itself from medicine's expert model aimed at curing disease and remediating impairment, by its claim to client-centred practice focused on restoring health through occupational enablement. Practice focused on impairment and function is at odds with the profession's core tenet, occupation, and minimizes the lasting impact of interventions on health and well-being. The profession cannot unleash the therapeutic power of human occupation in settings where body systems and body functions are not occupation-ready at the requisite levels for occupational participation. Client-centred practice is best embodied by occupation-focused interventions in the natural environment of everyday living. Providing services that are impairment-focused in unfamiliar ...Continue Reading

References

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Citations

Jul 13, 2016·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen R Whalley Hammell
Oct 14, 2016·OTJR : Occupation, Participation and Health·Jyothi Gupta
Apr 24, 2018·Scandinavian Journal of Occupational Therapy·Anette Enemark LarsenJeanette Reffstrup Christensen
Aug 23, 2018·Australian Occupational Therapy Journal·Samantha BurleyMatthew Molineux
Apr 5, 2019·Scandinavian Journal of Occupational Therapy·Laura VanPuymbrouck, Carli Friedman
Jan 10, 2018·Scandinavian Journal of Occupational Therapy·Aila PikkarainenAnneli Eteläpelto
Mar 25, 2020·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Jennifer S PitonyakJyothi Gupta
Mar 28, 2019·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Jenna L HeffronJacqueline Kish
Nov 3, 2015·Scandinavian Journal of Occupational Therapy·Sara Stefánsdóttir, Snæfrídur Thóra Egilson
May 24, 2019·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Brocha Z Stern
Sep 12, 2015·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Tracy M MrozNatalie E Leland

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