- Library Home /
- Search Collections /
- Open Collections /
- Browse Collections /
- UBC Theses and Dissertations /
- Bridging that gap : occupational therapist experiences...
Open Collections
UBC Theses and Dissertations
UBC Theses and Dissertations
Bridging that gap : occupational therapist experiences of client-centred practice Mortenson, William Bennett
Abstract
Although client-centred practice has become an essential part of Canadian occupational therapy practice in the last twenty years (Law, 1998; Sumsion & Smyth, 2000), many authors have indicated that therapists do not practice in a client-centred manner (Law, Baptiste & Mills, 1995; Toomey, Nicholson & Carswell, 1995; Hammell, 1998a). Some authors have focused on how therapists are responsible for problems implementing client-centred practice, because they are unwilling to give up power (Sumsion, 1999c; Gage, 1999; Hammell, 1998a; Law, Polatajko, Pollock, McColl, Carswell, & Baptiste, 1994). As power has been identified as an important construct in the literature on client-centred practice, I have conducted an exploratory, qualitative study of occupational therapists' experiences of client-centred practice using standpoint theory and Foucault's work on power to frame the study. Based on a thematic analysis of in-depth ethnographic interviews of nine therapists from acute care and homecare settings three main themes were identified. "Bridging that gap: ideal versus real conceptions of client-centred practice" reveals the tensions that therapists experience between the discourse and practice of occupational therapy. "Related to the service environment: the importance of setting" focuses on how institutional factors shape practice. The final theme "a bit of tension: problems with the client-therapist relationship" describes the client-therapist interaction, which is influenced by discursive and institutional factors. The thesis concludes with a discussion of the theoretical implications, practical applications, limitations and significance of these research findings.
Item Metadata
Title |
Bridging that gap : occupational therapist experiences of client-centred practice
|
Creator | |
Publisher |
University of British Columbia
|
Date Issued |
2002
|
Description |
Although client-centred practice has become an essential part of Canadian
occupational therapy practice in the last twenty years (Law, 1998; Sumsion & Smyth,
2000), many authors have indicated that therapists do not practice in a client-centred
manner (Law, Baptiste & Mills, 1995; Toomey, Nicholson & Carswell, 1995; Hammell,
1998a). Some authors have focused on how therapists are responsible for problems
implementing client-centred practice, because they are unwilling to give up power
(Sumsion, 1999c; Gage, 1999; Hammell, 1998a; Law, Polatajko, Pollock, McColl,
Carswell, & Baptiste, 1994). As power has been identified as an important construct in
the literature on client-centred practice, I have conducted an exploratory, qualitative
study of occupational therapists' experiences of client-centred practice using standpoint
theory and Foucault's work on power to frame the study. Based on a thematic analysis of
in-depth ethnographic interviews of nine therapists from acute care and homecare settings
three main themes were identified. "Bridging that gap: ideal versus real conceptions of
client-centred practice" reveals the tensions that therapists experience between the
discourse and practice of occupational therapy. "Related to the service environment: the
importance of setting" focuses on how institutional factors shape practice. The final
theme "a bit of tension: problems with the client-therapist relationship" describes the
client-therapist interaction, which is influenced by discursive and institutional factors.
The thesis concludes with a discussion of the theoretical implications, practical
applications, limitations and significance of these research findings.
|
Extent |
8433223 bytes
|
Genre | |
Type | |
File Format |
application/pdf
|
Language |
eng
|
Date Available |
2009-08-13
|
Provider |
Vancouver : University of British Columbia Library
|
Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
|
DOI |
10.14288/1.0090265
|
URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
|
Graduation Date |
2002-05
|
Campus | |
Scholarly Level |
Graduate
|
Aggregated Source Repository |
DSpace
|
Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.