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Critical reflexivity in client-centred therapeutic relationships.

Lisa McCorquodale1, Elizabeth Anne Kinsella

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Critical reflexivity enhances therapeutic relationships by encouraging clinicians to examine their practices and assumptions. This approach fosters client-centered care by questioning limiting beliefs and promoting deeper understanding.

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Area of Science:

  • Clinical Psychology
  • Therapeutic Relationship Studies
  • Occupational Therapy Practice

Background:

  • Client-centered practice is a core value in many therapeutic professions.
  • Developing a nuanced understanding of therapeutic relationships is crucial for effective clinical work.
  • Traditional reflective practices may not fully address power dynamics and systemic influences in therapy.

Purpose of the Study:

  • To explore how critical reflexivity can deepen clinicians' understanding of therapeutic relationships.
  • To investigate the potential of critical reflexivity in advancing client-centered practice.
  • To identify specific clinician understandings and practices that may hinder client-centeredness.

Main Methods:

  • A critical autobiographical narrative was employed as a research method.
  • Critical reflexivity was adopted to analyze the therapeutic relationship.
  • The study involved a self-examination of clinical practice and its impact.

Main Results:

  • Critically reflexive narratives can inspire reconsideration of clinical practices.
  • Interrogating interpretive systems through reflexivity can enhance client-centeredness.
  • This approach fosters critical questioning and attunement to client subjectivities.

Conclusions:

  • Dichotomous thinking, objectification, economic imperatives, and knowledge generation can limit client-centered therapeutic relationships.
  • Critical reflexivity supports compassionate practice and the development of new, relevant understandings.
  • Occupational therapists can better realize client-centered practice through critical examination of therapeutic relationships.