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Client-centred practice in Scandinavian contexts: A critical discourse analysis.
Julie Katrine Karstensen1, Hanne Kaae Kristensen2,3
1Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Scandinavian Journal of Occupational Therapy
|June 5, 2020
Summary
Occupational therapists in Scandinavia share understandings of client-centred practice, though it may not be fully implemented across all practices. This research explores these diverse articulations in occupational therapy (OT).
Area of Science:
- Occupational Therapy
- Health Sciences
- Social Sciences
Background:
- Client-centred practice is fundamental to occupational therapy (OT).
- A lack of a clear, shared definition of client-centredness exists in Scandinavia (Norway, Sweden, Denmark).
- This ambiguity hinders the articulation, discussion, development, and implementation of client-centred OT.
Purpose of the Study:
- To investigate and discuss current understandings of client-centred practice within Scandinavian occupational therapy contexts.
- To analyze how client-centredness is conceptualized and articulated in the region.
Main Methods:
- Employed a social constructivist research approach.
- Utilized Fairclough's critical discourse analysis.
- Analyzed six documents from Scandinavian OT journals and four from the Scandinavian Journal of OT.
Main Results:
- Identified three main discourses of client-centred practice in Scandinavia: client, collaborative, and practice discourses.
- The practice discourse emerged as the most prominent, influencing the other two.
- Varied conceptualizations of client-centred practice were observed across the analyzed texts.
Conclusions:
- Occupational therapists in Scandinavia possess conceptual understandings of client-centred practice.
- These understandings offer a foundation for knowledge sharing and collaboration among Scandinavian OT communities.
- Client-centred practice may not be uniformly established across all occupational therapy practices in Scandinavia.
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