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Updated: Nov 5, 2025

Structured Motor Rehabilitation After Selective Nerve Transfers
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Governing neurorehabilitation.

Christine Cummins1, Deborah Payne1,2, Nicola M Kayes1

  • 1Centre for Person Centred Research, Auckland University of Technology, Auckland, New Zealand.

Disability and Rehabilitation
|May 14, 2021
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Summary
This summary is machine-generated.

Person-centered rehabilitation can marginalize clients by creating power dynamics. Understanding these subtle power structures in neurorehabilitation is crucial for ethical practice and client well-being.

Keywords:
Foucaultdisciplinegovernmentalitypastoral powerpower

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Area of Science:

  • Rehabilitation Science
  • Sociology of Health
  • Critical Theory

Background:

  • Person-centered approaches in rehabilitation aim to improve outcomes and address power imbalances in clinical settings.
  • However, these approaches may not fully capture the complex nature of power dynamics within healthcare.
  • Alternative frameworks are needed to understand power in health service provision.

Purpose of the Study:

  • To explore alternative ways of explaining the use of power in health service provision.
  • To analyze the intricate power relationships within client-centered neurorehabilitation.

Main Methods:

  • Employed a poststructural discourse analysis.
  • Utilized Michel Foucault's concept of governmentality to examine how health services direct behavior.
  • Investigated strategic relationships and obligations within neurorehabilitation.

Main Results:

  • Identified a complex web of strategic relationships in neurorehabilitation that are both productive and problematic.
  • Demonstrated how client-centered approaches create power dynamics involving obligations and responsibilities.
  • Highlighted the potential for marginalization of clients who do not fit the 'ideal client' profile.

Conclusions:

  • The client-professional relationship in neurorehabilitation, while aiming for ethical practice, can lead to mastery and marginalization.
  • Power in neurorehabilitation is subtle, productive, and shapes knowledge and roles for clients and practitioners.
  • Awareness of these power dynamics can help challenge disciplinary practices that may not serve all clients' best interests.