Critical reflexivity in client-centred therapeutic relationships

Abstract

Aim/objectives. This paper explores how a particular form of reflection – critical reflexivity – can support clinicians in developing a more nuanced understanding of therapeutic relationships, and work to advance the goal of client-centred practice. Methods. A critical autobiographical narrative was written, and critical reflexivity adopted, as methods to critically examine the therapeutic relationship. Findings. Critically reflexive stories have the potential to advance client-centred therapeutic relationships by inspiring the (re-)consideration of practices, and by interrogating interpretive systems. Discussion. Understandings and practices that potentially limit the extent to which therapeutic relationships are client centred include (i) Dichotomous thinking, (ii) Objectification, (iii) The economic imperative, and (iv) Knowledge generation. Conclusion. The critical autobiographical account points to ways in which critical reflexivity on the therapeutic relationship has the potential to foster critical questioning, interrogate interpretive systems, attune to subjectivities, contribute to practice-based knowledge, resist violation, foster compassionate practice, and develop new understandings of relevance to client-centred practice. Significance. This critical examination of the therapeutic relationship supports occupational therapists in more fully realizing the profession’s core value of client-centred practice.