title: Critical reflexivity in client-centred therapeutic relationships.
abstract: OBJECTIVE
  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.
  
  
  RESULTS
  Critically reflexive stories have the potential to advance client-centred therapeutic relationships by inspiring the (re-)consideration of practices, and by interrogating interpretive systems.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  This critical examination of the therapeutic relationship supports occupational therapists in more fully realizing the profession's core value of client-centred practice.
authors.affiliation: School of Occupational Therapy, Faculty of Health Sciences, Elborn College, Western University , London, Ontario , Canada.
authors.forename: Lisa
authors.initials: L
authors.lastname: McCorquodale
authors.forename: Elizabeth Anne
authors.initials: EA
authors.lastname: Kinsella
mesh_terms: D003657:Decision Making; D006801:Humans; D009788:Occupational Therapy / Q000523:psychology*; D009790:Occupations; D010347:Patient Care Planning / Q000592:standards; D018802:Patient-Centered Care; D011364:Professional Practice; D011369:Professional-Patient Relations
keywords: Critical autobiography; professional practice; reflective practice