Hello Donna:

The  article states:

"I  recently  began using a client-centered approach based upon the Canadian
Model  of Occupational Performance (CMOP). To the best of my knowledge, I am
the  only  occupational  therapist  ...  using this model of care. There are
several  possible  explanations  why  other  therapists  are  not  using the
Canadian model."

The  article's statement is that I was the only therapist using the Canadian
Model.  I  do  NOT  claim  to  be the only therapist using a client-centered
approach.


Also,  the  more  I  read  the  more  I believe it is impossible to truly be
client-centered  in American health care. I view being client-centered as an
"IDEAL"  to  shoot  for not necessarily an actuality. It's an end-point of a
continuum  and the closer one gets to that point the better. Additionally, I
think client-centered is a very overused term. Some people use the term with
out any understanding of it's source or meaning.

For  example,  some  of  Carl  Roger's  concepts relating to client-centered
therapy are:

1. Unconditional positive regard for clients.

2. Empathetic understanding

3. Congruence

I  suspect therapists claim to be client-centered without even attempting to
practice these ideals.

Ron

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On 2/26/2001, mr silva Said:
ms> In reading your article published in the Canadian Assoc. of OT Journal,
ms> I must admit I am confused. I thought OT's approach was always
ms> client-centered. I fail to see how this is a new approach. Do you
ms> actually mean to tell me (us) that you are the only one using a
ms> client-centered approach? Do you actually believe that the rest of us
ms> are either not bothering to find out what our patients/clients feel is
ms> important for them, or do you believe we are just ignoring them and
ms> making them do what we want? Donna


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