Learning From Children's Perspectives: Occupational Therapists’ Reflections on Their Therapeutic Relationship

BackgroundIn occupational therapy with children, the therapeutic relationship is a fundamental and complex component. However, for a long time, little was known about how children experienced the therapeutic relationship. New findings about children's experiences offer valuable insights for occupational therapists to reflect upon.PurposeThis study aimed to explore occupational therapists' perspectives on their therapeutic relationships with children, building on emerging evidence from children's experiences.MethodA qualitative interpretive description design was used, involving four 1-hr online focus groups with a total of 29 occupational therapists from Québec (Canada). Data were analyzed using an interpretive approach outlined by Baribeau to identify emerging themes.FindingsThree key themes were developed: (a) the therapeutic relationship is an important process shaped by occupation and collaboration with families and partners; (b) children are often excluded from decision-making and have limited opportunities to share their views within the therapeutic relationship; and (c) the relationship can be improved through strategies such as supporting children's expression of their emotions and perspectives and following their lead.ConclusionThe emerging evidence from children's experiences has prompted important reflections among participants. A key reflection concerns the importance of creating space for children's active participation and expression within the therapeutic relationship.