{"title":"针对土著环境对加拿大以客户为中心的赋能模式(CMCE)进行批判。","authors":"Carly Hunter, Tara Pride","doi":"10.1177/00084174211042960","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background.</b> The Truth and Reconciliation Commission of Canada outlines the need for health care professionals to create more welcoming spaces for Indigenous Peoples. The scope of occupational therapy is continually expanding-yet the profession itself is grounded in and derived from a dominant Eurocentric worldview, and practice is designed to serve a homogenous Western populace. <b>Purpose.</b> To critically examine the Canadian Model of Client-Centered Enablement (CMCE) for its value within Indigenous contexts. <b>Key Issues.</b> The CMCE is positioned as a client-centered model, however there is a clear hierarchical client-professional relationship threaded throughout. Concepts such as enable, advocate, educate, coach, and coordinate demonstrate paternalistic authority, lacking reciprocity, knowledge-sharing, and power redistribution. <b>Implications.</b> Reimagining health care relationships as entrenched in social interconnectedness demands critical reflection and action. A model of practice that endorses social change and actively addresses colonial power inequities must root its paradigmatic foundations in postcolonial views of health care as a social relationship.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"88 4","pages":"329-339"},"PeriodicalIF":1.6000,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8733346/pdf/","citationCount":"0","resultStr":"{\"title\":\"Critiquing the Canadian Model of Client-Centered Enablement (CMCE) for Indigenous Contexts.\",\"authors\":\"Carly Hunter, Tara Pride\",\"doi\":\"10.1177/00084174211042960\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background.</b> The Truth and Reconciliation Commission of Canada outlines the need for health care professionals to create more welcoming spaces for Indigenous Peoples. The scope of occupational therapy is continually expanding-yet the profession itself is grounded in and derived from a dominant Eurocentric worldview, and practice is designed to serve a homogenous Western populace. <b>Purpose.</b> To critically examine the Canadian Model of Client-Centered Enablement (CMCE) for its value within Indigenous contexts. <b>Key Issues.</b> The CMCE is positioned as a client-centered model, however there is a clear hierarchical client-professional relationship threaded throughout. Concepts such as enable, advocate, educate, coach, and coordinate demonstrate paternalistic authority, lacking reciprocity, knowledge-sharing, and power redistribution. <b>Implications.</b> Reimagining health care relationships as entrenched in social interconnectedness demands critical reflection and action. A model of practice that endorses social change and actively addresses colonial power inequities must root its paradigmatic foundations in postcolonial views of health care as a social relationship.</p>\",\"PeriodicalId\":49097,\"journal\":{\"name\":\"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie\",\"volume\":\"88 4\",\"pages\":\"329-339\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2021-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8733346/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00084174211042960\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/10/19 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00084174211042960","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/10/19 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
摘要
背景。加拿大真相与和解委员会(Truth and Reconciliation Commission of Canada)指出,医疗保健专业人员需要为土著居民创造更受欢迎的空间。职业疗法的范围在不断扩大,但这一职业本身是建立在以欧洲为中心的世界观基础之上的,其实践的目的是为同质化的西方人口服务。目的。批判性地研究加拿大以客户为中心的赋能模式(CMCE)在土著环境中的价值。关键问题。加拿大以客户为中心的赋能模式被定位为以客户为中心的模式,但其中贯穿着客户与专业人员之间明显的等级关系。使能、倡导、教育、指导和协调等概念体现了家长式权威,缺乏互惠、知识共享和权力再分配。影响。将医疗保健关系重新定义为根植于社会相互联系之中,需要批判性的反思和行动。支持社会变革并积极解决殖民地权力不平等问题的实践模式,必须将其范式基础植根于将医疗保健视为一种社会关系的后殖民主义观点中。
Critiquing the Canadian Model of Client-Centered Enablement (CMCE) for Indigenous Contexts.
Background. The Truth and Reconciliation Commission of Canada outlines the need for health care professionals to create more welcoming spaces for Indigenous Peoples. The scope of occupational therapy is continually expanding-yet the profession itself is grounded in and derived from a dominant Eurocentric worldview, and practice is designed to serve a homogenous Western populace. Purpose. To critically examine the Canadian Model of Client-Centered Enablement (CMCE) for its value within Indigenous contexts. Key Issues. The CMCE is positioned as a client-centered model, however there is a clear hierarchical client-professional relationship threaded throughout. Concepts such as enable, advocate, educate, coach, and coordinate demonstrate paternalistic authority, lacking reciprocity, knowledge-sharing, and power redistribution. Implications. Reimagining health care relationships as entrenched in social interconnectedness demands critical reflection and action. A model of practice that endorses social change and actively addresses colonial power inequities must root its paradigmatic foundations in postcolonial views of health care as a social relationship.
期刊介绍:
The Canadian Journal of Occupational Therapy was first published in September 1933. Since that time, it has fostered advancement and growth in occupational therapy scholarship. The mission of the journal is to provide a forum for leading-edge occupational therapy scholarship that advances theory, practice, research, and policy. The vision is to be a high-quality scholarly journal that is at the forefront of the science of occupational therapy and a destination journal for the top scholars in the field, globally.