This book is an advanced scholarly treatise, with extensive background research woven into each paragraph and almost every sentence. However, it is written with such clarity that it is accessible to all of us. Topics range from "Normality and the classification of difference" to "Client-centred philosophy: exploring privilege and power". The level of challenge to us is exemplified in a sentence in the chapter that addresses client-centred philosophy: "Ideologies of professionalism justify, legitimate and privilege professionals and reinforce their power". the final section in the chapter is "Striving for non-disabling professionalism: the ethical dilemmas", which helps us to further consider some of the salient issues of client-centred practice.
The book provides us with the opportunity to critically consider our own biases and thoughts and gives us avenues of action to take that may be different from ones we have used previously. My suggestions for readers of this review are: buy the book; read it carefully and thoroughly; think critically about your assumptions; confront the underpinnings of your own practice; and debate the myriad of concepts with others for whom these ideas are relevant.
Canadian Journal of Occupational Therapy
Volume 74, 2007.