ABSTRACT

Historically, we have spent considerable research resources on developing and testing interventions that focus on changing patient beliefs and behavior, their impairments, and/or their wider context. We have sought to understand those patient characteristics that predict rehabilitation outcomes (Cooper et al. 2002; van Almenkerk et al. 2013; van der Hulst et al. 2005; Vieira et al. 2011) and attempted to understand many patient behaviors (and related concepts) such as motivation, readiness to change, adherence, compliance, and personality (Clay and Hopps 2003; Lerner 1997; Maclean and Pound 2000; Sela-Kaufman et al. 2013; Wall et al. 2006). It is, perhaps unsurprisingly, common in rehabilitation practice to ascribe failure to achieve expected results

Introduction ......................................................................249 The Role That Practitioner Factors Play in Influencing Outcome ....................................................... 251 Practitioner’s Thoughts, Feelings, and Attitudes .......... 251 Practitioner’s Way of Working-Their Approach to Practice ..........................................................................254 How Could/Should We Rethink Practitioner Thoughts, Feelings, and Ways of Working to Optimize Rehabilitation Outcome? ...............................256 Summary ...........................................................................263 References ..........................................................................264