ABSTRACT
The African American clients (Eloise Little, Ruby Washington, Viola Worth, Reverend Joseph Scott, Lucy Oliver, Geraldine Starr, and Sally Finch) in most instances try to avoid dependency. Instead, they cling to the vestiges of their independence while enacting their client roles. This chapter shows how these participants develop and define their roles as clients and how their personal role definitions influence the caregiving process and the quality of care. With these seven clients, it is in their interactions with their aides that the most profound shaping of the client role takes place. A critical component of the client role is whether clients ask their aides for the help they need. Seeking help from supervisors often means that clients have the “right” combination of abilities and supportive attitudes. Clients’ attitudes toward their independence and control, the work of aides, and the rights and responsibilities of the client role are key factors affecting their behavior.
