Post-structural conceptualizations of power relationships in physiotherapy

Abstract

This paper uses a post-structuralist lens to explore the nature of power relationships within the patient–physical therapist relationship. To ground the discussion, I begin with an overview of the salient aspects of the traditional evolution of Western medicine. I then draw from the philosophy/history of Foucault to challenge traditional thinking and consider the applications to physiotherapy. The analysis reveals that the application of a Foucauldian frame of reference has the potential of modifying the therapeutic relationship to one that is more equitable as opposed to the hierarchical one. I conclude with a discussion of the implications for the development and education of physiotherapists.

Acknowledgments

I thank Barbara Gibson, PhD, PT, for the time she spent with me in preparing this paper. Parts of this work were written in preparation for the author's Master's degree.

Declaration of Interest: The author reports no declaration of interest.

Notes

Scientific method refers to techniques of investigation of phenomena. It requires the gathering of observable, empirical, and measurable data that can be evaluated through a reasoning process. It starts with an idea “a causes b”, and then “a” is tested through an experiment to see if it in fact causes “b”.