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Abstract
Aims: This retrospective study explored how mechanisms and elements of the Intentional Relationship Model may support volition and engagement in occupation for individuals living with dementia. Methods: Concepts grounded in the Intentional Relationship Model framed a secondary analysis of the experiences of one therapist who examined the volitional expression of persons with moderate dementia according to the Model of Human Occupation. Field notes from thirty-eight hours of therapist interactions with three participants living with moderate dementia were analyzed using thematic analysis. Results: Frequent use of collaborating and encouraging modes appeared effective in supporting volition and engagement in occupation in participants. Interpersonal skills of the therapist that appeared essential for positive interactions with participants were understanding interpersonal characteristics and responding to interpersonal events. Conclusions: Clinical implications related to use of IRM with this population are presented, and suggestions for future research and training of therapists are provided.