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PSYCHOLOGICAL DEVELOPMENT OF THE CHILD: PARENT/PROFESSIONAL PARTNERSHIP
The last 30 years has seen a gradual transformation in the relationship between professionals and patients. Although this development has been uneven, there has been a slow but steady change in the ethos of this relationship. Previously professionals adopted the 'expert model' (Cunningham and Davies, 1985), which assumed that professionals always 'knew best' what was 'n the child's interest. More recently the 'consumer model' of the professional/patient relationship has gained ground, where the patient’s expertise is and where the patient is given encouragement to take the initiative and to generate ideas.
This relationship makes more demands on the physiotherapist who requires the necessary training and psychological insight to respond sensitively to the individual needs of each child and his family (Cheston, 1990). In the past families may have defaulted from treatment or failed to comply against a background of one way communication from the therapist, but now a new era is evolving where parents enjoy the respect which is rightfully theirs to negotiate the most suitable treatment to meet their child's needs. Decisionmaking is carried out in a partnership, with the professional providing informed opinion on the most appropriate techniques to use at different stages, and the parents adapting the techniques, under the professional's guidance, to suit the individual needs of the child and the family, at home and at school.
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