The quality of the relationship between the client and the therapist is important for the therapeutic process, in which the client engages in meaningful occupations, as well as for the outcomes of therapy. This view is based on early work in this area, including theoretical discussions of the client-therapist relationship as a blend of competence and caring (Peloquin 1990) and qualitative studies of occupational therapists' awareness of and strategies in using different communication styles (Allison and Strong 1994). More recent work, post 2000, has included a survey-based search for a coherent definition of the therapeutic relationship, which has been described as 'a trusting connection and rapport established between therapist and client through collaboration, communication, therapist empathy, and mutual respect' (Cole and McLean 2003, p49). In addition, occupational therapists' use of various modes of interaction has been described from both therapists' (Eklund and Hallberg 2001) and clients' viewpoint (Palmadottir 2006). Interestingly, Palmadottir (2006) proposed a typology of client-therapist relationships based on the ways in which clients perceived their occupational therapist to share power with and to be emotionally connected to them. Adding further to this emphasis on the therapeutic relationship, a conceptual model addressing the relational aspects linked with the occupational therapy process was recently developed. The Intentional Relationship