“…The therapists and health care teams may use these strategies under the guise of "negotiation," to help achieve their desired goal and retain a belief that the decision was a client-based one, while still being able to practice within the sometimes extraordinary limitations and time constraints of their practice settings (Moats, 2006). The findings of this study support the understanding that clientcentred decision-making with this population can be a coll a bora tive , n ego ti a ted process su ch as that propo s ed by Hobson (1996Hobson ( , 1999aHobson ( , 1999b, Falardeau and Durand (2002), and Moats and Doble (2006), with va rying degrees of involvement of the client, the family and the professional. However, as professionals with an ethical obligation to the original client, occupational therapists need to move beyond simplistic approaches toward a more meaningful way of interpreting client-centred processes with older people.…”