ORCID
Daniel Côté : https://orcid.org/0000-0003-3000-5622
Maude Arsenault : https://orcid.org/0000-0002-6766-5790
Jessica Dubé : https://orcid.org/0009-0007-1097-1037
Type de document
Études primaires
Année de publication
2025
Langue
Anglais
Titre de la revue
NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy
Résumé
Abstract
The therapeutic alliance is central to occupational rehabilitation, particularly for immigrant workers who face unique challenges of migration and of social and occupational integration. This study explores the development and maintenance of this alliance between immigrant workers with compensated work injuries and their care providers during work rehabilitation. Using ethnography, semi-structured interviews, and focus groups, the qualitative case study involved 7 injured immigrant workers and their interdisciplinary clinical team. The study identified several factors that weakened the alliance, including administrative complexity, conflicting views on pain and disability, cultural stereotypes, and interorganizational communication issues. Many of these challenges were systemic and structural, occurring outside the clinic, complicating the rehabilitation process, and potentially prolonging the duration of disability. This paper discusses these systemic issues and their implications for the rehabilitation of immigrant workers.
Hyperlien
https://journals.sagepub.com/doi/10.1177/10482911251314147
Mots-clés
Alliance thérapeutique, Therapeutic alliance, Réadaptation professionnelle, Vocational rehabilitation, Travailleur immigrant, Immigrant worker, Barrières systémiques, Systemic barriers, Organisation du travail, Work organisation
Numéro de projet IRSST
2014-0013
Citation recommandée
Côté, D., Arsenault, M., et Dubé, J. (2025). Organizational and structural factors in building the therapeutic alliance in a work rehabilitation program with injured immigrant workers in Quebec. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy. https://doi.org/10.1177/10482911251314147
Included in
Medicine and Health Commons, Migration Studies Commons, Social and Cultural Anthropology Commons, Vocational Rehabilitation Counseling Commons, Work, Economy and Organizations Commons