This article presents data collected in actual occupational therapy practice settings. The purpose of this naturalistic exercise is to provide a better understanding of the characteristics of best practice across the spectrum of practitioners - diplomates, graduates, students and assistants - by exploring the relationships between practitioner and client and noting individual, intragroup and intergroup differences. Two Independent observers viewed and audio-taped eight treatment sessions undertaken by two practitioners from each group. Characterising the interactional process indicated that best practice arises when there is a more egalitarian relationship between practitioner and client and where the practitioner not only encourages but also invites client participation. This behaviour was most evident among diplomates.
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