This paper articulates for the first time an Asian-Western fusion model of therapeutic use of self for occupational therapy practice. The Sky Mirror Model synthesizes concepts, metaphors, and praxes from Asian and Western cultures. Metaphors of sky and mirror form the epistemic receptacle for a set of twelve therapeutic factors. A case study illustrates the interplay of key factors as the therapist embodies and enacts the ‘sky mirror’ in the fluid dance of a therapeutic relationship with the client. Sky Mirror Model's paradigm of unconditioned being and therapeutic presence is counter-hegemonic, radically different, and intimately linked to the psychospiritual integration frame of reference.
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