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Introduction: The occupational therapy profession has a long tradition for highlighting the role of the clienttherapist relationship for the outcomes of occupational therapy. Despite its perceived value and significance among practicing therapists, a consistent theoretical framework for addressing the therapeutic relationship in occupational therapy practice was not published until 2008. Aim: This article introduces the Intentional Relationship Model, a model which conceptualizes the relational aspects of importance to occupational therapy practice. Outline of the model: Particular emphasis is placed on describing the therapist’s tasks and demands for establishing and sustaining a productive relationship with the client. These demands concern the learning and utilizing of a range of interpersonal skills, the flexible and self-reflective use of six therapeutic modes, and the process of reasoning about the interpersonal events of therapy and how these can be appropriately addressed. Discussion and implications: In the future, the concepts and the practical usefulness of the model will have to be addressed in research, education, and clinical occupational therapy practice.

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