It's quite common these days to see advocates of a more 'holistic' healthcare practice championing the Biopsychosocial (BPS) Model. In areas where healthcare has become increasingly complex - where people's individual values and beliefs can't be avoided, and where people's social context affects their lives so palpably that a biomechanical approach to assessment and treatment is simply inadequate - the BPS model is promoted as a way forward. But is it as sound as people seem to think? The BPS model was initially proposed by George Engel as a ‘unified concept of health and disability’ (Engel 1960) and was based on a very particular form of positivist psychology called General Systems … [Read more...] about Is the Biopsychosocial Model all it’s cracked up to be?
In this post, physiotherapist Hanni Vitelson writes about how a classic children's story became the inspiration for some critical thinking. An advertisement for an anti-freckle cream catches the attention of 9-years old Pippi Langstrump. The sign says: DO YOU SUFFER FROM FRECKLES? Pippi goes straight to the selling lady and says: 'NO!! I don’t suffer from freckles!!' 'But, my dear child, your whole face is covered with freckles!’ says the seller. ‘I know that,’ says Pippi, ‘but I don’t suffer from them. I love them. Good morning.’ This episode appears only in the fuller versions of the book, originally published in Sweden in 1945 by Astrid Lindgren. This ever-fresh 70-years old … [Read more...] about Hannah Vitelson – Pippi gets critical – 30DoS #28
In this post, physiotherapist and educator Wenche Bjorbækmo writes about the art of presenting qualitative research. The first time I saw the film The Cost of Living, by DV8 Physical Theatre (https://www.youtube.com/watch?v=0ZTMyWt50kk), it made an indelible impression on me. Over the course of a few late summer days in an English seaside resort, two out-of-work street performers -- Eddie and David -- encounter a variety of other people on the fringe of society. Dave, a double amputee, is determined to hold on to his independence, while tough, aggressive Eddie is a stalwart defender of justice and respect. The play presents a sequence of human tableaux that challenge our … [Read more...] about Wenche S. Bjorbækmo – The art of presenting qualitative research – 30DoS #24
This book chapter is part of an important text within Canadian Disability Studies. Rethinking Normalcy: a disability studies reader edited by Tanya Titchkosky and Rod Michalko (2009). This is the first Canadian disability studies reader from a variety of interdisciplinary perspectives and draws on primary Canadian but also some international scholars. The critical perspectives in this book examine not only dominant views of disability but interrogate what is meant by normal. The specific chapter makes clear that different bodies, in different spaces engage in the world in various ways that are not seen as “normal” by abled-bodied conventions but are usual to those who see themselves as … [Read more...] about Karen Yoshida – The normality of doing things differently – 30DoS #17
“Disabling Practices” applies a science and technology studies lens to Disability Studies and the sociology of blindness. Drawing on ethnographic work in the North of England, Schillmeier follows the disclosure of visual disability in currency use, how relations between human bodies and money technologies cause visual disability to emerge. The emphasis moves from problem bodies to problem relations. Dis/ability is not solely in bodies or in barriers—as the social or medical models would have it—but unfolds in the interaction between bodies, senses and things (the subtitle of Schillmeier, 2010, integrating this 2007 article). I first read Schillmeier’s work in my M.A. research, in … [Read more...] about Thomas Abrams – Dis/Abling Practices – 30DoS #13
Published in 2001 the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) has stimulated a change in understanding of what is understood as human functioning and the role of the environment in the experience of functioning. I was involved in the development of ICF and have continued to work on the implementation of the model and classifications in health and social welfare data collections. Whilst the model has informed the education and practice of physical therapists the adoption of the classification for statistics has been slow. Why? Some argue that it is too detailed, too complicated. The key to ICF is to keep the individual as the … [Read more...] about Catherine Sykes – The ICF – 30DoS #10
In this post, CPN co-founder and Exec member Barbara Gibson talks about Margrit Shildrick's book Embodying the monster. Spanish translation provided by CPN Exec member Alma Viviana Silva. Embodying the Monster is a feminist postmodern and historical reading of the monstrous body and the Western desire to eliminate aberration and vulnerability. Drawing on cultural theory, biomedical discourse and multiple historical and contemporary examples, Shildrick eloquently argues for a reconceived ethics of the body (and disability) that accepts the irreducible vulnerability of all persons. I was fortunate to take a course with Dr. Shildrick when she was in Canada and this book was our core … [Read more...] about Barbara Gibson – Embodying the monster – 30DoS #6