「障害過程論」の構築をめざして

概要

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After the publication of the WHO International Classification of Impairments, Disabilities, and Handicaps, a new study area was thought out in order to understand disablement. The aim of the study was to describe the threefold distinction of impairments, disabilities, and handicaps and their mutual relation by means of the WHO model. However, it did not adequately reflect some problems of disablement. One of the most difficult points was that the model could represent the static handicap structure, but not the dynamic process of making handicaps. Therefore, this paper attempted to construct "a Theory of the Handicap Making Process" as one of the middle range theories for understanding disablement. At first, "the handicap condition" was held by three components of 1) needs, 2) role expectation by others, and 3) actual behavior. Some types and moving patterns of the handicap conditions are delineated. Then, a process model named "the Interaction Model of Making Handicaps" were proposed. The model included the following variables : handicap conditions as explained ones, and self and interaction as explanatory ones. Further, two different types of the growth-restricted persons were analyzed by the model. As a result, it was concluded that the model and the concept of handicap conditions in this paper help us to recognize some types of handicap problems.
一般社団法人日本社会福祉学会の論文
1996-11-20