>At 10:12 AM 12/06/2002 -0700, George wrote:
>>(excerpt) That said, it seems to me a bit
>>exteme to deny that there is a substantial psychological component to
>>chronic illness that may not only be due to a free fall from one social
>>niche toward the bottom of the social hierarchy, but also there are day to
>>day hassles, physiological causes of mental suffering, loss of control, and
>>disruption and redefinition of close relationships that are difficult for
>>many people. These challenges may indeed lead to transformation including
>>political activism.To address these concerns outside a social justice
>>framework is certainly misguided. But to simply dismiss this side of the
>>experience and the real possibility of effective assistance in a limited
>>domain seems to me too narrow a view.
>In my own experience of disability (not just mine but people I know, have
>worked with and have conducted research with), the psycho-social issues
>are the most impinging on living ones desired life. Maybe its my approach
>or perception but issues involving selfhood seem paramount when discussing
>barriers to independent participation within society. Identity - both
>personal and social are implicated from the moment of birth or acquisition
>of illness or impairment, quite often in a negative way. Over and above
>that, I think it is worthwhile considering the impact of psycho-social
>ramifications of disability to the biomedical aspects of say, chronic
>illness. Is there an attributional relationship between biomedical and
>psycho-social aspects of illness or disability? I agree with the critiques
>of the biomedical model presented thus far but also agree that the
>psychological (what I would define as psycho-social) is quite an issue.
>
>I also agree that Psychology in its bid to be seen as a legitimate science
>adopts similar depersonalising approaches (not all but some) which could
>be just termed the "scientific ". Just one solitary example is the
>terminology. I wonder if you were all aware that if you have a physical
>disability and then acquire depression or alcoholism or an anxiety
>condition that you would fall into a category called "Co-morbidity". The
>implication is that physical (or any) disability is a "morbidity". That's
>just one of those terms that makes me wince and thus my using it as an example.
>
>Best Regards
>
>Laurence Bathurst
>University of Sydney
>School of Occupation and Leisure Sciences
>PO Box 170
>Lidcombe NSW 1825
>Australia
>
>Ph: 61 2 9351 9509
>Fax: 61 2 9351 9166
>Mobile: 0407 069 441
>Email: [log in to unmask]
>
>Work for a living - Leisure for a life
>
Best Regards
Laurence Bathurst
University of Sydney
School of Occupation and Leisure Sciences
PO Box 170
Lidcombe NSW 1825
Australia
Ph: 61 2 9351 9509
Fax: 61 2 9351 9166
Mobile: 0407 069 441
Email: [log in to unmask]
Work for a living - Leisure for a life
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