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Expansion Rehabilitation: An Empowering Conceptual Framework for Rehabilitation following Acquired Disability

Published online by Cambridge University Press:  27 August 2015

Rex Newsome
Affiliation:
The University of Queensland
Elizabeth Kendall*
Affiliation:
Centre for Strategic Human Services, Griffith University
*
Research Fellow, Centre for Strategic Human Services, Griffith University, Nathan QLD 4111, Australia.
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Extract

Rehabilitation counselling is in need of a conceptual framework that will distinguish it from the medical notion of restoration and will provide a theoretical base from which rehabilitation counsellors can operate. The current paper presents a model of dishabilitation that highlights the processes that occur following acquired disability and that must be considered in designing a rehabilitation programme. The model suggests that the goal of rehabilitation should be the expansion of opportunities rather than the restoration of functions or previous position. By providing rehabilitation counsellors with a suitable “macro”level conceptualisation of rehabilitation, this approach will enable counsellors to implement “micro”level techniques in a manner that will empower individuals. Because intervention is aimed at opportunity expansion rather than the pursuit of specific goals, this approach allows individuals to retain control and to develop positive perceptions of themselves with their disability. The approach is also more sensitive to the impact of acquired disability on social networks and suggests that opportunities for families must also be expanded.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

REFERENCES

Abramson, L.Y., Seligman, M.E.P., & Teasdale, J. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 3248.Google Scholar
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioural change. Psychological Review, 84, 191215.CrossRefGoogle Scholar
Banja, J.D. (1990). Rehabilitation and empowerment. Archives of Physical Medicine and Rehabilitation, 71, 614615.Google ScholarPubMed
Blosser, J., & De Pompei, R. (1995). Fostering effective family involvement through mentoring. Journal of Head Trauma Rehabilitation, 10, 4556.CrossRefGoogle Scholar
Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson.Google Scholar
Chubon, R.A. (1992). Defining rehabilitation from a systems perspective: Critical implications. Journal of Applied Rehabilitation Counseling, 23(1), 2732.CrossRefGoogle Scholar
Cook, D., & Ferritor, D. (1985). The family: A potential resource in the provision of rehabilitation services. Journal of Applied Rehabilitation Counseling, 16, 5253.CrossRefGoogle Scholar
Curl, R.M. (1982). Adherence to the legal and ethical requirements of human research. The Behavior Therapist, 5, 123128.Google Scholar
Curl, R.M., & Sheldon, J.B. (1992). Achieving reasonable choices: Balancing the rights and responsibilities of consumers with those of rehabilitation counsellors. Rehabilitation Education, 6, 195205.Google Scholar
De Jong, G. (1978). The movement for independent living: Origins, ideology and implications for disability research. A paper presented at the annual meetings of the American Congress of Rehabilitation Medicine, New Orleans, Louisiana.Google Scholar
Dew, D., & Phillips, B. (1990). Practitioners' perceptions of training issues related to vocational rehabilitation services to family members: A perspective for rehabilitation education. Rehabilitation Education, 4, 195201.Google Scholar
Emener, W.G., (1979). Professional burnout: Rehabilitation's hidden handicap. Journal of Rehabilitation, 45, 5558.
Emener, W.G., & Cottone, R.R. (1989). Professionalization, deprofessionalization and reprofessionalization of rehabilitation counseling according to criteria of professions. Journal of Counseling and Development, 67, 576581.CrossRefGoogle Scholar
Frankl, V.E. (1959). Man's search for meaning. New York: Pocket.Google Scholar
Godfrey, H., & Smith, L. (1994). Facilitating psychosocial adjustment following traumatic brain injury: A family based approach. Otago: University of Otago.Google Scholar
Harrell, M., & O'Hara, C.C. (1991). Meeting the emotional needs of brain injury survivors: An empowerment approach to psychotherapy. Cognitive Rehabilitation, 9, 1215.Google Scholar
Herbert, J. (1989). Assessing the need for family therapy: A primer for rehabilitation counsellors. Journal of Rehabilitation, 55, 4551.Google Scholar
Hershenson, D.B. (1990). A theoretical model for rehabilitation counseling. Rehabilitation Counseling Bulletin, 33, 268277.Google Scholar
Janoff-Bulman, R., & Schwartzberg, S.S. (1990). Toward a general model of personal change. In Snyder, C.R. & Forsyth, D.R. (Eds). Handbook of social and clinical psychology, (pp. 488508). New York: Pergamon Press.Google Scholar
Kelley, S.D.M., & Lambert, S.S. (1992). Family support in rehabilitation: A review of research, 1980–1990. Rehabilitation Counseling Bulletin, 36, 89119.Google Scholar
Kendall, E. (1991). Acquired brain damage: A review of service provision in Queensland. Milton, Queensland: DCS & H.Google Scholar
Kosciulek, J.F. (1994). Dimensions of family coping with head injury. Rehabilitation Counseling Bulletin, 37, 244259.Google Scholar
Kuhn, T.K. (1970). The structure of scientific revolutions. (2nd. Ed.). Chicago: Uni of Chicago Press.Google Scholar
Lazarus, R.S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
McLaughlin, A.M., & Schaffer, V. (1985). Rehabilitate or remould?: Family involvement in head trauma recovery. Cognitive Rehabilitation, 3, 1417.Google Scholar
McNab, F. (1991). Psychotherapy: New directions for clinical practice. Melbourne, Victoria: Spectrum.Google Scholar
Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard.CrossRefGoogle Scholar
Murdock, N.L., & Altmaier, E.M. (1990). Attribution-based treatments. In Snyder, C.R. & Forsyth, D.R. (Eds). Handbook of social and clinical psychology, (pp. 563578). New York: Pergamon Press.Google Scholar
Remley, T.P. (1993). Rehabilitation counseling: A scholarly model for the generic profession of counselling. Journal of Applied Rehabilitation Counseling, 24(4), 7173.CrossRefGoogle Scholar
Rogers, C. (1961). On becoming a person. New York: Houghton Mifflin.Google Scholar
Sachs, P.R. (1991). Treating families of brain-injury survivors. New York: Springer.Google Scholar
Tennen, H., & Affleck, G. (1990). Paradox-based treatments. In Snyder, C.R. & Forsyth, D.R. (Eds). Handbook of social and clinical psychology, (pp. 624643). New York: Pergamon Press.Google Scholar
Thompson, S.C. (1990). Intervening to enhance perceptions of control. In Snyder, C.R. & Forsyth, D.R. (Eds). Handbook of social and clinical psychology, (pp. 607623). New York: Pergamon Press.Google Scholar
Willer, B.S., Allen, K.M., Liss, M., & Zicht, M.S. (1991). Problems and coping strategies of individuals with traumatic brain injury and their spouses. Archives of Physical and Medical Rehabilitation, 72, 460464.Google ScholarPubMed
Williams, G.H. (1983). The movement for independent living: An evaluation and critique. Social Science Medicine, 17, 10031009.CrossRefGoogle ScholarPubMed
Wright, B.A. (1983). Physical disability: A psychosocial approach. NY: Harper & Row.CrossRefGoogle Scholar
Wright, G.N. (1980). Total rehabilitation. Boston: Little Brown & Co.Google Scholar