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Action theory, disability and ICF.

Lennart Nordenfelt1

  • 1Department of Health and Society, Linköping University, Sweden. Lenno@ihs.liu.se

Disability and Rehabilitation
|August 29, 2003
PubMed
Summary

The International Classification of Functioning, Disability and Health (ICF) has incoherent definitions for activity and participation. Reconstructing the ICF

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Area of Science:

  • Philosophy of Action
  • Rehabilitation Science
  • Health Classification Systems

Background:

  • The International Classification of Functioning, Disability and Health (ICF) is a WHO framework.
  • Understanding functioning and disability is crucial for rehabilitation.
  • Conceptual clarity is essential for the accurate application of health classifications.

Purpose of the Study:

  • Critically analyze the conceptual underpinnings of the ICF.
  • Examine the definitions of activity and participation within the ICF.
  • Identify incoherencies in the ICF's conceptual platform.

Main Methods:

  • Employ philosophical action theory as the theoretical framework.
  • Utilize the distinction between capacity and opportunity for action.
  • Analyze the ICF's concepts of activity and participation based on action theory.

Main Results:

  • The ICF's definitions of activity and participation are conceptually incoherent.
  • These definitions conflate the capacity for action with its actual performance.
  • The distinction between capacity and opportunity is not adequately addressed in the ICF.

Conclusions:

  • The ICF's framework requires reconstruction based on action theory.
  • Incoherent definitions have significant implications for rehabilitation practice.
  • A rigorous action-theoretic approach is needed for the ICF.

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