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Disembodied abilities: sick role and participation in 'activating' return-to-work practices
Lineke van Hal1, Agnes Meershoek, Frans Nijhuis
1Research School CAPHRI, Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands.
Social Science & Medicine (1982)
|September 17, 2013
Summary
Vocational rehabilitation programs focus on abilities, not disabilities, to boost labor participation. However, this approach, emphasizing willpower and stable skills, can hinder return-to-work for some individuals with disabilities.
Area of Science:
- Social Sciences
- Rehabilitation Medicine
- Disability Studies
Background:
- Active welfare states prioritize labor participation for societal integration.
- Vocational rehabilitation increasingly focuses on 'abilities' rather than 'disabilities' for individuals with work limitations.
Purpose of the Study:
- To explore the practical implications of shifting the focus in vocational rehabilitation from disabilities to abilities.
- To investigate the tensions experienced by participants in return-to-work programs for people with disabilities.
Main Methods:
- Qualitative analysis of narratives from clients and professionals in vocational rehabilitation.
- Examination of daily experiences related to disability, rehabilitation, and labor participation.
Main Results:
- The current logic in vocational rehabilitation, centered on willpower, stable abilities, and employability, can impede labor participation for certain individuals.
- Tensions arise from this focus, highlighting challenges in achieving return-to-work.
Conclusions:
- A shift towards a 'logic of embodiment' is proposed, acknowledging lived experiences and contextual abilities.
- This embodied approach may better facilitate labor participation for individuals with disabilities by focusing on concrete capabilities within specific environments.
Keywords:
ActivationDisabilityParticipationSick roleThe NetherlandsVocational rehabilitationWelfare stateMore Related Videos
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