Social disadvantage in the international classification of impairments, disabilities, and handicap.
The revision process of the international classification of impairments, disabilities and handicaps (ICIDH) is now in progress.
Major changes are being considered which question one of the main fields, that of handicap, or social disadvantage.
The scope of these changes goes beyond simple technical adjustments.
It reaches the level where fundamental positions are adopted regarding the mainspring of public health policies.
The purpose of this article is to review and discuss the main criticisms that have appeared in the literature about the dimension of handicap, including a study of the consequences that may result from keeping this dimension or from leaving it out.
We suggest that the definition of handicap as a disadvantage has been overlooked, so that discussion has mainly taken place about the environment.
Our opinion is that each criticism is based upon the emphasis given to a choice of strategy for preventing or reducing disablement.
For some experts, the emphasis is on health care.
For others, it is on social change.
We share this interest in strategy.
This is why we suggest that the conceptual framework is meant only for description, that it does not and should not include choices of strategy.
We argue that it is the best way to promote appropriate description and therefore appropriate choice of strategies. (...)
Mots-clés Pascal : Classification, Handicap, Incapacité, Aspect social, Impact social, Homme, Etude critique, Handicap social
Mots-clés Pascal anglais : Classification, Handicap, Disability, Social aspect, Social impact, Human, Critical study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0374892
Code Inist : 002B30A11. Création : 25/01/1999.