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Article

The Disability Studies in Education framework offers the best practices for working with, listening to, and addressing the strengths and needs of students with physical disabilities in schools. Areas covered include reducing barriers to physical and social access, utilizing expertise of students with disabilities to inform practice, reducing stigma while creating disability culture in the classroom, and assisting students with physical disabilities in building self-advocacy skills.

Article

The Paralympics are the pinnacle of sporting competition for athletes with physical and intellectual impairments. Most Paralympians have intellectual or sensory (e.g., visual) or physical (e.g., amputation, spinal cord injury, cerebral palsy) impairments. The Paralympics have become increasingly competitive and larger over the years as they have grown from two countries and 150 athletes in 1952 to 150 countries and about 4,000 athletes in 2012. In the last 10 to 20 years there has been significant interest and growth in the psychology of Paralympic athletes. Researchers are slowly starting to support the value of psychological skills training. Typically, a humanistic personal developmental model that equally values athletes’ well-being and their athletic performance has been advocated. Understanding the various influences on performance and well-being specifically for Paralympians is particularly important given the stress of the Paralympic experience. Research on Paralympians has focused on foundational qualities, which are psychological factors, such as feelings of control, self-awareness, self-esteem, and personality factors. Often these foundation qualities are framed as having an indirect influence on performance through factors like training quality and lifestyle choices (e.g., alcohol consumption). In additional to foundational qualities, a second area of research targets the psychological methods that are used to develop mental skills and qualities. For instance, competition plans, positive self-talk, and goal setting are all methods used to enhance positive thoughts (e.g., confidence) and reduce negative affect (e.g., anxiety). A third area of focus has to do with facilitative and debilitative factors that influence Paralympic performance. For instance, many Paralympians have to manage chronic pain and avoid overtraining and injury. Many Paralympians have difficulty training, as sport facilities are not always accessible for training. Travel to competition sites, especially involving air travel (with effects such as jet lag), is particularly challenging and can negatively influence performance. Sleeping in the Paralympic village can also be difficult, with many athletes reporting inferior sleep quality. Finally, a small body of research has examined the challenges Paralympians face when retiring from sport.

Article

Disability—whether physical, mental, or sensory—is widely represented in Early Modern literature, and as such it has been attracting attention from 21st-century literary scholars, who apply the theoretical and critical tools of disability studies to Renaissance narratives and literary characters. Literary disability in its various forms can be analyzed in the light of various models of disability, including medical, social, moral, or cultural. This helps in understanding early modern representations and experiences of disability in culture and history and making sense of reactions to disability in the period: including stigma, mockery, proud identification with the disabled identity, or also a desire for it. Physical disabilities in the Renaissance encompass anything from deformity to bodily mutilation to dwarfism or monstrosity, and they are especially prone to be emphasized, explained, or scrutinized in search of their meaning. Sensory disabilities, including blindness, deafness, and mutism, prompt interpretations that connect physical impairment with the character’s inability or surprising ability to understand reality—whether in a pragmatic or spiritual sense. Intellectual and mental disabilities have many ramifications in early modern literature, some of which, such as fools and madmen, are staple types of drama. Intellectual and mental disabilities are often described in medical terms, but literary texts tend to differentiate between them, whether in technical or narrative terms. Foolishness normally turns into comedy, whereas madness is often connected with tragic characters undergoing mental breakdowns. Renaissance disability studies are also concerned with less obvious types of disability: disabilities that were disabilities in the past but not in the 21st century, concealed disabilities, and disabilities that are not actually disabilities but do foster a conversation that excludes the character who does not embody what society regarded as the ideal physical shape. Finally, instances of counterfeited disability and disability attached to concepts rather than people help understand how Renaissance culture often viewed the nonstandard body not only as something to beware of or reject but also as an image of empowerment.

Article

Despite the passage of the Americans with Disabilities Act (ADA) more than 30 years ago, people with disabilities experience significant barriers to exercising their right to sexual and reproductive health throughout their life course. The historical segregation and stigmatization of disabled individuals has created the conditions in which members of this population experience persistent disparities in the prevalence of adverse health conditions and inadequate attention to care, along with disparities in preventive care, health promotion, and access to health care services. These disparities manifest in social services and health care generally and also in the sphere of sexual and reproductive health. Among many direct care workers, health care providers, and family members, assumptions persist that individuals with disabilities are asexual, unable to exercise informed consent to sexual activity, and unable to carry a pregnancy to term or to parent successfully. These assumptions adversely affect the ability of individuals with disabilities to access basic information about their sexual health and function in order to make informed decisions about their sexual activity, and also impact their access to preventive health screening, contraception, and perinatal care. Inadequate transportation and physically inaccessible environments and equipment such as examination tables pose additional barriers for some disabled individuals. A lack of training in disability-competent care among health care professionals is a pervasive problem and presents yet another challenge to obtaining appropriate and necessary information and care. Despite these barriers, the research shows that more and more women with disabilities are having children, and there is an increasing recognition that people with disabilities have a right to sexual expression and appropriate sexual and reproductive health care , accompanied by a gradual evolution among social services and health care providers to provide the necessary information and support.

Article

Diana M. DiNitto

This entry defines comorbidity and similar terms used in various fields of practice. It addresses the prevalence of comorbidity, suggests explanations for comorbidity, and discusses integrated treatment for comorbid conditions and the importance of the concept of comorbidity in social work practice.

Article

Lydia K. Manning, Lauren M. Bouchard, and James L. Flanagan

There is a great deal of concern about the increasing number of older adults who suffer from chronic disease. These conditions result in persistent health consequences and have an ongoing and long-term negative impact on people and their quality of life. Furthermore, the probability that a person will experience the onset of multiple chronic conditions, known as comorbidities, increases with age. Despite the prevalence of comorbidity in later life, scant research exists regarding specific patterns of disease and the co-occurrence and complex interactions of the chronic conditions most closely associated with aging. It is important to review the body of literature on comorbidities associated with physical and psychiatric syndromes in later life to gain an overview of some of the most commonly seen disorders in older adults: hypertension, diabetes, cardiovascular disease, chronic obstructive pulmonary disease, arthritis, depression, and dementia. Specific patterns of disease and the co-occurrence and complex interactions of chronic conditions in later life are explored. In conclusion, we consider the need for a more informed understanding of comorbidity, as well as a related plan for addressing it.

Article

Kenneth S. Carpenter

Delwin M. Anderson (1916–2007) was director of the Social Work Service in the Veteran's Administration from 1964 to 1974. In his work he laid stress on recognizing the social components of illness and physical injury.

Article

When natural hazards lead to disasters, they can affect people in many ways, including damaging their housing and negatively impacting their livelihoods. Each year, millions of people are injured or killed as a result of disasters. They can also force people out of their homes: In 2020, 30.7 million new internal displacements linked with disasters, mostly storms or floods, were recorded throughout the world. Between 2010 and 2020, disaster displacements were recorded in 198 countries and territories, making the issue truly global. Such displacement can have severe and long-lasting consequences on physical and mental health, often similar to those of conflict-related displacement. Psychosocial trauma and the deterioration of living standards and housing conditions often alter displaced people’s well-being and their ability to maintain healthy lives or obtain treatment and care. People with disabilities or long-term illnesses are particularly vulnerable in displacement, as are children and older people. Depression and anxiety, malnutrition, communicable diseases, and lack of access to sexual and reproductive health are among the most frequent issues for internally displaced people. The health consequences of displacement linked with disasters vary depending on affected people’s pre-existing conditions and sociodemographic characteristics, the duration and severity of their displacement, and the type of support they are able to access. In cases of mass and protracted displacement, the health of people in communities of refuge and the health systems in the areas of origin and refuge can also be affected, with repercussions on the broader society. Although some of these impacts are relatively frequent and should be systematically considered by national and local governments, humanitarian organizations, and aid providers, each situation requires tailored approaches. Information on the health impacts of displacement remains limited, but the body of knowledge is growing as awareness increases on the scale of current and future displacement crises linked with disasters in a changing climate.

Article

Toby Raeburn

“Rehabilitation groups” refers to community-based organizations which substantially rely on the work of volunteers to assist people with disabilities towards functional independence. One may differentiate between rehabilitation groups and clinical healthcare services by categorizing clinical services as being predominantly concerned with treatments designed to lower symptoms and cure ill health. Alternatively, rehabilitation groups focus their attention on delivering programs designed to assist people in regaining “functional independence” with or without the ongoing presence of symptoms. Common programs rehabilitation groups deliver are described as including but not being limited to the following: • Mental health rehabilitation: assisting people with lived experience of mental illness towards social and emotional wellbeing. • Drug and alcohol rehabilitation: facilitating recovery from abuse of and dependency on psychoactive substances such as alcohol and other drugs. • Physical health rehabilitation: improving physical and/or neurocognitive functions that have been diminished by ongoing effects of disease or injury. Major themes of communication influence rehabilitation groups and there are connections between the daily work of rehabilitation groups and the theoretical paradigms that influence them. Theoretical paradigms include social disability theory, recovery-oriented care, person-centered care, and cultural materialism.