Ueda S, Okawa Y
Japan ICF Collaborating Center, Tokyo, Japan.
Disabil Rehabil. 2003;25(11-12):596-601. doi: 10.1080/0963828031000137108.
The International Classification of Functioning, Disability and Health (ICF, WHO 2001) made a great advancement over ICIDH of 1980 in the understanding of the human functioning and disability. However, in both of them there is an important 'missing' element. That is the subjective dimension of functioning and disability. One of the authors (S. Ueda) published on this topic in 1981 both in Japanese and English. It had originated from his clinical experience in rehabilitation medicine. The understanding of the inner world of the client has proved a great asset in clinical practice. This paper explains its importance and provides a definition. It also proposes a tentative framework of a classification of subjective dimension of functioning and disability as the starting point for more intensive and extensive discussion on this important problem, and for its future inclusion into ICF.
《国际功能、残疾和健康分类》（ICF，世界卫生组织，2001年）在对人类功能和残疾的理解方面比1980年的《国际损伤、残疾和障碍分类》（ICIDH）有了很大进步。然而，这两者都有一个重要的“缺失”元素。即功能和残疾的主观维度。其中一位作者（上田诚）于1981年用日语和英语发表了关于这个主题的文章。它源于他在康复医学方面的临床经验。事实证明，了解服务对象的内心世界在临床实践中是一项巨大的财富。本文解释了其重要性并给出了定义。它还提出了一个关于功能和残疾主观维度分类的初步框架，作为对这一重要问题进行更深入广泛讨论以及未来将其纳入ICF的起点。
