Simpson Jane, Thomas Carol
Department of Clinical Psychology, Lancaster University , Lancaster , UK and.
Disabil Rehabil. 2015;37(14):1299-304. doi: 10.3109/09638288.2014.961656. Epub 2014 Sep 22.
Clinical psychology and disability studies have traditionally occupied very different academic, philosophical and political spaces. However, this paper aims to illustrate the positive consequences and implications of attempts to understand and bridge this disciplinary divide.
A narrative review format was used with evidence selected pragmatically as opposed to systematically. The construction of the argument determined the evidence selected.
The concept of psycho-emotional disablism, which originated within disability studies, is argued to be a useful concept to bridge the divide between understandings of distress from both disability studies and clinical psychology perspectives. However, this can be usefully augmented by psychological research on the mechanisms through which disablism can affect individuals.
Perspectives from both disability studies and clinical psychology can be usefully combined to bring important new perspectives; combined, these perspectives should help - on theoretical, service and social levels - to improve the mental health of disabled people. Implications for Rehabilitation Mental health is an important determinant of overall health-related quality of life and psychological therapy should be available for those disabled people who would value it. Psychological therapists working with disabled people should be more aware of the challenging social context in which disabled people live. Understandings of distress should not just include individual factors but also incorporate the psychological impact of stresses caused by societal barriers preventing inclusion. Psychologists should be more willing to work and engage at a societal and political level to influence change.
临床心理学和残疾研究在传统上占据着截然不同的学术、哲学和政治空间。然而,本文旨在阐述试图理解并弥合这一学科鸿沟所带来的积极后果及影响。
采用叙述性综述形式,证据选取注重实用性而非系统性。论证的构建决定了所选证据。
起源于残疾研究领域的心理情感障碍主义概念,被认为是一个有助于弥合残疾研究和临床心理学对痛苦理解之间鸿沟的有用概念。然而,通过心理研究揭示障碍主义影响个体的机制,可对这一概念起到有益补充。
残疾研究和临床心理学的观点可以有效结合,带来重要的新视角;综合起来,这些视角应在理论、服务和社会层面上有助于改善残疾人的心理健康。
康复的意义
心理健康是整体健康相关生活质量的重要决定因素,心理治疗应提供给那些重视它的残疾人。与残疾人合作的心理治疗师应更加了解残疾人生活的具有挑战性的社会环境。对痛苦的理解不应仅包括个体因素,还应纳入社会障碍导致的压力对心理的影响,这些障碍阻碍了残疾人融入社会。心理学家应更愿意在社会和政治层面开展工作并参与其中,以推动变革。