Fadyl Joanna K, Payne Deborah
a Centre for Person Centred Research, Auckland University of Technology , Auckland , New Zealand ;
b Centre for Midwifery and Women's Health Research , Auckland University of Technology , Auckland , New Zealand.
Disabil Rehabil. 2016 Nov;38(22):2165-77. doi: 10.3109/09638288.2015.1116620. Epub 2016 Jan 12.
Paid work is seen as a key outcome in rehabilitation. However, research demonstrates that because of normative expectations in the job market and workplace, experiences of disability can be intensified in a work context. We sought to explore this issue in more depth by analysing the effects of societal constructions of worker 'value' within individual case studies of people with acquired neurological injury.
Instrumental case study of four heterogeneous participants, employing a discourse analysis approach.
Participants described a perpetuation of discourses in which a disabled body or mind itself is seen to qualify, disqualify or limit a person's value in employment. Nevertheless, interviews also highlighted discourses that constructed other worker identities: based on pre-injury identities, life experiences and other aspects of self. The contrasts between individuals illustrated how worker identities, when situated within broader societal discourses of worker 'value', can either constrain or expand the vocational opportunities available to individuals who experience disability. However, current and historical interactions about worker 'value' shaped the identities genuinely available to each individual.
Understanding how societal discourses enable and constrain worker identities may be vital to (a) facilitating valid opportunities and (b) navigating situations that could unintentionally hinder vocational possibilities. Implications for Rehabilitation This study shows how worker identities, situated within societal discourses of worker 'value', can constrain or broaden vocational opportunities available to individuals who experience disability. Barriers to gaining, maintaining and developing in employment could be re-envisaged in terms of what is limiting a person's ability to embody an enabling identity. A knowledge of both societal discourses and individuals' interactions with them may be vital to facilitating opportunities that users of rehabilitation services experience as valid options. This knowledge can also provide information with which to navigate situations that could potentially (sometimes unintentionally) constrain vocational possibilities.
有偿工作被视为康复的一项关键成果。然而，研究表明，由于就业市场和工作场所的规范性期望，在工作环境中，残疾经历可能会被强化。我们试图通过分析在获得性神经损伤患者的个体案例研究中社会对“劳动者价值”的建构所产生的影响，来更深入地探讨这个问题。
对四名异质性参与者进行工具性案例研究，采用话语分析方法。
参与者描述了一些话语的延续，在这些话语中，残疾的身体或心智本身被视为使一个人在就业中的价值合格、不合格或受到限制。然而，访谈也突出了构建其他劳动者身份的话语：基于受伤前的身份、生活经历和自我的其他方面。个体之间的对比说明了劳动者身份在更广泛的社会关于“劳动者价值”的话语中时，如何能够限制或扩大残疾个体可获得的职业机会。然而，当前和历史上关于“劳动者价值”的互动塑造了每个个体真正可获得的身份。
理解社会话语如何促成和限制劳动者身份，对于（a）促进有效的机会和（b）应对可能无意阻碍职业可能性的情况可能至关重要。对康复的启示 本研究表明，处于社会关于“劳动者价值”话语中的劳动者身份，如何能够限制或拓宽残疾个体可获得的职业机会。在就业中获得、维持和发展的障碍可以根据限制一个人体现有利身份能力的因素重新构想。了解社会话语以及个体与它们的互动，对于促进康复服务使用者将其视为有效选择的机会可能至关重要。这些知识还可以提供信息，以便应对可能（有时是无意地）限制职业可能性的情况。
