Visagie Surona, Swartz Leslie
a Centre for Rehabilitation Studies , Stellenbosch University , Stellenbosch, Fraserburg , South Africa.
b Department of Psychology , Stellenbosch University , Stellenbosch , South Africa.
Disabil Rehabil. 2018 Jul;40(15):1799-1807. doi: 10.1080/09638288.2017.1313909. Epub 2017 Apr 11.
At a political and academic level, South Africa propagates a rights-based approach to disability. The aim of this paper is to explore how disability is conceptualized by persons with disabilities living in a rural area of South Africa.
In keeping with explorative studies, the study utilized a qualitative design in the form of eight case studies. Case study participants were sampled purposively and data were collected through semi-structured interviews. Data were analyzed according to the principles of interpretative phenomenological analysis.
Five themes evolved from the findings. These were no identification with disability, individual approach to disability, the role of personal factors, the role of Christianity as well as attitudes, and support of significant others.
Findings showed that there is a need to bridge the divide between rhetoric and reality for these participants whose stories might resonate with those of many other South Africans. Implications for rehabilitation South Africa is seen as a country that has an inclusive approach to disability and approach disability from a human rights angle. The article shows that some South Africans are excluded from the dialog on disability, human rights, access, and health care. Their health and community integration outcomes are left to crippling beliefs about disability, chance and personal attributes. The academic and political rhetoric does not describe the situation of study participants, and by assuming all South Africans are included, it further marginalizes them.
在政治和学术层面，南非宣扬基于权利的残疾观。本文旨在探讨生活在南非农村地区的残疾人如何理解残疾。
与探索性研究一致，本研究采用了以八个案例研究为形式的定性设计。案例研究参与者采用目的抽样法选取，数据通过半结构化访谈收集。数据根据解释现象学分析原则进行分析。
研究结果形成了五个主题。分别是不认同残疾、对残疾的个体认知方式、个人因素的作用、基督教的作用以及重要他人的态度和支持。
研究结果表明，对于这些经历可能与许多其他南非人有共鸣的参与者来说，有必要弥合言辞与现实之间的差距。对康复的启示 南非被视为一个对残疾采取包容态度并从人权角度看待残疾的国家。本文表明，一些南非人被排除在关于残疾、人权、就医机会和医疗保健的对话之外。他们的健康和社区融入结果受制于对残疾、机遇和个人特质的严重错误观念。学术和政治言辞并未描述研究参与者的情况，而且通过假定所有南非人都被涵盖在内，这进一步将他们边缘化。
