Bury M R
Dept of Social Policy and Social Science, Royal Holloway and Bedford New College, University of London, Great Britain.
Int Disabil Stud. 1987;9(3):118-22. doi: 10.3109/03790798709166337.
This paper reviews developments in thinking about disablement, especially in response to publication of the ICIDH and from the perspective of a sociologist. The background was provided by changes in perceptions of illness and its consequences, following the emergent predominance of chronic disorders and an ageing population. The ICIDH set out to organize concepts relevant to disablement in response to these alterations. Difficulties have been encountered on two planes--conceptual issues and measurement issues--and these are both discussed briefly. The hazard in future research lies in attempts to avoid the problems, particularly by focusing on disability to the neglect of handicap. It is argued that handicap must be central to developments in disablement research and in rehabilitation.
本文回顾了关于残疾观念的发展，尤其是针对《国际损伤、残疾和残障分类》（ICIDH）的出版，并从社会学家的视角进行探讨。其背景是随着慢性疾病的日益普遍和人口老龄化，人们对疾病及其后果的认知发生了变化。ICIDH旨在针对这些变化梳理与残疾相关的概念。在两个层面上遇到了困难——概念问题和测量问题——本文将对这两个问题进行简要讨论。未来研究的风险在于试图规避这些问题，尤其是过度关注残疾而忽视残障。本文认为，残障必须成为残疾研究和康复发展的核心。
