Learning disability nursing: from normalization to materialism--towards a new paradigm.

For almost 2 decades the 'normalization principle' has provided the dominant paradigm for the planning and evaluation of nursing services to people with a learning disability within the United Kingdom. This has reflected the international influence of this philosophy in services to a wide range of disadvantaged and marginalized groups. However, this paper will argue that nurses working with this client group are facing a range of social and political changes which expose the weaknesses in this paradigm. This calls for a new approach to the way the relationship between practitioners and their clients is conceptualized. Here it is argued that a materialist paradigm provides a more realistic framework upon which to base future nursing practice.