The Lived Experience of Interdependence: Support Worker Relationships and Implications for Wider Rehabilitation

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY Brain Impairment Pub Date : 2021-11-15 DOI:10.1017/BrImp.2021.24
J. Bourke
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引用次数: 1

Abstract

Abstract Engaging in a meaningful life where one can exercise autonomy has been proposed as a key aim of rehabilitation. Influenced by a neoliberal worldview, this has traditionally been characterised by a pursuit towards individual functional independence in which one completes tasks and activities unassisted. However for many persons, individual functional independence may not be a realistic, prioritised or beneficial goal. Many individuals must learn to work with support workers to exercise choice and control. Such relationships extend beyond a transactional nature and involve many subtle characteristics. In this article, I draw on my lived experience of partnering with support workers to illustrate the complexity of such relationships and how they can enable interdependence to serve as a vehicle to self-determination. I finish with some ideas about what rehabilitation can do to recognise the important role human connections play in facilitating interdependence. Understanding the nature of these relationships is necessary to provide services which value interdependence, supporting people to pursue a meaningful life following impairment.
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相互依赖的生活经验:支持工作者关系及其对更广泛康复的影响
从事有意义的生活,一个人可以行使自主权已被提出作为康复的关键目标。受新自由主义世界观的影响,这在传统上以追求个人功能独立性为特征,在这种独立性中,一个人在没有帮助的情况下完成任务和活动。然而,对许多人来说,个人功能独立可能不是一个现实的、优先考虑的或有益的目标。许多个人必须学会与支持工作者一起工作,以行使选择和控制。这种关系超越了交易性质,涉及许多微妙的特征。在这篇文章中,我利用我与支持工作者合作的生活经验来说明这种关系的复杂性,以及它们如何使相互依赖成为自决的工具。最后,我提出了一些关于康复可以做些什么的想法,以认识到人际关系在促进相互依赖方面所起的重要作用。了解这些关系的本质对于提供重视相互依赖的服务,支持人们在受损后追求有意义的生活是必要的。
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来源期刊
Brain Impairment
Brain Impairment CLINICAL NEUROLOGY-NEUROSCIENCES
CiteScore
1.10
自引率
0.00%
发文量
30
审稿时长
>12 weeks
期刊介绍: The journal addresses topics related to the aetiology, epidemiology, treatment and outcomes of brain impairment with a particular focus on the implications for functional status, participation, rehabilitation and quality of life. Disciplines reflect a broad multidisciplinary scope and include neuroscience, neurology, neuropsychology, psychiatry, clinical psychology, occupational therapy, physiotherapy, speech pathology, social work, and nursing. Submissions are welcome across the full range of conditions that affect brain function (stroke, tumour, progressive neurological illnesses, dementia, traumatic brain injury, epilepsy, etc.) throughout the lifespan.
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