In the last 50 years, discussions of how to understand disability have been dominated by the medical and social models. Paradoxically, both models overlook the disabled person's experience of the lived body, thus reducing the body of the disabled person to a physiological body. In this article we introduce what we call the Ecological-Enactive (EE) model of disability. The EE-model combines ideas from enactive cognitive science and ecological psychology with the aim of doing justice simultaneously to the lived experience of being disabled, and the physiological dimensions of disability. More specifically, we put the EE model to work to disentangle the concepts of disability and pathology. We locate the difference between pathological and normal forms of embodiment in the person's capacity to adapt to changes in the environment. To ensure that our discussion remains in contact with lived experience, we draw upon phenomenological interviews we have carried out with people with Cerebral Palsy.
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http://dx.doi.org/10.3389/fpsyg.2020.01162 | DOI Listing |
Braz J Phys Ther
November 2023
Founder of First Principles of Movement, Director of L.A. Sports & Spine, Los Angeles, and Continuing Education faculty with Parker University, Dallas, United States.
Background: The biomedical understanding of chronic musculoskeletal pain endorses a linear relationship between noxious stimuli and pain, and is often dualist or reductionist. Although the biopsychosocial approach is an important advancement, it has a limited theoretical foundation. As such, it tends to be misinterpreted in manners that lead to artificial boundaries between the biological, psychological, and social, with fragmented and polarized clinical applications.
View Article and Find Full Text PDFFront Rehabil Sci
August 2022
Department of Psychology, Center for Cognition, Action & Perception, University of Cincinnati, Cincinnati, OH, United States.
The International Classification of Functioning, Disability and Health (ICF) recognizes that disability arises from the interaction between an individual with a medical condition and the context in which they are embedded. Context in the ICF is comprised of environmental and personal factors. Personal factors, the background life and lifestyle of an individual, are poorly understood in rehabilitation.
View Article and Find Full Text PDFIntegr Psychol Behav Sci
June 2023
Laboratorio de Investigaciones en Psicoanálisis y Psicopatología (LIPPSI), Facultad de Psicología, Universidad Nacional de La Plata, Buenos Aires, Ensenada (1925), Calle 51 e/123 y 124, Argentina.
The ability to understand the behaviour of other people in intentional terms has been traditionally explained by resorting to inferential mechanisms that would allow individuals to access the internal mental states of others. In recent years, the second-person perspective has established itself as a theoretical alternative to traditional models. It argues that intentional understanding is an embodied, natural, and immediate process that occurs in situations such as face-to-face early dyadic interactions between adults and infants.
View Article and Find Full Text PDFFront Psychol
June 2020
Amsterdam University Medical Center, Amsterdam, Netherlands.
In the last 50 years, discussions of how to understand disability have been dominated by the medical and social models. Paradoxically, both models overlook the disabled person's experience of the lived body, thus reducing the body of the disabled person to a physiological body. In this article we introduce what we call the Ecological-Enactive (EE) model of disability.
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