I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
A few days ago, as major social news, the United Nations expressed concern that "children with disabilities are 'separated' into special-needs schools and special-needs classes, making it difficult for them to receive formal education."
With regard to psychiatric care, compulsory hospitalisation discriminates on the basis of disability, and we call for the repeal of all legal provisions that allow compulsory hospitalisation to deprive liberty.
How do you feel when you read my blog?
'Children with disabilities are segregated, making it difficult to receive formal education' UN urges Japanese government to stop 'segregated education'
The Convention on the Rights of Children with Disabilities, which Japan signed in 2014, calls on countries to establish "inclusive education systems" so that persons with disabilities are not excluded from the general education system.
The recent rehabilitation industry is also changing from a medical model of disability to a social model, but I don't think it is flexible enough to deal with it.
The basis of the medical model is that disability is caused by functional impairment, that disability is an individual problem, and that treatment requires specialized, individualized medical care.
The social model of disability is that disability is not an individual problem or responsibility, but that society does not provide disabled persons with the necessary consideration to participate in society without inconvenience, so society has a responsibility to eliminate disadvantage. Let's assume we are in debt.
The idea of a social model of disability is an integral part of the Convention on the Rights of Persons with Disabilities.
As the meaning of the Convention on the Rights of Persons with Disabilities, "from a medical model of disability to a social model", "independent living in the community" and "reasonable accommodation" were put on the agenda.
Everyone has a "disability".
This can be misunderstood.
But if we think that it is "society" that creates the disability, we can see that everyone has a "disability".
For those who are willing to live freely in society, the necessary considerations have been made.
For example, my right knee is not good, I have a hard time getting up off the floor, and I can't even sit up straight.
If I spend most of my life in an environment where I have to sit on my lap, then I can say I have a disability.
We don't have a kotatsu or short legs at home, so we live with tables and chairs.
Instead of sleeping on a tatami with a futon, I slept on a bed.
My home looks casual, but to me it's in a state of necessity.
Also, I am incapable of giving birth to a child's body.
Few people now point out or are surprised that they don't have children, but more than a decade ago, there were a lot of people around me making discriminatory remarks.
About 10 years ago, when harassing speech became a social problem, discriminatory speech against me, who had no children, decreased.
I have lived and experienced this way of life, but I haven't changed, I believe the social ethos has changed.
The social model of disability is the idea that this society should change and remove social barriers.
I believe that as society changes, mutual understanding is important.
At the conferences I've held so far, not only stroke patients, but also medical, health and welfare workers and students have attended.
For people who have had a stroke, we believe this is a place where they can talk with confidence, and for medical professionals, it's a great way to understand social patterns of disability and understand the importance of two-way communication.
After attending various academic conferences in the fall, I want to prepare so that we can meet again soon.
1) Tamotsu Ikeda et al: Considering ICF issues and support for social participation in occupational therapy from the perspective of "social models of disability". Occupational Therapy Practice and Science 4(1): 715, 2022
,ﾟ.:｡+ﾟThank you for reading to the end,ﾟ.:｡+ﾟ
This article was reprinted on October 5 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .