Constructions of Disability: A Call for Critical Reflexivity in Occupational Therapy

Abstract

Background. Within professional and practice knowledge there are many assumptions about disability that underpin occupational therapy philosophy. Purpose. The objectives of this paper are to (a) critically examine how disability has been constructed in mainstream society by introducing perspectives from contemporary disability studies theories, and (b) apply a critically reflexive lens informed by disability studies perspectives to occupational therapy practice. Key Issues. Drawing upon critical disability perspectives, notions of “nondisabled” versus “disabled”; metanarratives of disability; built environments and social structures; and social and attitudinal constructions of disability and identity are examined. Key issues pertaining to rehabilitation, norms, client-centred practice, language, and education within occupational therapy are discussed. Implications. This critically reflexive examination has revealed the ways in which occupational therapy and society at large are embedded in discourses that may reinforce negative connotations around disability. A renewed understanding of disability may challenge current practices.