国際生活機能分類からみたリハビリテーション

抄録

In this article, an outline of the International Classification of Functioning, Disability and Health (ICF) is described, and, rehabilitation which is based on the ICF concept is proposed. Because the ICIDH model consists of impairments, disabilities and handicap from the "flow" of thinking originating from diseases, it could a only be constructed by professionals like a doctor or a therapist. However, because ICF is a classification of daily life function, its construction is possible by various disciplines, not just a doctor or a therapist. It is desirable that a therapist understands the ICF concept to maintain cooperation and a common language with other disciplines. To keep therapist's identity as "we can cure", it is therapists who have to recognize the concept of ICF with the new three dimensional paradigm described in this article. To establish the three dimensional paradigm of ICF, the therapist has to understand the "Wellness", which arises from the client's desire and needs, instead of "Health condition" in ICF. In other words, construct the three dimensional paradigm of ICF, to offer rehabilitation service, and the subject is lead to higher "Wellness", and as a results of this process, whole human rehabilitation is facilitated better than the rehabilitation which is done under the ICIDH model.