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The blind, paraplegic, and other physically handicapped have in common intrapsychic, family, and social problems that transcend in importance the unique problems imposed by each type of handicap. It is the generic problems rather than the specific handicap that often tend to determine prolonged disability and interference with rehabilitation. From these conclusions, the author derives his concept of generic rehabilitation training for all rehabilitation workers, particularly caseworkers, psychologists, and vocational counselors. The generic training would precede specialization with a specific handicap, and would facilitate communication among the various fields of rehabilitation that characteristically operate in insular fashion.
The structure and function of the multidisciplinary rehabilitation team is discussed in detail from the standpoint of psychiatric and psychoanalytic experience. The primary function of the psychiatrist on the team is to enhance the psychological insights of every team member rather than to be a distant consultant called in only to handle crises. Stress too is laid on certain histological and socioeconomic determinants of rehabilitation problems.
AUTHOR'S ABSTRACT