Adjustment To Disability

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Adjustment To Disability
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Livneh Model

• Antecedents
• Causes and context
• Process
• Stages, course
• Outcomes
• Quality of Life
• Anticipated Outcomes

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Triggering Events

• Cause
• Genetics, accident
• Course
• Stable, cyclic, progressive
• Permanence

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Antecedents Contextual Variables

• Biological
• Medical Issues
• Psychosocial status
• family
• Environmental conditions
• Economic, social conditions

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Process Contextual Influences

• Condition Related
• Functional limitations, Pain
• Sociodemographic
• SES, Ethnicity, Religion, age, gender
• Personality/ Psychological
• Self-efficacy, ego strength, coping styles, LOC
• External Environmental Features
• Physical barriers, supports
• Family Systems Issues

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Outcomes Quality of Life

• Person-Environment Congruence
• Intrapersonal
• Health, symptoms, happiness, Psychological status
• Interpersonal
• Relationships with family peers
• Extrapersonal
• Work, school, community connectedness

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Five Stages Of Adjustment(DABDA)

• Denial (and Isolation)
• Anger
• Bargaining
• Depression
• Acceptance Ross

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General Model

• Shock/numbing
• Anxiety
• Denial
• Yearning/Pining
• Depression (Chronic Sorrow/grief)
• Internalized Anger
• Externalized Hostility
• Acknowledgement/ Acceptance
• Adaptation (Adjustment, resolution) Weller
  Miller

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Problems Facing People With Disabilities

• Being Labeled Halo/Horns Effect
• Lack of Models
• Social Skills
• Varies by type of disability
• Skills for Independent Living
• Social Isolation (Relationships)

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Adjustment Process

• Seeking Relevant Information
• Requesting Emotional Support
• Setting Concrete Goals
• Learning Specific Disability-Related Skills
• Finding a Meaning to Life Moos

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Signs of Adjustment

• Change in Hierarchy of Values
• Subordination of Physical Values
• Containment of Disability Effect
• Realistic Self-Knowledge
• Useful Self-Appraisal
• Supportable Self-Concept
• Realistic Hopes and Goals
• Positive Action