Arthritic Sexuality: Implications Concerned in the Rehabilitation and Adjustive Processes of Arthritics

1979 ◽  
Vol 10 (1) ◽  
pp. 15-19
Author(s):  
Duane Snow

Statistics provided by the Rehabilitation Services Administration relate that more people continually seek the professional services of rehabilitation counselors because of orthopedic impairments than any other single physical category of disorder. In 1976, 25,076 (20%) of the total number of cases reported (125,342), were orthopedically impaired. Orthopedic impairments were second only to mental illness as a disabling condition with 25.2 % or 31,552 cases reported. Primary causes listed for the major disabling orthopedic condition reveals arthritis and rheumatism as the third leading cause of orthopedic impairment (trailing accidents involving the spinal cord — 11.6 % or 2,904 cases, and “all other accidents” with 36.7% or 9,193 cases reported) comprising 10.8% or 2,696 of the total 25,076 cases documented. In fiscal year 1977, the Texas Rehabilitation Commission handled 2,418 applicants reporting arthritic difficulties alone.These statistics disclose the continuing efforts of rehabilitation with arthritics today. Rehabilitation of the arthritic can involve both physical and mental aspects in the total rehabilitation process. Physical aspects, although quite challenging in themselves, can be conquered, but the psychological and psychosocial difficulties encountered in the adjustment processes of the arthritic disease may prove even more difficult or challenging to the rehabilitation counselor, especially since they can be linked to the client's concept of worth and ability.This essay is an attempt to mobilize further insight and awareness on an important but often neglected topic —sexuality and the arthritic and any implications it may involve in the adjustment and rehabilitation process of arthritic individuals. More specifically, the context of this essay will examine and discuss a multitude of factors which exhibit a profound impact on the development and maintenance of sexuality within the arthritic person, factors such as societal expectations, and psychosocial barriers. Before concluding the· essay various management and treatment techniques are related which can assist the reader in gaining a better understanding of the elements involved in the arthritic's sexual adjustment and rehabilitation process. It is hoped that this paper will provide useful insight. into questions frequently posed on the subject of sex· and the ab1l1ties of arthritics to fulfill these sexual roles.

1981 ◽  
Vol 12 (1) ◽  
pp. 27-31
Author(s):  
August R. Schenzinger

Vocational Rehabilitation with its emphasis on the “26 closure” as a criterion of performance has failed to adequately investigate other alternatives for the evaluation and development of the counselor. This article presents one such alternative which measures a representative sample of counselor behaviour and is thus more reflective of performance throughout the entire rehabilitation process.


2018 ◽  
Vol 49 (2) ◽  
pp. 24-33
Author(s):  
Charles Bernacchio ◽  
Josephine Wilson

This collaboration involves VR Online research at Wright State (WSU) and the Vocational Rehabilitation Counseling (VRC) Long-term Training Project at University of Southern Maine (USM). The NIDILRR-funded VR Online research team developed and piloted online resources for vocational rehabilitation (VR) consumers and counselors using an online portal to meet consumers via videoconference. To address VRC shortages in state VRs and community rehabilitation providers, the Rehabilitation Services Administration (RSA) funded Northern New England VRC project which provides graduate education to VR employees in order to increase the number of qualified VRCs throughout the rural northeast. This article will examine a partnership of these two projects to provide training and technical assistance to VRC students during internships, which includes: use of tele-rehabilitation technology in delivering VR services; integration of video conference technology into rehabilitation counselor education (RCE) graduate level curriculum during internship; trainee supervision and preparation applying HIPPA compliant, webbased, video-conference technology; and assessing benefits and limitations using advanced technologies in internship experiences and process considerations to improve VR Online application in practice.


2011 ◽  
Vol 42 (2) ◽  
pp. 24-32 ◽  
Author(s):  
Daniel L. Boutin

The objective of this study was to identify VR services related to competitive employment for eligible consumers of the state VR program from two distinct groups: veterans who received college and university training and veterans who did not receive such training. A hierarchical logistical regression analysis was used on cases from the Rehabilitation Services Administration 911 database for fiscal year 2008 to test for such relationships. A total of 8 services were found related to employment for veterans who did not receive college training but only 2 services related to employment for veterans who received college training. Service needs of veterans differed based on their college training status. Implications of the findings and recommendations will be discussed for rehabilitation counseling professionals working with veterans with disabilities.


1977 ◽  
Vol 8 (2) ◽  
pp. 66-83
Author(s):  
Michael E. Martin ◽  
Jason D. Andrew

This is the second in a series of four articles dealing with the legal concerns of the rehabilitation counselor. In the next two issues of the Journal articles on confidentiality and liability will appear. Final preparation was coordinated by the Research and Training Center, Stout Vocational Rehabilitation Institute, University of Wisconsin-Stout with partial support provided through Grant No. 45-P-81132/5-01, from the Department of Health, Education and Welfare, Office of Human Development, Rehabilitation Services Administration, Washington, D.C. Interpretations shown in this publication do not necessarily represent the interpretations or opinions of DHEW IOHD/RSA. Reprinting of this document in JARC is done at the suggestion and with the approval of Jason Andrew, now Director, Division of Rehabilitation Services, State of Nebraska. The original document was edited to conform to the stylistic requirements and space limitations of JARC.


1996 ◽  
Vol 27 (1) ◽  
pp. 27-32
Author(s):  
Masahiro Nochi

Rehabilitation professionals are paying more attention to the family as an influential factor for rehabilitation of people with disabilities and as a recipient of professional services. This essay examines three common family theories that are often found in rehabilitation literature: stage theory, family systems theory, and family stress theory. Its primary purpose is to explore the implications of using each family theory as a tool for understanding families in the rehabilitation process. Every theory is certainly useful for providing professionals with information about some aspects of reality. Yet it may obscure other aspects, just as one cannot see the vase while seeing the two faces in Rubin's ambiguous figure. Rehabilitation professionals should consider whether the theory reveals the aspects that correspond to the goals of their practice.


2019 ◽  
Vol 50 (2) ◽  
pp. 148-159
Author(s):  
Ian Shadrick ◽  
Carol Etlen

The purpose of this study was to examine employment outcomes for adult vocational rehabilitation clients with deaf-blindness. Specifically, this study examined the relationship between case service provisions, and competitive employment outcomes for individuals with deaf-blindness. The sample was obtained from Rehabilitation Services Administration Case Service Report (RSA-911) data and included 135 cases of individuals with deaf-blindness identified as their primary or secondary disability and whose cases were closed during the fiscal year 2016. The independent variables consisted of vocational rehabilitation case service-related variables. The dependent variable was attainment of competitive employment. Results indicated that three vocational rehabilitation case service variables were associated with client outcomes for those with deaf-blindness seeking and obtaining competitive employment. Implications for improving employment outcomes for clients with deaf-blindness include supporting postsecondary educational attainment opportunities, providing job placement services, and providing job search-related services. Implications for services provided by vocational rehabilitation agencies are discussed.


1989 ◽  
Vol 20 (1) ◽  
pp. 36-40
Author(s):  
Gary E. Holmes ◽  
Ronald H. Karst

This article explores case record management as a professional skill of the rehabilitation counselor by examining the many roles which case record management plays in the rehabilitation process and in client welfare. Additionally, the article suggests that it is the responsibility of the individual rehabilitation counselor to learn and practice this skill in order to fulfill the ethical standards of the rehabilitation counseling profession.


1986 ◽  
Vol 17 (2) ◽  
pp. 41-44 ◽  
Author(s):  
Paul W. Power ◽  
Arthur E. Dell Orto

The family can be a help or a hindrance to the client during the rehabilitation process. This article identifies three roles for the rehabilitation counselor when working with families. Challenged by the demands of illness and disability, each is presented in the context of how the counselor can maximize the resources of the family which will facilitate, in turn, the rehabilitation of a family member. Recognizing the need for intensified education in the areas of the family and rehabilitation, this article also discusses a course which was developed by the authors to increase the knowledge and skills of rehabilitation counselors when utilizing the resources of the family during the rehabilitation process.


1973 ◽  
Vol 4 (4) ◽  
pp. 224-233
Author(s):  
Solly Katz ◽  
Kenneth Reagles ◽  
George N. Wright

The purpose of this study was to compare rehabilitation counselor time utilization for medically-disabled and culturally-disadvantaged clients. Two research questions were: Is there a significant difference in the time spent on counseling services? Is there a significant difference in the number of counseling contacts required between the two handicapped groups? First, the researchers found that rehabilitation counselors spent similar amounts of time in providing counseling services and in related activities for medically-disabled and culturally-disadvantaged clients; but counselors spent significantly more time withculturaIly-disadvantaged clients. Apparently the culturally disadvantaged seemed to require a redistribution of total time. Counselors made about the same number of contacts for both handicap groups. Thus, the results indicated that culturally-disadvantaged clients, as a group, do not require additional or markedly different counseling functions and can be easily included in the traditional vocational rehabilitation process without major role changes. They do, however, appear to require more time in a one-to-one relationship with the counselor.


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