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Whether one is talking about the latest actor, politician, or average person, the term rehabilitation is likely to pop up in casual conversation. This is testimony to how quickly the term has entered the pop culture lexicon. Partially because of this, it is difficult to disentangle the different meanings associated with it. After all, everyone has a feeling that rehabilitation cures something. That “something,” however, can range from substance addiction to any number of social problems. This variation occurs in the social scientific community as well, partly because of the link between rehabilitation and disability as social constructs.

Like rehabilitation, disability has several definitions. For example, the Americans with Disabilities Act defines disability as difficulty in performing expected tasks. Using that definition, disability affects 12.6 percent of all working-age adults in the United States. Additionally, the number of days with some role impairment varies by condition. Seven of the top 10 leading causes of role impairment in the United States are physical illnesses, while three are mental illnesses.

Despite the various uses of rehabilitation in both popular culture and the social problems literature, most experts agree that the goal of rehabilitation is to return a body, individual or social, to a condition of health and well-being. What marks a social scientific approach to its study as a social problem is the focus on how social factors and culture make the rehabilitative process problematic for different societal groups.

Rehabilitation Perspectives

In the social sciences, a diversity of analytic and theoretical models of rehabilitation exists. Some contemporary research focuses on how discourse constructs rehabilitation, while others focus more broadly on processes of social construction. Given this dichotomy, offering a single summation of rehabilitation as a social problem is difficult. What complicates matters even more is the scope of much research in the field. Some focus on the psychological state of those who experience rehabilitation, while others focus on the effects of group dynamics on the rehabilitation process. Also, much research focuses on specific types of rehabilitation, while other research focuses on rehabilitation as a more general process. As a result, research on rehabilitation as a social problem developed concepts that focus both on specific rehabilitation practices and theories and on rehabilitation itself. That division points to some fundamental questions. For example, is vocational rehabilitation as a social problem the same as it is for substance abuse rehabilitation? How similar are the constructions of rehabilitation as a social problem for the mentally ill and the physically impaired? How might they differ?

Traditional views of rehabilitation as a social problem often led to building models that identified the different stages individuals move through to adapt to their disability or addiction. Problems arise when individuals are stuck in one stage or another. Such an approach is based on a medical model that defines disability and addiction as illness. The Americans with Disabilities Act has such a model at its base. However, many rehabilitation researchers have increasingly abandoned this stage modeling approach in favor of a quality of life perspective that focuses on an expanded conception of adaptation and life satisfaction.

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