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• W260845116 abstract "Why do I bristle at the word client? Dr. Thomas has helped me crystalize my considerable introspection over this quandary. The essence of my profound disagreement with his recommendation that we eliminate the word consumer and return to in the field of rehabilitation, lies in the very definition he uses to support his case. Webster defines client as ... a person or company in its relationship to a lawyer, accountant, etc., engaged to act on its (emphasis added). This assumes that for some reason, individuals have neither the ability nor interest to act on their own behalf. In the field of rehabilitation, there is a long history of professionals acting on behalf of people with disabilities, asserting their superior knowledge of what we need and what is best for us. In other words, it followed the medical model and all the paternalism inherent therein. While no one will deny that rehabilitation has been a valuable resource for many people, including myself, it has suffered from too many behaviors that perpetuate disability stereotypes, such as relegating people to sheltered workshops or proscribed career paths, or labeling people as unemployable solely on the basis of the severity of their disability. I don't think anyone would argue that rehabilitation has a paternalistic past. On the other hand, anyone who does not carry a bitter grudge from receiving such treatment will acknowledge that rehabilitation is in the midst of a revolution toward a more humane and creative discipline that focuses on both independence and productivity. The shift to use of the word consumer is symbolic of this progress. The dichotomy between retailers and lawyers/accountants/medical professionals does not serve this issue well. By putting rehabilitation in the company of lawyers and physicians, you have chosen to consort with those no less disreputable than retailers. Characterizing the negative side of this role as mere dispensers of services fails to acknowledge the critical role of rehabilitation professionals as educators. In my conceptualization of an ideal world., professionals of all sorts would conduct assessments and evaluations only to enable individuals to understand more completely what their goals are and what they need in order to achieve those goals. An extension of this role is to assist individuals to see through the glitz that will inevitably accompany a more competitive market of services, and make sound judgements that will enable them to reach their goals. For individuals whose disabilities affect the ability to make sound judgements, the role of the rehabilitation professional expands to that of advocate as well as coach (i.e., educator and advisor). For all but a very small traction of the population, there is some interest and ability to be self-determining, it is more a matter of degree. Respect for the right and responsibility to make judgements for oneself is the cornerstone of the new, enlightened field of rehabilitation. Rehabilitation professionals are more like retailers than you would like to believe. I agree that rehabilitation counselor training programs focus little, if at all, on the economic aspects of making a profit. That comes when counselors become employed and are oriented by their agency or company to the operational criteria for serving individuals within the resources available. …" @default.
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• W260845116 date "1993-04-01" @default.
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• W260845116 title "A Response to Kenneth R. Thomas' Commentary: Some Observations on the Use of the Word 'Consumer.' (the Journal of Rehabilitation, Vol 59, P. 6, April 1993) (Cover Story)" @default.
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