What are the differences between individuals with disabilities who flourish and those who never really adjust after a trauma? How do those born with a disability differ from individuals who acquire one later in life? Fully updated and revised, this second edition of a unique rehabilitation counseling text reflects growing disparities among “haves” and “have-nots” as they bear on the psychosocial aspects of disability. New content focuses on returning veterans afflicted with physical and mental health problems, persons with disabilities living in poverty, and the need for increased family and community-based engagement. The book provides updated information about assisted suicide, genetic testing, new legislation, and much more.

Using a minority model perspective, the text provides students and practitioners of rehabilitation and mental health counseling with vivid insight into the experience of living with a disability. It features first-person narratives from people living with a variety of disabling conditions, which are integrated with sociological and societal perspectives toward disability, and strategies for counseling such individuals. The text encompasses a historical perspective, psychological and sociological research, cultural variants regarding disability, myths and misconceptions, the attitudes of special interest and occupational groups, the use of positive psychology, and adjustments to disability by the individual and family. A wealth of counseling guidelines and useful strategies is geared to individuals with specific disabilities. Designed for a 15-week semester, the book also includes thought-provoking discussion questions and exercises.

New to the Second Edition:

Reflects the growing disparities between “haves” and “have-nots” as they impact people with disabilities
Includes new content on veterans with physical and mental disabilities
Describes the experience of impoverished individuals with disabilities
Examines the need for increased family and community-based engagement
Discusses strengths and weaknesses of the Americans With Disabilities Act
Covers assisted suicide, genetic testing, and recent legislation
Includes expanded coverage of sexual identity
Provides an Instructor’s Manual and PowerPoints as supplemental downloads

Key Features:

Provides 16 personal narratives demonstrating the “normalcy” of individuals with different types of disabling conditions
Includes stories of people living with blindness, hearing impairments, spinal cord injuries, muscular dystrophy, mental illness, and other disabilities
Delivers counseling strategies geared toward specific disabilities, with “do’s” and “don’ts”
Discusses ongoing treatment issues and ethical dilemmas for rehabilitation counselors

Contents

Foreword, by Michael J. Leahy

Preface

Acknowledgments

Part I: Disability From a Sociological Perspective

1. The History of Treatment Toward People With Disabilities

Irmo Marini

Insider Perspective: The Story of Patricia E. Moniot

Discussion Questions and Exercise

2. Societal Attitudes and Myths About Disability: Improving the Social Consciousness

Irmo Marini

Insider Perspective: The Story of Linda Napolitano

Discussion Questions and Exercises

3. Culturally Different Issues and Attitudes Toward Disability

Michael J. Millington

Insider Perspective: The Story of Elvia Susana Prieto Armendariz

Discussion Questions and Exercise

4. Attitudes Toward Disability by Special Interests and Occupational Groups

Irmo Marini

Insider Perspective: The Story of Miriam Kimmelman

Discussion Questions and Exercises

Part II: The Psychology of Disability Surrounding the Individual and Family

5. Theories of Adjustment and Adaptation to Disability

Irmo Marini

Insider Perspective: The Story of Michael Hoenig

Discussion Questions and Exercises

6. Family Adaptation Across Cultures Toward a Loved One Who Is Disabled

Noreen M. Graf

Insider Perspective: The Story of Francia Malone

Discussion Questions and Exercises

7. Sexuality and Disability

Noreen M. Graf

Insider Perspective: The Story of Jennifer L. Addis

Discussion Questions and Exercises

8. The Psychosocial World of the Injured Worker

Irmo Marini

Insider Perspective: The Story of Gino Sonego

Discussion Questions and Exercises

Part III: Pertinent Topics Concerning Psychosocial Issues of Disability

9. Disability and Quality of Life Over the Life Span

Noreen M. Graf

Insider Perspective: The Story of Richard Daggett

Discussion Questions and Exercises

10. Implications of Social Support and Caregiving for Loved Ones With a Disability

Irmo Marini

Insider Perspective: The Story of Verne Sanford

Discussion Questions and Exercises

11. Thriving Versus Succumbing to Disability: Psychosocial Factors and Positive Psychology

Irmo Marini

Insider Perspective: The Story of Dave Shannon

Discussion Questions and Exercises

Part IV: Counseling Strategies and Insights for Working With Persons With Disabilities

12. Which Counseling Theories and Techniques Work Best With Different Disability Populations and Why

Michael J. Millington

Insider Perspective: The Story of Kristine Stebler

Discussion Questions and Exercise

13. Social Justice, Oppression, and Disability: Counseling Those Most in Need

Irmo Marini

Insider Perspective: The Story of Claudia Smith as reported by Olivia Perez

Discussion Questions and Exercises

14. Counseling Families in the Community

Michael J. Millington

Insider Perspective: The Story of Kathleen Prime

Discussion Questions and Exercise

15. Ethical Responsibilities in Working With People With Disabilities and Our Duty to Educate

Noreen M. Graf

Insider Perspective: The Story of Patricia (Allen) Konczynski

Discussion Questions and Exercises

16. Basic Dos and Don’ts in Counseling Persons With Disabilities

Michael J. Millington

Insider Perspective: The Story of Michael Hineberg

Discussion Questions and Exercise

Index

Authors

Irmo Marini, PhD, DSc, CRC, CLCP, is professor in the School of Rehabilitation at the University of Texas–Rio Grande Valley in Edinburg, Texas. He obtained his PhD in rehabilitation from Auburn University and a master's degree in clinical psychology from Lakehead University in Thunder Bay, Ontario, Canada. He is a 2009 recipient of the National Council on Rehabilitation Education's Distinguished Career Award in rehabilitation education, and 2010 recipient of the American Rehabilitation Counseling Association's James F. Garrett Distinguished Career Award in rehabilitation research. In 2012, Dr. Marini was bestowed an honorary Doctor of Science (honoris causa) from his alma mater Lakehead University and was the recipient of the 2013 National Council on Rehabilitation Education's Educator of the Year award. In 2015, he was the recipient of the Patricia McCollom Distinguished Career Award in life care planning research, and in 2022 the Outstanding Educator of the Year Award with the International Academy of Life Care Planners.

Noreen M. Graf, Rh.D, is a Professor in the School of Rehabilitation at the University of Texas-Rio Grande Valley in Edinburg Texas.

Michael J. Millington, PhD is Course Director for the Rehabilitation Counselling Discipline and Associate of the Centre for Disability Research and Policy, and the WHO Collaborating Centre at the Faculty of Health Sciences, University of Sydney.

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