Thanks to the various options that a person with a disability currently has access to, it is not impossible to lead a life that is close to normal. However, to achieve this, it takes the proactive participation of the person, the person’s family and a team of professionals.

The therapist or expert in therapeutic accompaniment is fundamental to this circle of professionals. After all, his role is essential for the partial or complete recovery of the patient.



First of all, to understand the role that therapeutic accompaniment has for a person with a disability, it is important to understand its two primary functions: to recover and to rehabilitate.

In the first instance, therapeutic accompaniment consists of a process to recover something lost: mobility, motor functions, abilities, etc. However, this is not the end of this journey, it is just the first step. After all, once the lost ability or function is restored, it is necessary to return to the previous ability.



To achieve these two objectives, there are many currents and methodologies that currently exist. The choice depends, to a large extent, on the disability being treated and the specialty of the professional itself. However, regardless of the methodology, there are two elements that are permanently linked to therapeutic accompaniment.


As previously mentioned, caring for a person with a disability requires a team of professionals in various areas. The discipline of each one of them will depend to a great extent on the disability that is being attended to, be it mental, physical or mixed.

In most cases, it is the therapeutic companion who shares most of the time with the person and their disability. Therefore, he will be a very important ally who will function as a bridge between the person and the other specialists.



Starting from the basic premise that a person with a disability will need their equipment to be able to perform basic motor tasks, supervision is key.

Regarding it, it is important that it forms part of the demands of the person with disabilities. It must be a voluntary request and not subject to external pressure, except in very special cases.

Likewise, it must be framed within the “framing” of the patient, understood as the basic orientation of the needs and objectives of the person with disabilities.



For a therapeutic accompaniment to be efficient, it must meet the following characteristics:

  • It must promote perseverance between the team of professionals and the person with disabilities, understanding that the best results are long-term and require patience and effort xxx gratuit.
  • The companion must be empathetic and friendly, being able to process and support the patient in her negative emotions.
  • Understanding the difficulties and conflicts that the person with disabilities will go through, the companion must be endowed with a light humor and a lot of creativity, to keep the person accompanied by her fresh and in perspective.


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Why the Rehabilitation Profession Needs Disability Studies

Vocational rehabilitation was created to serve the needs of men injured in combat in the first and second World Wars and to serve the needs of men injured in industrial accidents. Except for the remarkable efforts of the National Colored Women’s Association, which created job training and housing for African-American women in the late 19th Century, there has never been a vocational rehabilitation system created to meet the cannabis needs of women. Not all men had their needs met either. For example, African-American combat veterans were not given the same benefits as their white counterparts.

Although vocational rehabilitation as a profession challenged the medical model in that it posited disability as a barrier to employment rather than as the end of employment, it never really succeeded in its mission. Indeed, it took the passage of the Americans with Disabilities Act in 1990 to bring the epic levels of unemployment of people with disabilities to national attention. The ADA, of course, would never have surfaced without a Disability Rights Movement. Although vocational rehabilitation professionals were allies in the passage of the ADA, they cannot be recorded as the leaders, the innovators in the movement toward quality lives for people with disabilities.

Even within the rehabilitation profession, the fact that the Disability Rights Movement emerged roughly at about the same time as the Civil Rights Movement and the Women’s Movement is rarely recalled, or even known. People with disabilities were closing down federal buildings, creating independent living centers, and protesting on college campuses. When women and minorities did the same thing, all sorts of things happened in higher education. Services for minority and women students emerged in equal opportunity programs and centers. Africana, Hispanic, and Women’s Studies emerged as new academic disciplines. The question is what happened to the logical emergence of Disability Studies? Why didn’t it follow along with the rest of the revolutionary pressures of the 1960s and 1970s?

My hypothesis is that just as the potentially revolutionary aspects of vocational rehabilitation were subsumed by the medical establishment, vocational rehabilitation suppressed the emergence of a revolutionary disability rights movement. In the 1960s and 1970s, the federal government offered stipends to graduate students in rehabilitation counseling programs. This had the deceptively benign effect of grabbing off the best and brightest people with disabilities and engulfing them in the profession of vocational rehabilitation, a profession beholden to the medical/legal establishment.

The medical model creates disability as disaster, as something to be fixed – no matter the cost to the person involved – as a thing to be conquered. For this reason, vocational rehabilitation with its roots deeply embedded in workers’ compensation systems, state departments of rehabilitation services, Social Security, and the Veteran’s Administration can never be a force for change since there is too much to give up. Having persons with disabilities administer these programs gives them credibility and extends their longevity.

Without a Disability Rights Movement and Disability Studies in higher education, the experience of disability as seen through the lens of the person with the disability can never be understood or even explored. The person with the disability will always be seen as other and persons who happen to be women and/or members of a minority group will be further distanced as alien others.

And just as Women’s Studies is not the study of women’s reproductive organs, Disability Studies is not the study of medical/psychological/legal definitions of porno disability. Both subscribe to standpoint theory. That is, you cannot understand my experience unless you look at it from my point of view.

Finally, the rehabilitation profession needs Disability Studies to revitalize itself as a profession, as an academic discipline. Without Disability Studies, the field will never realize its potentially revolutionary power.