title: Assistive technology and the newly disabled adult: adaptation to wheelchair use.
abstract: A naturalistic, ethnographic, phenomenological study of adaptation to wheelchair use was conducted with one key informant, a 30-year-old white man with acquired paraplegia who was undergoing acute rehabilitation. Primary staff members served as additional informants. It was found that adaptation to wheelchair use had both pragmatic and emotional components. The latter appeared in alternating phases of resistance and neutrality or detente. Therapist and patient had conflicting goals relative to wheelchair use, which occasioned considerable friction. The patient's initial attitudes regarding wheelchairs were prejudicial, which hampered his ability to see the chair as a useful tool for mobility and independence. Successful pragmatic adaptation hinged in part on emotional acceptance of the wheelchair.
authors.affiliation: Medical Anthropology Program, Center for Social and Behavioral Sciences, University of California, San Francisco 94143.
authors.forename: P S
authors.initials: PS
authors.lastname: Bates
authors.forename: J C
authors.initials: JC
authors.lastname: Spencer
authors.forename: M E
authors.initials: ME
authors.lastname: Young
authors.forename: D H
authors.initials: DH
authors.lastname: Rintala
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D006801:Humans; D008297:Male; D009788:Occupational Therapy; D010264:Paraplegia / Q000523:psychology / Q000534:rehabilitation; D010349:Patient Compliance / Q000523:psychology; D012803:Sick Role; D013119:Spinal Cord Injuries / Q000523:psychology / Q000534:rehabilitation*; D014910:Wheelchairs