title: Experiences of being tested: a critical discussion of the knowledge involved and produced in the practice of testing in children's rehabilitation.
abstract: Intensive professional testing of children with disabilities is becoming increasingly prominent within the field of children's rehabilitation. In this paper we question the high quality ascribed to standardized assessment procedures. We explore testing practices using a hermeneutic-phenomenological approach analyzing data from interviews and participant observations among 20 children with disabilities and their parents. All the participating children have extensive experience from being tested. This study reveals that the practices of testing have certain limitations when confronted with the lived experience of those who are being tested. Testing seems to transmit the experts' view of what is important, correct and admirable, and the way in which an individual child fulfills such requirements and fits in with the predetermined standard. Regular testing may result in insecurity on the part of the tested individual, and possibly to a lack of confidence in their body and the way it functions. For the individual being tested the meaning of testing is primarily related to passing or not passing the test requirements. Given the meaning of testing, children with disabilities may experience repeated testing as an ordeal that they are expected to put up with. By illuminating the experiences of the ones exposed to testing, this paper offers new insight for professionals to gauge more accurately the quality of contemporary testing practice.
authors.affiliation: Institute of Health and Society, Department of Nursing and Health Sciences, Norwegian School of Sport Sciences, University of Oslo, PO Box 1153, Blindern, 0318 Oslo, Norway. w.s.bjorbakmo@medisin.uio.no
authors.forename: Wenche S
authors.initials: WS
authors.lastname: Bjorbaekmo
authors.forename: Gunn H
authors.initials: GH
authors.lastname: Engelsrud
mesh_terms: D002648:Child; D019937:Diagnostic Techniques and Procedures / Q000009:adverse effects / Q000523:psychology*; D019988:Children with Disabilities / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D007407:Interviews as Topic; D019370:Observation
references.citation: Arch Phys Med Rehabil. 1999 Jun;80(6):629-36
references.pmid: 10378487
references.citation: Qual Health Res. 2000 Jan;10(1):39-50
references.pmid: 10724751