Bodies completed: on the physical rehabilitation of lower limb amputees.
This ethnographic study, based on empirical work carried out in an Israeli rehabilitation hospital, discusses the physical rehabilitation of lower limb amputees, during which body normalcy is re-constructed. Throughout the process, physiotherapists serve as social agents who teach pragmatic and discursive practices to manage the body as well as the prosthesis in the re-cultivation of body techniques. The findings, portraying four spheres of meaning, show that the mere use of prosthesis is insufficient since it stigmatizes the body as absent a limb. To avoid such stigmatization, the staff teach compensatory and discursive skills which enable incorporation of the prosthesis in body techniques while referring to it as a biological leg. Constructed as a 'social organ', the device is gradually transformed from an extension to an integral part of the body. Disability and its remedies, thereby concealed, facilitate able-bodied performance. Paradoxically, the prosthesis, though meant to benefit patients, induces pain and discomfort, a fact that challenges the acceptance of its conventionality as a medical aid for amputees. Yet, physical rehabilitation by means of prosthetics remains one of the many medical practices in Israel that ensure a disability-free society, together with the promotion of rights to accessibility and anti-discrimination regulation. The study contributes to the theoretical debate regarding the relationship between the biological and the social in disability studies. The findings indicate the need to encompass the cultural and the corporeal when exploring disability. The ethnography of disability, I suggest, should be viewed as a juncture of socio-cultural perceptions of the body, embedded in its own corporeal constraints.
Hebrew University, Har Hatzofim, Jerusalem 91905, Israel. michal1911@gmail.com
Michal
M
Hoffman
D000223:Adaptation, Psychological; D000328:Adult; D000674:Amputees / Q000523:psychology* / Q000534:rehabilitation; D000884:Anthropology, Cultural; D001186:Artificial Limbs / Q000009:adverse effects / Q000523:psychology* / Q000592:standards; D001828:Body Image / Q000523:psychology*; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007557:Israel; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000523:psychology; D059408:Pain Management / Q000379:methods; D026741:Physical Therapy Modalities / Q000523:psychology* / Q000592:standards; D036301:Qualitative Research; D020127:Recovery of Function; D057545:Social Stigma