Still Lost in Translation.
Drop medical-versus-social-model fights and steer teams toward shared client quality-of-life goals.
01Research in Context
What this study did
Pitchford et al. (2019) wrote a position paper. They looked at fights between the medical model and the disability-studies side.
The authors asked teams to stop picking sides. They said focus on what helps the client feel better day to day.
What they found
The paper found that either-or talk blocks real help. When teams fight about labels, the person with IDD loses time and care.
Staying stuck in debates hides simple shared goals like safe housing, friends, and meaningful work.
How this fits with other research
Weiss et al. (2021) backs this up. Their review of 37 studies shows college peers thrive when programs drop turf wars and plan together.
Carter (2010) sounds opposite at first. That paper says professionals must own their power. Read side by side, the two agree: own your role, then invite others to the table.
Foster (2019) warns against falling for fads like facilitated communication. Pitchford et al. (2019) would add: skip the fad-versus-hate fight and ask, "Does it raise client quality of life?"
Sandbank et al. (2021) tells reviewers to look past narrow skill gains. Pair this with Pitchford et al. (2019): stop arguing over tiny metrics and judge what matters to the client.
Why it matters
Next time you sit in an IEP or clinic meeting, catch either-or talk. Reframe it. Ask, "What outcome does the client want this year?" You will move the group from labels to action in under two minutes.
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02At a glance
03Original abstract
Interdisciplinary dialogue can help progress and improve professional fields. Progress and improvement may be impeded by barriers within an interdisciplinary dialogue, two of which are false dichotomies and faulty generalizations. It is our opinion that this particular interdisciplinary dialogue will advance productively by avoiding: false dichotomies about the medical model and Disability Studies in Education (DSE) framework; false dichotomies about using a normality approach to establish goals; and faulty generalizations about practitioners within and outside the field in which we are trained. Most helping professionals care passionately about improving the quality of lives of the people with whom they work. Centering interdisciplinary conversations on this shared value can help avoid false dichotomies and faulty generalizations.
Intellectual and developmental disabilities, 2019 · doi:10.1352/1934-9556-57.4.339