"As our healthcare system continues to evolve with growing inequities, the roles of advocacy and social justice have become critical healing forces. During this time of uncertainty, psychologists are confronted with the moral distress of witnessing or participating in changes in healthcare that are inconsistent with their core values of compassion, respect for the inherent dignity of others, and cultural humility (Rushton, 2018a)."
"The Insider-Outsider Distinction: Individuals with disabilities or chronic health conditions have unique lived experiences with challenging though manageable tasks. Outsiders typically attribute the behavior of people with disabilities to individual/personal characteristics rather than to the effects of the environment (Dunn et al., 2016) and view the person's disability or illness as the core aspect of their identity affecting all aspects of their life and being (Dunn et al., 2016)."
Healthcare inequities increase the importance of advocacy and social justice as healing forces. Psychologists experience moral distress when healthcare changes conflict with core values of compassion, dignity, and cultural humility. Rehabilitation psychology relies on six foundational principles rooted in Beatrice Wright's value-laden beliefs to understand how psychological, social, environmental, and political forces affect people with disabilities or chronic health conditions. Principles include the Person-Environment Relation, which emphasizes interactional determinants of behavior; the Insider-Outsider Distinction, which highlights unique lived experiences; Adjustment to Disability as an ongoing process; Psychological Assets focusing on strengths; and Self-Perception of Bodily States.
Read at Psychology Today
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