Introduction: New Dynamics of Disability and Rehabilitation

  • Ivan HarsløfEmail author
  • Ingrid Poulsen
  • Kristian Larsen


Medical and vocational rehabilitation concerns human beings undergoing critical transitions. This chapter provides the background, bringing the study of transitions within rehabilitation into the wider context of the welfare state’s changing role. The notion of universalism is central to discussions of medical and vocational rehabilitation services and how they have evolved along with the course of the welfare state. To introduce this book, this chapter considers the notion of universalism, including the debates it has engendered, and relates it to the provision of medical and vocational rehabilitation services in Northern European welfare states. To set the stage for case studies on rehabilitation for survivors of traumatic brain injury (TBI), which is the topic of five contributions in this volume, this chapter further discusses the composition and developments of TBI patient groups. It summarizes the chapters in the book and provides a general conclusion.


  1. Album, D., Johannessen, L. E. F., & Rasmussen, E. B. (2017). Stability and change in disease prestige: A comparative analysis of three surveys spanning a quarter of a century. Social Science & Medicine, 180, 45–51.CrossRefGoogle Scholar
  2. Anttonen, A., Häikiö, L., & Stefánsson, K. (2012). Welfare state, universalism and diversity. Cheltenham: Edward Elgar.CrossRefGoogle Scholar
  3. Ashley, M. J. (2012). Repairing the injured brain: Why proper rehabilitation is essential to recovering function. Cerebrum, 8.Google Scholar
  4. Bærøe, K., & Bringedal, B. (2014). Professionalism, discretion and juridification: Social inequality in health and social citizenship. In H. S. Aasen, S. Gloppen, A.-M. Magnussen, & E. Nilssen (Eds.), Juridification and social citizenship (pp. 146–161). Cheltenham: Edward Elgar Publishing.Google Scholar
  5. Bauman, Z. (1998). Work, consumerism and the new poor. Issues in society. Buckingham: Open University Press.Google Scholar
  6. Ben-Galim, D., & Sachradja, A. (2010). Now it’s personal: Learning from welfare-to-work approaches around the world. London: Institute for public policy research.Google Scholar
  7. Bollingmo, G. (1997). Survey of employment services and vocational outcomes for individuals with mental retardation in Norway. Journal of Vocational Rehabilitation, 8, 269–283.CrossRefGoogle Scholar
  8. Brante, T. (2011). Professions as science-based occupations. Professions and Professionalism, 1(1), 4–20.Google Scholar
  9. Brazinova, A., Rehorcikova, V., Taylor, M. S., Buckova, V., Majdan, M., Psota, M., et al. (2016). Epidemiology of traumatic brain injury in Europe: A living systematic review. Journal of Neurotrauma, 33, 1–30.Google Scholar
  10. Cnossen, M. C., Lingsma, H. F., Tenovuo, O., Maas, A. I. R., Menon, D., Steyerberg, E. W., et al. (2017). Rehabilitation after traumatic brain injury: A survey in 70 European neurotrauma centers participating in the CENTER-TBI study. Journal of Rehabilitation Medicine, 49(5), 395–401.CrossRefGoogle Scholar
  11. Cunningham, A., & Grell, O. P. (1997). Health care and poor relief in Protestant Europe 1500–1700. London: Routledge.Google Scholar
  12. Danermark, B., Ekström, M., Jakobsen, L., & Karlsson, J. C. (2002). Explaining society: Critical realism in the social sciences. London/New York: Routledge.Google Scholar
  13. Foster, M., & Tilse, C. (2003). Referral to rehabilitation following traumatic brain injury: a model for understanding inequities in access. Social Science and Medicine, 56(10), 2201–2210.Google Scholar
  14. Foucault, M. (2003). “Society must be defended”: Lectures at the Collège de France. New York: Picador.Google Scholar
  15. Gele, A., & Harsløf, I. (2010). Types of social capital resources and self-rated health among the Norwegian adult population. International Journal of Equity in Health, 9, 8.CrossRefGoogle Scholar
  16. Geyer, S. (2016). Soziale Ungleichheiten beim Auftreten chronischer Krankheiten [Social inequalities in chronic diseases]. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 59(2), 181–187.CrossRefGoogle Scholar
  17. Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Anchor Books.Google Scholar
  18. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Harmondsworth: Penguin Books.Google Scholar
  19. Gómez-Barroso, J., Barillà, S., & Harsløf, I. (2017). The European Union policy framework for social services. Agendas, regulations and discourses. In F. Martinelli, A. Anttonen, & M. Mätzke (Eds.), Social services disrupted. Implications and challenges for Europe in a time of austerity (pp. 49–70). Cheltenham: Edward Elgar Publishing.CrossRefGoogle Scholar
  20. Harsløf, I. (2008). Conditionality in Norwegian welfare policies. In L. Kay & O. Hartwich (Eds.), When hassle means help: The international lessons of conditional welfare (pp. 47–58). London: Policy Exchange.Google Scholar
  21. Harsløf, I., & Ulmestig, R. (2013). Changing social risks and social policy responses in the Nordic welfare states. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  22. Hasenfeld, Y. (1972). People processing organizations: An exchange approach. American Sociological Review, 37(3), 256–263.CrossRefGoogle Scholar
  23. Hatland, A. (2011). Rettsliggjøringen av velferdspolitikken [The juridification of welfare policies]. In A. Hatland (Ed.), Veivalg i velferdspolitikken [Choosing which path to take in welfare policies] (pp. 153–172). Bergen: Fagbokforlaget.Google Scholar
  24. Kaukonen, O., & Stenius, K. (2005). Universalism under re-construction: From administrative coercion to professional subordination of substance misusers. In N. Kildal & S. Kuhnle (Eds.), Normative foundations of the welfare state: The Nordic experience (pp. 130–148). London: Routledge.Google Scholar
  25. Khan, F., Baguley, I., & Cameron, I. (2003). Rehabilitation after traumatic brain injury. Medical Journal of Australia, 178(6), 290–297.Google Scholar
  26. Leplège, A., Barral, C., & McPherson, K. (2015). Conceptualizing disability to inform rehabilitation: Historical and epistemological perspectives. In K. McPherson, B. E. Gibson, & A. Leplège (Eds.), Rethinking rehabilitation: Theory and practice. Boca Raton: CRC Press.Google Scholar
  27. McPherson, K., Gibson, B. E., & Leplège, A. (2015). Rethinking rehabilitation: Theory and practice. Boca Raton: CRC Press.CrossRefGoogle Scholar
  28. Menon, D. K., Schwab, K., Wright, D. W., & Maas, D. I. (2010). Position Statement: Definition of Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation, 91(11), 1637–1640.Google Scholar
  29. Nguyen, R., Fiest, K. M., McChesney, J., Kwon, C. S., Jette, N., Frolkis, A. D., et al. (2016). The international incidence of traumatic brain injury: A systematic review and meta-analysis. Canadian Journal of Neurological Sciences, 43(6), 774–785.CrossRefGoogle Scholar
  30. Odgaard, L., Poulsen, I., Kammersgaard, L. P., Johnsen, S. P., Nielsen, A. R., & Feldbæk, J. (2015). Surviving severe traumatic brain injury in Denmark: incidence and predictors of highly specialized rehabilitation. Clinical epidemiology, 7, 225–34.Google Scholar
  31. Olesen, J., Gustavsson, A., Svensson, M., Wittchen, H. U., & Jönsson, B. (2012). The economic cost of brain disorders in Europe. European Journal of Neurology, 19(1), 155–162.CrossRefGoogle Scholar
  32. Reisman, D. (2001 [1977]). Richard Titmuss: Welfare and society. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  33. Rosqvist, H. B., Katsui, H., & McLaughlin, J. (2017). (Dis)abling practices and theories?: exploring chronic illness in disability studies. Scandinavian Journal of Disability Research, 19(1), 1–6.Google Scholar
  34. Sjölund, B. H. (2013). Rehabilitation. In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of behavioral medicine (pp. 1634–1638). New York: Springer.Google Scholar
  35. Stocchetti, N., & Zanier, E. R. (2016). Chronic impact of traumatic brain injury on outcome and quality of life: A narrative review. Critical Care, 20(1), 148.CrossRefGoogle Scholar
  36. Strand, B. H., & Madsen, C. (2016). Social inequalities in health. Oslo: Norwegian Institute of Public Health. Accessed 14 Dec 2018.Google Scholar
  37. Titmuss, R. (1974). What is social policy? In B. Abel-Smith & K. Titmuss (Eds.), Social policy: An introduction (pp. 23–32). New York: Pantheon Books.Google Scholar
  38. Vike, H. (2018). Politics and bureaucracy in the Norwegian welfare state: An anthropological approach. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Ivan Harsløf
    • 1
    Email author
  • Ingrid Poulsen
    • 2
  • Kristian Larsen
    • 3
  1. 1.Department of Social Work, Child Welfare and Social PolicyOslo Metropolitan UniversityOsloNorway
  2. 2.Department of Neurorehabilitation, RigshospitaletUniversity of CopenhagenCopenhagenDenmark
  3. 3.Department of Learning and PhilosophyAalborg University CopenhagenCopenhagenDenmark

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