Research Making a Difference

www.canchild.ca

Perspectives on

the ICF

Olaf Kraus de Camargo

@DevPeds

Perspectives on the ICF

The Complexity of Needs

• Hierarchy of Needs (Maslow)

• Dialectic relation of needs and satisfiers (Max-

Neef)

Hierarchical Order

http://elp.ecml.at/IMPEL/Documents/Keyissuesofimplementation/ta

bid/118/%20language/en-GB/Default.aspx

Hierarchical Order• Hierarchy of Needs (Maslow)

http://elp.ecml.at/IMPEL/Documents/Keyissuesofimplementation/ta

bid/118/%20language/en-GB/Default.aspx

Impairment Disability Handicap

System of Needs• Dialectic relation of needs and satisfiers (Max-

Neef)

Being →

Having →

Doing →

Interacting →

http://ecocommunes.wordpress.com/2011/10/05/manfred-max-neef-les-

besoins-humains-fondamentaux/

Health Services

Education

Fundamental Human Needs

• All human needs are interrelated and interactive

• No hierarchies exist in the system (exception: the

need for subsistence)

• simultaneities, complementarities and trade-offs are

characteristics of the process of needs satisfaction

• fundamental human needs are finite, few and

classifiable

• fundamental human needs are universal

Max-Neef, M.

(1991)

Needs

• Existencial needs: Being, Having, Doing,

Interacting

• Axiological needs: Subsistence, Protection,

Affection, Understanding, Participation,

Idleness, Creation, Identity, Freedom

Max-Neef, M.

(1991)

Traditional Reading of the ICF

Person-centred Reading of the ICF

First contact

??

?

Getting to know the person

Who are you?

What do/would you like to do?

Where and how do you live?

We can give you a diagnosis!

Now, let’s focus on what you

want!

Core-sets

➡diagnosis-specific item selection

➡improve practicability

➡might restrict individualized approach

➡children usually do not have only one diagnosis to choose a core-set