caa a22 4500 386397090 CHVBK 20180307112141.0 cr unu---uuuuu 161130e198901 xx s 000 0 eng 10.1017/S0021932000017685 doi S0021932000017685 pii (NATIONALLICENCE)cambridge-10.1017/S0021932000017685 Hirst Michael Social Policy Research Unit, University of York, Heslington, York Patterns of impairment and disability related to social handicap in young people with cerebral palsy and spina bifida [Elektronische Daten] [Michael Hirst] This paper explores the inter-relationships between impairment and disability in a sample of 119 teenagers in relation to their psychological adjustment and quality of social life. Poor psychological adjustment and extreme social isolation are associated not so much with individual functional limitations as with particular configurations of impairments and disabilities. It seems that social handicap is not a direct consequence of any impairment or disability but arises generally from severe functional loss and is shaped by dependency on others, restricted choices, physical barriers and adverse reactions of others. Copyright © Cambridge University Press 1989 Journal of Biosocial Science Cambridge University Press 21/1(1989-01), 1-12 0021-9320 21:1<1 1989 21 JBS https://doi.org/10.1017/S0021932000017685 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0021932000017685 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Hirst Michael Social Policy Research Unit, University of York, Heslington, York NATIONALLICENCE 773 0- Journal of Biosocial Science Cambridge University Press 21/1(1989-01), 1-12 0021-9320 21:1<1 1989 21 JBS CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge