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87. A. Kelly, The Psychology of Personal Constructs, 1 & 2, Norton, New York, 1955 M. , New York, 1977 p. R. Morgan, 'Social Aspects of Integration', in J. Loving & G. Burn (eds), Integration of Handicapped Children in Society, Routledge & Kegan Paul, London, 1975, pp. A. H. M. Dornbusch, 'Effects of Physical Disability on a Child's Description of Himself, Child Development, 35, 1964, pp. 893-907 R. J. Gamble, 'On Borrowed Time: Observations of Children with Implanted Cardiac Pacemakers and their Families', American Journal of Psychiatry, 126, 1969, pp.

Her argument is that disability and handicap cannot mean the same thing; physical attributes may give rise to handicapping, not because of their physical limitations, but because they affect social relationships in an adverse manner. The implication is that becoming handicapped is a social phenomenon not a physical or a functional one, although it may arise out of functional limitations. Despite the fact tltat Wright's work is mainly psychological and in particular centred on the 'somata psychological relationship' the emphasis is upon social factors, which are at the centre of a situation regarded as 'handicapping'.

At a later date the handicap arising from the disabilities may have remained static in the case of the limb amputation, but with muscular dystrophy have altered. Therefore, in considering concepts of disability and handicap what is required is a model which allows for different types of Physical Handicap, Disability and Welfare 19 handicap, and different rates of onset and sequence. The problem of time lag between the occurrence of the handicaps following disability, and the nature of the handicap is highlighted by Harris et al.

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