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Stories about “illness” and stories about life
Approaching a forgotten generation of persons with intellectual disabilities
Create a more inclusive world
RI WORLD CONGRESS • 25–27 October 2O16
Edinburgh International Conference Centre, Scotland
Prof. Dr. Erik Weber
e.weber@eh-darmstadt.de
Ev. Hochschule Darmstadt
University of Applied Sciences
Zweifalltorweg 12
64293 Darmstadt - Germany
RI WORLD CONGRESS • 25–27 October 2O16
„Often fear of what could happen, paralyzes any educational
action. It remains in a theoretical discussion and then is
forced to offer solutions without letting something really
happen“
(Cuomo 1989; own translation).
…in memoriam Prof. Dr. Nicola Cuomo ( 03.05.2016)
..where we are…:
https://en.wikipedia.org/wiki/Hesse
cf.: http://www.vitos-teilhabe.de/kalmenhof/teilhabe-homepage.html (27.08.2016)
cf.: https://en.wikipedia.org/wiki/Hesse (27.09.2016)
medical-curative
concepts of man
separation/hospitalisation/
living in institutions or psychiatric units
normalization
self-determination empowerment
integration inclusion participation
special institutions/
de-hospitalization
pedagogical-optimistic
concepts of man
1946- 1960er 1960 – 1990 from about1990
de-institutionalization
integrative-accepting
concepts of man
custody aid assistance
extermination
cf:
Fornefeld, Barbara (2008).
Menschen mit Komplexer Behinderung. Selbstverständnis
und Aufgaben der Behindertenpädagogik. Mßnchen: Reinhardt.
changing processes in German “disability system”
…in the past special education has contributed to social
exclusion (despite „good will“), using special methods and
special institutions extrapolating the „speciality“ of their
clientele…
Behindertenpädagogik hat in der Vergangenheit (trotz ‚guter Absichten‘) immer
auch zu gesellschaftlicher Exklusion beigetragen, indem sie durch besondere
Methoden und eigene Institutionen die Besonderheit ihrer Klientel
fortgeschrieben hat…
(comp. Moser/Sasse 2008, 51).
…basic dilemma…:
source: Psychiatric Hospital- Riedstadt in the 80ies
• revealing scandalous conditions in the psychiatric
hospitals by German psychiatry EnquĂŞte (1975)
• deinstitutionalization (of people with so-called
intellectual disabilities from psychiatric hospitals)
• 1989: foundation of the “HPE”; 5 sites in Hessen
• persons: people with severe and / or complex
disabilities; usually associated with challenging behavior
• 1996, the “HPE” are established as "permanent
establishments" and not, as originally planned,
disbanded after 10 -15 years
• 2014: 25 years of HPE as an external reason for the study
• today: 500 people in 40 group homes
• since 01/01/2016: restructuring-process; now called
"Vitos participation"
background / occasion of the study
source: HPE WeilmĂźnster; own photography
• How are former living conditions of the persons in the
psychiatric hospitals perceived with the distance of many
years?
• Are there memories of the reform-process?
• How is this process perceived by the distance of many years?
• How did their own lives change in the last 25 years?
• What are their dreams and wishes for the future?
key questions of the research
• analysis of the life stories of selected persons in the five
Hessian HPE using a “re-historicizing perspective” (2 persons
per HPE)
• analysis of medical records
• document-analysis (development reports, assistance and / or
support plans; other biographical documents and
documentaries)
• biographical interviews about their life stories
• using “diagnostic reports” by students (participant
observation; interviews and document analysis)
methods used – (overview)
participation and exclusion
self-determination and heteronomy
autonomy and dependence
isolation and violence
methods – dimensions of analysis
• distribution of locations in Hessen, partly in remote locations
• contacting the persons with ID
• assistant/deputy surveys
• informed consent
• cooperation with the research field
• to counteract a possible objectification of those interviewed
(by a critical reflection and maximum participation of the
people themselves in the study)
methodological challenges
the story of Mrs. Baum
(excerpt from a life story of a woman
in the Hessian Heilpädagogischen Heime; see: Weber, Lavorano, Knöß 2016 43ff.).
• Committee on the Rights of Persons with Disabilities
• 13 May 2015
 Living independently and being included in the community (art. 19)
„The Committee is concerned about the high
levels of institutionalization and the lack of
alternative living arrangements or appropriate
infrastructure, which present additional financial
barriers for persons with disabilities. (…) “.
challenge: concluding observations on the initial report
of Germany
http://www.institut-fuer-menschenrechte.de/fileadmin/user_upload/PDF-
Dateien/Pakte_Konventionen/CRPD_behindertenrechtskonvention/CRPD_Concluding_observations_on_the_initial_report_of_Germany_May_201
5.pdf (24.09.2016)
…thank you for your attention
Cuomo, Nicola (1989). Schwere Behinderungen in der Schule. Klinkhardt. Aus dem Italienischen
Ăźbertragen und Ăźberarbeitet von Jutta SchĂśler. Klinkhardt-Verlag.
Fornefeld, Barbara (Hg.) (2008). Menschen mit Komplexer Behinderung. Selbstverständnis und Aufgaben
der Behindertenpädagogik. Mßnchen, Basel: Reinhardt.
Moser, Vera; Sasse, Ada (2008). Theorien der Behindertenpädagogik. Mßnchen; Basel: Reinhardt-Verlag.
Weber, Erik/ Lavorano, Stefano/ Knöß, David Cyril (2016). Von Krankengeschichten und
Lebensgeschichten. Annäherungen an eine vergessene Generation. Studie zur Lebenssituation der
Bewohner_innen der hessischen Heilpädagogischen Einrichtungen (HPE) 25 Jahre nach den Auszug aus de
Psychiatrie. Darmstadt/Idstein: Vitos Teilhabe.
references

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RIWC_PARA_A133 stories about illness and stories about life

  • 1. Stories about “illness” and stories about life Approaching a forgotten generation of persons with intellectual disabilities Create a more inclusive world RI WORLD CONGRESS • 25–27 October 2O16 Edinburgh International Conference Centre, Scotland Prof. Dr. Erik Weber e.weber@eh-darmstadt.de Ev. Hochschule Darmstadt University of Applied Sciences Zweifalltorweg 12 64293 Darmstadt - Germany RI WORLD CONGRESS • 25–27 October 2O16
  • 2. „Often fear of what could happen, paralyzes any educational action. It remains in a theoretical discussion and then is forced to offer solutions without letting something really happen“ (Cuomo 1989; own translation). …in memoriam Prof. Dr. Nicola Cuomo ( 03.05.2016)
  • 3. ..where we are…: https://en.wikipedia.org/wiki/Hesse cf.: http://www.vitos-teilhabe.de/kalmenhof/teilhabe-homepage.html (27.08.2016) cf.: https://en.wikipedia.org/wiki/Hesse (27.09.2016)
  • 4. medical-curative concepts of man separation/hospitalisation/ living in institutions or psychiatric units normalization self-determination empowerment integration inclusion participation special institutions/ de-hospitalization pedagogical-optimistic concepts of man 1946- 1960er 1960 – 1990 from about1990 de-institutionalization integrative-accepting concepts of man custody aid assistance extermination cf: Fornefeld, Barbara (2008). Menschen mit Komplexer Behinderung. Selbstverständnis und Aufgaben der Behindertenpädagogik. MĂźnchen: Reinhardt. changing processes in German “disability system”
  • 5. …in the past special education has contributed to social exclusion (despite „good will“), using special methods and special institutions extrapolating the „speciality“ of their clientele… Behindertenpädagogik hat in der Vergangenheit (trotz ‚guter Absichten‘) immer auch zu gesellschaftlicher Exklusion beigetragen, indem sie durch besondere Methoden und eigene Institutionen die Besonderheit ihrer Klientel fortgeschrieben hat… (comp. Moser/Sasse 2008, 51). …basic dilemma…:
  • 6. source: Psychiatric Hospital- Riedstadt in the 80ies
  • 7. • revealing scandalous conditions in the psychiatric hospitals by German psychiatry EnquĂŞte (1975) • deinstitutionalization (of people with so-called intellectual disabilities from psychiatric hospitals) • 1989: foundation of the “HPE”; 5 sites in Hessen • persons: people with severe and / or complex disabilities; usually associated with challenging behavior • 1996, the “HPE” are established as "permanent establishments" and not, as originally planned, disbanded after 10 -15 years • 2014: 25 years of HPE as an external reason for the study • today: 500 people in 40 group homes • since 01/01/2016: restructuring-process; now called "Vitos participation" background / occasion of the study source: HPE WeilmĂźnster; own photography
  • 8. • How are former living conditions of the persons in the psychiatric hospitals perceived with the distance of many years? • Are there memories of the reform-process? • How is this process perceived by the distance of many years? • How did their own lives change in the last 25 years? • What are their dreams and wishes for the future? key questions of the research
  • 9. • analysis of the life stories of selected persons in the five Hessian HPE using a “re-historicizing perspective” (2 persons per HPE) • analysis of medical records • document-analysis (development reports, assistance and / or support plans; other biographical documents and documentaries) • biographical interviews about their life stories • using “diagnostic reports” by students (participant observation; interviews and document analysis) methods used – (overview)
  • 10. participation and exclusion self-determination and heteronomy autonomy and dependence isolation and violence methods – dimensions of analysis
  • 11. • distribution of locations in Hessen, partly in remote locations • contacting the persons with ID • assistant/deputy surveys • informed consent • cooperation with the research field • to counteract a possible objectification of those interviewed (by a critical reflection and maximum participation of the people themselves in the study) methodological challenges
  • 12. the story of Mrs. Baum (excerpt from a life story of a woman in the Hessian Heilpädagogischen Heime; see: Weber, Lavorano, Knöß 2016 43ff.).
  • 13. • Committee on the Rights of Persons with Disabilities • 13 May 2015  Living independently and being included in the community (art. 19) „The Committee is concerned about the high levels of institutionalization and the lack of alternative living arrangements or appropriate infrastructure, which present additional financial barriers for persons with disabilities. (…) “. challenge: concluding observations on the initial report of Germany http://www.institut-fuer-menschenrechte.de/fileadmin/user_upload/PDF- Dateien/Pakte_Konventionen/CRPD_behindertenrechtskonvention/CRPD_Concluding_observations_on_the_initial_report_of_Germany_May_201 5.pdf (24.09.2016)
  • 14. …thank you for your attention
  • 15. Cuomo, Nicola (1989). Schwere Behinderungen in der Schule. Klinkhardt. Aus dem Italienischen Ăźbertragen und Ăźberarbeitet von Jutta SchĂśler. Klinkhardt-Verlag. Fornefeld, Barbara (Hg.) (2008). Menschen mit Komplexer Behinderung. Selbstverständnis und Aufgaben der Behindertenpädagogik. MĂźnchen, Basel: Reinhardt. Moser, Vera; Sasse, Ada (2008). Theorien der Behindertenpädagogik. MĂźnchen; Basel: Reinhardt-Verlag. Weber, Erik/ Lavorano, Stefano/ Knöß, David Cyril (2016). Von Krankengeschichten und Lebensgeschichten. Annäherungen an eine vergessene Generation. Studie zur Lebenssituation der Bewohner_innen der hessischen Heilpädagogischen Einrichtungen (HPE) 25 Jahre nach den Auszug aus de Psychiatrie. Darmstadt/Idstein: Vitos Teilhabe. references