1. Research Making
a Difference
www.canchild.ca
Perspectives on
the ICF
Olaf Kraus de Camargo
@DevPeds

2. Perspectives on the ICF

4. The Complexity of Needs
• Hierarchy of Needs (Maslow)
• Dialectic relation of needs and satisfiers (Max-
Neef)

5. Hierarchical Order
http://elp.ecml.at/IMPEL/Documents/Keyissuesofimplementation/ta
bid/118/%20language/en-GB/Default.aspx

6. Hierarchical Order
• Hierarchy of Needs (Maslow)
Impairment Disability Handicap
http://elp.ecml.at/IMPEL/Documents/Keyissuesofimplementation/ta
bid/118/%20language/en-GB/Default.aspx

7. System of Needs
• Dialectic relation of needs and satisfiers (Max-
Neef)
Being →
Having →
Doing →
Interacting →
Health Services
http://ecocommunes.wordpress.com/2011/10/05/manfred-max-neef-les-besoins-
humains-fondamentaux/
Education

8. 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)

9. Needs
• Existencial needs: Being, Having, Doing,
Interacting
• Axiological needs: Subsistence, Protection,
Affection, Understanding, Participation,
Idleness, Creation, Identity, Freedom
Max-Neef, M.
(1991)

10. Traditional Reading of the ICF

11. Person-centred Reading of the ICF

12. First contact
?
?
?

13. Getting to know the person
Who are you?
What do/would you like to do?

14. Where and how do you live?

15. We can give you a diagnosis!

16. Now, let’s focus on what you
want!

17. 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