This document discusses different perspectives on needs and the International Classification of Functioning, Disability and Health (ICF). It outlines Abraham Maslow's hierarchy of needs and Manfred Max-Neef's view of a dialectic relationship between needs and satisfiers. Max-Neef proposes that fundamental human needs are finite, universal, and can be classified into existential needs like being and having, and axiological needs like subsistence and participation. The document contrasts a traditional diagnosis-focused reading of the ICF with a more person-centered approach focusing on an individual's goals and needs. It notes that using diagnosis-specific ICF core sets could restrict an individualized approach for children who may have multiple conditions.
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The ICF from different angles
1. Research Making
a Difference
www.canchild.ca
Perspectives on
the ICF
Olaf Kraus de Camargo
@DevPeds
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)
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
Editor's Notes
Diagnosis should be called health condition and the lines should have arrows in both directions
Subsistence: Food, shelter, work
Protection: insurance, savings, social security, health system, rights, family, work
Affection: friendships, partnerships, relation with nature
Understanding: literature, teacher, education policies, communication policies
Participation: rights, responsibilities, duties, privileges, work
Idleness: games, spectacles, clubs, parties, peace of mind
Creation: abilities, skills, method, work
Identity: Symbols, language, religion, habits, customs, reference groups, sexuality, values, norms, historical memory, work
Freedom: Equal rights