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Adjustment, Identity Transition, and Injury Claims: An Integrative Review and Reconceptualized Framework
No full textA sudden, unexpected, and severe injury resulting in permanent functional limitations can alter a client's life trajectory. The acute and long-term psychological impacts of this type of life-altering event are associated with outcomes such as quality of life (QOL) and general health and well-being. Often negatively impacted is one's ability to continue working in a highly valued and meaningful career, creating the need to find an alternative career that matches residual functional and work capacity. Clients often receive disability benefits that include access to healthcare services as well as financial compensation during work incapacity. Insurance claim involvement adds significant distress and can hinder a client's recovery efforts in a paradoxical manner. Clinical counsellors within Canada lack specialized training in the field of disability rehabilitation. The purpose of this capstone is to conduct an integrative literature review of the individual and practical processes of adjustment during rehabilitation, from initial coping strategies to return-to-work. Results include a synthesis and reconceptualization of the adjustment framework and a proposal of an integrated "Psychosocial Timeline of a Claim." Implications can be used by clinical counsellors and other stakeholders to optimize rehabilitation outcomes in clients with an acquired disability
Experiences of Stigma and Discrimination in People with Asexual Spectrum Identities
No full textPeople with asexual spectrum identities remain an emerging area of psychological research. A framework analysis was conducted to examine the extent to which the minority stress model describes the ways in which people with asexual spectrum identities experience stigma and discrimination. Findings from 18 articles published between 2019 and 2023 were analyzed to identify themes of stigma and discrimination using the minority stress model as a framework for analysis. In this analysis, four categories of distal minority stressors were identified: invisibility, compulsory sexuality, centrality of marriage and family, and sexual gender norms. Four categories of proximal minority stressors were also identified: feeling illegitimate, concealment and fear of stigma, social norms as unattainable, and navigating relationships and consent. Results of the review indicate asexual people experience similar levels of discrimination as other sexual minorities, reflecting both the discriminatory impact of social discourse and the internalization of stigmatizing experiences that negatively impact mental health and wellbeing
