Disability Policies in France: Changes and Tensions between the Category-based, Universalist and Personalized Approaches

In this article, the authors show that the current French disability policy is traversed by conflicts between three different approaches to disability which came about at different periods in history. They begin by looking at the origins of disability policy in France. This policy was developed during the 20th century, from notions of repair, indemnification and compensation through rehabilitation. It became institutionalized in 1975, when two laws were passed, giving it the form of a category-based policy. Between 1970 and 2000, affected by the international situation, this policy came into conflict with a universalist policy. More recently there has been a desire to develop a personalized approach. Finally, the authors use two examples (taken from recent debates on the implementation in France of the new law of 11 February 2005) to show the tensions that have led to the coexistence of these three approaches within current disability policy.

[1]  P. Lascoumes Les arbitrages publics des intrts lgitimes en matire d'environnement , 1995 .

[2]  R. Castel From Manual Workers to Wage Laborers: Transformation of the Social Question , 2002 .

[3]  David M. Oshinsky Polio: An American Story , 2005 .

[4]  Jésus Sanchez Évaluation et compensation du handicap en France , 2005 .

[5]  M. Winance,et al.  To work or not to work? The occupational trajectories of wheelchair users , 2006, Disability and rehabilitation.

[6]  M. Winance Being normally different? Changes to normalization processes: from alignment to work on the norm , 2007 .

[7]  A. Heiberg,et al.  Notes on the History of Normality – Reflections on the Work of Quetelet and Galton , 2006 .

[8]  O. Askheim Personal assistance—direct payments or alternative public service. Does it matter for the promotion of user control? , 2005 .

[9]  I. K. Zola,et al.  Toward the necessary universalizing of a disability policy. , 1989, The Milbank quarterly.

[10]  M. Byé Le Conseil économique et social , 1962 .

[11]  Jean-François Ravaud,et al.  La convergence progressive des positions franco-québécoises , 2005 .

[12]  Michael Oliver,et al.  Understanding Disability: From Theory to Practice , 1995 .

[13]  G. Mercer Understanding Disability. From Theory to Practice (Book). , 1997 .

[14]  M. Jaeger,et al.  Rénover l'action sociale et médico-sociale : histoires d'une refondation , 2002 .

[15]  Francine Muel-Dreyfus L'école obligatoire et l'invention de l'enfance anormale , 1975 .

[16]  P. Rosanvallon The New Social Question: Rethinking the Welfare State , 2000 .

[17]  J. Ravaud,et al.  Inclusion/Exclusion An Analysis of Historical and Cultural Meanings , 2001 .

[18]  P. Pinell,et al.  La mdicalisation de l'chec scolaire: De la pdopsychiatrie la psychanalyse infantile , 1978 .

[19]  S. French Disability, impairment or something in between? , 1993 .

[20]  D. Stone,et al.  The disabled state , 1983 .

[21]  A. Carmichael,et al.  The Future Challenge for Direct Payments , 2002 .

[22]  L. Verbrugge,et al.  The Global Emergence of Disability , 2000 .

[23]  C. Barral Disabled Persons’ Associations in France , 2007 .

[24]  R. Scotch Disability as the Basis for a Social Movement: Advocacy and the Politics of Definition , 1988 .

[25]  Liz Crow,et al.  INCLUDING ALL OF OUR LIVES: RENEWING THE SOCIAL MODEL OF DISABILITY , 1996 .

[26]  Pain, disability and rehabilitation practices. A phenomenological perspective , 2006, Disability and rehabilitation.

[27]  Lina Waterplas,et al.  L'allocation personnalisée : le cas de la Suède, du Royaume-Uni, des Pays-Bas et de la Belgique , 2005 .