Discourses of Blindness in Visual Impairment Rehabilitation: An Exploration of the Ideological Assumptions Embedded in Rehabilitation Practice in South Africa

Abstract

Rehabilitation services play an important role in the lives of persons who experience vision loss. These services provide necessary practical techniques for adjustment to visual impairment. However, there is insufficient research exploring the ways in which these services act at the level of meaning and identity. This paper summarises the findings from a study that investigated the operation of blindness discourses in rehabilitation services for adults with visual impairments in South Africa. The study posed questions concerning the meanings about blindness which are produced and reinforced in rehabilitation practice. It also considered the implications of exposure to these meanings for persons with visual impairments. Foucauldian discourse analytic reviews were conducted on digital documentary sources, as well as on data gathered through semi-structured interviews with rehabilitation service providers and service users. This paper discusses two overarching discursive practices in visual impairment rehabilitation, namely, 'Journey discourse' and 'charitable discourse'. We conclude that, rather than an abstract exercise, considering the ideological assumptions embedded in rehabilitation practice is essential to uncover and address discursive systems that support the continued marginalisation of people with visual impairment.