Spirituality as a Determinant of Health for those with Disabilities

Disability is commonly viewed as permanent loss of physical, cognitive and social aspects of self. Rehabilitation interventions are aimed to return the individual to full health by either restoration of past physical, cognitive or social capabilities or strengthening aspects of self to counter such loss. However, rehabilitation interventions do not result in a complete return to past physical, mental or social health. Does this mean that people with disability can never be healthy? Or does it indicate that our perception and definition of health does not reflect the essence of health? We argue that when people with disability redefine themselves in terms other than levels of physical, social and cognitive functioning, good health is an attainable goal. We discuss evidence that suggests why spirituality could be a primary determinant of health.