Disability, Autonomy and Intersubjective Recognition in the Integral National Care System

Abstract

This article analyzes the creation of conditions for autonomy and recognition of people in situations of dependency mediated by disability, within Uruguay’s National Integral Care System (SNIC). It analyzes the conceptualizations that take form in the institutional discursive frameworks, and in the daily experience of the subjects involved, who are interviewed (in various regions of the country where the Personal Assistance Program is implemented in pilot form). It proposes to theoretically problematize the implications of forms of recognition and potentiality of individual self-reference (self-confidence, self-respect, self-esteem) for people in situations of dependency mediated by disability. It discusses if the form of implementation of the SNIC through the Personal Assistant component offers opportunities for expansion of their spaces of intersubjective recognition and autonomy.