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Twenty-seven informants with moderate to severe disabilities were interviewed over ten years about how they lived through their disability and their discourses were examined in the cultural context. Three categories (survivors, achievers, strugglers) were synthesized from the informants' life courses. Each category was analyzed under three themes: biographical disruption, working with a disability, and linking family and significant others, but these three categories proved fluid and subject to individual life course and contextual factors. All informants had to work \u201cagainst the odds.\u201d Most returned to work after recovery but some tended to drift within the labor market. Human agency and situated context facilitated achievers to progress through \u201coddson chance.\u201d Outcome measures of rehabilitative interventions that focus on returning to employment might underestimate the sequelae of being disabled in society.<\/jats:p>","DOI":"10.1177\/1049732308318037","type":"journal-article","created":{"date-parts":[[2008,5,23]],"date-time":"2008-05-23T19:17:47Z","timestamp":1211570267000},"page":"843-852","source":"Crossref","is-referenced-by-count":4,"title":["Against the Odds or Odds-On Chance: Pathways of Coming Back Among Hand-Injured Workers in the Chinese Context"],"prefix":"10.1177","volume":"18","author":[{"given":"Yeung Hung","family":"Cheng","sequence":"first","affiliation":[{"name":"The University of Hong Kong, Hong Kong, People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"key":"atypb1","volume-title":"The disability business: Rehabilitation in America","author":"Albrecht, G.L.","year":"1992"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/1357034X99005004007"},{"key":"atypb3","volume-title":"Disability","author":"Barnes, C.","year":"2003"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304268716"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1525\/9780520919242"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.4135\/9781452204727.n6"},{"key":"atypb7","volume-title":"Clinical mechanics of the hand","author":"Brand, P.W.","year":"1999"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11339939"},{"key":"atypb9","unstructured":"Bury, M. 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