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The previous discussion prompts the question: are the different perspectives reflected in Table 5.1 a problem? If potential users preserve the separate concepts of Activities and Participation, does it matter that they wish to use and interpret the domains somewhat differently in different circumstances? Is it in fact more useful to use the freedom offered in options (b) and (d) to adapt and experiment in this difficult area?
It is logically obvious that if any domain can be used for either Activities or Participation, then the delineation between Activities and Participation must involve the use of different qualifiers as the only other tools available in the classification for this purpose.
In ICF terms, this means that, if options (b) or (d) are adopted, then the 'generic qualifier' must be translated into suitable language for Activities and Participation separately, and/or additional qualifiers must be provided, such as a qualifier for participation, indicating 'involvement in life situations' (see Section 5.1).
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