To obtain information about the psychological needs of wheelchair user
s, 45 subjects participating in a university-based drop-in physical ac
tivity centre and outpatient rehabilitation program completed the Pers
onal Styles Inventory and the Ways of Coping Inventory. Three groups o
f subjects were formed, differentiated by etiology for their disabilit
y. Results suggested that subjects with brain injury possessed the mos
t limited coping resources. Subjects with multiple sclerosis were high
est of the three groups in the frequency of utilization of emotional c
oping, they also revealed a fundamentally introverted and stability-ba
sed personality style, Subjects with spinal cord injuries utilized a p
redominantly Problem-solving means of coping; and they revealed a basi
c personality style characterized as extroverted and stable. The findi
ngs suggest that disease process (perhaps through common preexisting p
sychological characteristics, the nature of the onset and progression
of the disease process, and/or tissue damage) may modify the ability t
o adapt and cope with the need to use a wheelchair. The nature of psyc
hological support to be offered should reflect not only the use of a w
heelchair but also the underlying personality and its modification by
the nature of the disease process.