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REFRAMING DISABILITY FROM PAT HOL OGY TO CAPA BILITY The way we see things is also the way we do not see things

REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

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Page 1: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

REFRAMING D

ISABILIT

Y

FROM PATHOLOGY T

O CAPABILIT

Y

The way we see things is also the way we do not see things

Page 2: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

PAST TO THE PRESENT

History

Different ideas (perspectives)

Different behavior (responses)

Contextual (societal) factors

Changing dominant interests/influences

Reflects ideas/behavior

New knowledge produces new perspectives

Creates new responses/behavior

Page 3: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

PERSPECTIVES OF DISABILITY

Four perspectives developed over time

All four seem to exist in the present

Reflected in societal responses

Perspectives reflect ideology/knowledge

How ‘disability’ is defined

Identification of ‘problem’

Solution to problem

Shaped by what we believe to be true

Page 4: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

DEFECT -> DEVIANCE -> DIFFERENCE -> DIVERSITY

Two perspectives have long history

Dominant interests/influences

Religion - Supernatural/Moralistic

Science - Medical

Two perspectives are relatively new

Dominant interests

Capitalism - Economic/Environmental

Group Identity - Civil Rights/Independent Living

All reflected in basically two Models of Disability

Page 5: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

MODELS OF DISABILITY

“Medical Model” (Defect -> Deviance -> Difference (-))Person is problemResponse is individual and personalPerson is passive/needing help of others (dependent)Professionals authority/gatekeepers

Examples of responses/behaviors?

Page 6: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

“Social Model” (Difference (+) -> Diversity)Society creates the problemResponse is systemicFocus on participation, responsibilityExperts are people with disabilities, has control of life

Examples of responses/behaviors?

Page 7: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

The following gives a comparison of specific aspects related to the two models

Medical (Individual) Model Social (Rights) Model

Personal Tragedy Theory Social Oppression Theory

Personal Problem Social Problem

Individual Treatment Social Action

Medicalization Self-Help

Professional Dominance Individual/Collective Responsibility

Expertise Experience

Individual Identity Collective Identity

Care Rights

Control Choice

Policy Politics

Individual Adjustment Social Change

Page 8: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Majority of world stigmatizes Disability

No one wants to be considered disabled

Ableism pervasive

Unrecognized

Disability becomes ‘invisible’

Barriers and bridges to change

What hinders, what helps?

More to come….

Page 9: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

REFRAMING D

ISABILI

TY

FROM PATHOLOGY T

O CAPABILIT

Y

From Defect and Deviance to Difference and Diversity

Page 10: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

BARRIERS TO REFRAMING

Ableism‘Construction of beliefs, processes and practices based on the perfect, species-typical self/body considered to be essentially and fully human.’ (Campbell, 2001:44)

Creates patterns of discrimination, prejudice and stereotyping Not as well understood Unknown, unrecognized and underestimated

Inherent in what we take for grantedEnvironment built for ‘average’ abilitiesSocial structure of ‘helping’ “less fortunate”Sends messages to everyone

Page 11: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

CONVEYING OVERT MESSAGES

DesignArchitecture, Products, Services, etc.

Blind person walking into staircase

Computer screen with webpage

SUV type taxi cab

Page 12: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

CONVEYING COVERT MESSAGES

Micro-aggressions

Example of a poster of a failed attempt of awareness program. It says to take a picture of someone in a wheelchair for a prize.

Page 13: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Denial of Identity“It is so great to see you out”No part of life is normal or like mine. Only thing I see is your disability.Infantilization“Let me do that for you”You are not really capable. I know how to do this better than you.Patronization“You are so inspiring”

Participating in regular activities seen as “feat”

Page 14: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Second Class Citizen“We don’t have many people with disabilities come here but when more do, we will make our place more accessible”Rights to equality denied because one is considered to be bothersome, expensive and a waste of time, effort and resources

Cartoon of very steep ramp. Man says “I’ve had a ramp installed” with sneer on face.

Cartoon of 4 men, one in wheelchair. One man says “Sorry Joe, We can’t get you a cab.” leaving the man in the wheelchair left behind.

Page 15: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

OTHER MANIFESTATIONS

PolicyQualificationsStandardizationProgrammaticSeparatismLack of accessibilityEmploymentJob descriptionsFull-time for benefitsWhat else?

Page 16: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

VALUES UNDERLYING ABLEISM?

IndividualismIndependenceSelf-sufficiencyAthleticismPhysical fitnessResponsibility for one’s healthHelping others“less fortunate”Good intentions‘Fairness”No ‘special’ treatmentWhat else?

Page 17: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

INVISIBLE KNOWLEDGE – CHANGE IN THE WIND

What is the ratio of those who acquired a disability and those who are born with one?5 out of 6 (83%)Out of 69.6 million families in the US, how many have at least one family member with a disability?20 million (28.7%)Approximately how many people in the US have a disability?49 – 53 million

Page 18: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Who were the first athletes to participate in organized sports for those with physical disabilities?Disabled veterans after WWIIWhat four sports in the 2012 Olympics included an athlete with a physical disability? Track, Oscar Pistorius, South Africa, double amputeeArchery, Im Dong Hyun, South Korea, visual impairmentTable Tennis, Natalia Partyka, Poland, no right armDiving, Chris Colwill, United States, hard of hearing

Page 19: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Sonia Sotomeyer, the newest Supreme Court judge, has what disability?DiabetesTom Cruise and Whoopie Goldberg have what disability in common?A learning disabilityWhat Pixar animated film featured at least two characters with disabilities?Finding Nemo

Page 20: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

“Abby and Brittany,” is a cable show about who?Co-joined twinsWhat invention led to our current ability to communicate through texting on cell phones?The Telecommunication Device for the Deaf (TDD) I. King Jordan became the first Deaf president of Gallaudet University after what event?Deaf students staged a strike and closed the university down in 1988Jerry’s Orphans are known to opposed what annual event?Jerry Lewis MDA Labor Day Telethon

Page 21: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

ADAPT is an organization originating in Denver. What did ADAPT stand for when first started?Americans with Disabilities for Accessible Public TransportationWhat set of access principles were created to be applied to the built environment?Universal DesignWhat was the first law to focus on the civil rights of people with disabilities?Rehabilitation Act of 1973, Section 504What concept emerged in the 1970s that promoted systemic change for people with disabilities?Independent Living

Page 22: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Little known signs of changeUniversal Design

UD for Learning/TeachingIndependent Living CentersDifferent than other disability agencies

Disability RightsSection 504ADA and AmendmentsDisability StudiesDisability Culture

More to come…

Page 23: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

REFRAMING D

ISABILIT

Y

FROM PATHOLOGY T

O CAPABILIT

Y

From Adaptation to Revolution

Page 24: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

AND SO IT BEGINS

“It is an historical fact that the privileged groups seldom give up their privileges voluntarily…. We know, through painful experience that freedom is never voluntarily given by the oppressor, it must be demanded by the oppressed.” - Martin Luther King, Jr.

“Our [disability rights] movement won my right to live independently, to work productively, to gain access to public places, to receive reasonable accommodations, and to obtain protection from discrimination…It offered me a positive, disability-affirming identity. It taught me pride.” – Paul Longmore

Page 25: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

TRANSFORMATION

Context of late 20th Century

Wars and Polio epidemic Created large population of people with disabilities

Expanded access to higher education

Civil Rights/Feminist movement Recognized discrimination based on human characteristic

Academic critique of racism and sexismCreation of ethnic studies and women studies

Page 26: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

SYNERGY

People with disabilities influenced by higher education

Had to adapt for success

Puzzle pieces start to come together

Major forces for reframing disability emerge

Universal (Inclusive) Design

Independent Living Centers

Disability Rights

Disability Studies

Page 27: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

UNIVERSAL (INCLUSIVE) DESIGN

Ron Mace (1941-1998)Polio at age 9 (1950)

Wanted to be an architectTold he ‘could not make it through program’ by dean at North Carolina State

Accommodated by family

Began his career in early 1970’s Center for Universal Design at North Carolina State University

Picture of Ron Mace

Page 28: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Personal to PoliticalPrinciples for accessible design

EnvironmentsCommunicationsProductsInstruction

Involved with first accessible design standardsBegan to change physical environment

Puzzle piece: Did trainings with Disability Rights Education and Defense Fund (DREDF) for access required by Section 504Universal design concept expanded beyond physical

Page 29: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

DESIGNING FOR INCLUSIONEquitable Use - useful and marketable to people with diverse abilities

Flexibility in Use - accommodates wide range of individual preferences and abilities

Simple and Intuitive Use - easy to understand, regardless of the user's experience, knowledge, language skills, or current concentration level

Perceptible Information - communicates information effectively regardless of ambient conditions or the user's sensory abilities

Tolerance for Error - minimizes hazards and adverse consequences of accidental or unintended actions

Low Physical Effort - can be used efficiently, comfortably, with minimum of fatigue

Size and Space for Approach and Use - appropriate size and space for approach, reach, manipulation, and use

Page 30: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

INDEPENDENT LIVING

Ed Roberts (1936-1995)Polio age 14 (1953)

After high school, went to community collegeApplied for financial support from VR

Denied as “too disabled to work”

Applied/admitted to UC-Berkeley in 1962 but deniedAdapted residence in on-campus health facility

First severely disabled studentNeeded assistance for daily living activities

Picture of Ed Roberts

Page 31: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Personal to political

Other students soon followPhysically Disabled Students’ Program at UC Berkeley

Expanded into Center for Independent Living 1971

Berkeley one of most accessible cities

Puzzle piece

Later became the VR director in CA 1975Created more ILCs in state

Berkeley-CIL major player in sit-in for Section 504

Page 32: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

IL CENTERS

Different than other service agenciesConsumer controlledCommunity based

At least four key servicesPeer counseling

Independent living skills trainingInformation and referralSystem and individual advocacy

At least one in all statesImported idea to other countries

Page 33: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

DISABILITY RIGHTS

Judy Heumann (1949 - )Polio at age of 18 months

Not allowed to attend local school until 4th grade

Parents had to advocate

Graduated from Long Island University 1969Inaccessible campus

Had to rely on others for help

Told her goal to be a teacher was impractical

Successfully completed degree in teaching

Picture of Judy Heumann

Page 34: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Personal to Political

Denied teaching licenseSued and won

First WC user to teach in NY

Started Disabled in Action

Puzzle piece

Co-Director of CIL in 1975Led protests for Section 504 regulations

Co-founded World Institute on DisabilityMultiple roles in disability at federal level

Page 35: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

CIVIL RIGHTS WITH A TWIST

Rehabilitation Act 1973 – Section 504 (public sector)Little attention by Congress

Focus on program accessibility; physical access as needed

First law to mandated involvement of people with disabilities

Americans with Disabilities Act (ADA) 1990Lots of attention

Stresses employment (Title I)

Physical access guidelines, accommodations

Patterned after Section 504

Twist: disability not neutral; needs to be recognized

Page 36: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

DISABILITY STUDIES

Paul Longmore (1946 – 2010)Polio at age 7

Special education classes Encouraged by parents/teachers to attend Junior High

Graduated from Occidental College with BA and MADiscouraged from teaching and lack of financial help

Adapted by using his mouthEventually got dictaphone and transcriptionist

Dependent upon government support

Picture of Paul Longmore

Page 37: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Personal to PoliticalReceived PhD in 1984

Wrote book about George Washington

Could not receive royalties (unearned income)

Burned book in protestSocial Security later changed rules (Longmore Amendment)

Puzzle Piece

Began teaching at San Francisco State (age 46)Co-founded San Francisco State’s Institute for Disability Studies 1996

Promotes disabled people as a minority group

Page 38: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

AS AN ACADEMIC DISCIPLINEField dedicated to examination of disabilityAs social, cultural, and political phenomenon

Challenges disability as an individual deficit or defect

No one definition of what it isInterdisciplinary/multidisciplinary

Generally subscribe to “minority group model”Covers diverse group of people

Not without criticsPersonal experience sometimes ignored

May not engage with other forms of sociopolitical oppression

Page 39: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

WHERE DO WE GO FROM HERE?

“Great leaders do not create great movements. Great movements give rise to great leaders. . . No movement can exist without in this case millions of ordinary men and women asserting themselves to demand dignity and their rights. So that’s what our movement is all about. That’s our past. That’s our present. That’s our future.”

— Paul Longmore, July 2010

Is the movement over?

What will keep the movement going? Should we?Is identity important? Personal vs Group?

How can higher education still be influential?

What can you do to support the transformation?

Page 40: REFRAMING DISABILITY FROM PATHOLOGY TO CAPABILITY The way we see things is also the way we do not see things

Thanks for taking this short course!

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