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The social model of disability is a reaction to the dominant medical model of disability which in itself is a cartesian functional analysis of the body as machine to be fixed in order to conform with normative values.[1] The Social model of disability identifies systemic barriers, negative attitudes and exclusion by society (purposely or inadvertently) that mean society is the main contributory factor in disabling people. While some people have physical, sensory, intellectual, or psychological variations, which may sometimes cause individual functional limitation or impairments, these do not have to lead to disability, unless society fails to take account of and include people regardless of their individual differences.

The model does not deny that some individual differences lead to individual limitations or impairments, but rather that these are not the cause of individuals being excluded. The origins of the approach can be traced to the 1960s and the disabled people's Civil Rights Movement/human rights movements; the specific term itself emerged from the United Kingdom in the 1980s.

History[edit]

The approach behind the model is traced to the 1960s. In 1976, the UK organization Union of the Physically Impaired Against Segregation (UPIAS) claimed : ‘In our view it is society which disables physically impaired people. Disability is something imposed on top of our impairments by the way we are unnecessarily isolated and excluded from full participation in society (UPIAS 1976:14).’ [2]

In 1983, the disabled academic Mike Oliver coined the phrase ‘social model of disability’ in reference to these ideological developments. Oliver focused on the idea of an individual model (of which the medical was a part) versus a social model, derived from the distinction originally made between impairment and disability by the UPIAS.[3]

The 'social model' was extended and developed by academics and activists in the UK, US and other countries, and extended to include all disabled people, including those who have learning difficulties / learning disabilities / or who are mentally handicapped, or those people who have experienced the mental health system. [4] [5]

Components and usage[edit]

A fundamental aspect of the social model concerns equality. The struggle for equality is often compared to the struggles of other socially marginalized groups. Equal rights are said to give empowerment and the 'ability' to make decisions and the opportunity to live life to the fullest. A related phrase often used by disability rights campaigners, as with other social activism, is "Nothing About Us Without Us."

The social model of disability often focuses on changes required in society. These might be in terms of:

  • Attitudes, for example a more positive attitude toward certain mental traits or behaviors, or not underestimating the potential quality of life of those with impairments
  • Social support, for example help dealing with the above barriers, resources, aids or positive discrimination to overcome them
  • Information, for example using suitable formats (e.g. braille) or levels (e.g. simplicity of language) or coverage (e.g. explaining issues others may take for granted)
  • Physical structures, for example buildings with sloped access and elevators
  • Flexible work hours for people with circadian rhythm sleep disorders

The social model of disability implies that attempts to change, 'fix' or 'cure' individuals, especially when against the wishes of the patient, can be discriminatory and prejudiced. It is often contended that this attitude, often seen as stemming from a medical model and a subjective value system, can harm the self-esteem and social inclusion of those constantly subjected to it (e.g. being told they are not as good or valuable, in some overall and core sense, as others).

Some communities have actively resisted 'treatments', often alongside defending a unique culture or set of abilities. Some examples include: deaf parents arguing against cochlear implants for deaf infants who cannot consent to them, and valuing sign language even if most do not 'speak' it; people diagnosed with an autism spectrum disorder arguing against efforts to change them to be more like others.

They argue instead for acceptance of neurodiversity and accommodation to different needs and goals; people diagnosed with a mental disorder argue that they are just different, don't necessarily conform, or have a psychosocial disability ultimately caused by discrimination or exclusion by society.

The social model implies that practices such as eugenics are founded on social values and a prejudiced understanding of the potential and value of those labeled disabled.

The social model of disability is often based on a distinction between the terms 'impairment' and 'disability.' Impairment is used to refer to the actual attributes (or loss of attributes), the abnormality, of a person, whether in terms of limbs, organs or mechanisms, including psychological. Disability is used to refer to the restrictions caused by society when it does not give equivalent attention and accommodation to the needs of individuals with impairments.

The social model also relates to economics. It proposes that people can be disabled by a lack of resources to meet their needs. It addresses issues such as the under-estimation of the potential of people to contribute to society and add economic value to society, if given equal rights and equally suitable facilities and opportunities as others.

Policy[edit]

In the United Kingdom, the Disability Discrimination Act defines disability using the medical model - disabled people are defined as people with certain conditions, or certain limitations on their ability to carry out ‘normal day-to-day activities.’ But the requirement of employers and service providers to make ‘reasonable adjustments’ to their policies or practices, or physical aspects of their premises, follows the social model.

By making adjustments, employers and service providers are removing the barriers that disable - according to the social model, they are effectively removing the person's disability. However, in 2006, amendments to the act called for local authorities and others to actively promote disability equality. It remains to be seen if this means the social model of disability will be more rigorously observed.

In the United States, the Americans with Disabilities Act of 1990 (ADA), revised in 2008, is a wide-ranging civil rights law that prohibits discrimination based on disability. It affords similar protections against discrimination to Americans with disabilities as the Civil Rights Act of 1964, which made discrimination based on race, religion, sex, national origin, and other characteristics illegal. Certain specific conditions are excluded, including alcoholism and transsexualism.

See also[edit]

External links[edit]

  • "The Individual and Social Models of Disability", 1990, a paper by Mike Oliver, who coined the term.
  • UK Disability Rights Commission: The Social Model of Disability. Accessed 2009-10-15.
  • Article on Disability Perspectives and Data Sources from Government of Canada.
  • Chapireau F, Colvez A (July 1998). "Social disadvantage in the international classification of impairments, disabilities, and handicap". Soc Sci Med. 47 (1): 59–66. doi:10.1016/s0277-9536(98)00033-1. PMID 9683379.{{cite journal}}: CS1 maint: date and year (link)
  • Kearney PM, Pryor J (April 2004). "The International Classification of Functioning, Disability and Health (ICF) and nursing". J Adv Nurs. 46 (2): 162–70. doi:10.1111/j.1365-2648.2003.02976.x. PMID 15056329.{{cite journal}}: CS1 maint: date and year (link)
  • Disability Studies Italy (in Italian).

References[edit]