Key Concepts & Theories
Medical Model: disability is an individual deficit to be cured or rehabilitated. Social Model (Oliver, 1983): disability is caused by societal barriers โ inaccessible buildings, discriminatory attitudes, and exclusionary systems โ not by impairments.
Impairment: the functional limitation (e.g., blindness). Disability: the social oppression resulting from societal failure to accommodate impairment. Solution: remove barriers, not "fix" the person.
Crenshaw (1989): disability intersects with race, gender, class, sexuality. A disabled woman of color faces compounded discrimination that neither disability studies nor feminism alone can fully explain.
Designing environments, products, and systems usable by all people without adaptation. Examples: curb cuts, captioning, screen readers. Benefits everyone โ parents with strollers, aging populations, temporary injuries.
Disability rights movement (1960s-present) advocating for self-determination, community integration, and personal assistance services. Nothing About Us Without Us โ disabled people must lead decisions affecting them.
Core Definitions
Worked Examples
A wheelchair user cannot enter a building with stairs only. Medical model: the person needs a cure. Social model: the building needs a ramp. The impairment is the inability to walk; the disability is the inaccessible design.
A deaf Black woman seeking employment faces: ableism (employer assumes she can't communicate), racism (stereotypes about Black workers), and sexism (gender pay gap). Solutions must address all three simultaneously.
Closed captions: designed for Deaf users, but used by non-native speakers, people in noisy gyms, and language learners. Curb cuts: designed for wheelchairs, but used by delivery workers, cyclists, and parents with strollers.
Practice Problems
Answer: Medical: disability is an individual deficit requiring cure/rehabilitation. Social: disability is societal barriers excluding people with impairments. The social model shifts responsibility from the individual to society.
Answer: Disabled people must be included in all decisions affecting them โ policy, research, services. No decisions made about disabled people without their participation. Core principle of the disability rights movement.
Answer: Disability overlaps with other identities (race, gender, class). A disabled immigrant woman faces barriers that are not just about disability, race, or gender alone โ but the intersection of all three creating unique experiences.
Answer: The concept that neurological differences (autism, ADHD, dyslexia, Tourette's) are natural variations, not deficits. The neurodiversity movement advocates acceptance, accommodations, and celebrating different minds rather than seeking cures.
Answer: The US Supreme Court ruled that unjustified institutionalization of people with mental disabilities violates the ADA. States must provide community-based services when appropriate, reasonable, and not opposed by the individual.