Imagining new accessible worlds

Critical and Community-Led Approaches to Disability and Difference

Learning Objectives

By the end of this section, you will

  • Be familiar with some key concepts for understanding disability
  • Recognize the ableist, eugenics-based moral, charity and medical perspectives that have underpinned the rejection and devaluation of disability and difference
  • Understand a range of critical models for understanding disability and difference created by theorists from the disability community
  • Analyze historical and contemporary discussions and representations of disability by identifying their underlying assumptions and beliefs about disability

Disability theorists and activists have challenged dominant, ableist understandings of disability by creating critical perspectives on disability rooted in disabled people’s own experiences. These ways of understanding disability reveal the vitality of disabled lives and disabled ways of being. They show that disability and difference are meaningful, valuable, and even basic to life.

Cultural and Diversity Models

Cultural and diversity models of disability embrace the lived experience of difference or disability as valuable in itself, as something that should be celebrated and not erased (Devlieger, 2005, p. 8). These ways of understanding disability show that for many people, disability and difference are meaningful and valuable.

Deaf Culture

While some people who have hearing loss might identify with disability, people who identify themselves as Deaf often do not identify themselves as disabled, but rather as members of Deaf cultural and linguistic communities (Bartlett, 2018). Joanne Cripps of the Canadian Cultural Society of the Deaf (2022) explains:

Deaf Culture is the heart of the Deaf community everywhere in the world. Language and culture are inseparable. They are intertwined and passed down through generations of Deaf people. […] The Deaf community [comprises] culturally Deaf people in the core of the community who use a sign language (e.g. American Sign Language or Langue des Signes Quebecois) and appreciate their heritage, history, literature, and culture (Cripps, 2022).

Screen capture of a cat from the video Life Can Change in an Instance.

Project

Deaf Interiors

The works created through the Deaf Interiors project reflect on “the interior world of Deaf culture, activism and human connection” in the context of the pandemic in 2020. In her video, Life Can Change in an Instance, Deaf, queer, Tamil artist Thurga Kanagasekarampillai shares her experiences of “moments of Deaf Joy,” calling upon viewers to “reflect on the moments that you always embrace while watching many moments of mine.”

Neurodiversity

Similarly, a neurodiversity perspective emphasizes the fact that people have a wide range of differences in thinking, perceiving, feeling, and relating to the world, and one way of being is not better or worse than any other (Douglas & Klar, 2019). People who are autistic or have ADD/ADHD, or who have learning, cognitive, neurological, perceptual or emotional differences may describe themselves as neurodivergent, in contrast with neurotypical people whose ways of being are taken for granted as normative in the societies they dominate (Walker, 2022).

Digital Story: Untitled by Raya Shields

The Mad Movement and Mad Studies

The Mad movement and the related academic field of Mad Studies challenge the understanding of mental health and mental illness as predominantly biomedical. Mad advocates and scholars point out that emotional distress is often rooted in trauma and oppression. Reclaiming the term “Mad” to describe experiences of emotional, perceptual and cognitive difference, they advocate for the acceptance of these differences in ways of being (Shimrat, 2013). 

Digital Story: Knitting by Elisabeth Harrison

In Knitting, Elisabeth Harrison describes how the medicalization of her distress about the difficult situation she experienced as a teenager compounded the problems she faced. She calls for changes to mental health care to better account for the contexts of people’s lives.

Indigenous Perspectives on “Disability” and Difference

Despite claims to its universality, the concept of disability is based on an analysis of the social and political organization of Western societies, and therefore does not account for Indigenous perspectives on difference (Puszka et al., 2022, pp. 1, 9). In addition, the concept of “disability” has been mobilized against indigenous people through historical and contemporary manifestations of the eugenics movement, to further the genocidal aims of settler colonial governments (Puszka et al., 2022, pp. 2, 7; Rice et al., 2021). Bodies in Translation leaders Carla Rice and Eliza Chandler write with Lenape and Potawatomi scholar Susan Dion to explain the continuing impacts of this:

In the testimonies of disabled and of Indigenous peoples, we can identify how similarities and overlaps in the state’s egregious treatment of both groups has served the geopolitics of settler-colonial nation building. These overlaps include settler imposition of political and economic regimes that have produced high degrees of debility and disability among Indigenous peoples.

The imposition of ableist settler knowledge systems have sought to render Indigenous and disabled populations as defective and inferior; settler transinstitutional responses to Indigenous and disabled bodies, centering mainly on policies of containment and elimination have had violent and deadly effects for Indigenous and non-normative lives.

Yet these resonances are complicated by a formidable rub: notions of “defectiveness” that have been imposed on Indigenous people through colonial knowledge regimes have meant that the ascription of disability, madness, fatness, or other forms of non-normativity doubly or multiply threatens Indigenous peoples’ access to the category of the human. This makes the claiming of disability or non-normativity itself a privilege (Rice et al., 2021).

Indigenous perspectives on “disability” and difference challenge colonialism and Eurocentrism. Anishinaabe disability scholar Heather Norris (2014) explains that within many Indigenous ways of knowing, difference and diversity are accepted and embraced as part of the “profound interdependency of all life” (p. 54). Anishinaabe artist and scholar Dolleen Tisawii’ashii Manning further points out that prior to the imposition of colonizer knowledge, the Anishinaabe worldview did not include the “deficiency-based” notion of disability (Rice et al., 2021).

Activity

Engaging with Own Your Cervix by Vanessa Dion Fletcher

Through the immersive installation Own Your Cervix, Lenape/Potawatomi artist Vanessa Dion Fletcher explored decolonial and Indigenous feminist perspectives on menstruation. Presented at the Tangled Art + Disability gallery, the exhibit centered ideas about accessibility, with the artist designing the self-examination space and equipment with access and comfort in mind, in contrast with typical Western medical spaces and practices that almost exclusively prioritize physician needs. Through the reclamation of access and self-health practices, the exhibit challenged patriarchal and colonial medical authority (Rice et al., 2021).

Look through the documentation of the Own Your Cervix installation on Vanessa Dion Fletcher’s website and the website of Tangled Art + Disability and consider the following statements and questions posed by Bodies in Translation leaders Carla Rice, Eliza Chandler and Susan Dion (2021) in their article Decolonizing Disability Through Activist Art:

With Own Your Cervix, Dion Fletcher creates a world in which we can all get to know our bodies, reclaim, even own our bodies, in a cripped space in which we are called upon to think about the impacts of colonialism on Indigenous women’s and trans and Two-Spirit bodies. Dion Fletcher’s work prompts us to wonder:

  • What is the relationship between accessibility, desire, and bodies? 
  • Why aren’t women, trans, and gender-fluid people able to easily access their cervixes, vulvas, and other sex-coded organs as sites which foster the coming together of sexual health, autonomy, and pleasure? 
  • How might this lack of access adversely affect differently-located, and especially Indigenous disabled people? 
  • How might the meanings given to body parts coded as female, disabled, or trans debilitate persons so coded in a world that doesn’t give us permission to access or know these parts/processes?

The Social Model of Disability

The social model of disability was developed in the 1970s and 1980s within disability communities in the United Kingdom in response to the exclusion of disabled people from participation in society. At the time, many disabled people were segregated from the community and forced to live in residential institutions. 

Because disabled people were systematically excluded from the community, access was not planned for in infrastructure or policy (Oliver, 1983; Union of the Physically Impaired Against Segregation, 1975).

The social model makes a distinction between impairment and disability:

Impairment is caused by a condition or limitation of a person’s body or mind (i.e., paralysis, seizures, cognitive difficulties, etc.).

Disability occurs when a person with impairments encounters barriers in their environment and their access needs are not met. Barriers are not only architectural or physical, but can also include categories such as information or communications barriers, technology barriers, organizational or systemic barriers, and attitudinal barriers.

From a social model perspective, the way to address disability is to facilitate access by removing barriers.

Critiques of the Social Model


The social model has been criticized for multiple reasons:

  • Some have argued that the model primarily reflects the experiences of physically disabled people and may therefore exclude other kinds of disabilities. For example, Essya Nabbali (2009) points out that some social model proponents have explicitly stated that mental health difficulties are not impairments but medical problems that cannot be understood through a social model lens. Nabbali dispels this claim, pointing out that our mental health is closely related to the conditions of our lives.
  • The social model has been criticized as failing to recognize how disability intersects with other identities or determinants of social location, including race, gender, class, and more (Rice et al., 2013). 
  • Feminist disability theorists such as Susan Wendell (1996) and Carol Thomas (1999) have noted that the social model does not account for embodied experiences like chronic pain or illness. Thomas has further contended that the social model has not considered the “cultural and experiential dimensions” of disability (Thomas, 1999, p. 24).

The Radical Model of Disability

Aiming to address the omissions of the social model, the radical model of disability was developed by disability activist and theorist A.J. Withers. The key tenets of the radical model are as follows:

  • Disability cannot be separated from other forms of oppression;
  • “Normalcy” is arbitrary;
  • Disability is rooted in politics, not biology (and biology itself is both politically and socially constructed);
  • Access must be holistic (Withers, 2012, p. 107).

Embodiment and Disability

The Social Relational Model of Disability


The social-relational model of disability, developed by disability theorist Carol Thomas (1999), marked a distinction between the disabling impacts of non-accommodating environments and the direct effects of impairments that cannot be eliminated through the removal of external barriers.

For example, a person with chronic pain might have workplace access needs such as a flexible schedule or an ergonomic workstation, but although necessary and helpful, these arrangements are very unlikely to fully alleviate the pain that the person experiences.

Embodied Experience and Disability

Feminist theorists have long considered the impact of disability and impairment on embodied experience. In The Cancer Journals (1980) and Zami: A New Spelling of My Name (1982), Audre Lorde positioned disability as a productive site for the articulation of her experience. As Margrit Shildrick has explained, the experience of disability reveals the vulnerability of embodiment (2009, p. 17). In her memoir, Waist High in the World, Nancy Mairs described how living with multiple sclerosis led her to “come to terms with [herself]” as a body (1996, p. 41). She contrasted her experience with the imagined transcendence of embodiment that abledness can allow:

The physical processes of a perfectly healthy person may impinge so little on her sense of well-being that she may believe herself separate from and even in control of them.

From here it’s a short leap to the conviction that cerebral phenomena are of a different, generally higher, order than other bodily events and thus possess transcendent and even immortal qualities, at which point the imagined mind becomes the even more fantastic soul (Mairs, 1996, p. 41).

Spoon Theory

Spoon theory was created by disability activist Christine Miserandino (2003) as a metaphor for the way that people with energy-limiting chronic illnesses and disabilities manage their capacities.

Miserandino described how she and a friend were on a visit to a diner when her friend asked her to explain what it was like to live with lupus. Miserandino gave a bunch of spoons to her friend to represent her total energy budget, and took them away one by one as her friend listed each of her daily activities. Her friend quickly ran out of spoons, and Miserandino explained that once the spoons are gone, rest is the only way to get more. 

Drawing from Miserandino’s metaphor, some people with chronic illness, pain, or fatigue have adopted the nickname “spoonies” to describe their experiences (Ignagni et al., 2019).

Disability and Debility

Although disability is a fundamental part of life and a source of pride, as crip theorist Alison Kafer (2016) points out, it is necessary to recognize that it is sometimes the result of structural injustice. Theorist Jasbir Puar uses the term “debility” to describe injury caused by “precarity and vulnerability to police brutality, reckless maiming and killing, deprivation and destruction of resources” (2017, p. xxii). People with less power are more vulnerable to debilitating forces including colonialism, war, state and institutional violence, and unsafe work conditions, while people with greater privilege may be less impacted.

Puar’s consideration of debility highlights its impacts upon colonized people, but other scholars have argued that the concept is more broadly applicable. As Margrit Shildrick writes, debility is a lens through which to understand the condition of all “worn-out bodies in late capitalist society” (2015, p. 157).

Many disability-associated health conditions arise as a result of debility:

  • Cancer is linked with environmental contamination, which disproportionately impacts Indigenous and racialized communities due to structural racism and colonialism (Waldron, 2018)
  • Political decisions that willfully neglect the health of Indigenous, racialized and sexual minority people have led to higher rates of HIV in these communities (Doyal, 2013)
  • Austerity policies that subject disabled people to invasive assessments which make it difficult to access benefits have contributed to a significant increase in mental health difficulties (Mills, 2018)

Disability Justice

The framework of disability justice was developed by members of the Disability Justice Collective, which was founded in 2005 by Patty Berne, Mia Mingus, Stacey Park Milbern, Leroy Moore, Eli Clare, and Sebastian Margaret (Piepzna-Samarasinha, 2018, p. 15). As disability activist and theorist Leah Lakshmi Piepzna-Samarasinha explains, disability justice was created as:

[A] movement-building framework that would center the lives, needs, and organizing strategies of disabled queer and trans and/or Black and brown people marginalized from mainstream disability rights organizing’s white-dominated, single-issue focus (Piepzna-Samarasinha, 2018, p. 15).

The disability justice framework’s centring of intersectionality marks it as a critical intervention into the theories and practices that have often failed to account for the differences among disabled people, and that have not always recognized the interconnection of disabled people’s struggles against ableism and for access with the justice-seeking work of people facing intersecting dimensions of structural oppression, including racism, colonialism, sexism, queermisia, transmisia, and poverty.

In this way, disability justice is a direct challenge to the historic and ongoing dominance of racism, white supremacy, colonialism, heteropatriarchy, and capitalism (Shelton, 2020).

Disability Justice and Activism

In Skin, Tooth, and Bone: The Basis of Movement is Our People: A Disability Justice Primer, the disability justice performance collective Sins Invalid challenges the idea that the framework should have a concise definition. Instead, as queer disabled people of colour activists, they describe disability justice as having developed from their activist work toward being recognized as “an essential part of humanity.” Reflecting their intersectional perspective, they highlight the inseparability of the multiple dimensions of their activism: As they “challenge settler colonialism, gender normativity and violence that targets trans people” they simultaneously “challenge able-bodied normativity” (Sins Invalid, 2019, pp. 5–6). 

As Mia Mingus (2011) points out, unlike rights-based approaches emphasizing closeness to normalcy and validating existing social and political hierarchies, disability justice “embraces difference, confronts privilege and challenges what is considered ‘normal’ on every front.” Mingus explains that to seek disability justice is not to seek to “join the ranks of the privileged,” but to “dismantle those ranks and the systems that maintain them” (para. 5).

10 Principles of Disability Justice

Sins Invalid’s list of the 10 principles of disability justice (Sins Invalid, 2015) captures the multiple dimensions of the framework, and highlights how disabled people’s struggle for liberation interlocks with the struggles of all oppressed people.

  1. Intersectionality
  2. Leadership of those most impacted
  3. Anti-capitalist politics
  4. Cross-movement solidarity
  5. Recognizing the wholeness of each person
  6. Sustainability
  7. Commitment to cross-disability solidarity
  8. Interdependence
  9. Collective access
  10. Collective liberation

The Appropriation and Misuse of Disability Justice

As Patty Berne points out, the term “disability justice” is often appropriated and misused:

In recent years, on websites, on flyers and in informal conversations, we’ve witnessed people add the word “justice” onto everything disability related—from disability services to advocacy to disability studies. This is done without a significant shift in process or goals, as if adding the word “justice” brings work into alignment with disability justice. It doesn’t (Sins Invalid, 2020).

White, crip, feminist educator Samuel Shelton echoes this point, noting that academic disability studies has tended to reify white supremacy and settler colonialism, both theoretically and through pedagogical practices. He argues that a genuine engagement with disability justice as theory and practice is the means through which to upend the interlocking oppressions of racism, white supremacy, colonialism and ableism (2020, p. 196).

A detail from a larger illustration by Josephine Guan, showing a hand holding up a magnifying glass to examine a person with curly hair. This version of the image is presented in shades of pink.