What is disability? If you were to ask a mixed group of disabled and non-disabled people this question the chances are that the number of answers given could almost add up to the same number as those present in the room! The problem is that there are many different and often opposing ways of defining ‘the disability problem’. In general terms these definitions tend to fall into two broad camps; the traditional approaches with a focus on the degree to which a person’s condition or impairment prevents them from fulfilling the roles and expectations usually carried out by so called ‘normal people’ (sic) and social approaches which identify disability as being ‘imposed on top of our impairments by the social organisation of society’.
The main emphasis within this article will be an explanation of how and why the Disabled People’s Movement shifted the ‘disability problem’ away from viewing it as a negative attribute of an individual, towards addressing it as a form of social oppression and how this oppression has developed.
Why definitions of disability are historically specific
There have always been people who, because of injury, disease or genetic makeup, have had bodies that are not fully functional. Research shows that the treatment of people with impairments has varied greatly down the ages however it was not until the development of the capitalism mode of production was there a systematic approach to classifying individuals into distinctive groups.
Gleeson explains:
“…. an important critique has been developed of the root cause of disablement – the capitalist system. Disability in its current form is said to have emerged at the time of the industrial revolution, with the growth of the commodity labour market a key factor in the process of disablement … (thus) the fundamental relationships of capitalist society are implicated in the social oppression of disabled people.” [1]
By the middle of the nineteenth century British society had felt the impact of the Industrial Revolution. The harsh realities it produced created economic and social upheavals which brought about, in turn, moral panics around the fear of illness, disease and depravity. Social reformers sought to replace chaos with control – contours around what was considered ‘normal’ were drawn and those groups thought to be polluting society – outside ‘normality’ – were withdrawn from the public gaze.
The increased usage of institutionalisation, the birth of the eugenics movement and the proliferation of charities contributed towards ‘cleansing’ society of its mad and hapless cripples. Non-conformity was unacceptable and those people deemed incapable of keeping standards associated with ‘normal activities’ – productive and reproductive – had to be ‘taken care of’ in more senses than one.
These processes firmly established people with significant impairments as ‘outside’ mainstream society; however it took the First World War to shape the dominant approaches that viewed disability as ‘an individualised personal tragedy’. Medical practice since this time has focused firmly on how the body ‘functions’ vis-à-vis social tasks and doctors along with other professionals were concerned with the impact of impairments on people’s capabilities. In crude terms, the less someone functioned ‘like a normal person’ (sic), the more ‘disabled’ they were judged to be. Key ideologies such as individualism and normality contributed to the process of identifying ‘disability’ as the negative outcome of a loss of function caused by an individual’s impairment. This view of the ‘problem of disability’ remained largely unchallenged for the next fifty years.
Disability: a personal tragedy or social oppression?
When a challenge did come it came from the ranks of disabled people. Our starting point is to recognise that the Disabled People’s Movement emerged during the late 1960s and early 1970s when groups of disabled people began to question why they were either excluded from or marginalised within mainstream social activities.
The roots of the Union of the Physically Impaired Against Segregation (UPIAS) stem from Paul Hunt when in 1972 he wrote a letter to the Guardian inviting disabled people to form a group to tackle disability. Paul formed his ideas whilst living in an institution called Le Court. He and other residents had been involved in a long and bitter struggle with the authorities over the right of disabled people to have control over their lives within the institution and for some representation on the management committee. The significance of this particular struggle was that during the course of their struggle, he and others had started asking some very fundamental questions about the nature of the helper/ helped relationship, the powerless that they were having imposed on top of their impairments, and about why this was the case.
Paul’s partner, Judy Hunt, wrote:
“UPIAS exposed disability as an oppressive relationship, and a power relationship of control. It was these ideas – taken on by the Disabled People’s Movement – that became the important liberating factor in the movement.” [2]
The ideas of UPIAS were made accessible to disabled people and their organisations via one of its members, a disabled academic called Mike Oliver who developed two models of disability – the individual tragedy model and the social model. It is important to recognise that a model is a ‘schematic description of a system, theory, or phenomenon that accounts for its known or inferred properties and may be used for further study of its characteristics.’ [3]
So Oliver used the ‘individual tragedy model’ to explore the dominant ideologies and practice in relation to disability in the UK [4]. How ‘disability’ is defined and then employed in law, social policy and day-to-day social and cultural activities has been rejected by the Disabled People’s Movement because it presents disabled people in ways which are often considered negative and, as a result, increases the possibility that a disabled person could experience either discrimination or be forced to accept segregated services. The emphasis is on disabled people’s lack of ability, caused by their condition, which is then measured as a means of explaining (and legitimating) why they are unable to ‘fit into’ the mainstream of social activities.
Disabled people argue this approach misrepresents the facts. The alternative ‘social model’ approach has as its starting point the recognition that often having a condition or impairment does have an impact upon our lives; however this is not the direct cause of people with impairments’ social exclusion. If an individual evaluates their impairment in negative terms, which they may, this is not the same as being judged as ‘tragic’ in societal terms because of the perceived non-conformity of the body or mind and the subsequent absence of social value. It is precisely how people with impairments are ‘made sense of’ which ultimately leads to them not being ‘taken into account’ by given western societies. Thus it is within the social organisation of society; mode of production, societal structures, systems, culture and values, etc. where the social restrictions are created for disabled people.
The social oppression understanding of disability
Oliver explains:
“The more detailed elaboration of the social model stemmed from attempts to apply this insight into practice: firstly, in training of social workers, and secondly, in the design and delivery of disability equality training. … I was trying to provide my students with a way of applying the idea that it was society and not people with impairments that should be the target for professional intervention and practice.” [5]
Disability Equality Training argues that if more time was spent ‘taking into account’ how the design and organisation of things affected disabled people then we might see real change. The emphasis within the social model approach is concerned with looking at the differing ways in which people with impairments encounter what we call ‘disabling barriers’. Disabling barriers are created when not enough attention is paid to the issues which impact on disabled people’s lives. For example, their access needs, the surroundings in which disabled people find themselves in or simply the negative attitudes people hold. Our conditions or impairments may reduce our functional ability, but more often than not, the disabling factor is external to the person and could be reduced or removed by ‘planning disabled people in’ or if needs be, adapting the world in which they want to live.
The materialist based social model sees disability as the creation of social restrictions which result from and contribute to the oppression of people with impairments via systems and structures which serve in the interest of capitalism. The nature of this treatment – often discriminatory – is experienced in a myriad of ways. People with physical impairments and mental health service users, for example, can encounter very different disabling barriers due to how, historically, society has determined the social relations of the membership of these groups. This includes the use of pejorative labels. At a micro level of society, disabling barriers can be down to the failure to introduce inclusive practice, however at a macro level disability is structured and takes on the character of institutional discrimination – e.g. the labour market, legal system, government policy, etc.
The emphasis within social approaches to disability is simple: look at ways of changing the social organisation of society in order to accommodate people with impairments. This has resulted in an array of ‘interpretations’ of the social oppression approach to disability ranging from reformist to revolutionary. Gleeson, for example, argues:
“The ‘materialist’ or ‘radical’ social model understands disability to be a logical outcome of the capitalist mode of production… This version of the social model insists that ‘the fundamental relationships of capitalist society are implicated in the social oppression of disabled people’. Logically, ‘the elimination of disablement… requires a radical transformation, rather than a reform of capitalism.” [6]
How disabled people are subjected to differential and unequal treatment must also be addressed in terms of the changing economic and social climate. Their active inclusion in the labour market, for example, directly corresponds to the demand for labour or the desire to slash public expenditure. The social model of disability developed by Oliver related primarily to the social democratic phase of capitalism therefore the shift in the direction towards Neoliberalism and the savage attacks upon the welfare state has been inadequately addressed at a theoretical level. In terms of the struggle for emancipation, it is perhaps paradoxical that at the very moment disabled people secured some legal protection, the neoliberal agenda was about to bite.
Disability in the age of austerity
It is not enough to simply acknowledge disabled people are disabled by systems, structures and services which either fail to meet or inadequately meet disabled people’s needs. The impact of current government policies – the reduction in public expenditure at national and local levels, the removal of services, the destruction of jobs and communities – will only result in greater hardship and social exclusion.
The creation of Disabled People Against Cuts in 2010 was not a spur of a moment thing; a knee-jerk reaction to what the Coalition was doing. The roots of DPAC were firmly within the politics of the social movement we often refer to as the Disabled People’s Movement. A social movement is defined as a collective identity around key demands for social change. Disabled academic Mike Oliver spoke of the Disabled People’s Movement as a social movement because:
- it was peripheral to conventional politics
- offered a critical evaluation of society
- embraced ‘post-materialist’ or ‘post-acquisitive’ values (e.g. non-exploitative or anti-capitalist in nature)
- had an internationalist perspective
Oliver also stated that a ‘…key feature of the Disabled People’s Movement has been its focus on social exclusion and oppression.’ As a direct consequence of this ‘shared perspective’ disability politics of the Disabled People’s Movement:
a) Placed an emphasis on self-organisation;
b) Had a commitment to radical political action to promote change;
c) Sought to improve the quality of disabled people’s lives and worked to promote their full inclusion into society [7]
It is doubtful that many disabled activists would disagree with this broad picture, although some might suggest that over the life of the movement there were elements within the Movement that moved away from these politics or have subjected them to ‘reinterpretation’. One area that has been subject to detailed ‘reinterpretation’ is the idea of “disability rights” and it can be found in what is nowadays called the Disability Movement.
The rise of the Disability Movement
Since the early 1990s there has been a growing tendency among charities, public and voluntary sector bodies to adopt both the language and concepts of the Disabled People’s Movement but in the process, gutting them of their original meanings and intent. Antonio Gramsci referred to this process as being, “transformismo”. [8]. It is quite common these days to see local authorities for example speak about supporting the social model or implementing what is called ‘independent living’ however any scrutiny of their policies and practices reveal their approaches are a million miles from those developed by the Disabled People’s Movement. The failure of the Disabled People’s Movement to address this issue and the unwillingness to discuss divisions within our own ranks has produced an unhealthy situation where the community of disabled people are witnessing conflicting approaches towards defending “disability rights” and not fully understanding or appreciating what lies behind these conflicts.
There is not a single factor that led to these divisions. Tensions existed prior to and after the defeat of the Civil Rights Bill and the passing of the Disability Discrimination Act (DDA). Vic Finkelstein who helped establish the Disabled People’s Movement believed there was a too narrow focus on obtaining ‘anti-discrimination legislation’ whilst others concluded that the DDA was in fact a victory for disabled people – which goes against all the evidence that exists. [9] The differing positions taken on the DDA was the first indication of a fundamental split within the Disabled People’s Movement and it resulted in a tendency emerging with a focus solely on protecting and extending “disability rights”. Here was a clear division between those who stood for radical political action to promote change and a revision of the politics of disability which offered a reformist agenda. Although the actual division is clear, the forces who make up the two camps isn’t necessary obvious. Some disabled people’s organisations and individuals moved away from radical interpretations of social oppression and began to open a dialogue with traditional disability charities such as Scope and Leonard Cheshire Disability who were ‘using the right language’ (sic). People such as Tom Shakespeare argued these organisations had ‘changed’; but time and time again these charities have been found to be employing double standards – speaking about ‘disability rights’ one minute and promoting ‘disability as a personal tragedy’ the next.
Many of the organisations who were involved in the ‘Hardest Hit Campaign’, including Disability Rights UK, sent out mixed messages to both disabled people and the Coalition. [10] This ‘disability rights’ approach spearheaded by leading disability charities had been supported by Tony Blair’s Labour government via its ‘rights and responsibility’ agenda which had effectively marginalised the waning Disabled People’s Movement. What emerged was the formation of a ‘Disability Movement’ which sought to present disability as an ‘opportunity’ within the marketplace. [11] The notion of ‘disability rights’ became little more than a question of consumer rights and these charities were quite happy to take part in the Conservative government’s benefit reform programme whilst at the same time criticising the assessment processes with the introduction of the biopsychosocial model of disability. Suddenly social oppression was assigned to the dustbin; we were informed that everyone favours ‘inclusivity’ – this in an age of austerity where disabled people were becoming less and less able to access mainstream provision or live independently. An Orwellian nightmare was unfolding before our eyes.
The reality of the current situation
There are services run by local authorities that are not run in the best interests of communities – including disabled people – but simply taking an axe to them does not provide us with an opportunity to change the service nor provide a better one. The cuts are taking us away from and not towards any notion of building a more inclusive society; cuts are reducing our ability to expose the disabling nature of the society in which we live. Cuts right across the board are hampering ordinary people’s ability to take control over their lives and many disabled people, though marginalised within the mainstream now, are experiencing increased exclusion from all mainstream social activities. Cuts have resulted in premature death caused by worry, increased poor health and inadequate support arrangements.
Since 2010 within the field of social policy, supported by reports from the mass media, there Is a “common sense” understanding that ‘disabled people are dependent creatures who are unemployed and on benefits’ and the focus is on ‘those with the greatest needs’ (sic). [12] A key corner of ‘disability politics’, namely Independent Living, has been politically gutted under Neoliberal policies.
On August 24th 2017, Disability News Service reported that an international committee of disabled human rights experts have delivered a series of withering attacks on the UK government over its failure to implement the UN Convention on the Rights of Persons with Disabilities. The committee’s chair, Theresia Degener from Germany, told the UK government’s delegation that its cuts to social security and other support for disabled people had caused “a human catastrophe”, which was “totally neglecting the vulnerable situation people with disabilities find themselves in”. [13].
Perhaps now more than ever before, it’s time to articulate within mainstream politics what the Disabled People’s Movement has been arguing for over forty years: disability is a form of social oppression.
NOTES
1. Gleeson, B. J. 1997. Disability Studies: a historical materialist view.
Disability and Society, 12 (2), 179-202.
2. See, http://disability-studies.leeds.ac.uk/files/library/Hunt-J-a-
revolutionary- group-with-a-revolutionary-message.pdf
3. See, https://ahdictionary.com/word/search.html?q=model
4. Oliver, M. 1990. The Politics of Disablement, London: Macmillan
5. Oliver, M. 2004. The Social Model In Action: If I had a hammer? in Implementing the Social Model of Disability: Theory and
Research edited by Colin Barnes and Geoff Mercer 2004. Leeds:
The Disability Press, pp. 18-31.
Available at: http://disability-studies.leeds.ac.uk/files/library/Barnes- implementing-the-social-model-chapter-2.pdf
6. See, Gleeson, page 196.
7. Oliver, M. and Barnes, C. 2012. The New Politics of Disablement,
Palgrave Macmillan: London
8. Cox, R. W. 1996. Gramsci, Hegemony and International
Relations: An Essay in Method, in R.W. Cox and T.J. Sinclair, 1996.
Approaches to World Order, Cambridge: Cambridge University Press Page.51
9. See, http://pf7d7vi404s1dxh27mla5569.wpengine.netdna-
cdn.com/files/library/finkelstein-The-Social-Model-of-Disability-and-the-
Disability-Movement.pdf
10. See, http://disability-studies.leeds.ac.uk/files/library/williams-findlay- Lifting-the-Lid-on-Disabled-People-Against-Cuts-D-S-final.pdf 2011
` 11. See, https://dpac.uk.net/2012/12/a-question-of-intent/
12. See, http://www.dpac.uk.net/2012/04/a-tale-of-two-models-disabled- people-vs-unum-atos-government-and-disability-charities-debbie-jolly/ March 2012
13. See, https://www.disabilitynewsservice.com/uk-faces-un-examination- government-cuts-caused-human-catastrophe/ .
