Introduction
Mike Oliver in his book, The Politics of Disablement (1990), employs what he calls evolutionary approaches to human history to forward an argument which he believed would challenge how ‘disability’ as an issue had at best been marginalised within academic circles or worse still, reduced to a question of medical intervention or psychological adjustment. Building upon the work of disabled academics and activists, Oliver sought to contribute to the development of a ‘social theory of disability’ by adding weight not only to a radical critique of the dominant approaches to ‘understanding disability’ within modern society, but also by providing a framework for an alternative understanding of disablement.
In developing his argument he draws upon the work of social theorists, including Marx, (1913), Comte, (1855), and Weber (1948, 1968) to construct the framework for understanding disability as historically specific experiences relating to particular modes of production and given social structures within different societies. By adopting this approach, he feels able to suggest:
‘…. the definitions and experiences of disability vary from society to society depending on a whole range of material and social factors. The crucial issue to be discussed … is why the view of disability as an individual, medical problem and a personal tragedy has been the dominant one in modern capitalist societies.’ (Oliver, (1990): 25)
This blog will examine the framework behind this assertion and to question the validity of his argument that the 19th century acted as a galvanising moment in history; the point at which the dominant ideological view of disability as a personal tragedy became hegemonic within social structures which created the conditions for practices which produce the social oppression of disabled people. It is the idea of the transformation of people with impairments into ‘disabled people’ which lies at the heart of ‘the social oppression theory of disability’. Disability in this alternative approach is not viewed as personal attribute of an individual but rather as: … the disadvantage or restriction of activity caused by a contemporary social organisation which takes little or no account of people with physical impairments and thus excludes them from mainstream social activities. (Union of the Physically Impaired Against Segregation, (1974): 14) We will explore the key concepts he uses to expand his argument. Whilst the central task is to examine the extent to which Oliver’s contention is valid, there is also a need to consider the nature of the supporting evidence and major challenges that have been made.
Various text exist, such as the work of Shakespeare (1994), (2006), Gleeson (1997), Thomas (2004), Tremain (2002), have raised critical points in relation to the methodology of Oliver and others who have also taken a historically materialist approach towards understanding disability or accept the basic premise of the social model of disability. As part of the interrogation of Oliver’s approach an emphasis will be placed upon the transitional period from feudalism to capitalism and in particular how people with impairments are viewed as social actors. This will lead to questioning the meaning Oliver and others give to what they call ‘a history of disability’. The final task will be to examine to what extent socio-cultural constraints changed across the 19th century itself.
This will take place against the backdrop of questioning how the current methodology of historical materialism is employed and the subsequent ‘responses’ to the charge that the social oppression theory of disability ignores the central role of ‘the body’ in the creation of disabled people’s experiences of oppression. Concepts and concerns Let us consider some of the key concepts that underpins Oliver’s argument and in so doing explore a number of criticisms and concerns that can be raised in relation to how they have been employed. A crucial issue that underpins the exploration within this blog is the framing of Oliver’s argument within a historical materialist approach. He uses the following quotation to outline his view on history: In Marx’s view, to understand the nature of human beings one must understand their relationship to the material environment and the historical nature of this relationship in creating and satisfying human needs.
However, as societies develop and become more complicated, the environment itself will become more complicated, and comprise more socio-cultural constraints. (Forder et al, (1984): 89 cited in Oliver (1990): 26) To fully appreciate the idea of an evolutionary perspective on history, it is necessary to consider the original framework offered by Marx and Engels. ‘The materialist conception of history starts from the proposition that the production of the means to support human life and next to production, the exchange of things produced is the basis of all social structure … (Engels cited in Feuer (1959): 90) In simple terms, people rely on food, clothing, footwear, shelter, fuel, etc. in order to live. However, people can only have these things if they can have the means to produce them. This also means producing the instruments that are used to produce the goods. The ownership of the means of production, along with having systems to distribute, via an exchange, the products that are made, are viewed as the foundations of any society’s economic base and subsequently, it’s superstructure. Hence, the baseline for historical materialism then is the role played by the means of production in sustaining human life.
In this approach to history, the overall framework of understanding its ‘evolution’ has to be through the changing relationships determined by ‘the modes of production and exchange’. According to Marx and Engels ‘all past history’ can be viewed through five main types of relations of production: primitive communal, slave, feudal, capitalist and socialist. Oliver refers to how Finkelstein (1980), (1981), considered the historical processes that have shaped the social construction of disability as a specific category in modern society from within a materialist framework. In his work Finkelstein employs the terms Phase One and Two which are said to correspond to the periods of the transition from feudalism to capitalism and the established capitalist system itself. The relationship between the economic base and the superstructure of a society is often debated and a crucial element of this debate has been an examination of the role of ‘ideology’. Within Oliver’s argument the role of ideology plays a central part in shaping the ‘solution’, therefore, it is important to understand this concept and how it is employed.
What is ‘ideology’?
Stuart Hall (1977) supports Oliver’s view that one of the difficulties social scientists face is that there is no universally agreed definition of ideology. Hall argues that Marx was able to advance to a materialist theory of ideology on the back of the Left Hegelian Feurbach’s ‘inversion’ of Hegel. Where Marx radically differed from men such as Feurbach was in the fact that, historical materialists such as himself: …do not set out from what men say, imagine, conceive, nor from men as narrated, thought of, imagined, conceived, in order to arrive at men in the flesh. We set out from real, active men, and on the basis of their real life-process we demonstrate the development of the ideological reflexes and echoes of this life-process. (Marx, (1970): 47) In other words he believed the actions of men (sic) create them as ‘social beings’ and in so doing determine the relation between being and thought. Human consciousness therefore stems from social production which in turn relies on the economic structures of society.
How then should we view ideology? Through various structures, economic, political, social, cultural, the groups holding power can exercise maximum control with minimum conflict by using ideology – sets of values, conceptions of the world, belief and symbol systems – to legitimate the current social order. At times this can be coercive, but more often than not it seeks to be consensual. For many Marxists ideology is connected to power and power relations, but as John Lye (1977) points out: Power is not a unitary force or phenomenon, nor an exclusively ‘political’ phenomenon. Power and power relations are woven throughout all our practices and ideas — power is exercised in every relationship, group, and social practice, and it is not necessarily detrimental … (However) one must not forget that social order relies, in varying degrees, but ultimately, on the ability of one person or group to coerce another person or group, and that the basis of Law, however rationalized, is the authorized use of force. (Lye, (1997): http://www.brocku.ca/english/jlye/ ideology.html
Other Marxists, for example, Althusser (1971), pay less attention to its power aspect and, instead, focuses on the structure of assumptions which form the imaginative world of groups. Ideology, writes Althusser, is ‘a representation of the imaginary relation of individuals to the real condition of existence.’ (Althusser, (1969) cited in Hall et al, (1977): 85) Oliver turns to Gramsci (1971) who he sees as providing a ‘specific link’ between social structures and ideologies through the distinction he makes between ideology which is viewed as ‘organic’ and subsequent ‘arbitrary’ ideologies. Oliver views the concept of hegemony as developed by Gramsci as a means of addressing the issues of power and dominant ideologies; he refers to it as becoming more all-bracing than ideology because: It is the sheer taken-for-grantedness of hegemony that yields its full affects – the ‘naturalness’ of a way of thinking about social, economic, political and ethical issues. (Hamilton, (1987): 8 cited in Oliver (1990): 43) To assist his argument he also draws upon Foucault (1965), (1972), (1977), (1980) in relation to how institutions were mechanisms of social control. Having considered the key concepts which underpin Oliver’s theoretical argument, our attention will now be switched to seeing how they have been employed.
Exploring the historical roots of impairment and disability Oliver’s central argument is that the rise of capitalism created the conditions under which disability became produced as an individual and medical problem. We need to ask: what is meant by ‘disability’ here? As we have already indicated, Oliver puts forward the argument that, ‘disability as a category can only be understood within a framework … which suggests that it is culturally produced and socially structured’. (Oliver, 1990: 22) In other words, at different historical moments, people with a variety of different impairments have been subjected to specific forms of social restriction. The significance of this point cannot be stressed enough as the implications are far reaching. To begin with, there is no universal definition or ‘view’ of what ‘disability’ is down the ages. As a consequence, it can be argued, it is not possible to generalise the experiences of people with impairments, and by the same token, it also calls into question the backgrounds of people who have hitherto been considered subjected to ‘disability’. If this is the case, then we need to also ask: who are the ‘objects’ of our attention?
Thus: ‘…. in reviewing material on disability from a wide range of societies they found the positions of disabled people ‘are as varied as any normal group. The gamut runs from ruler to outcast, from warrior to priest, from infant to aged’. (Hanks and Hanks, (1980): 11 cited in Oliver, (1990): 18) Given this fact, it is argued that a focus has to be placed on the historically specific nature of particular economic factors and social structures alongside a consideration of which groups of people with impairments were considered ‘different’ and why. There are a number of problems which need to be acknowledged. Within mainstream academic circles the issue of disability is at best ignored as a subject, therefore, as Oliver points out: … most anthropologists have internalised the personal tragedy theory … and have therefore seen disability as a non- problematic category. (Oliver, (1990):15) It is not simply a problem of how disability is or is not defined; to support the argument that views of disability are historical specific and are socially constructed as well as being created, there is a need to produce empirical evidence.
A major difficulty for Oliver and, indeed anyone wishing to take issue with him regarding disability as being culturally produced and socially structured, is the fact that there is inadequate empirical evidence to enable a comparative study of capitalist development in a variety of countries. However, there remains an issue with regard to how to view disability from an historical perspective. For some sociologists it would be argued that disability can only be properly understood as a social construction. (Albrecht and Levy, 1981) However, as Oliver points out, seeing disability as a specific social construct is not enough; one has to make an examination of their ideological underpinnings and the material conditions which brought them into play. Through a historical materialist approach towards theorising disability, Oliver and other historical materialist analysts challenge, and in the process encourage practitioners in the field of social science, sociology and social policy, to not only include ‘a social theory of disability’ within existing social theory, but also to break with methodological individualism when addressing disability.
The central focus of the historical materialist approach as a contribution to a ‘social theory of disability’ is a radical critique – a structured account – of how the economic and social structures of capitalist society have lead to people with impairments exclusion from, and marginalisation within, mainstream capitalist society. These processes have been made possible by dominant ideologies and socio-political practices which not only socially construct, ‘disability as a personal tragedy’, but at the same time create the material conditions that transform people with impairments into ‘disabled’ people. Disability, therefore, becomes a ‘product’ of capitalism. Hence: The production of disability in one sense, therefore, is nothing more than a set of activities specifically geared towards produce a good – the category disability – supported by a range of political actions which create the conditions to allow these productive activities to take place and underpinned by a discourse which gives legitimacy to the whole enterprise. (Oliver, (1992): 128) The question, however, remains; how did this come about?
In order to develop a critique of the capitalist epoch, using historical materialist methodology, these analysts recognise the importance of establishing ‘an evolutionary perspective’. Another historical materialist who is concerned with disability is Gleeson (1977) and through an in-depth appraisal of disability studies he draws the conclusion that many practitioners have remained nearly silent on history which he puts down to their failure to engage with established social theory. According to him the two major consequences of near absence of history are: first, where social theory has been applied it has tended to be rooted in philosophical idealism and therefore reinforces existing dominant ideological explanations of disability as an individualised personal tragedy.
Thus giving support to Oliver’s argument that mainstream academic engagement with disability is flawed. Second, where history has been present, he agrees with Abberley (1985) that it has been trivialised to the extent to which it is little more than reification of the present. Gleeson’s comments have been subsequently taken up by Bredberg (1999) who points out that some ‘… accounts are presented without citation of any source … or with a secondary source cited, which, when followed up, is again unsubstantiated’. (Bredberg, (1999): 193) According to Gleeson this has led to two types of historiography in disability studies; the first is based upon speculation which relies on a ‘rag bag’ of examples which lack empirical substantiation. Topliss, (1982) and Lonsdale (1990) are two examples he cites before explaining how these have produced ‘assumed orthodoxies’, for example, around the ‘Judeo-Christian ethic’.
In challenging these orthodoxies Gleeson calls into question the idea that disabled people were subject to universal social or religious antipathy in pre-modern societies. The other type of historiography he contrasts with the first because it does rely on ‘a greater analysis, consultation of documentary evidence (to varying degrees), and reference to major historical and social theories’. (Gleeson, (1997): 189) Among these academics are Stone (1984) and the three historical materialists, Finkelstein, Oliver and Abberley. He is nevertheless very critical of Stone’s work because its historiography is ‘selective and ambiguous’, (Gleeson, (1997): 189), and because her account either ‘avoids or trivialises the primal motive force of distribution – the social relations of production’. Gleeson, 1997): 190) It is also his belief that Stone’s account encourages a ‘beggared’ history of disability. Gleeson’s criticism of Stone is of particular interest to us here because in forwarding his argument Oliver does draw quite heavily on Stone despite some criticism of her methodology. (Oliver, (1990): 41) It could be argued that Gleeson is less critical than he should be of Finkelstein, Oliver and Abberley due to the fact he is of the opinion they have travelled much further than others in offering a fruitful theoretical base for understanding disability.
It could be argued that his own ‘agenda’ means he is prepared to ‘accept’ their general arguments without looking too closely at the detail of their empirical data. Gleeson, however, is not the only one who raises criticism of some of Oliver’s sources. Barnes (1997) argues that: … Stone (1984) Wolfensberger, (1989), Albrecht (1992), …(represent), to varying degrees, an alternative to orthodox individualistic interpretations of disability, they each fail to address some of the key structural factors precipitating their application. (Barnes (1997): 4) Could not the same charge be levelled against Oliver? The lack of empirical data and the use of it in developing their ‘social theory’ could be said to be a common trait in Oliver and Finkelstein. Interestingly, Oliver acknowledges that: ‘ .… like Finkelstein’s historical one … (Sokolowska et al,1981)… is of considerable value in highlighting the importance of the mode of production … However, both models are over-simplistic and over-optimistic.’ (Oliver, (1990): 29)
Whilst Finkelstein (1980), (1981), (1993), offers a materialist framework based on the principles of historical materialism to explain the structured isolation of people with physical and mental impairments from their communities, within the volume of work he has presented, it nevertheless seems to have similar weaknesses. It should be noted that Oliver refers to Finkelstein’s Phase One as representing feudal society, yet Finkelstein himself spoke of this period as ‘the emergence of the British capitalist system’. Perhaps the confusion is created by Finkelstein stating: … and one’s ability to survive became determined by the ability to produce something for sale, reselling commodities brought from others, … In these conditions ‘cripples’ can be assumed to have lived not very differently to the cripples under feudalism, (Finkelstein, (1981): 59) He then goes on to paint a rather ‘idealistic’ picture of the transitional period from feudalism into industrial capitalism. A similar picture, rather ironically, is presented in Engels’ The Condition of the Working Class in England (1845) where he stated: They were comfortable in their silent vegetation, and but for the industrial revolution they would never have emerged from this existence … (Engels, (1845): 43)
Oliver is not beyond criticism either because he makes a generalised statement in terms of the lives of ‘disabled people’ living under feudalism: (It) … did not preclude the great majority of disabled people from participating in the production process, and even where they could not participate fully, they were still able to make a contribution. In this era they were still regarded as individually unfortunate and not segregated from society. (Oliver, (1990): 27) How helpful is it to use the term disabled people within this ‘historical context’? This is not an issue of terminology; it concerns the theoretical argument that underpins the social oppression theory of disability, because ‘disabled’ people were produced at a specific historical conjuncture. Beyond disability studies Gleeson cites very few historians who have acknowledged the absence of ‘disability’ or the ignoring of the ‘issue of impairment’ in past societies, with Riley (1987) being a major exception.
Particular attention needs to be paid to this distinction made by Gleeson because within the field of disability studies the question of the relationship between ‘disability’ and the ‘issue of impairment’ continues to be struggled over. It is necessary to question what Gleeson means when he speaks of the absence of ‘disability’ and the ‘issue of impairment’? The idea that pre-industrial societies had no form of disablement and, therefore, people with impairments only experienced personal restrictions for has to viewed as being problematic. Barnes (1997) It should be noted that history, as Marx and Engels both contested, cannot be considered ‘neutral’. The usual explanation for the failure to discuss the positioning and treatment of people with impairments within historical contexts is one of indifference; people with impairments are not considered to be significant social actors. The most obvious explanation for this is: ‘Within dominant frameworks, the history of disability has always occupied a space sequestered from all other written histories of humankind’. (Safford and Safford, (1996) cited in Erevelles (1997): 6) Erevelles (1997): 6) then goes on to state ‘… this continued isolation of the history of disability is not surprising, because these historical records have only adhered to the dominant modes of writing history …’
The importance of Erevelles is that she adds new depth to our discussion by pointing out: … while historical materialism focuses on the concrete reality of labor in its changing historical context that constitutes the materiality of human existence, the marxist method of the dialect … enables us to examine the “process” by which our social reality is constructed at any historical moment as well as the “social relations” that go to constitute this social reality. (Erevelles, (1997): 5) The significance of this, she argues, is that by adopting a historical materialist approach is that: we can (re)insert the category of disability into social history and mark its uneven development – the shifts, the changes, and the movements – the dialectic – that has accompanied the historic construction of disability within historically specific economic structures … (Erevelles, (1997): 5)
What we need to ask is: have the historical materialists, like Oliver and Finkelstein done enough to interrogate these ‘shifts, changes, and movements’? In their defence, little assistance has been forth coming from British historians because: The positivistic adherence to the visible and immediately verifiable ‘facts’ of the past was reinforced by an almost unquestionable acceptance of the basic tenets of nineteenth- century liberalism (Stedman Jones, (1972): 98) If we accept that history is more than ‘facts’ about significant individuals or groups at a precise moment in time, it can be argued there remains a need to confront the lack of clarity around the notion of ‘the history of disability’. Many academics have focused on specific impairment groups, for example, Ryan and Thomas (1980), Finkelstein (1980), Szasz (1971), Scull (1974, 1977), however, all of these accounts have been subjected to criticism on the basis of flawed empirical evidence or for over generalising people’s experiences. There has also been a tendency among other academics to ‘borrow’ examples from a specific ‘experience’ to legitimise the view that these are generalised cross-impairment experiences. Gleeson (1997), Bredberg (1999)
Whilst acknowledging the contributions made towards a historically materialist explanation of disability, Gleeson made this telling remark: Though yet to produce much in the way of historical empirical substance, this materialist approach … is important for the conceptual break it asserts with other explanations. Of critical importance is the assertion by these materialist analysts that disability is both socially – and historically – relative social relation that is conditioned by political – economic dynamics. (Gleeson (1977): 191) The Industrial Revolution appears to be the watershed for changing disabled people’s material and social conditions for both Finkelstein and Oliver. A number of historians would, however, question the wisdom of such an assertion. A. L. Bier, for example, writes: Thus England began the Tudor and ended the Stuart age with a great army of needy persons, possibly the majority of the country’s inhabitants. Who were the poor? Statutes distinguished the disabled and the able- bodied, but it was more complicated than that. Instead we may divide them into the settled and the vagrant poor, contrasting groups receiving different treatment. (Bier, (1983): 5) Finkelstein, by contrast, locates the separation of ‘the disabled’ poor and the able-bodied poor as being post-Industrial Revolution.
The lack of concrete empirical evidence does concern people sympathetic to the arguments put forward by historical materialists. Carol Thomas (2004) whilst acknowledging the significance of the transition from feudalism to capitalism in terms of offering: … fertile ground for thinking about the creation of classes of people, including ‘the feebleminded’, cripples, ‘in-valids’, deemed redundant and dependent on the grounds of their incapacity to present themselves as wage labourers. (Thomas, (2004): 35) Nevertheless she goes on to say that whilst the historical materialist approach to explaining the root cause of social exclusion that constitutes disability has potential, it still requires considerable development due to the fact: The historical analysis itself requires verification in terms of empirical evidence: what did people with impairments ‘do’ in pre-capitalist and pre-industrial communities, what were their social roles and status? (Thomas, (2004): 36)
Do these historical lapses really matter if it cannot be shown that they weaken the theoretical methodology being employed? To be in a position to be able to answer this question it is necessary to explore Oliver’s basic argument. The construction of the disability problem Oliver set himself the task, in sociological terms, of explaining how dominant ideologies and subsequent social practices emerged within the 19th century to present a ‘grand theory’ of disability which categorised it as an ‘individual, personal tragedy’. The basis of his argument is all phenomena, including social categories, ‘are produced by the economic and social forces of capitalism itself’. (Oliver, (1996): 131) However, Oliver does not view the way ‘disability’ is defined or culturally produced as solely relating to a specific mode of production. An importance is also given to core values within a given society. The weight of the relationship between the two – mode of production and core values – having been debated as far back as Marx and Weber.
Using existing ‘historical accounts’, Oliver speaks of the changing landscape; the transformation from rural to urban and from co-operative hand to individual wage labourer. He cites Morris (1969) as placing all kinds of people with impairments at the bottom of the labour market. To support his ‘evolutionary perspective’ Oliver turns to Auguste Comte and his explanation of how the human intellectual process could be understood. There has much debate about how the processes of thought developed from antiquity through to the Enlightenment and into the modern, and whilst Oliver does address two criticisms of Comtean positivism he does not fully address its rigid schematic underpinnings. These criticisms are that ‘phenomena’ are not ‘mutually exclusive’ and that the issue of causality cannot be ignored because the social perceptions of various impairments are not informed by the mode of thought alone, but needs to include consideration of the mode of production and social relations. Whilst racism and disability are very different social phenomena and constructs, the work of Stuart Hall (1978) on racism offers an important insights into the manner in which previous cultural and ideological traces are deposited in the present form is recognised by Oliver, but to the extent that this is addressed adequately in terms of his explanation of how peripheral ideologies were developed needs some consideration.
Oliver sees the hegemony that defines disability in capitalist society as being: constituted by the organic ideology of individualism, the arbitrary ideologies of medicalisation underpinning medical intervention and personal tragedy theory underpinning social policy. (Oliver, (1990): 44) The central plank of his argument is that social relations under capitalism are governed by the necessity of individuals to sell their labour, thus becoming a commodity. In the process the collectivist methods of working and communal life were broken down and replaced. How to manage the arrival of the new ‘individual’ and corresponding lifestyles was deemed problematic within the capitalist free market and at the same time led to new ways of both ‘seeing’ and ‘constructing’ the problems of order and control. Oliver draws upon the work of Foucault to describe how the roles of the institution and, subsequently, medical professions created the ideological underpinning of how individuals who were ‘unable to sell their labour’ were both seen and treated. Thus: This process of exclusion was facilitated by focusing on the body, of the individual, and populations, and with the rise of capitalism, the main group who came to focus their gaze on the body, was the medical profession. (Oliver, (1990): 47)
This of course describes the ‘medical gaze’ as Foucault calls it. Oliver’s usage of Foucault is extremely selective and as a result other types of ‘gaze’ are ignored. It also leaves him open to criticism, for example, Hughes, (1999) argues: Yet, despite the considerable emancipatory value in this mode of explanation, impairment (the body) is left out of its frame of reference and has no part to play in the constitution of (disability as) oppression. The explanatory focus on the economic rather than the intercorporeal on how the ideology (of personal tragedy) is naturalised and becomes common sense rather than on the role of visual perception as an act of rejection and invalidation. (Hughes, (1999): 167) One does not have to share Hughes’ view to acknowledge that it is difficult to grasp from Oliver his understanding of the broader contours that shaped the 19th century. The lack of periodisation means it is difficult to trace the changes, for example, in medical practice and how they then intersect with political, cultural and ideological shifts (Erevelles, (1997): 5). Oliver (1990), (1993), collapses together developments across both the 19th and early 20th centuries and as a result presents a ‘generalised’ account of how dominant ideologies around disability took shape. It is therefore difficult to examine how the socio-political constraints of the 19th century influenced or informed the development of the core and peripheral ideologies associated with disability.
Whilst he speaks of important notions such as ‘able-bodied’, ‘able-minded’ and ‘normality’, these concepts are not really discussed beyond the broad placement of them within peripheral ideologies associated with the medicalisation of ‘disability’. The absence of a serious discussion, for example, of the ideological and social construction of ‘normality’ outside of the medical profession is a serious flaw within his argument. It should be noted that Oliver wrote: ‘… it has been recently been argued that ‘A theory of disability … then must offer what is essentially a social theory of impairment. (Abberley, 1987, p9) While, from an epistemological view this may well be the case, for the present purpose it is a social theory of disability as social restriction that is being considered.’ (Oliver, (1990): 12) Has Oliver misunderstood what Abberley (1987) meant when speaking of social theory of impairment? Does this also raise questions in relation to how Oliver draws upon the work of Foucault? He does not ignore the issue of ‘the body’, however, there is a huge difference between how Oliver, using a historical materialist approach, and how postmodernists approach the subject.
Shelley Tremain (2002) states: ‘Several … have …argued … because proponents of the social model have forced a strict separation between categories of impairment and disability … the former remained untheorized’ (e.g. Shakespeare and Watson,1995; Hughes and Paterson 1997; Corker, 1999) Tremain (2002): 33) She then goes to say, ‘Contrary to Oliver, therefore, I want to argue that impairment and its materiality are naturalized effects of disciplinary knowledge/power.’ Tremain (2002): 34) This debate is beyond the scope of this essay however aspects of Modernists’ arguments do merit consideration whilst others are open to challenge. Avoidance of throwing baby out with the bathwater is important; non historical materialist arguments can aid understanding of the social construction and creation of both disability and impairment.
McElroy (2000) for example writes: ‘But the medical gaze of the eighteenth century differed from that of the twentieth century. Therefore, the eighteenth century human body was different from the twentieth century one because the body is defined by the ruling episteme.’ (McElroy (2000): http://www.lewrockwell.com/mcelroy/mcelroy14.html This would support the view that an absence of a social theory of impairment runs the risk of having the historical materialist approach to disability characterised as being simply little more than a form of economic reductionism. However, it is not just the shift in the medical gaze we need to consider, equally as important is an understanding the social and ideological conditions which shaped the 19th century and how people with impairments became to be viewed not simply by the medical profession.
Findlay (1999) argues: ‘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. … (Hence) contours around what was considered ‘normal’ were drawn and those groups thought to be polluting society …. were withdrawn from the public gaze.’ (Findlay, (1999): 19) Leonard Davis (1995) suggests that the word ‘normal’ only entered the English language around 1840. The notion of “normality” only emerged during the 19th Century and was at first linked to various forms of standardisation however within Victorian times it took on a new ‘morality’ which shifted it onto the ideological terrain where it met favour with social Darwinists and the eugenics movement. Moore (1994) outlines another influence: ‘In the late 19th and early 20th centuries, concern was expressed at the degeneration of the national or ‘racial’ stock. … a ‘moral panic’ sprang in large from apprehension felt by middle class people on encountering teeming inner city populations …’ (Moore, (1994): 290) Findlay (1999) implies that people with impairments were not necessary the focus of attention of the ‘public gaze’ but were caught up in a generalised moral panic. The rise of large scale charities to deal with these ‘social problems’ and the growth of the eugenics movement were also contributory factors.
Oliver’s argument is often criticised for the lack of consideration given to the diverse cultural experiences of people with impairments from a historical perspective. An example of this is the 19th century pathologising of homosexuality. The social and medical implications being that it was viewed as both a form of deviance and a medical issue, thus placing it outside of ‘normality’. Where Findlay also differs from Oliver is that he sees the various wars at the end of the 19th century and beginning of the 20th as the crucial factors in giving the dominant ideologies associated with disability their hegemony through medical practices. Oliver’s refers to Gramsci to explain how these ideologies became ‘common sense’, thus influencing social policy and welfare care. Findlay however argues that this took place post the First World War. Oliver’s argument does raise an interesting question in relation to UPIAS’ definition of disability. It could be argued that he is actually suggesting that it is precisely how people with impairments are ‘taken into account’ which ultimately leads them to be not being taken into account, thus marginalising them within and excluded from mainstream social activities. This is more than a semantic difference as it relates to the nature of disabled people’s social oppression itself. (Findlay (1999), Shakespeare (2006))
What conclusions can be drawn from our investigation into Oliver’s argument? Conclusion There appears to be little evidence to undermine the argument that capitalist economic and social relations significantly altered the positioning of people with impairments within society. By the same token, the lack of empirical evidence makes it difficult to substantiate to what degree this was a direct result of their inability to labour as opposed to other material or ideological factors resulting from socio-cultural constraints. Whether Oliver’s argument is considered valid or not depends upon the extent to which one accepts the view that the19th century cemented the disabling nature of the capitalist mode of production in comparison with the feudalist one, the degree to which the individual, tragedy approach gained hegemony and how, in turn, these factors transformed the ‘helpless’ idiot or cripple into the ‘disabled’ individual. The 19th century certainly provided the basis for how disabled people were hitherto seen and treated however the jury remains out on whether or not it provided a ‘solution’ to the ‘disability problem’. Historical research suggests perhaps that the final push for ideological hegemony and changes in welfare coincide with early 20th century responses to the First World War.
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