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Comparison of the Models of Disability

 

This is a quick and easy way to compare and understand the different models of disability. There will be a question and then how someone from each of the models would respond to the question.

Use these bookmarks to help scroll down this page:
Who or what has the problem? | Where is the problem? | Where does the problem come from? | What are the indicators that a problem exists? | How are individuals affected? | What can be done to remedy the problem? | What change occurs? |How does society benefit? | Who are the experts | What words are used? | What are the examples of legislation? | Who is recognized?

Who or what has the problem?

  • Social - the society
  • Medical - the individual with the disability
  • Expert/Professional - the individual with the disability
  • Rights-Based - the society
  • Tragedy/Charity - the individual with a disability
  • Religious/Moral - the sinner with a spiritual problem
  • Economic - the individual with a disability
  • Customer/Empowering
  • Rehabilitation - the individual with the disability

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What is the problem?

  • Social - long-standing inequities, discrimination, prejudice, exclusion, and devaluation
  • Medical - inability to perform major life activities such as walking, seeing, working, learning, self-care
  • Expert/Professional - the limitations and impairments
  • Rights-Based - inequality, exclusion, discrimination
  • Tragedy/Charity - the disability itself
  • Religious/Moral - good/evil; low spiritual development; belief in disability as spiritual punishment
  • Economic - the inability to participate in work
  • Customer/Empowering - the inability to make one's own decisions
  • Rehabilitation - the inability to perform major life activities

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Where does the problem come from?

  • Social - a deeply ingrained disposition among the non-disabled public to associate human variation with human defect
  • Medical - a physical, mental, or emotional malfunction of an individual
  • Expert/Professional - a physical, mental, or emotional problem that the individual has
  • Rights-Based - society
  • Tragedy/Charity - victims of circumstance
  • Religious/Moral - belief that disability is divinely inflicted
  • Economic - an impairment making the individual unable to work
  • Customer/Empowering - lack of self-determination and respect
  • Rehabilitation - deficiency caused by the disability

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What are the indicators that a problem exists?

  • Social - consistent, widespread reports of discrimination from people with disabilities. Extensive levels of poverty, unemployment, and segregation.
  • Medical - the observation of impairments in individuals and the confirmation by medical measurement and diagnosis, dependency on welfare, assistance, support, or other services
  • Expert/Professional - impairments that limit functioning
  • Rights-Based - reports of discrimination and violation of rights
  • Tragedy/Charity - impairments that limit functioning
  • Religious/Moral - isolation, exclusion, banishment, extermination
  • Economic - lack of employment, loss of earnings, lower profit margins, state welfare payments
  • Customer/Empowering - reports of not being able to decide for oneself and select what services to receive
  • Rehabilitation - the medical diagnosis, dependence on support services

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How are individuals affected by this way of viewing it?

  • Social - identification as an oppressed minority group member and motivation toward social action
  • Medical - internalization of a deviance role and acceptance of lesser status, endless effort to overcome one's defects in order to be socially acceptable
  • Expert/Professional - lack of choice and unable to exercise the basic human right of freedom when it comes to decision-making
  • Rights-Based - motivation toward political action
  • Tragedy/Charity - low self-esteem, receive acts of pity
  • Religious/Moral - internalized belief by people with disabilities that they are a product of divine will. Search for spiritual intervention for problems arising from disability.
  • Economic - lack of self-esteem, internalized ableism, acceptance of a lesser status
  • Customer/Empowering - increased self-esteem, gain independence and confidence, feeling empowered
  • Rehabilitation - endless effort to overcome one's defects in order to be socially acceptable

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What can be done to remedy the problem?

  • Social - equal access to the economic, social, educational, and environmental resources of society
  • Medical - restoration of function (cure), and adaptation to defects, e.g. using crutches or an artificial limb
  • Expert/Professional - restoration of function (cure)
  • Rights-Based - legislative changes in public policy to create equality
  • Tragedy/Charity - raise money for cures, services, and equipment
  • Religious/Moral - acknowledgement of divine will, acceptance, penance, purging of evil, conversion
  • Economic - pay the disabled employee for loss of earnings or the employer for loss of productivity
  • Customer/Empowering - allow people with disabilities to make their own decisions and be in charge of their own lives
  • Rehabilitation - increased function and adapt to one's environment, increase vocational skills to be as employable as possible, training, therapy

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How are these solutions implemented?

  • Social - nonviolent confrontation, civil rights legislation, litigation, policy reform, consciousness raising, political action, systems advocacy
  • Medical - medical treatment, rehabilitation, special education, orthotics, prosthetics, counseling, therapy, services designed for and used exclusively by people with disabilities
  • Expert/Professional - the experts/professionals make the decisions for what is best for the person with a disability
  • Rights-Based - people with disabilities seek their political voice and become active in speaking out against ableism
  • Tragedy/Charity - telethons, charities, and fundraising
  • Religious/Moral - customs, religious doctrine, practice, and education
  • Economic - assess distribution of benefits to those who are unable to participate fully in work
  • Customer/Empowering - people with disabilities make their own choices
  • Rehabilitation - adaptive equipment, rehabilitation, services, medical treatment

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What change occurs as the result of the strategies?

  • Social - removal of legal and structural barriers, regarding oneself and being regarded as an equal citizen, greater reliance on the economic, environmental, legal, and social resources used and valued by mainstream America
  • Medical - individual gains in functional abilities, acceptance of reliance on service systems, internalization of role "patient" or "client"
  • Expert/Professional - individual improves in functional abilities
  • Rights-Based - removal of legislative and political barriers
  • Tragedy/Charity - individuals gain acts of kindness, cures, medical research, equipment, and services
  • Religious/Moral - defects eliminated, beliefs reinforced, and perpetuation
  • Economic - employers may recognize compensations for any loss in employing people with disabilities through kudos, publicity, customer alignment, and expansion arising from their presentations as an organization with community values
  • Customer/Empowering - people with disabilities gain control over their own lives
  • Rehabilitation - individual returns to work

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How does society benefit?

  • Social - equal opportunity, equity, fairness, freedom of choice, the rights and responsibilities of full citizenship.
  • Medical - improved functional capacity, return to work, improved personal adjustment, increased independent functioning and less use of support services.
  • Expert/Professional - improved functional capacity, return to work, increased independence.
  • Rights-Based - equality, fairness, the rights of full citizenship.Tragedy/Charity - increased funding for services, cures, and equipment.
  • Religious/Moral - fewer mouths to feed, religious and cultural beliefs, group identity, symbolic systems, and loyalty reinforced.
  • Economic - a balanced economy
  • Customer/Empowering
  • Rehabilitation - improved functional capacity, return to work, less use of support services

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Who are the experts?

  • Social - advocates, disability rights activists, lawyers, community organizers
  • Medical - doctors, therapists, counselors, teachers
  • Expert/Professional - doctors, therapists, counselors, and other professionals
  • Rights-Based - advocates, community organizers, disability rights activists, people with disabilities
  • Tragedy/Charity - professionals and community members willing to donate
  • Religious/Moral - religious leaders, scholars, clergy, and historical religious documents
  • Economic - economists
  • Customer/Empowering - person with a disability
  • Rehabilitation - rehabilitation counselors, medical professionals, therapists

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What words are often heard when speaking from this perspective?

  • Social - equality and opportunity, rights and remedies, discrimination, litigation, accommodation, access
  • Medical - sick, ill, compromised, deformity, invalid, functional limitations, individualized plans, vocational, education, overcoming, acceptance, adjustment
  • Expert/Professional - sick, functional limitations, dependence, adjustment, crippled, afflicted
  • Rights-Based - discrimination, civil rights, equality
  • Tragedy/Charity - tragedy, victim, need, dependent, poor, sad, afflicted, crippled
  • Religious/Moral - afflicted, cursed, plagued, stricken, outcast, crippled
  • Economic - less-productive, dependent, unemployable, value
  • Customer/Empowering - self-determination, equality, independence
  • Rehabilitation - sick, deformity, functional limitations, individualized plans, vocational, adjustment, training

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What are the examples of legislation modeled from this perspective?

  • Social - ADA, Rehab Act, Air Carrier Access Act, Fair Housing Act, IDEA
  • Medical - SSDI/SSI, Medicare, Medicaid, Worker's Compensation
  • Expert/Professional -
  • Rights-Based - ADA
  • Tragedy/Charity -
  • Religious/Moral - Banishment, poor houses, eugenics laws, Hanson's Disease colonies, sterilization policies
  • Economic - SSDI/SSI, Medicare, Medicaid
  • Customer/Empowering -
  • Rehabilitation -

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Who is recognized as a "prime example" of why this paradigm is true?

  • Social - Martin Luther King, Pat Wright, Judith Heumann, I. King Jordan, Justin Dart
  • Medical - Franklin D. Roosevelt, Helen Keller, Christopher Reeve
  • Expert/Professional -
  • Rights-Based -
  • Tragedy/Charity - Jerry Lewis
  • Religious/Moral - Hebrew Scriptures, Leviticus 21:17-23, New Testiment, Luke 5:18-26, John 9:1-3
  • Economic
  • Customer/Empowering
  • Rehabilitation

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