Basic physical mobility, Domestic life, and Self-care for example, activities of daily living Interpersonal interactions and relationships Community, social and civic life, including employment Other major life areas In concert with disability scholars, the introduction to the ICF states that a variety of conceptual models have been proposed to understand and explain disability and functioning, which it seeks to integrate.
These models include the following: Medical model of disability The medical model views disability as a problem of the person, directly caused by disease, trauma, or other health conditions which therefore requires sustained medical care in the form of individual treatment by professionals. In the medical model, medical care is viewed as the main issue, and at the political level, the principal response is that of modifying or reforming healthcare policy.
Social model of disability The social model of disability sees "disability" as a socially created problem and a matter of the full integration of individuals into society. In this model, disability is not an attribute of an individual, but rather a complex collection of conditions, created by the social environment. The management of the problem requires social action and it is the collective responsibility of society to create a society in which limitations for disabled people are minimal.
Disability is both cultural and ideological in creation. While recognizing the importance played by the social model in stressing the responsibility of society, scholars, including Tom Shakespeare , point out the limits of the model, and urge the need for a new model that will overcome the "medical vs.
Highlighting the ways society and institutions construct disability is one of the main focuses of this idea. Around the early s, sociologists, notably Eliot Friedson, began to argue that labeling theory and social deviance could be applied to disability studies.
This led to the creation of the social construction of disability theory. The social construction of disability is the idea that disability is constructed as the social response to a deviance from the norm. The medical industry is the creator of the ill and disabled social role.
Medical professionals and institutions, who wield expertise over health, have the ability to define health and physical and mental norms. When an individual has a feature that creates an impairment, restriction, or limitation from reaching the social definition of health, the individual is labeled as disabled. Under this idea, disability is not defined by the physical features of the body but by a deviance from the social convention of health. Instead what is seen as a disability is just a difference in the individual from what is considered "normal" in society.
The model asserts that disability does not necessarily mean reduced spectrum of operations. Rather, disability is often defined according to thresholds set on a continuum of disability. It also includes notions that a disability gives a person "special abilities to perceive, reflect, transcend, be spiritual". Within its framework, professionals follow a process of identifying the impairment and its limitations using the medical model , and taking the necessary action to improve the position of the disabled person.
This has tended to produce a system in which an authoritarian, over-active service provider prescribes and acts for a passive client. This, along with the medical model, are the models most used by non-disabled people to define and explain disability. This viewpoint allows for multiple explanations and models to be considered as purposive and viable. This model looks to personal identity to define disability and empowers people to chart their own destiny in everyday life, with a particular focus on economic empowerment.
By this model, based on US Census data, there are 1. The consumer model extends the rights-based model by proposing that businesses, not only accommodate customers with disabilities under the requirements of legislation, but that businesses actively seek, market to, welcome and fully engage disabled people in all aspects of business service activities.
The model suggests that all business operations, for example websites, policies and procedures, mission statements, emergency plans, programs and services, should integrate access and inclusion practices. Furthermore, these access and inclusion practices should be based on established customer service access and inclusion standards that embrace and support the active engagement of people of all abilities in business offerings.
One of the more popular ones, as put by Weiner, Perry, and Magnusson 's work with attribution theory, physical stigmas are perceived as to be un-controllable and elicit pity and desire to help, whereas, mental-behavioral stigmas are considered to be controllable and therefore elicit anger and desire to neglect the individuals with disabilities.
And because it is the fault of that person, an observer does not feel obligated to feel bad for him or to help him. People frequently react to disabled presence with fear, pity, patronization, intrusive gazes, revulsion, or disregard. These reactions can, and often do, exclude persons with disabilities from accessing social spaces along with the benefits and resources these spaces provide.
How many of us find that we can't dredge up the strength to do it day after day, week after week, year after year, a lifetime of rejection and revulsion? It is not only physical limitations that restrict us to our homes and those whom we know. It is the knowledge that each entry into the public world will be dominated by stares, by condescension, by pity and by hostility.
One of the ways in which the psycho-emotional health of persons with disabilities is adversely affected is through the internalization of the oppression they experience, which can lead to feeling that they are weak, crazy, worthless, or any number of other negative attributes that may be associated with their conditions. Internalization of oppression damages the self-esteem of the person affected and shapes their behaviors in ways that are compliant with nondisabled dominance.
According to writer Simi Linton, the act of passing takes a deep emotional toll by causing disabled individuals to experience loss of community, anxiety and self-doubt. Media portrayals of disability usually cast disabled presence as necessarily marginal within society at large. These portrayals simultaneously reflect and influence the popular perception of disabled difference.