Overview Overview The medical community, the public, and the scientific literature often misunderstand the distinction between disability and impairment. This article defines the differences between disability and impairment. Furthermore, the ever-increasing numbers of people alleging disability and impairment necessitate a professional understanding of these terms, the scope of the problem, and the most effective means to deal with these issues in a medical practice. Distinction between impairment and disability Impairment The sixth edition of the Guides to the Evaluation of Permanent Impairment, published by the American Medical Association AMAdefines impairment as "a significant deviation, loss, or loss of use of any body structure or body function in an individual with a health condition, disorder, or disease.
Disability is a Social Construct: Today is Autistics Speaking Day. Earlier this year, someone I knew told me about meeting a man who obtained very high levels of education probably a doctorate in a technical field and who is reputed as one of the top minds in the entire country in his field.
He was sought by some of the most prestigious educational institutions in America. Instead, he chose to work for the government, for one of the agencies in the intelligence community. At forty-something years old, he lives with his mother, who drives him every day to work.
He should be able to live on his own and take care of himself, and take himself to work. Disability is a social construct. Our culture says that to be fully functional and able means that one should be able to attend a mainstream school, complete university or vocational training if desired, obtain housing, obtain and keep a steady job, and marry and support a family if desired -- all without significant outside support or assistance.
By this definition, the definition propagated and permeated throughout the societies in which we live, we Autistic people are disabled. Some of us may be more disabled than others -- as some of us are more able to participate in life activities with less amounts of outside support, and others of us do now and will throughout their lives only be able to participate in some of those activities with significant amounts of outside support.
I feel very strongly that you are either Autistic or not Autistic. Those marked deviations from a typical neurological profile or, in any case, most non-Autistic people manifest themselves in a variety of ways -- some fairly positive, some fairly challenging, and others simply -- different.
For us Autistics, autism affects and influences every aspect of our lives, throughout our lives. In short -- you either have this particular grouping of characteristics or you do not.
You are Autistic or you are not Autistic.
This essay will discuss disability as a socially constructed concept, as viewed from a historical viewpoint the first as a physical fact and the second as socially constructed condition. The manner by which this will done is to investigate disability from an historical viewpoint and the socially constructed viewpoint, this will concluded in an evaluation. overcome the medicalization of disability and rec - ognize the social consequences of health-related construction alone is assumed to confirm its face theorist and activist who has a physical disability, was a defender of the social model in the past (see Shakespeare & Watson, ) but also has. Aug 21, · Because the SSA impairment rating and disability determination process is a closed system that is performed only by agents authorized by the Social Security commissioner, this section does not describe the process in great detail.
Let me take a moment here to draw an analogy with religion. You might see a man wearing a skullcap and yarmulke, or a woman wearing a hijab headscarf, or a man with a clerical collar -- and you would know immediately that that person is religious.
Not all Autistic people are interested in Autistic culture which, quite frankly, I think is tragic -- but a personal decision. Not all Autistic people choose to identify themselves as Autistic -- and for a myriad of reasons, not least of which is the justified fear of discrimination or misunderstanding.
And like people who all belong to the same faith, each Autistic person -- while sharing a common identity -- is an individual. We are not identical, and we each have our own individual strengths and weaknesses.
Autistics are a diverse lot. Some of us speak, and some of us do not. Some of us have attended mainstream schools, and some of us have attended schools specifically for special education.
Some of us have gone on to university, and some of us have not. Some of us can effectively advocate, and some of us have not yet learned how to advocate. Some of us can live independently, and some of us need intensive supported living services.
Some of us have obtained jobs and worked toward careers in a competitive environment, and some of us struggle to find employment. We are not all alike. But we are all Autistic.
But what does this have to do with disability? Why do I use this word?
Because it would be inaccurate, within the context of our society, to say that Autistic people are not disabled. It would also be inaccurate, within the context of our society, to say that no Autistic people are more or less disabled than other Autistic people.
Within the context of our society, some Autistic people are more disabled than others, because of how we have come to define and understand ability. I do not like the word disability.
I do not think it should be used.mately must been seen as a function of society, not of a physical or medical process. As described in Chapter 3, disability is not inherent in an individual but is, rather, a relational concept—a function of the interaction of the person with the social and physical nationwidesecretarial.com amount of disability that a person experiences depends on both the existence of a potentially disabling.
The Social Model of Disability: Dichotomy between Impairment and Disability distinction between the physical impairment and the social situation, called “dis- proponents of the social. The Faces and Facts of Disability / Facts Social Security disability insurance is coverage that workers earn Social Security disability is a social insurance program under which workers earn coverage for benefits, by working and paying Social Security taxes on their earnings.
Social construction of disability: Shakespeare Disability is created by societies that don't take into account the needs of those who don't meet with what that society's idea of normal is. It is therefore social attitudes which turn an impairment into a disability because society discriminates.
An impairment that is episodic or in remission is a disability if it would substantially limit a major life activity when active. In keeping with Congress’s direction that the primary focus of the ADA is on whether discrimination occurred, the determination of disability should not require extensive analysis.
Impairment is a physical fact, but disability is a social construction. Print Reference this. Disclaimer: as viewed from a historical viewpoint the first as a physical fact and the second as socially constructed condition.
The manner by which this will done is to investigate disability from an historical viewpoint and the socially.