Disability studies and health Flashcards

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1
Q

What terms were used in the early parts of the last century to describe people with disabilities?

A

Feeble minded, idiot, moron, imbecile
- nowadays these terms are no longer used

-language influences attitudes and there are good reasons for rejecting terminology that causes offence, stigmatisation and invokes prejudice

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2
Q

What was the old poor law of 1601?

A

Religious institutions often used to help people that and needed support

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3
Q

What was the new poor law 1832?

A

created lots of workhouses, hospital asylums for people with disabilities
- workhouses were created to get people off the streets and get the working

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4
Q

Why were the 1886 idiots act and 1890 lunacy act created?

A

created as they realised some people couldn’t work, therefore workhouses were not suitable for these people
- these acts caused people to be institutionalised

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5
Q

What is eugenics?

A

The application of biological principles to upgrade the physical and mental strength of the nation
- part of the evolutionary theory= survival of the fittest - by looking after people with disabilities we are propagating our kind said Charles Darwin - it concluded that people needed to be segregated because if they were kept together they would reproduce and there would be more people with disabilities -there was a real fear of learning disabilities then

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6
Q

What did the eugenics education society advocate to prevent such degeneration?

A
  • sterilisation
  • martial regulation
  • birth control
  • segregation of the unfit
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7
Q

What did Mary Dendy say?

A

She was a leading figure who said “feeblemindedness was not one of many social problems but their cause; it was an evil which brings all other evils in its train”

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8
Q

What definitions did the mental deficiency act of 191 3 use to describe people with disabilities?

A

1) idiot-someone who is unable to guard himself against common physical dangers
2) imbecile someone who is incapable of managing or being taught to manage his own affairs
3) feeble minded someone requiring care and supervision for his own protection or the protection of others
4) moral imbecile who was not mentally defective

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9
Q

What was the purpose of the mental deficiency act of 1913?

A

laid on local authorities the duty of providing care for certain cases of mental deficiency - partly done by Guardian ship paying for accommodation in certain voluntary institutions providing new premises

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10
Q

Where and when did the first school for feeble minded individuals open?

A

1892 in leicester - eugenics focused on hereditary nature of defects which led to disabled people being segregated into institutions - there was no welcome for disabled people in the community

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11
Q

What was the national assistance act of 1911?

A

It introduced the first welfare benefits

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12
Q

What was elementary school like in the late 18th century?

A

classes were large and it was instruction based on the “official code” with rote learning and memory tests - teachers were paid based on their results - some children were not able to learn in this type of environment

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13
Q

What was the 1899 elementary education (defective and epileptic children)act?

A

applied to children who “by reason of mental or physical defect are incapable of receiving benefit from the instruction in ordinary schools but are not incapable by reason of such defect of receiving benefit from instruction in special classes or schools” - considerable reluctance to set up these schools, and therefore by 1908 only 133 out of 327 authorities were using their powers to do so

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14
Q

What superseded the terminology “mental deficiency”?

A

educational sub normality and maladjustment

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15
Q

When were “special schools” properly established?

A

in 1914 power to provide education for mentally defective children became a duty and by 1918 for physical disabled children
- often run as charities and supported by voluntary subscriptions

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16
Q

What was the main purpose of the “special schools”?

A

to provide training and disciple so that the disabled inmates became less of a public burden and didn’t end up as beggars or living on the poor law handouts or become a public nuisance
- although this places provides an asylum their inmates were expected to help run them

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17
Q

What did special schooling promote?

A

for expertise and material resources

offering a sympathetic environment

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18
Q

When did the beliefs around disability change?

A

After WW1 and WW2 as there were many able bodied soldiers who came back that had suffered severe injuries

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19
Q

What year was the NHS formed?

A

1948

20
Q

What was the chronically sick and disabled persons act 1970?

A

groundbreaking step on the road to equality

  • introduced by north west MP Alf Morris= legislation was the first in the world to recognise and give rights to people with disabilities
  • act sought to give people with disabilities an equal opportunity of a place in society free from disadvantage
21
Q

What has the 1970 chronically sick and disabled persons act been described as?

A

“a Magna Carta for the disabled” - at the time it was revolutionary in transforming official policy - set down specific provisions to improve access and support for people with disabilities

22
Q

What is the tragedy charity model?

A

depicts people as victims of circumstance, deserving of pity

  • traditionally used by charities to fund raise
  • model is graphically illustrated in children in need appeals

CONDEMNED by critics as dis-enabling

23
Q

What did critics of the tragedy charity model suggest?

A

suggested that charity funds should be channeled to promote

1) empowerment of disabled people
2) full integration into society as equal citizens

24
Q

What is the medical model?

A

states that disability results from an individual persons limitations (physical and/or mental) - not associated with social or geographical environments

25
Q

What does the WHOs definition of 1980 illustrate?

A

IMPAIRMENT: any loss or abnormality of psychological, physiological or anatomical structure

DISABILITY: any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being

HANDICAP: any disadvantage for a given individual resulting from an impairment or disability that limits or prevents the fulfilment of a role that is normal for that individual

26
Q

What is the medical model also known as and what are its limitations?

A

Also known as functional-limitation model

- it does have therapeutic aspects but it doesn’t offer a realistic viewpoint of disabled people themselves

27
Q

What is the discrediting the eugenics movement?

A

occurred due to its association with Nazi regime in Germany- challenge that environmental factors can raise IQ scores

28
Q

What were the 1960s hospital scandals?

A

series of scandals revealed the severe neglect of people in institutions

29
Q

What does it mean to growth of therapeutic optimism?

A

professional in certain areas began to believe that positive change is possible due to the application of new treatment techniques

30
Q

What did Goffman call the places that housed people with learning disabilities?

A

total institutions = large number of like situated individuals cut off from wider society for an appreciable period of time, together lead an enclosed formally administered round of life
= rigidity, block treatment, depersonalisation, social distance

31
Q

What is normalisation?

A

New ideology of care termed normalisation

Nirje: disabled people may need help from specialist services to enable them to experience the ordinary challenges of life

32
Q

What did Wolf Wolfensburger propose about normalisation?

A

utilisation of means which are culturally normative as possible in order to establish and or maintain personal behaviours which are culturally normative as possible

33
Q

What did the report produced by the Kinds Fund 1981 introduce?

A

Different model for people with learning disabilities in the UK which proposed adapting ordinary houses to provide staffed residences for people with learning disabilities

34
Q

What did the influential writing of O’Brien and Tyne introduce?

A

Presented normalisation in terms of five service accomplishments - community presence, making choices, competence, respect and participation

35
Q

What did the social model define disability as?

A

consequence of environmental, social and attitudinal barriers
- “loss or limitation of opportunities to take part in the normal life of the community on an equal level with others due to physical or social barriers”

  • argues that disability stems from a failure of society to adjust to meet the needs and aspirations of a disabled minority

Paralleles the doctrine of racial equality

36
Q

What does the social model suggest?

A

If the problem lies within society and the environmental then they must change

37
Q

How does eye relate to the social model ?

A

Short sighted people in the UK are provided with visual aids and therefore they are not impaired from fully participating in society, however in some third world countries eye care is not available and therefore these people may be disabled

38
Q

What does the social model imply?

A

removal of attitudinal, physical and institutional barriers will improve the lives disabled people, giving them the same opportunities as others on an equal basis

39
Q

What are the strengths of the social model?

A

focuses on the society and not the individual

It also focuses on the individual - this is the model that disabled people relate to most

40
Q

What is the main criticism of the social model?

A

taken to an extreme, its suggests that disability would be eradicated if society was changed in the appropriate ways

doesnt acknowledge the limitations which may result from impairment (e.g. pain), of which change to the social context could not remove

41
Q

What is the social adapted model (biopsychosocial approach)?

A

Advocated by the WHO
mixture of social model and the medical model by identifying the significance of impairments
recognises that not all issues associated with impairments can be addressed yet, however if our environment is discriminatory then we can do something about that

  • recognises inability of some disabled people to adapt to demands of society and this could be a contributory factor to their condition
  • disability still remains stemmed from social and environmental failure
  • doesn’t focus on individual limitations but looks at peoples capabilities and potential
42
Q

What is the ICF and what does it do?

A

International classification of functioning disability and health
= embodies biopyschosocial model - synthesis of the medical and social approaches to disablement

43
Q

How can the multidisciplinary approach to health and social care work?

A

only happen when multi-professional teams of doctors, dieticians, nurses, specialist nurses, pharmacists, social workers, care and catering staff work seamlessly together and adopt a team approach

44
Q

What is the disability discrimination law?

A

Act makes it unlawful for you to be discriminated against in:

  • employment
  • trade union and qualification bodies
  • access to goods, facilities and services
  • education
  • regulations dealing with buses, coaches and trains
45
Q

What did the DDA bring in in 2005?

A

new measures creating a legal duty for public authorities to actively promote disability equality

46
Q

What is the single equality act 2010?

A
116 pieces of legislation under one act
The 9 protected characteristics include:
- age
- disability 
- gender reassignment 
- marriage and civil partnership 
- pregnancy and maternity 
- race
- religion and belief
- sex 
- sexual orientation
47
Q

What are human rights?

A

Belong to everyone
- very important means of protection for disabled people
in the uk there is an obligation to treat people with fairness, respect, equality, dignity