{"id":417,"date":"2025-01-30T02:43:37","date_gmt":"2025-01-30T07:43:37","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/?post_type=chapter&#038;p=417"},"modified":"2025-12-19T00:33:08","modified_gmt":"2025-12-19T05:33:08","slug":"the-frameworks","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/chapter\/the-frameworks\/","title":{"raw":"The Frameworks","rendered":"The Frameworks"},"content":{"raw":"Next, we\u2019ll be picking up some ideas and terms briefly raised in previous sections. Responding to ableism, particularly as reflected in the narrow approach of the [pb_glossary id=\"661\"]medical model[\/pb_glossary], disability scholars and activists have offered a number of critical frameworks, each broadening our ways of understanding disability. As Kumari-Campbell notes in the video on the previous page, these frameworks, sometimes referred to as models, are always in continual elaboration and refinement.\r\n\r\nThere are many different models for thinking about and with disability. Some, such as the [pb_glossary id=\"661\"]medical[\/pb_glossary] and charity models, are broadly categorized as individual deficit or defect models. They define the problem of disability within the individual as an inherent functional limitation that results from disease or injury.\r\n\r\n<img src=\"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-300x200.jpg\" alt=\"Photo of a person using an electrical wheelchair on a cement pathway lined with grass, trees, and flowers.\" width=\"300\" height=\"200\" class=\"size-medium wp-image-238 alignright\" \/>\r\n\r\nIn response to the dominance of these models within mainstream society, disabled activists and scholars have proposed frameworks like the [pb_glossary id=\"659\"]social model[\/pb_glossary] (Oliver, 1990) and [pb_glossary id=\"760\"]Black feminist health science studies[\/pb_glossary] (Bailey &amp; Peoples, 2017; Bailey &amp; Mobley, 2016) and [pb_glossary id=\"761\"]transnational disability theories[\/pb_glossary] (Kim, 2017; Nguyen, 2015; Grech &amp; Soldatic, 2016). These critical alternative frameworks of disability emphasize how body-mind differences are shaped by a range of social forces\/[pb_glossary id=\"612\"]power relations[\/pb_glossary].\r\n\r\nFor example, the social model would identify a wheelchair as an access device rather than a piece of medical equipment. How do these differing perspectives expand or transform how we think about wheelchairs and the people who use them? We will go into these kinds of questions in more depth later in this and subsequent modules.\r\n<h2><span style=\"color: #004c9b\">Charity Model<\/span><\/h2>\r\nLike the [pb_glossary id=\"661\"]medical model[\/pb_glossary] <a href=\"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/chapter\/the-medical-model\/\">discussed in Module 2,<\/a> the charity model positions disability as an individual problem and is based on the dichotomy of fit and unfit. Disability is understood to be the consequence of a personal, tragic misfortune. By extension, disabled people are deemed deserving of special support and resources, both private and public.\r\n\r\nSometimes, the charity model is also oriented towards the cure or repair of disability, as in the case of [pb_glossary id=\"709\"]medical philanthropy[\/pb_glossary]. For example, charities seeking support to end diseases leading to visual impairments, mobility impairments, and limb amputation garner crucial scientific research funds. In doing so, however, funding pitches rely on the promise of cure or restoration of the [pb_glossary id=\"768\"]\u201cable\u201d body[\/pb_glossary]. Philanthropic organizations also rely on tragic and medicalized depictions of disability to inspire charitable giving, inadvertently deepening disabled people\u2019s marginalized social and material conditions.\r\n\r\n<!-- Activity Box -->\r\n<div class=\"textbox\" style=\"border-left: 6px solid #004c9b;background-color: #f6faff;padding: 1em;margin-bottom: 2em\">\r\n<h3 style=\"color: #004c9b;font-weight: bold\">Activity<\/h3>\r\n<code>[h5p id=\"90\"]<\/code>\r\n\r\n<\/div>","rendered":"<p>Next, we\u2019ll be picking up some ideas and terms briefly raised in previous sections. Responding to ableism, particularly as reflected in the narrow approach of the <button class=\"glossary-term\" aria-describedby=\"417-661\">medical model<\/button>, disability scholars and activists have offered a number of critical frameworks, each broadening our ways of understanding disability. As Kumari-Campbell notes in the video on the previous page, these frameworks, sometimes referred to as models, are always in continual elaboration and refinement.<\/p>\n<p>There are many different models for thinking about and with disability. Some, such as the <button class=\"glossary-term\" aria-describedby=\"417-661\">medical<\/button> and charity models, are broadly categorized as individual deficit or defect models. They define the problem of disability within the individual as an inherent functional limitation that results from disease or injury.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-300x200.jpg\" alt=\"Photo of a person using an electrical wheelchair on a cement pathway lined with grass, trees, and flowers.\" width=\"300\" height=\"200\" class=\"size-medium wp-image-238 alignright\" srcset=\"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-300x200.jpg 300w, https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-65x43.jpg 65w, https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-225x150.jpg 225w, https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5-350x233.jpg 350w, https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-content\/uploads\/sites\/422\/2025\/01\/5.jpg 469w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>In response to the dominance of these models within mainstream society, disabled activists and scholars have proposed frameworks like the <button class=\"glossary-term\" aria-describedby=\"417-659\">social model<\/button> (Oliver, 1990) and <button class=\"glossary-term\" aria-describedby=\"417-760\">Black feminist health science studies<\/button> (Bailey &amp; Peoples, 2017; Bailey &amp; Mobley, 2016) and <button class=\"glossary-term\" aria-describedby=\"417-761\">transnational disability theories<\/button> (Kim, 2017; Nguyen, 2015; Grech &amp; Soldatic, 2016). These critical alternative frameworks of disability emphasize how body-mind differences are shaped by a range of social forces\/<button class=\"glossary-term\" aria-describedby=\"417-612\">power relations<\/button>.<\/p>\n<p>For example, the social model would identify a wheelchair as an access device rather than a piece of medical equipment. How do these differing perspectives expand or transform how we think about wheelchairs and the people who use them? We will go into these kinds of questions in more depth later in this and subsequent modules.<\/p>\n<h2><span style=\"color: #004c9b\">Charity Model<\/span><\/h2>\n<p>Like the <button class=\"glossary-term\" aria-describedby=\"417-661\">medical model<\/button> <a href=\"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/chapter\/the-medical-model\/\">discussed in Module 2,<\/a> the charity model positions disability as an individual problem and is based on the dichotomy of fit and unfit. Disability is understood to be the consequence of a personal, tragic misfortune. By extension, disabled people are deemed deserving of special support and resources, both private and public.<\/p>\n<p>Sometimes, the charity model is also oriented towards the cure or repair of disability, as in the case of <button class=\"glossary-term\" aria-describedby=\"417-709\">medical philanthropy<\/button>. For example, charities seeking support to end diseases leading to visual impairments, mobility impairments, and limb amputation garner crucial scientific research funds. In doing so, however, funding pitches rely on the promise of cure or restoration of the <button class=\"glossary-term\" aria-describedby=\"417-768\">\u201cable\u201d body<\/button>. Philanthropic organizations also rely on tragic and medicalized depictions of disability to inspire charitable giving, inadvertently deepening disabled people\u2019s marginalized social and material conditions.<\/p>\n<p><!-- Activity Box --><\/p>\n<div class=\"textbox\" style=\"border-left: 6px solid #004c9b;background-color: #f6faff;padding: 1em;margin-bottom: 2em\">\n<h3 style=\"color: #004c9b;font-weight: bold\">Activity<\/h3>\n<p><code><\/p>\n<div id=\"h5p-90\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-90\" class=\"h5p-iframe\" data-content-id=\"90\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Charity Model Image Choice\"><\/iframe><\/div>\n<\/div>\n<p><\/code><\/p>\n<\/div>\n<div class=\"glossary\"><div class=\"glossary__tooltip\" id=\"417-661\" hidden><p>A perspective on disability that views disability as an individual problem that needs to be diagnosed, treated, or cured in order to return to the able-bodied norm.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-659\" hidden><p>A perspective that sees disability as a result of barriers in society, not an individual deficit, and focuses on removing those barriers.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-760\" hidden><p>An interdisciplinary field of study that examines the health and well-being of marginalized groups, particularly around the intersection of race, gender, and health.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-761\" hidden><p>A research body that explores how disability is experienced and understood across different cultures and countries.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-612\" hidden><p>Relationships of dominance and subordination between different groups<br \/>\n- Oxford Dictionary<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-709\" hidden><p>Charitable efforts focused on raising funds for medical research aimed at curing or treating disabilities.<\/p>\n<\/div><div class=\"glossary__tooltip\" id=\"417-768\" hidden><p>A body that adheres to specific standards of functioning, fitness, appearance, strength, energy, capacity, reason, and competence, among other factors.<\/p>\n<\/div><\/div>","protected":false},"author":543,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-417","chapter","type-chapter","status-publish","hentry"],"part":57,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapters\/417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/wp\/v2\/users\/543"}],"version-history":[{"count":55,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapters\/417\/revisions"}],"predecessor-version":[{"id":1873,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapters\/417\/revisions\/1873"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/parts\/57"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapters\/417\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/wp\/v2\/media?parent=417"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/pressbooks\/v2\/chapter-type?post=417"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/wp\/v2\/contributor?post=417"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/accessiblehealthcare\/wp-json\/wp\/v2\/license?post=417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}