Disabled people marginalised by paperwork and programmes which aim to help them

Disabled people face being marginalised by the very programmes that are designed to help them.

Research shows disabled people face being marginalized by the very programs that are designed to help them. Projects and welfare systems established to provide support are normalizing disabled people, and unintentionally contributing to their further marginalization.

Paperwork. Edward Dalmulder, flickr

Paul Turner, Lancaster University 13 September 2019

Rather than taking their differences and particular preferences into account, projects and welfare systems established to provide support are normalising disabled people, and unintentionally contributing to their further marginalisation.

Research from Lancaster University Management School (LUMS), published in Organization Studies, investigated a programme that allocated computers to disabled people. Its aim was to help people improve their sociability through electronic interactions. The research focuses on the part played by an assessment form designed to establish whether or not a person qualified for a computer.

The study found that the scheme’s assessors did not apply a strict interpretation of the questions and answers on the form, and sometimes ignored responses or shaped answers to better suit the programme’s requirements. This allowed some of those involved to receive a computer even though they did not comply with the allocation criteria, but had the unintended effect of glossing over their views and wishes in favour of the pre-set organisational goals of promoting sociability.

Dr Yvonne Latham, of the LUMS Department of Organisation, Work and Technology, who conducted the research, observed that carers, family members and project staff applied their own views and perceptions of what was important for disabled people, while often ignoring their actual preferences.

“The assumptions of those who organised the project were that disabled people are lacking something that can be ‘fixed’ so as to make their lives similar to those of the able-bodied,” said Dr Latham. “Forms will often have yes or no answers to questions which demand more complicated responses. Consequently, welfare worked treat issues such as whether individuals are able to wash, dress or use the toilet by themselves – capabilities that are forever changing, often on a daily basis -with limited importance as they try to render impaired bodies more predictable than is plausible.

“In our case, while the form itself had implications for disabled people, the filling in of the questions and responses, and the results thereof, are also affected by the assumptions of those carrying out the questioning. Everyone has pre-conceived ideas, and these are evident with how they would violate both the spirit and the letter of the form – often normalising assumptions of the needs and desires of those people with whom they are speaking.”

For example, among the disabled people interviewed was Ron. During his interview, Ron revealed that he did not want to use the computer for which he was being assessed to increase his social connectivity, but rather for activities such as buying and selling shares. He answered: ‘I don’t want to increase my social interactions because I’m miserable, like my brother’. He felt that people looking to fill out the form in a certain way were not listening to him.

The interviewer eventually decided that Ron would benefit from using the computer with internet access and would see a boost to his independence as a result, and thus was allocated a computer despite his not fitting the prior organisational criteria of a suitable user.

Other examples included Chloe, a 25-year-old wheelchair user, whose mother was adamant she would not let her use the computer for online shopping (one of the criteria of ‘fit’ for the programme), as she wanted to continue to take her out shopping. Chloe was not seen as socially isolated so much as lacking independence as a result of her mother’s control over her life.

Polly, a woman in her 60s with Lupus, Angina and Arthritis, gave the expected responses, thus allowing a straightforward and positive form filling process. As a result of the cost of broadband and the discomfort she had while trying to sit and use the allocated computer, Polly later returned it because she said it was causing her stress, and because she had not really wanted it in the first place.

Co-author Professor David Knights added: “These examples show how the responses on the form can both be shaped by the interviewer to gain the expected response, but also how the interviewee can give responses they feel are what is expected, even if the result is not what they desire.

“The form and the project were designed to help overcome the marginalisation of disabled people through increasing their sociability, but these assumptions and the form’s usage were reconfigured by those involved, glossing over the actual discussions that took place during the interviews and, on occasion, leading the interviewees to feel their views were being ignored.

“Imposing norms on disabled people and expecting them to fit in with preconceived ideas can have the unintended consequence of marking them out as being in need of special attention. There is a fine line in welfare between care and patronising power.”

Source Lancaster University
via EurekAlert! AAAS

  References

Disabled people and digitalisation: Disruptive documents in distributing digital devices, Knights D, Latham Y. Organization Studies. September 2019. DOI: 10.1177/0170840619869744

  Further reading

Interpretative accounts of work capacity assessment policy for young adults with disabilities, Lisa Stafford, Greg Marston, Amanda Beatson, Marianella Chamorro-Koc & Judy Drennan (2019) Disability & Society, 34:6, 885-903, DOI: 10.1080/09687599.2018.1561356. Full text

Digital technologies for social inclusion of individuals with disabilities, Manzoor M, Vimarlund V. Health Technol (Berl). 2018;8(5):377-390. doi: 10.1007/s12553-018-0239-1. Epub 2018 Jun 24. Review. Full text

Support networks and people with physical disabilities: social inclusion and access to health services, Holanda CM, De Andrade FL, Bezerra MA, Nascimento JP, Neves Rda F, Alves SB, Ribeiro KS. Cien Saude Colet. 2015 Jan;20(1):175-84. doi: 10.1590/1413-81232014201.19012013. English, Portuguese. Full text

Community services for young adults with motor disabilities – A paradox, Disability and Rehabilitation, Johanna Darrah, Joyce Magill-Evans & Nancy L. Galambos. Disability and Rehabilitation (2010) 32:3, 223-229, DOI: 10.3109/09638280903071834

Meeting the needs of parents around the time of diagnosis of disability among their children: evaluation of a novel program for information, support, and liaison by key workers, Rahi JS, Manaras I, Tuomainen H, Hundt GL. Pediatrics. 2004 Oct;114(4):e477-82.

Restructuring Human Services in Canada: Commodification of disability, Alison Pedlar & Peggy Hutchison (2000) Disability & Society, 15:4, 637-651, DOI: 10.1080/09687590050058224

Also see
What is the Digital Divide and How Does it Affect People with Disabilities? Get Tecla blog

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