Traditional special education roots itself in pathologization, intervention, and Eugenist philosophies. Students with disabilities are viewed through a deficit lens requiring them to be "fixed." The system demands students adapt to fit existing structures rather than questioning those structures. This approach perpetuates harm and dehumanization.

State University of New York at Binghamton

- Schools as Normalization Institutions
- Special Education's Roots in the Medical Model
- Ability/Disability Binary

The Systematic Ways U.S. Schools Construct and Perpetuate Disability As Deficit

The medical model positions a disability as something that must be diagnosed and addressed with medical intervention. It views disabilities as something that reduces a person’s quality of life, curing the disability as the ultimate goal. Also, the medical model promotes the image of people with disabilities as needing health care or as “sick”. Many people with the philosophy of the medical model underestimate the human capacity to learn about the complexities of the human body, and thus to make safe decisions about one’s disability.

Medical Model of Disability

This refers to how human conditions and behaviors come to be defined and treated as medical illnesses requiring professional intervention. Medicalization leads to individualized diagnoses rather than social or cultural explanations for human differences. The process transforms social issues into medical problems amenable to clinical treatment. DP reveals how medicalization occurs through specific discursive practices in institutional settings.

Medicalization Process

A method of education that provides accommodations within a learning program for individual differences, disabilities, and special needs through planned and systematically monitored arrangements of teaching procedures, adapted equipment and materials, and accessible settings.

Special Education

Lester, J. N. (Ed.). (2021). Discursive Psychology and Disability. Palgrave Studies in Discursive Psychology. Springer Nature Switzerland AG.

Reference For: Discursive Psychology and Disability

U.S. public schools function as contemporary institutions of normalization, similar to prisons or health systems. They construct "normalcy" and position students who deviate as "abnormal" or "sick." Schools are the most proliferating mechanism making the "othering" of disability visible. This framework avoids interrogating the system's historical and sociopolitical foundations.

Schools as Normalization Institutions

Special Education's Roots in the Medical Model

Schools sustain a rigid binary between ability and disability based on medicalized conceptions. This dichotomy positions students categorically as "abled" or "dis/abled" with hierarchical implications. The binary naturalizes the idea that some students are competent while others are incompetent. Fixed categories prevent recognition of disability as socially constructed.

Ability/Disability Binary

Attitudes toward deafness can be divided into two groups: the clinical and the cultural model.

1) The Clinical Model: Deafness is viewed as a handicap, a medical condition, or a deficiency. Deafness is viewed as something needing to be fixed, through such means as hearing aids and cochlear implants.

2) The Cultural Model: People with hearing difficulties are viewed as a linguistic and cultural minority group within a hearing society, marked by difference rather than limitation.

Attitudes Toward Deafness/ Two Conflicting Models

- Important Books in the Medical View of Disabilities

Important Literature in the Medical Model of Disabilities

Individuals who view disability in terms of the medical model may disrupt the potential for the people with a disability to form a positive disability identity by placing too much emphasis on ability and other internal factors.  

Disability Identity Development In Terms of the Medical Model 

'Making up people' is the concept that by studying and categorizing types of people, those classifications change to better reflect the societal views of the characteristics of individuals within that classification. By studying people we create kinds of people - ways people can be embodied - that did not exist prior to classification.

In this article, Sparti proposes that we can use the model of making up people to understand the formation of disabilities.

Making Up People - On Some Looping Effects of the Human Kind - Institutional Reflexivity of Social Control?

Self-help groups did not work within the medical model of disability and instead centered individuals as experts in their own experiences, and emphasized the need to address internalized oppression and create systems of community support rather than emphasizing eliminating or relieving someone from disability.

NBWHP's Self-Help Groups and Models of Disability

Higher education has historically used the  medical model of disability - systems like accommodations place the blame or site of of disability in the individual student for whom the environment needs to be changed to accomodate rather than locating disability in the system. Accomodations require students to disclose their disability status to recieve accomodations in ways that force them to pathologize their own being.

Models of Disability in Higher Education

Highlighting the role of essentialism and blame in disability stigma shows just how informed this stigma is by the medical model of disability.

Disability Stigma and the Medical Model of Disability

When AI systems are designed through the lens of the medical model, disability is framed primarily as an individual deficit to be diagnosed, measured, or corrected. This drives the development of technologies such as diagnostic algorithms, assistive apps, or predictive screening tools that focus on “fixing” impairments rather than addressing the broader structural barriers that create disablement. While such tools can provide clinical benefits, they risk reinforcing a narrow view of disability as pathology and sidelining questions of justice, accessibility, and agency.

How Medical Model Shapes AI

The group of assumptions that underlie these questions takes for granted the "metaphysical status" and "epistemological character" of the category of disability, casting disability as a self-evident (and thus philosophically uninteresting) designation that only science and medicine can accurately represent. 

Assumptions Underlying Questions in Mainstream Philosophy 

- By constructing the CI user as "abled" and the HA user as "disabled," the discourse reinforces the Medical Model of Disability.
- Disability is framed as a consumer choice between prostheses (choosing the "right" device) rather than a social or political issue.
- Ultimately, the formulation of CI satisfaction perpetuates audism by valuing human variation only as a deviation from "imagined perfection".

Reproducing Audism

This is a plan or program developed to ensure that a child with an identified disability who is attending an elementary or secondary educational institution receives specialized instruction and related services.

Individual Education Plan (IEP)

Special needs education is designed to facilitate the learning of individuals who, for a wide variety of reasons, require additional support and adaptive pedagogical methods in order to participate and meet learning objectives in an educational program.

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