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Research on women’s health has increased substantially in the past decade, but this has not been paralleled in the area of developmental disabilities. In developmental disabilities research, there has been little attempt to disentangle the impact of age, intellectual disabilities, and other developmental disabilities on women’s health. The 1994–1995 Disability Supplement to the National Health Interview Survey, administered to a representative sample of the U.S. population, was used to describe the aging process in the community for women age 30 and older with mental retardation (MR), developmental disabilities (DD) or both (MR/DD). Definitions of MR and DD consistent with professional and legal standards were developed and adapted to the NHIS-D questions. Approximately 77 million civilian, non-institutionalized women in the United States were age 30 and older at the time of the survey. Among these women an estimated 0.56% have mental retardation or developmental disability. Compared with women in general, women with these disabilities were disproportionately absent in the community, had negative perceptions of their health status, and their health indicators tended to support these perceptions. Most women with these disabilities were independent in activities of daily living (ADL), but instrumental activities of daily living (IADLs) posed more of a challenge, and limitations in major activities were common. Limitations in mobility were common among women with DD.

This chapter provides “viewpoints” on the education of learners with extensive and pervasive support needs. That is, students who require the most support to learn, often categorized as having intellectual disability, multiple disabilities, autism spectrum disorder, or related disabilities. The lenses through which we provide these viewpoints are historical and future-oriented; we begin with historic perspectives on the education of students with extensive and pervasive support needs, and then provide 21st century viewpoints for these learners. We interpret the notion of viewpoints in two ways: first, consistent with a viewpoint as indicating an examination of objects (in this case, practices and interventions) from a distance so as to be able to compare and judge; and, second, viewpoint as indicating our perspective on said interventions and practice.

A person’s value in terms of physical and mental abilities, talents and skills is not simply located in degrees of her/his body’s ability to function. Efforts to achieve social and workplace equality for people with a physical/body or psychological/mental disability have grown to a transnational social movement. The community of people with a disability may be among the largest, most diverse group of people. By examining disability through lenses of cultural, economic, and political contexts, Chapter 10 underscores the importance of understanding how and why experiences and issues associated with social identity shaped by these dimensions has captured the attention of policymakers and employers around the world.

A person’s identity is socially constructed and impacted by government policy, cultural values, and organizational decision making. The field of disability studies is dedicated to advancing greater understanding of experiences of people with a disability and empowering them to pursue happy and fulfilling lives. Institutionalized manifestations of stigma, ableism, discrimination, and bias diminish these pursuits, however. People everywhere and the organizations staffed and managed by them are urged to consider the positive outcomes of fully embracing people with a disability for their ability to perform responsibilities and to bring unique perspectives on organizational practices and exchanges with key stakeholders. Chapter 10 examines subthemes central to the study of social identity among people with a disability: paradigm shift and policy making about disability, legislation and policy, people working with a disability in organizations, language and naming debates, and disability and other social identity intersectionalities.

Throughout the ages, caring for an individual with a significant physical disability and/or health impairment has been extremely difficult or perhaps even impossible. Conditions for survival were often hard, requiring all able-bodied family members working from dawn until dark to scratch out even a minimal standard of living. Consequently, little time and resources were available for the care of a loved one with a disability. Safford and Safford's sobering volume (1996) emphasizes that children have always been vulnerable to neglect and children with disabilities were particularly subject to abuse. To illustrate this, children with disabilities were particularly subject to infanticide, abandonment, slavery, sterilization or placed in orphanages, where maiming sometimes occurred to increase the individuals' potential for street corner begging.