Escaping Disciplinary Capture: Making our Health and Social Services Work Better

Social Structures

Authors: Kate Rochford, 3rd Year Undergraduate Intern, Department of Psychology, Maynooth University & Mac MacLachlan, Co-Director of the Assisting Living and Learning (ALL) Institute, Maynooth University and Clinical Lead for Disability Services, Irish Health Service (HSE).

This figure illustrates the concept of disciplinary capture whereby one way of thinking (represented by one single text here) determines how people think about an issue.  Like a whirlwind, it can often powerfully funnel thinking, ignoring the range of ideas available within the group, which otherwise  may provide useful alternatives or additions to proposed actions. Image by Kate Rochford
This figure illustrates the concept of disciplinary capture whereby one way of thinking (represented by one single text here) determines how people think about an issue. Like a whirlwind, it can often powerfully funnel thinking, ignoring the range of ideas available within the group, which otherwise may provide useful alternatives or additions to proposed actions. Image by Kate Rochford

Introduction
An interdisciplinary approach to research has become increasingly popular when dealing with different topics (Aboelela et al., 2007). Such an approach can offer a more comprehensive or holistic perspective and is most suited to addressing real-world complex issues (Repko et al., 2017). However, while interdisciplinary collaboration may be appealing in theory, it is often difficult in practice (Cummings and Kiesler, 2007). In that regard, we believe that the concept of ‘disciplinary capture’ can supplement an enhanced interdisciplinary approach. It can also help to transpose academic thinking into practice. Particularly, in relation to disability, and services for persons with disabilities, this concept can translate into more effective integration of services.

Disciplinary capture involves thinking about problems from only one perspective (Brister, 2016). Disciplinary capture can determine what sort of ideas, facts, interventions or causal explanations, are depicted as permissible. For instance, a disease-model approach to mental health may only accept pharmaceutical interventions as being legitimate for a range of mental health problems, while a more psychological, social or human rights approach may not accept this (MacLachlan et al, 2021). In this scenario, if proponents of the disease model are positioned in such a way that other professions are expected to be deferential towards them, then this is likely to inhibit truly interdisciplinary practice. Moreover, this can impede the empirical merit of such a position through the preclusion of an open discussion which would allow for full exploration of all the possible alternatives. The result may manifest in poorer decision-making processes and sub-optimal interventions.

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Supported Decision Making and Next of Kin: The DSS Perspective and new perspectives for innovative participatory research

Social Lives

Author: Hannah Casey, Assisting Living & Learning( ALL) Institute Blog editor and PhD Candidate, Decision Support Service

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Hannah Casey

Supported Decision Making is a method that may be employed by persons who require help to make decisions in their day-to-day lives. These decisions may range from, where to go on holiday, to, how to manage financial concerns. Supported Decision Making is gaining traction and importance across the globe, and particularly in an Irish context in anticipation of the Assisted Decision Making (Capacity) Act 2015, set to be commenced in full by mid-2022. This has the added effect of ensuring Ireland may fully honour Article 12 of the United Nations Convention on the Rights of Persons with Disabilities, which states that persons with disabilities have the right to make their own decisions, and enjoy the same legal capacity that people without disabilities have in their lives. The Decision Support Service (DSS) has been established to support persons to exercise their right to make decisions, with the key understanding that a person’s capacity to make decisions should be assessed by reference to the decision in question.

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Disability and the Media: Representation Matters

Ideas in ALL: ALL Blog One Year Anniversary Symposium and International Day of Persons with Disabilities

Social Lives

Symposium

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Author: Dr Emma Smith, Assisting Living and Learning (ALL) Institute Member and Post-Doctoral Researcher; recipient of the prestigious Marie Sklowdowska Curie Actions Individual Fellowship

Emma Smith Profile Pic
Emma Smith

I distinctly remember the first film I saw specifically related to disability. The film was Murderball, a documentary about the US and Canadian wheelchair rugby teams, their rivalry, and their experience in international competition. What was impactful and memorable about the film was not the focus on disability, it was the opposite. It was the fact that the film focused on team dynamics and personal experiences – things which you’d see in any documentary about any sports team. Of course, disability was relevant to those experiences, but for me, it was the first time I had seen media which was about disability, without being entirely focused on the disability itself. It gave me good perspective – people with disabilities were, first and foremost, people. They spoke openly and honestly about their experiences – they let me into their world for a moment, and contributed significantly to my decision to become an Occupational Therapist – a job which would let me help people with disabilities be people, to do the things which were meaningful to them.

Since then (it’s been a few years), I’ve always noticed those key moments when people with disabilities were represented in the media. For a long time, they were few and far between. Media often portrayed people with disabilities only in relation to their disability, or with stereotyped understanding of disability and not for the rich and full lives they were living. We often saw disability represented in relation to charity – a cause for fundraising. As the conversation shifted, we saw a rise in tokenism, where a person with a disability might be included in a conversation, but often only to fit a quota, or tick a box.

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Participation matters – Global Survey on involvement of persons with disabilities in public decision-making

Ideas in ALL: ALL Blog One Year Anniversary Symposium and International Day of Persons with Disabilities

Social Structures

Symposium

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Author: Rebecca Daniel – PHD Student, Assisting Living and Learning (ALL) Institute, Department of Psychology, Maynooth University

Rebecca Daniel
Rebecca Daniel

The IDA Global Survey on political participation of Organisations of Persons with Disabilities (OPDs) was launched earlier this year and will remain open until the end of 2021. It is conducted as part of a PhD research project undertaken at the ALL Institute and discussed below on the occasion of the International Day of Persons with Disabilities.

The human right to participation of persons with disabilities through their representative organisations is clearly stated in the UN Convention on the Rights of Persons with Disabilities (UNCRPD). Articles 4.3 (on participation of OPDs in implementation of the UNCRPD overall) and 33.3 (on participation of OPDs in national implementation and monitoring of the UNCRPD), as well as General Comment No 7  specify this right. As far as the United Nations (UN) are concerned, participation of OPDs is a crucial principle to be considered throughout the activities of the UN, in line with indicator 5 of the United Nations Disability Inclusion Strategy (UNDIS) on consultation of persons with disabilities.

However, as one of the most marginalised groups (compare e.g. WHO World Report on Disability, WHO – Disability and Health and United Nations Office for Disaster Risk Reduction), persons with disabilities are in many ways excluded from public decision-making. Their full and effective participation in all decisions concerning their lives is yet to be realised (compare e.g. Bridging the Gap: The unsteady path, IDA: Increasingly Consulted but Not Yet Participating). Public programmes, policies, plans and projects, insofar as they consider participation, are all too often addressing members of civil society as beneficiaries or consumers of services instead of citizens (Andrea Cornwall).

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December 3rd, UN International Day of Persons with Disabilities – Celebrating the ‘12th European Union (EU) Access City Awards Ceremony’ for Human-Centred Urban Living and Ending ‘Disabling Cities’

Ideas in ALL: ALL Blog One Year Anniversary Symposium and International Day of Persons with Disabilities

Social Structures

Symposium

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Author: Matthew McKenna, PhD Researcher at Maynooth University’s Assisting Living and Learning (ALL) Institute , Research Funded through the Science Foundation of Ireland (SFI) Centre for Research Training in Advanced Networks for Sustainable Societies (ADVANCE CRT)

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Matthew McKenna

Friday December 3rd 2021 will witness the announcement of the winning contending cities for the 12th ‘EU Access City Awards Ceremony’ (Access City Award 2022).

The website of the European Commission (EC) says that the ‘Access City Award recognises and celebrates a city’s willingness, ability and efforts to become more accessible, in order to:

  • Guarantee equal access to fundamental rights;
  • Improve the quality of life of its population and ensure that everybody – regardless of age, mobility or ability – has equal access to all the resources and pleasures cities have to offer’.

The United Nations (UN) Department of Economic and Social Affairs says that ‘Persons living with disabilities are often the poorest and most vulnerable in cities today’. Cities in the twenty-first century are experiencing rapid growth, as populations shift from rural dwellings to urban areas in search of employment and greater economic prosperity. However, increased costs of living alongside inaccessible urban planning, transport infrastructure and urban architecture, render most cities inaccessible and inundated with hazards for persons with disabilities. Furthermore, cities around the world are experiencing rapid gentrification and rising costs of living, thereby increasing the socio-economic disadvantages that are often experienced by persons with disabilities as a vulnerable demographic.

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Assistive Technology & Beyond: Benefits of Technology Supports for All Students in Higher Education

Stories/Lived Experiences

Author: Dr Ruchi Palan, Assistive Technology Specialist, Maynooth Access Programme (MAP), Maynooth University

Birdseye image of table with 5 laptops various handheld devices and headsets. People appear to be working and there is tea on the table also.
Photo by Marvin Meyer on Unsplash

Technology advancement and innovation have reduced inequities in access to, and facilitated greater participation in, education for students with disabilities. In particular, assistive technology (AT) can significantly improve the overall educational experience of students with disabilities. Research has found a positive link between AT use and education and psychosocial benefits such as academic self-efficacy, increased well-being, adaptability, self-esteem, and competence. Hence, AT is not only an enabler but also serves to empower students with disabilities.

However, AT that is commonly associated as a support for students with disabilities can also benefit those without disabilities. At the same time, with advances in technology, mainstream technologies now offer many assistive features. There is arguably a shift in perception of what constitutes AT and who can benefit from it.

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Disability, Identity, Neurodiversity & Me: Or should “Me” be first?

Stories/Lived Experience

Author: Mac MacLachlan, Assisting Living and Learning (ALL) Institute, Maynooth University

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Mac MacLachlan

Different models of disability understand disability in different ways. The medical model associates disability with illness, deficit or disorder; and with the limitations these impose on individuals. The social model sees disability, not as a personal attribute but as the experience people have of barriers to their participation in society. The human rights model recognises both social barriers to participation and personal experience (for instance chronic pain) independent of barriers; and it asserts people’s rights to overcome barriers and access services to fulfil their right to fully participate in society. The United Nations Convention on the Rights of Persons with Disabilities (CRPD, 2006) embraces the social- and human rights-based models and obliges States that have ratified it – Ireland did in 2018 – to provide the necessary services and supports for its implementation.   

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September 15th, United Nations International Day of Democracy: Enjoyment of Democratic Values and Freedoms by Persons with Disabilities

Social Structures

Author: Matthew McKenna, PhD Researcher at Maynooth University’s Assisting Living and Learning (ALL) Institute, Research Funded through the Science Foundation of Ireland (SFI) Centre for Research Training in Advanced Networks for Sustainable Societies (ADVANCE CRT)

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Matthew McKenna

The Council of Europe (2020) recalls that the word ‘Democracycomes from the Greek words “demos“, meaning people, and “kratos“, meaning power; so democracy can be thought of as “power of the people”: a way of governing which depends upon the will of the people’.

Theories and models of democracy and ‘popular governance’ have manifested in innumerate social models and national socio-political dispositions of rule over millennia since the beginnings of ‘Athenian Democracy’ in the 5th Century BCE. The Greek Directorate of International Relations and European Union of the Hellenic Ministry of Culture and Sports (2020) provides the following synopsis of the origins of democratic rule that is cherished as part of the underpinning ethos of the favoured model of governance by the modern political establishment within the context of the socio-political order of the European Union (EU) of today: Humans as autonomous entities in the context of organized society, the respect for their personality, freedoms and rights, were fundamental topics in the ancient Greek thought. From the Elegies of Solon (c. 630-560 BC) to the Democracy and Laws of Plato (428/7-348/7), the Politics of Aristotle (384-323/2 BC) and Demosthenes’ fiery speeches (384-323 / 2 BC), the ideas of justice, rule of law, decency, education, virtue and free thought stand out as key ingredients for the ideal regime’.

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