In the first sustained examination of disability through the lens of political theory, The Capacity Contract shows how the exclusion of disabled people has shaped democratic politics. Stacy Clifford Simplican demonstrates how disability buttresses systems of domination based on race, sex, and gender. She exposes how democratic theory and politics have long blocked from political citizenship anyone whose cognitive capacity falls below a threshold level⎯marginalization with real-world repercussions on the implementation of disability rights today.
Simplican’s compelling ethnographic analysis of the self-advocacy movement describes the obstacles it faces. From the outside, the movement must confront stiff budget cuts and dwindling memberships; internally, self-advocates must find ways to demand political standing without reinforcing entrenched stigma against people with profound cognitive disabilities. And yet Simplican’s investigation also offers democratic theorists and disability activists a more emancipatory vision of democracy as it relates to disability⎯one that focuses on enabling people to engage in public and spontaneous action to disrupt exclusion and stigma.
Taking seriously democratic promises of equality and inclusion, The Capacity Contract rejects conceptions of political citizenship that privilege cognitive capacity and, instead, centers such citizenship on action that is accessible to all people.
The economic cost of retardation measures in the billions each year and the human cost is incalculable. However, many forms of retardation can now be prevented medically and much is now known about how to help the retarded lead more normal and satisfactory lives. In Mental Retardation, Dr. Robert Edgerton provides an extraordinarily useful and humane guide to this new knowledge in the brief and readable format that has become a trademark of the Developing Child series.
The book begins with a clear review of what is known about the causes of retardation, ranging from genetic abnormalities to prenatal infection, malnutrition in early childhood, environmental toxins (such as lead paint), and poverty. Edgerton shows how many of these problems can be avoided by genetic counseling, improved prenatal care, and the elimination of environmental hazards. But he also goes on to consider the questions that inevitably arise when prevention fails and family and society must cope with a retarded child: What is the impact of the child on the family? Is care within the family preferable to institutionalization? How can schools best educate the retarded? Is "mainstreaming" sensible? And how far can the retarded adult go towards normal patterns of work and social life within the community?
Mental Retardation makes it clear that many of the problems of retardation are caused by the misunderstanding and intolerance of a society like our own, which places extraordinary emphasis on mental ability and its measurable manifestations: school achievement and IQ. It is just this sort of intolerance and misunderstanding that this book does so much to dispel.
Drawing on the controversial case of “Ashley X,” a girl with severe developmental disabilities who received interventionist medical treatment to limit her growth and keep her body forever small—a procedure now known as the “Ashley Treatment”—Reconsidering Intellectual Disability explores important questions at the intersection of disability theory, Christian moral theology, and bioethics.
What are the biomedical boundaries of acceptable treatment for those not able to give informed consent? Who gets to decide when a patient cannot communicate their desires and needs? Should we accept the dominance of a form of medicine that identifies those with intellectual impairments as pathological objects in need of the normalizing bodily manipulations of technological medicine?
In a critical exploration of contemporary disability theory, Jason Reimer Greig contends that L'Arche, a federation of faith communities made up of people with and without intellectual disabilities, provides an alternative response to the predominant bioethical worldview that sees disability as a problem to be solved. Reconsidering Intellectual Disability shows how a focus on Christian theological tradition’s moral thinking and practice of friendship with God offers a way to free not only people with intellectual disabilities but all people from the objectifying gaze of modern medicine. L'Arche draws inspiration from Jesus's solidarity with the "least of these" and a commitment to Christian friendship that sees people with profound cognitive disabilities not as anomalous objects of pity but as fellow friends of God. This vital act of social recognition opens the way to understanding the disabled not as objects to be fixed but as teachers whose lives can transform others and open a new way of being human.
Thomas Walz tells the story of Bill Sackter, a man who spent nearly half a century in a Minnesota mental institution and emerged to blossom into a most unlikely celebrity. Bill Sackter was committed to the Faribault State Hospital at the age of seven, there to remain until he was in his fifties. At the time of his commitment, Bill’s father had recently died; thus his sole contact with his family came through rare letters from his mother.
Some years after his discharge from Faribault as a result of the movement to deinstitutionalize the mentally ill in the 1960s, Bill enjoyed a serendipitous encounter with a young college student and part-time musician, Barry Morrow. Bill became part of the Morrow family and a regular in Morrow’s music group. When Morrow accepted a job at the School of Social Work at the University of Iowa, Bill followed him to Iowa City and was put in charge of a small coffee service.
Bill became an important part of the University of Iowa community, and Wild Bill’s Coffeeshop developed into an institution. A cheerful man of great good will who was a harmonica virtuoso, Bill began to inspire affectionate legends, and his life as a celebrity began in earnest. He was named Iowa’s Handicapped Person of the Year in 1977, and two television movies were made about his life—Bill, which earned Emmy awards for cowriter Barry Morrow and Mickey Rooney (as Bill) in 1981, and Bill on His Own in 1983. Years later, Morrow would earn an Oscar for his script of Rain Man.
Through vignettes ranging from hilarious to near tragic. Walz reveals a remarkable human being. An account of Bill's life in an institution is necessarily part of the story, but there is much more: Bill’s role in helping a young child recover from a coma, his menagerie of friends, his love for a pet parakeet, his late-life Bar Mitzvah, his failure as a woodworker, his success as Santa, and his dignified death at the age of seventy.
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