Showing posts with label ch1. Show all posts
Showing posts with label ch1. Show all posts

Sunday, 20 March 2011

Ch1: Many Ways To Access

We've seen that the physical state of physical accessibility in Rio de Janeiro isn't great. But my idea of an imagination is to look at other ways of doing things.

First I should stress that Brazilians really are quite helpful. Or, to put it better, the people that I met (and me too) find that when we needed help from strangers in Rio de Janeiro, they are very good at giving it. In interviews people downplayed the explicit prejudice they would encounter, and emphasized the positive aspects. Rio de Janeiro is a place where if it looks like you need help, people will offer. Brazilians are surprised when they go to Europe and when someone that has an accident on the streets they see that others don't run to help.

When I was asked how the accessibility was at my university, I had to say well, it's pretty rubbish in physical terms (big steps, a massive flight of them down to where we needed to do xerox-ing) but pretty good in human terms (people were helpful, and several helped with my xerox-ing, for example).

Before any of Rio's buses were accessible, chumbados still got about using them. To go to university Matheus would go with a helper. The helper would lift him in, fold up Matheus' chair and then go up himself; and to go out to the same in reverse. I'm not saying that this situation is great; I am saying that there are many ways to deal with and transform physical situations.

My final note is that people have different requirements. A university (UERJ) has ramps and lifts and so forth; I thought it was pretty accessible. To my surprise, Gabriela told me that "they didn't make the university for disabled people. They made it for athletes". With crutches the ramps and walking were difficult for her; and she had to use the service elevator (which she had to shout for, because there wasn't a button) because the normal elevators didn't stop on every floor. Other people who used the university had other issues; the type of desk they needed, for example, and the trouble in arranging that.

What is marked as "accessible", even in purely physical terms -- an entrance, a bathroom, a building, a bus -- might well be far from being so for many people. Accessibility is a complex affair.

Ch1: Rio de Janeiro

Rio de Janeiro, cidade maravilhosa, the marvelous city. Rio has plenty of hills, on many of which are favelas, but most of the people I researched with lived and did everything on the flat bits and belonged, more-or-less, to the middle class. We were mostly in Zona Norte, which isn't the most accessible part of the city, but in relative terms of the city as a whole is pretty decent.

This is the background of my research. In this post we're gonna talk about sidewalks, buses, the metro and taxis. But we should note that physical accessibility isn't the only way to think about these things.

It's pretty hard to describe this. Sidewalks are high and not always lowered. Awesome. This is by no means as bad as some other Brazilian cities (I'm looking at you Belém de Pará -- they have higher sidewalks because they get more rain, perhaps). The sidewalks aren't exactly flat or properly maintained. "The holes," Fernando tells me, "celebrate birthdays".

Some sidewalks have had work done and ramps installed. Matheus called the principal ones his "highways". But just to give you an idea: the area where I lived, Vila Isabel, had two main roads going through it. Of the two, only one had reasonable-ish ramps on the sidewalk.

What this means is that if you use a chair in Rio it means having to use other ramps (like for garages), going the long way round, or, in many cases, taking your chair onto the road for small patches or for whole blocks.

Those are just the pavements! This list is going to start turning into cliches of problems with accessibility, if it isn't already.

There are loads of buses in Rio, and probably the principal way people get about. The normal buses have three or four big steps to get in and out; and they often don't stop near any official stopping point, or the sidewalk. There are buses that have the little accessibility sticker on them and they use the scheme of an elevator on the steps on the way out.

What goes wrong? Sometimes they don't stop for someone in a wheelchair. Sometimes the driver will refuse to use the lift because he doesn't want to, or doesn't know how, the lift is broken or (it's hard to know when these are the truth or not) that he doesn't have the key. If the driver does decide to try, it can take 5-10 minutes even at the best of time. (No wonder he wouldn't stop during rush-hour).

Three different people told me about accidents they had going up and down these, although they didn't hurt themselves (two were caught by someone who was there.) The general idea is that you have to teach the driver how to use the lift, and that things'll be much easier if you catch the bus at it's start/end stops rather than on its route.

The underground. This is better, but depends a bit on what stations you use. Some have lifts and everything's fine and dandy; others have flights of stairs. But the staff are trained, and most of the time helpful. They'll help you up and down an escalator in your wheelchair; and when they don't have that, or a stair-lift or the "robocob" (a machine that goes up and down steps), then they'll carry even motorized wheelchairs up and down steps. They'll call people from other stations to help, if need be.

Taxis. There are adapted taxis in Rio, with space for a chair. They don't have that many cars, though, and they stop work at 10pm, so you'd better book ahead and get home early!

Many of these things could and should be changed. But it's more complicated than just inaccessibility.

Ch1: Background

We've talked about the ways people walk or use wheelchairs and partly I have to explain a little bit better what conditions are like in Rio de Janeiro now and in the recent past, so someone who hasn't been there can get a bit of an idea where these things are taking place. But first I should say that when I talk about "background" I mean something a bit more than just the details of the city...

One example that fascinated me, although sadly I never got to visit, was that of Filipe. Many people altered things in their homes, like the height of light switches or of their bed, or of bathrooms and toilets. But Filipe went further, and redesigned his house and the way he did things.

At home, in "his place" [cantinho] he used a skateboard to get about. He sat down on it and moved himself around with his arms, in his words, "like a crab". The stuff he did at home was all on this level. He slept on a low mattress, and ate meals and used a laptop all on low tables.

It's "very convenient" for him, and everything in the room and house is as he likes it. He remodeled his corporality in the house, and the corporality of the house. He turned a skateboard from something used for fun or sport into something used in routine movements.

I find his example inspiring. Eating food seated at the table wasn't convenient, so he changed the table and chair. This means that when we think about people's difficulties of doing stuff, we should think of Filipe: could someone do something easier if we had a big redesign?

The "background" of one's home can be modifies according to financial capabilities, the right to make changes in the house and one's own imagination. The "background" of a city, and the situations in Rio de Janeiro is much harder to change.

Saturday, 19 March 2011

Ch1: Wheelchairs

Of the scenes that make up this work, we've talked about walking and about falling over. But these days most of the principal chumbados are using wheelchairs. Some of them use manual wheelchairs and some of them use motorized ones.

For each person, the wheelchair has a different place in their life. Júlia uses a motorized wheelchair, even though she can still walk with her crutches. (Sometimes she gets out of her chair and lifts it up a step, much to everyone's surprise). For her, the chair lets her live independently and go shopping by herself; she's dealing with pain from tendinitis and bursitis from having used crutches for over forty years.

Mateus uses a motorized wheelchair and that lets him get to work and have an independent social life. He still needs help at home with things like washing and going to the toilet, but he can go out and meet friends without the help of anyone else.

Fernando, like Mateus has a Muscular Dystrophy, but a bit more of a severe one. He uses a motorized wheelchair but goes out and about with his mother: he still needs help on ramps and with other things, and he's perhaps not as much of a risk-taker as Mateus. But his chair means he can get about independently at work (his mother comes back to lunch with him) and doesn't need people to push him.

It so happened that nearly all of the chumbados I got to know (partly because of many of them having Muscular Dystrophies) weren't really able to push their own manual wheelchairs because they didn't have strength in their arms. But some still chose to have them over motorized wheelchairs, and they gave various reasons.

Cost was a problem, but seen as something that could perhaps be gotten around; through economizing or other ways of raising money. More important was that a motorized wheelchair is heavy and inconvenient. It doesn't fit in a car (you have to take batteries out, which is a nuisance), and it's much harder to be carried up stairs in a motorized wheelchair than a much lighter manual one. And finally, many people didn't see it would give them any benefit: if there weren't lowered curbs or flat bits near their houses, what would they use it for? (We'll see later how the use of motorized wheelchairs spread through friendship groups, and one imitating the other). People are very conscious of how their choice will interact with the conditions in Rio.

Ch1: ... And Falling Over

"When someone with Muscular Dystrophy falls over," someone tells me, "they fall on their face." "Whatever fall," another says, "and plah! like an alligator!" Falling over is not a simple business. The way you fall, what you hurt, and where you're left afterward are very important.

And it's a bit more complicated than these people (and I) thought. Each person -- with Muscular Dystrophies or not -- as well as walking in a different way, falls in a different way. Some people are falling over things on the pavement, others lose their balance, others trip over their own feet. Some certainly fall and hit their head, unable to brace their fall by landing on their knees or arms or arse. Other people fall to their sides, other people fall backwards.

I used to fall and hit my head. But while I was growing up I learned to collapse on my knees and stop hitting my head quite so often. Some other people do similar things, being able to brace with their arms. Clara (who has cerebral palsy) says she can't: she falls in "fast-forward". Her friends that can manage to brace themselves are people that fall in "slow-motion".

Gabriela remembers a fall from when her Muscular Dystrophy was first developing. She was crossing a busy road, in the middle "with a dozen eggs under one arm", she tripped, "I think on my own feet" and fell forwards. "I broke the eggs, they turned into an omelet." Her "luck" as she puts it was that she was near her home, and there was someone who came and stopped the oncoming buses.

Here, her relation with the road and the buses became as scrambled as her eggs. But she continued in the place she'd chosen to cross the road (not at a crossing) and with the people who were nearby. The possibility of falling can be influential in choosing where and how you live and go places, and likewise who you do those things with. It's one of the reasons you might have to start using a wheelchair.

Ch1: Walking Funny

One of the principal scenes we need to look at is the way people walk.

I know in most detail my own way of walking. I walk a bit funny in a tiptoed-lopsided-unstable waddle. I navigate around cracks and bumps in the uneven pavements of Rio de Janeiro; I am quite cunning in where and how I will choose to cross roads. Because I walk more tip-toed on my right foot, I find it quite difficult when the pavement has even a slight gradient from right to left (meaning my right foot is even higher); it's much easier when the slope is from left to right, and I will cross the road a few times if it helps me choose the easier slope.

When the floor is flat, or flat-ish, I work without supports. But when there's a step, rough ground, strong wind, I'm with someone cute or passing through a narrow space, I'll walk leaning on something or being supported by someone.

Only one of the principal fifteen chumbados currently walks freely. Of the others who walk or who walked in the past, they use or used various supports: crutches, walking sticks, other people, walls and furniture.

Júlia, with a leg paralysed by polio, has used crutches for most of her life; so has Beatriz who has a cerebral palsy. When they're inside, they'll both often prefer to use solid objects to lean on rather than their crutches. Beatriz says that even though crutches give her independence, they make her feel imprisoned, and she feels freer when she can use something else.

In general, people with Muscular Dystrophies aren't so likely to use that type of support, because their arms will be weaker too. This depends a bit on the Muscular Dystrophy: types that affect the lower body before the upper body might give people a chance to use comparative strength in their arms.

The result is that people need to be supported more than they can support themselves with their own strength. A couple of people spent periods where they only walked with someone else's help: be it a helper or family or a spouse.

Even then, however, walking can still be unstable. A few people told me about how it became harder and harder. They got to stages where while they could still get about, their legs would give out from under them for no reason and without warning. In the case of Guilherme (who maybe has Becker Muscular Dystrophy) the halt of an elevator was enough for him to fall over. He and his wife Sofia say that she was very quick to react: she "didn't allow him to fall". But when he was with other people with slower or less practiced reactions, he would. (How well they know each other!) Falling over is a big part of walking funny.

Ch1: Setting The Scene

Now that we've been through the main theorizing and posturing part of the work, we can get on to the fun stuff. I'm going to present the people I met in terms of scenes. of the ways people walk and fall over, the ways people use wheelchairs, the general conditions in Rio de Janeiro, and then finally the body by itself. These scenes repeat themselves in people's lives and throughout our work.

Thursday, 17 March 2011

Ch1: Social Model of Disability

There's a "social model of disability" that addresses examples like Mateus and when he was in his wheelchair and mistaken for a beggar. The social model says there's a difference between impairment - the condition of the body, and disability - the social exclusion. It's not someone's dodgy legs that stops them getting on a bus, it's the steps of the bus. Or, it's not Mateus' body that would've stopped him doing a job, it's the prejudice of employers. This model is saying that the physical and social bodies shouldn't be coordinated, that a physical defect shouldn't result in a disadvantage.

This response, in one of its extremes, is wonderfully brazen: looking everywhere except the body for the body's corporality. And, from that, we can learn, to look at sidewalks and buses and buildings as places where corporalities reside too. If we take out the bit about it being done by humans, we can see that corporalities reside in jungles and rivers in ways not necessarily created by a society, and they exist in the cracks in the sidewalk caused by rain, too.

But the body itself ends up being hidden. An approach that separates the natural (impairment) from the cultural (disability) stops us being able to talk about the natural. And the important thing is precisely the frontiers we draw between the two, and how some things give the impression of being physical and inevitable - someone's body, for example, or a medical condition.

What Mateus did in his personal life and daily encounters was to influence other people's reactions to his physical condition: through explaining, or through legal action. There are many different coordinations that can be made: the person that saw Mateus in a motorized wheelchair could've said, hey, that's quite expensive, he's probably not asking me for money. As Mateus gets to know people, his employers and colleagues included, they understand him in different ways.

Our own theorising has to keep up with what people are doing in practice. The separations and connections between the body and the social are very real questions in people's lives as they manage and negotiate their corporalities.

References

A reference for the "social model of disability" is Oliver, The Politics of Disablement (1990). In my critique of this model, I'm using the critiques Butler makes of the division between sex and gender in Bodies That Matter (1993).

Ch1: Coordinating the Body and the Social

The way I've set up the concepts in this work is that we are studying corporalities: the connections between bodies, objects and words and that this is a dynamic imagination. We're going to check my ideas about other ways of talking about bodies ("disabled" or not) that were reference points or inspirations for my own.

In this and the next post I'm going to talk about ways of relating the body and the social. I compare two different approaches, that I see as kinda opposites: British anthropologist Mary Douglas' work on the body and Michael Oliver's idea of the "social model" of disability.

In "Two Bodies" Douglas writes about the coordination between physical and social experiences of the body. She says that there is a dense and continuous communication between the two, and because of this, they are likely to be coordinated with each other. It would, for her, only be through a deliberate and conscious effort that they were not.

This is why there are representations of Good People being Good Looking, and Villains being Ugly & Deformed. There's a coordination between their bodies and their characters. And the people I met definitely experience this.

Mateus, using his motorized wheelchair, sometimes asks for "help" from strangers. Sometimes people think that he's asking for financial help, making the assumption that because he's in a wheelchair he's begging for money. And it's not just strangers that are the problem. To enter into his current job, he had to sue his employers, because they had rejected him on the basis that he would never be able to do the tasks necessary (citing lab-work, rather than the computer-based work he actually does).

Our next stop is the "social model of disability", which tackles precisely situations like these and will let us see a bit better how coordinations are less something to be taken for granted and more something that is actively being negotiated.

References

Douglas' essay on "Two Bodies" is in Natural Symbols - Explorations in Cosmology (1970).

Thursday, 10 March 2011

Ch1: An Imagination (and "Accessibility")

There are a few ways in which I see the idea of corporalities that I am developing here as an imagination. Let me give you an example of how this work has changed my own vision.

When I went to a new city, I would always look out of the bus/taxi windows to see the sidewalks and buildings. If they were high, they would scare me, and I would wonder how I was possibly going to get around if I couldn't get up the steps? If they were low, or there were ramps, I would feel elated and confident: I could take these steps! I'd be able to go where I wanted!

What I was seeing was accessibility in very personal terms: but I understood accessibility to be a purely physical matter. I was calculating the mechanics of whether I could physically get up or down some steps or a flight of stairs, and sometimes looking enviously and people who go up steps two at a time.

The imagination I am proposing is that these physical perspectives are true and important but not unique. It's not just the steps that are important: it's the people there and the ways they do or do not help one get in and out; and it's the alternatives available to going to that place.

We're going to navigate medical categories of disease, the physical properties of people's bodies and their environments: we need to find a way of talking about them that takes them seriously but that is nimble enough to keep up with the number of ways people in practice are doing things.

My research takes the experiences of people with diverse corporalities and tries to use them creatively. From an individual experience we find things that are suggestive about corporalities other people are involved in. While my principal subjects are chumbados, the ideas I develop are not meant to be restricted to them.

This discussion is carried out in practice when we compare the difficulties of access in Rio de Janeiro to other ways of thinking about it.

Ch1: Corporalities - Bodies, Objects and Words

Having moved away from the term "disability" and chosen the word chumbado, let me get on to the subject of my dissertation: corporalities.

By corporalities I mean the imagination of connections and relations between bodies, objects and words. Let me give examples from my fieldwork that show why I chose these three categories.

First, bodies. Many of the people I met do not get about the city by themselves, or do routine things at home by themselves. People who use manual chairs but don't have the strength to propel themselves need some to push. Also, some people need help with some or all of washing, getting dressed, going to the toilet, or turning over in their bed. The things they are doing on a daily basis involve more than one person; or in other words, their corporalities are produced by various bodies.

The use of wheelchairs and crutches already calls attention to the way objects are in relations with bodies. But I want a broader idea of objects that includes floors, sidewalks, buses, steps and entrances to buildings. These form people's corporalities not just by the way people physically interact with them but also by the decisions people make about where they will or will not go.

Finally, words, which I mean in a broader sense of discourse. Corporalities aren't only made by their physical properties: they are also formed by the interpretations of these properties. We'll see how situations that are similar in physical terms are seen in very different lights by different people and how their reactions are correspondingly diverse.

As you can see, I'm trying to make a notion of corporalities that doesn't just apply to chumbados. This is part of what I mean by this work being the development of an imagination.

Thursday, 11 November 2010

Ch1: "Medicine might be divine"

"Medicine might be divine," Teresa, the president of ACADIM tells me, "but doctors are not Gods." We're going to use this phrase to help us continue our discussion of coordinating the body and the social and the social model of disability. Teresa's words help us to think about how an individual can react to fixed conditions.

One of the purposes of ACADIM is to spread knowledge about Muscular Dystrophy in Rio de Janeiro. "Lots of doctors don't know what the dystrophy is," Teresa tells me, and she works for "adequate treatment". When she says that medicine might be divine, she works on the principle, spreading up-to-date knowledge, letting doctors know, and encouraging people with MD to find out accurate diagnostics and useful advice. She has a faith that it is through medicine that we can get to know our own bodies.

But doctors are not Gods. And with this I took her to mean a lot more than just a doctor who's unprepared to deal with someone who's got a Muscular Dystrophy. She particularly mentions cases of negative and immobilizing communications of diagnoses, but I think she's talking about a much wider issue: about people not letting their lives be ruled by their medical diagnoses.

She encourages people with degenerative muscular disease to consider the number of options they do have, and the number of possibilities that are open to them. If people go to the gym to work out and get well-defined muscles (sarado), she asks me, "why don't we with the disease go look for something for us to do too?"

The concrete suggestion here was hydrotheraphy. But what I admire in her question is that she saw something that she could not do - going to the gym and working on showing off a musculature - and she turned it into something that she could: valorizing the pleasure of working her own body.

What is at stake is not the divinity of medicine, but rather what we do with it.

Post modified Thursday, 17 March 2011.