(Re)fusing the Amputated Body: An Interactionist Bridge for
Transcription
(Re)fusing the Amputated Body: An Interactionist Bridge for
Hypatia, Inc. (Re)fusing the Amputated Body: An Interactionist Bridge for Feminism and Disability Author(s): Alexa Schriempf Source: Hypatia, Vol. 16, No. 4, Feminism and Disability, Part 1 (Autumn, 2001), pp. 53-79 Published by: Blackwell Publishing on behalf of Hypatia, Inc. Stable URL: http://www.jstor.org/stable/3810783 Accessed: 07/10/2010 05:59 Your use of the JSTOR archive indicates your acceptance of JSTOR's Terms and Conditions of Use, available at http://www.jstor.org/page/info/about/policies/terms.jsp. JSTOR's Terms and Conditions of Use provides, in part, that unless you have obtained prior permission, you may not download an entire issue of a journal or multiple copies of articles, and you may use content in the JSTOR archive only for your personal, non-commercial use. Please contact the publisher regarding any further use of this work. Publisher contact information may be obtained at http://www.jstor.org/action/showPublisher?publisherCode=hypatiainc. 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Hypatia, Inc. and Blackwell Publishing are collaborating with JSTOR to digitize, preserve and extend access to Hypatia. http://www.jstor.org (Re)fusingthe AmputatedBody: An Interactionist Bridge forFeminismand Disability ALEXA SCHRIEMPF Disabledwomen'sissues,experiences,andembodiments havebeenmisunderstood, if not largelyignored,byfeministas wellas mainstreamdisabilitytheorists.The reason for this,I argue,is embeddedin theuse of materialistand constructivist approaches to bodiesthat do not recognizethe interactionbetween"sex"and "gender"and and "disability" asmaterial-semiotic. Untilan interactionist "impairment" paradigm is takenup, we willnot be able to uncoverfully theintersectionbetweensexistand ableistbiases(amongothers)thatformdisabledwomen'soppressions. Relyingon the is one that such material-semiotic understanding sexuality phenomenon,I examine the operationof interwovenbiasesin two disabledwomen'snarratives. One woman with spina bifidadescribeda preadolescent encounterwith her gynecologist this way: "Will I be able to have satisfyingsexual relationswith a man?" "Don'tworry,honey, yourvagina will be tight enough to satisfyany man." Michelle Fine and Adrienne Asch (1988, 21) Why should feminists care about disability theory? Because feminists have missed the fact that disabled women's issues are different from able-bodied women'sissues.MichelleFineandAdrienneAsch (1988)point out that disabled women in general do not deal with the same oppressionsthat non-disabled women do primarilybecause disabledwomen are not seen as women in this Hypatia vol. 16, no. 4 (Fall 2001) © by Alexa Schriempf 54 Hypatia society.Forexample,"womenwith disabilitieshave not been 'trapped'by many of the social expectationsfeministshave challenged.They have not been forced to get marriedor to subordinatepaid work or childbearingor housekeeping" (Fine and Asch 1988, 26). By failing to pay attention to disability theory, feministswhose theory presumesto include disabledwomen underthe general rubricof "woman"fail to recognizethe differentexperiencesof disabledwomen in a sexist and ableistsociety.Disabledwomen are,of course,women. But given that the feminist critique is not just about "entrapment"but also about the oppressiveattitudes that normalizethat entrapment,feminism needs to turn to disability theory in order to deconstruct the normalizationsthat oppress disabledwomenas disabledwomen.However,as disabledfeministshave pointed out, disabilitytheory has not developedadequateresourcesto explain the lives of disabledwomen either.The reasonsfor this slippagebetween disabilityand feministtheories,I believe,has to do with the use of overwhelminglymaterialist approachesto explain gender and disability identities. In this introduction,I providean overviewof the two primaryexamplesI will be using to illustratemy points. The second section uncovers the difficultiesin using present feminist and disabilitytheory frameworksto account adequatelyfor the problemsposed by these examples.The thirdsection is a descriptionof an alternativeframework that providesus with a way to think and act responsiblyin dealing with these and other similarscenarios. In the epigraph,the exampleof the young womanwith spina bifidapresents us (feminists and disability theorists) with a disruptivemoment. There is a complex set of assumptionsand disruptionsoccurring here that is not fully explainedeither by feminist theory or disabilitytheory.It wouldseem that this young woman'sexperienceoughtto be framedsimultaneouslyby two biases-a sexist bias and an ableist bias. Let me explain. The young woman'squestion is promptedby a fear that her disability will cause her to be unable to have satisfyingsexual relationsat all because a) no one will see her as a fully adult (and thereforea sexual)womanand b) her impairmentwill makesex difficultor unpleasurable.This fearundoubtedlyoriginatesin society'sgeneralassumption that disabledpeople are unable to have sex. At firstglance, it seems that the doctor does not seem to participatein this view, but ratherin the view that a woman'srole in sex is to providesatisfactionto the male partner.This second view clearlyoffendsfeminist sensibilities.Additionally,those of us in disability studies and in the disability rights movement also take offense at what we have learnedto label, albeit somewhatvaguely,as an ableistattitude. But if we examine the doctor'sposition carefully,this doctor-patientscenario does not merita critiqueof ableismbecausedespitethe sexist bias, the doctorapparently never assumesor suggeststhat the young woman'sdisabilitycould play a role, negative or positive, in shaping her sexual life. Thus, we are left with only a partialexplanation of this woman'soppression. Alexa Schriempf 55 I am suggesting that we experience cognitive dissonance when we hear or read of examples like this one. The moment of disruptionstems from our inability to identify what is wrong with this picture in a language that is not limited by the frameworkand logic of a particulartheory.What is wrongwith this picture is not just that the doctor is sexist or that he is ableist;what is wronghere is that this woman has to ask this questionat all. How manyof the able-bodiedfeminist readersof this paper,because of their embodiment,have askedtheirdoctorsif they wouldbe ableto have satisfyingsexualrelations?This question promptsthe recognition that there is indeed some kind of ableism occurringhere. At the same time, there is an uncomfortablerecognition that feminists have not providedthe means for their disabledsistersto participate in feminist solidarity. Another equally controversialexample seems to be readily addressedby feminismand disabilitytheory.However,were we attuned to the subtleundercurrentof dissonance that drivesus to repeat,What is wrong here?we would recognize that neither disabilitytheory nor feminism,as they presentlystand, can answerthis question. The June 1987 issue of Playboycarriesa seven-page spreadof Ellen Stohl, who became a paraplegicaftera car accident.The article, "Meet Ellen Stohl," is introducedby the editors,who explain their decisions to photographStohl and run the piece. They firstreceived a letter from Ellen Stohl in 1985 requestingthat they consider her for modeling. She presented her case like this: after being injured in a car accident, she "realizedthat a wheelchair should not make a difference"to her modeling and acting career, and she re-doubledher effortsto pursuewhat she loved "not only for [herself] but also to teach society that being disabled does not make a difference" (Playboy1987,68). The editorsreportthe debatesthat circulatedin the office on whether to run the piece. Most felt that this was a great way to celebrate someone'slove of life, that her "truegrit"forcedthem to "reassess[their]view of the handicappedas 'victims."'The dissenting opinion was more concerned with being chargedwith "questionabletaste"(68) than with challengingsocial expectations of sexuality. We are then taken through a description of her life as a student, her experiencesin the hospital after the crash and her speaking engagements in classes about her life and sexuality as a disabledperson. Underlyingthe interview is the belief that her disabilityhas not changed her life. She informsher listenersthat having a disabilitydoes not diminish the sex lives of disabledpeople. Interspersedbetween the soft porn shots are pictures of her on horseback(without her wheelchair),with her friends at a fraternity (in her chair) and in a martial arts class (in her chair). The porn images are no differentfrom Playboy'susual run of soft porn shots. One shows her in a revealing wedding dress, looking directly at the camera;another has her in bed, her backsideand legs artfullydisplayedin the bed sheets; two have her upperbody playfullyhidden/exposedwhile she reclines in bed. 56 Hypatia Stohl also offers some interesting comments about her life as a disabled, sexually active woman. I want to offer a few briefhighlights here. Especiallysince my accident, I've felt that sexuality is the very essence of who we are ... and if somebodyor something takes awayyoursexuality,you don'tknow who you areor whereyou fit in.... [After the crash]I was a child again, and people treated me as such, not as a woman.... I was really lucky in that two orderliesin the hospital harassedme relentlessly-tried to pull my sheets off and stuff. They treated me like a woman ... It's funny-if I sit in my wheelchair,a lot of guys don't want to approachme, because they don't know how. But if I'm on a barstool, I'll be ripped off and asked to dance. And I'm not doing anything different;I'm just sitting in a different chair. ... I supposethere'll be those women'slibberswho say,"Idon't want to be seen as just a sex object."No, of course you don't want to be seen as just that. But would you want that taken awayfromyou?What does that makeyou?I think everywoman wants to be a sex symbolof some sort.When you take that away from us, we'renot whole. (68-74) How are we (feminists and disabilitytheorists) to understandthis? Let us begin with the presentationof her body. In the porn shots, her disability is renderedinvisible. Her wheelchair,her primarymeans of mobility, is absent. She does not pose standing, but always sitting or lying down; there are no visible indications of her paraplegia.Yet, they include photographsof her in her everydaylife, doing things that are not typically perceivedas things that disabledpeople can participatein. A distinction is being madebetween her life as a sexual being and her life "on the streets";in one, she has a clearlydepicted sexuality,in the other; she has a clearlyvisible disability.The two aspects of her self are neatly divided.The editorsoffer the everydaylife picturesas proof of her disability,rather than present her sexuality in conjunction with her disability.Indeed, her disabilitydoes not matterbecause, in these pictures, it is divorcedfrom her sexuality. However,we shouldnot naively accept Stohl's claim that her disabilitydoes not make a differenceat all. Forexample,she explains that differentpositions are sometimes needed during sex and that it takes some experimenting to figure this out. What she clearly means is that her disability does not make a difference in who she is, in her ability to have sexual relations, and that society shouldnot see her as less of a womanforhaving a disability.Her sudden demotion to a child-like status (as a result of acquiring a visible disability) meant that she was no longer viewed as a sexuallyviable and maturewoman. Thus, she welcomed the sexual harassmentfrom the hospital orderlies,since Alexa Schriempf 57 this behavior affirmedher sexuality and her adulthood.The feminist critique that she is being treatedlike a sexual object does not serve her well-it is this very objectificationthat makes her whole again. Paradoxically,this woman's liberation rests in her sexual objectification.This about-faceis not easy for feminists to handle. Nor is it easy for the disabilityrights movement to find any victory in the (in)visible mainstreamingof a disabled figurewithin the pages of Playboy. It takes the powerof two critiquesto uncover the hidden assumptionsand oppressionsoperatingin Stohl's story;but even applyingtwo critiquesdoes not revealthe issuemost at stakehere: the fact that Stohl findsherselfin a position where she must not only fight to be the author of her own sexuality but also must establish a sexuality in the firstplace. What is wrong here is that Stohl, in this society, has no sexuality at all as a disabledwoman. How many of us able-bodiedwomen must establishthe presenceof a sexualitybeforewe go on to authorit as we see fit?And how many of us are in the position of having to prove it and assertit every day? In this paper,I want to examine the sourceof the dissonancewe intuitively sense when viewing scenarioslike these two; in doing so I arguethat neither feminism nor disability theory can adequatelyaccount for our experience of dissonance becauseneither one can explain the simultaneousand interwoven oppressionsthat women with disabilities face. We are thus faced with the challenge of adoptinga new paradigm,one that requiresand enables a mutual dialoguing between feminism and disability theory in order to disentangle the complex interweavingsof misrepresentations,invisibility,and the multiple oppressionsof being female and disabled. BROKENBRIDGES: WHEREDISABILITYAND FEMINISTTHEORYFAILTO MEET When the disability rights movement began thirty years ago, in both the United States and Britain, there was a need for a principle(s) of disability that definedand explaineddisabilityexperiencefromthe perspectivesof those who were disabled and that provided the foundations for an active struggle and movement.1Broadlyconstrued, disability theory and politics argue that disabilityis conceptualizedas "deviance"froman able-bodiednorm;and for as long as this norm undergirdssocial expectations and understandingsof what constitutes "ability,"disabledpeople will be excludedand oppressed. The firstmodel used to understandand define disabilitywas the biological or medical model. It is predicatedupon the belief that disabilityis a disorderor a diseasethat needs to be minimized,if not completelycorrected,with medical intervention.This model views disabilityas something to be cured,because it never makesexplicit that "disability"is maintainedby social standardsof how 58 Hypatia a "good"body looks, acts, behaves, and performs-that is, a body that has the "right"numberof smoothly functional limbs and organs and does not drool, spasm,jerk, wheeze, wheel, limp, stutter,piss, or fart uncontrollablyeither in privateor public realms.But as disabilityscholars2have arguedfor quite some time, the agents in this normalizingprocessare membersof a ratherelite and powerfulclass that has at its disposalthe means to produceand control images of the "good"body.The medical model makeslittle or no distinction between impairment and disability; the two are used interchangeablyto indicate a disorder,malfunction,disfigurement,or dysfunctionof the body or brain. Under the medical model, the power to define and regulate impairment, disability,or any of the termsused above lies outsidethe disabilitycommunity, outside the disabled individual'scontrol and self-determination.How one's "impairment"is understood,interpreted,and incorporatedinto one's identity and experience is in largepart determinedby medical authoritiesand institutions. Typically(particularlyin the past), this kind of authorityhas a tendency to influence, if not dictate, the nature and degree of "disability"3and the range of participationin and contribution to society. Disability is viewed as something to be overcome;if it cannot be adequatelyminimizedor eliminated accordingto medical and aesthetic standards,the disabledindividualis either recommendedfor or actually institutionalizedor otherwise kept at home, out of the public eye.4 It should be fairly obvious that this model, whatever its good intentions to eliminate disability,is in fact oppressiveof disabledpeople's bodies, spirits,and minds. Perhapsless obvious is how and where impairment and disability are located in this model: in the individual, biological, and amputatedbody. I pun seriouslyon the term "amputated"to refer to both the impairedbody as well as the body which is removed (cut-off) from richly interwoven social, cultural, psychological, physical, and biological environments. When one views the disabledbody as deviatingfromthe healthyanatomical norm,she is dislocating(or amputating)the bodyfromthose social and cultural contexts that play a central role in shaping how disability and impairment occur.Put simply,the medicalmodel sees impairmentand disabilityas residing in the individual,anatomicalbody and not at all connected to social or cultural environments. Thus, according to this model, a paraplegicis understood to be someone who is paralyzedfrom approximatelythe waist down, who may or may not have bladderand rectal control or sexual function, and who most likely cannot walk unaided. The impairmentsand disabilities listed in this description reside in the individual'sanatomical description. They do not emergeas a resultof a sociallyand culturallysituatedbody.On this model, there is a directcorrelationbetween impairmentand disabilitysuch that impairment is not distinct from disability.That is, because her mobility is impaired,she is disabled.In this logic, the disabilityemergesin the simpleanatomicalfact that Alexa Schriempf 59 her legs are paralyzed.This makeslittle sense if we shift the locus of disability (but not impairment)from the "amputated"individualto the socially situated individual. Doing so reveals that while there may indeed be an impairment of the limbs, there is no disabilityuntil the individual'swheelchair-enhanced body is impededby the lack of access. This is the fundamentalpremiseof the second model of disabilityadvocated disability politics: the social model.5Under this model, disabilityis located by in society and not in the individual'simpairment.To continue the wheelchair example above, a paraplegic'sdisabling condition exists not as a one-to-one correspondencebetween the impairmentand the restrictionof activity,but as a resultof a society'sfailureto have universalaccess for wheelchairusers,such as curbcuts, ramps,elevators,and powerdoors,integratedin the environment. According to social model arguments,disabilityis not an individual,biological condition;it is a social condition. In fact, as MichaelOliverexplains:"disability is wholly and exclusivelysocial.... disability[has]nothing to do with the body. It is a consequence of social oppression"(Oliver 1996, 35). We see the impact this kind of thinking has for disabledpeople: "Itwasn't my body that was responsiblefor all my difficulties.It was external factors, barriersconstructedby the society in which I live. I was being dis-abled-my capabilitiesand opportunitieswerebeing restricted-by prejudice,discrimination, inaccessible environments and inadequate support. Even more importantly, if all the problemshad been created by society, then surely society could un-createthem" (Crow 1996, 206).6Another way of understandingthe import of the social model is to characterizeit in terms of feminism:without feminism, patriarchyremains unidentifiedas oppressive.Similarly,the social modelframeworkprovidesthe necessarystructuresand standpointsfromwhich to identify and locate the medical model of disability as a system of values (ableism)that oppressdisabledpeople. However,disabledfeminist scholarshave arguedthat despite its liberatory effects, the social model falls short in addressingdisabledwomen'sissues.For example, the doctor-patientscenario does not pose any problemsof access or ableist discriminationthat the social model would be concerned about. That is, the patient presumablyhad physical access to the doctor's building and office; clearly,she was granted an appointmentand not denied medical care; the doctor'sattitude, howevernauseatingit is, does not disablethe woman in any concrete way by imposingphysical,economic, social, or political barriers. Yet,as we know fromour moment of cognitive dissonance,there is surelysome kind of ableist bias occurringhere. Some disabledfeminists might arguethat the ableism lies in the doctor'slack of attention to impairmentissues-that is, those issues that arise as a result of having spina bifida. In general, most disabledfeministsarguethat becausethe social model ignoresimpairmentand its bodily problems,scenarios precisely like this one will continue to exist. 60 Hypatia Unless impairmentis recognizedand assessedas a partof disabledpeople'sdaily existence, the argumentgoes, disabledpeople will continue to face discriminatory attitudessuch as the belief that the body, impairmentsnotwithstanding, should be ignored or discounted as unimportant.The social model, in focusing on the social construction of disability, has amputated disabled (especially women's)bodies from their impairmentsand their biological and social needs. Disabledfeministshave consequentlyturnedto feminist theory to aid them in developing an analysisof disabledwomen'sexperiences. However,like the social model, feminismdoes not really include disabledwomen'slives. As Fine and Asch (1988) suggest in their work on women with disabilities,there is a seriousneed foran examinationof disabledwomen'sexperiences.It is crucialto note that Fine and Asch arguethat applyingthe feminist critiqueof patriarchy to disabled women'sexperiences will not offer an adequateaccount of their oppressions: women with disabilities have not been "trapped"by many of the social expectations feminists have challenged. They have not been forced to get marriedor to subordinatepaid work or childbearingor housekeeping.Instead,they have been warned byparentsthat men only "takeadvantage";they have been sterilizedbyforceorby "choice,"rejectedbydisabledand non-disabled heterosexualand lesbian partners,abandonedby spouses after onset of disabilityand thwartedwhen they seek to mother.(Fine and Asch 1988, 29) At present,the feministcritiquecannot addressdisabledwomen'sneeds, experiences, or oppressionsbecause disabled women are not recognized as women in this society. Because disabledwomen are seen as being helpless, childlike, or defenseless, they are denied the "choices"that trap able-bodied (white) women. Yet, paradoxically,they are viewed as "womanenough"to be sexually objectified, as we can see from the patient-doctorscenario and from Ellen Stohl's story. If feminism cannot speak about disabledwomen'sexperiences, how are we to begin this projectof examining disabledwomen'sissues? There is a parallelbetween feminismand disabilitytheory that drivesefforts to develop a theory about disabledwomen. This parallel is identifiedby Fine and Asch in their descriptionof the biologicalfoundationalism7undergirding both feminist and disabilitypolitics: althoughboth movementshave borrowedand profitedfromthe black civil rights movement, these later movements share the indisputablefact that in some situationsbiologydoesand should count. However,feminismand disabilityrightsadvocatesinsist Alexa Schriempf 61 that instances where biology matters are extremely rare, and such cases can be minimized by changing society to better incorporateall citizens. (Fine and Asch 1988, 26) In other words,many feminists and disabilitytheorists have held the position that there are some biological elements that are "by nature"and do matter, such as distinguishingbetween the "sexes"and between the "disabled"and the "non-disabled." The claim is that such "biologicalfacts"should not determine a person'srights,identity,experiences,qualityof life, etc. They operateinstead as a skeleton of "facts"that are then interpretedby society to mean certain things. It is this kind of"coatrack"thinking (or materialism)that shapesmost of the work that drawsupon both feminist and disabilityresourcesto explain disabledwomen'soppression. In the current literature,there are two main approachesto describingthe intersection of gender and disability,both of which drawupon the parallelof biological foundationalism.One is characterizedby advocating for a "return to impairment"in the social model of disability,a phrasecoined by LizCrow.8 The other is markedby the use of "additiveanalyses"to combine feminist and disabilityidentity analyses.I examine both approachesbrieflyin orderto show that unless we move awayfrom materialistframeworks,parallelnotwithstanding, and towardsan interactionistparadigm,feminismand disabilitytheorywill continue to slippast one anotheras they attemptto describethe intersectionof genderand disability.At the crux of my argumentis the claim that biological foundationalistor materialistthinking results in the dichotomizationof sex and genderon the one hand and impairmentand disabilityon the other. My position is that this dichotomizationis not only an inaccuraterepresentationof genderand disabilityidentities,but that it also impedesthe successfulbridging of feminism and disabilitytheory. LizCrow (1996) arguesfromwithin the parametersof disabilitypolitics that the social model's emphasis on the social construction of disability has led to the devaluationof the biological foundationof impairment,thus ignoring one half of the impairment/disabilitydichotomy.She recommendsa "renewed social model"that reinstates"real,"impaired(and women's)bodies to disability politics becauseimpairmentissuesarenot readilyor realisticallyignored(Crow 1996, 206, 208-9). She implicitly argues that focusing on impairmentand impairedbodies is a feminist issue. By extension, amending the social model in this way will serve to merge feminism and disability theory by restoring both halves of the dichotomy in disabilitypolitics. Jenny Morris,editor of the anthology wherein Liz Crow'swork appears,points out that "the prominence of men within the disabledpeople'smovement,and their generalreluctanceto talk about feelings, has made it difficultto move beyond this rathersimplistic version of the social model" (Morris 1996, 14). In other words,by relegating 62 Hypatia impairment(the biological)to the realmof the private,the disabilitymovement ignoresthe experiencesof the real,lived body.Against this simplifiedversionof the social model, Crowand Morrisarguethat becausethe personalis political, there is a need for returningto the body and for examining the privateas well as publicrealms.Conceivably,"bringingback impairment"or "returningto the body"becauseof the feminist principle,"thepersonalis political,"is a feminist insight.However,in examiningCrow'skey argumentbelow,it becomesdifficult to see how her "renewed"social model will offera way to promotean exchange between feminism and disability,which is key to any attempt to "feminize" a framework. The perception of impairmentas personal tragedyis merelya social construction;it is not an inevitablewayof thinking about impairment. Recognizing the importance of impairment for us does not mean that we have to take on the non-disabled world'sways of interpretingour experience of our bodies. In fact, impairment,at its most basic level, is a purely objective concept which carriesno intrinsicmeaning.Impairmentsimply means that aspects of a person'sbody do not function or they function with difficulty.Frequentlythis is taken a stage further to imply that the person'sbody, and ultimately,the person, is inferior.However,the firstis fact;the second is interpretation.If these interpretationsaresociallycreatedthen they arenot fixed or inevitable and it is possibleto replacethem with alternative interpretationsbased on our own experience of impairment rather than what impairmentsmean to non-disabledpeople. (Crow 1996, 211) Her position here is a biologicalfoundationalistone becauseshe arguesthat society should recognize that impairment,at "its most basic level" (that is, pre-social),has no inherent negative or positive meaning. She arguesthat if disabilitypolitics examines impairmentissues and can develop a stance that includesimpairmentin all its forms,then disabilityactivistscan bettereducate ableist society to view impairmentas a markerfor physicaldifferenceand not as an indication of a tragedy,or an inability to be fully functional. However, there is a problem in separating"impairmentas fact" from "impairmentas interpreted"in that this attempted separation does not fulfill her goal of presentingan approachthat is any differentfrom the traditionalsocial model approachto disability.The parallelruns something like this: "it'snot the disabilityitselfthat causesproblems,it'swhat societydoes when it sees a disability." This is the claim of the social model,which is akin to Crow's"add-impairment" formula:"it'snot the impairmentthat is a problem-it's how society interprets an impairment."Crow wants to make very clear that impairmentand dis- Alexa Schriempf 63 ability are two separatebut connected things. That is, there is a biological foundationalismoperatinghere:without impairment,therecan be no disability. Impairmentdoes not cause disability, "but . . . it is a precondition"for it (Crow 1996, 220). Impairment,to use Nicholson's metaphor again, operates as a coatrackupon which disability is heaped. Sadly, we do not advance the social model by re-introducingimpairment. Crowrecognizesthat talking aboutimpairmentruns the riskof readmitting the medical model through the back door9but arguesthat it is a worthwhile and necessaryrisk. However,the risk lies not in society'sinability to view disabilitypositively,but in trying to change the termsof the social model without changing its thinking. To talk about impairment,to acknowledgeits negative and its advantageousexperiences, to make it visible, means acknowledging morethan its roleas a buildingblock in the socialconstructionof disability.This is where the radicalpotential of Crow'sworkis revealed.Bringingimpairment back to disabilitypolitics is risky,yes, but only if we retain the social model. If we cling to the bio-social split inherent in its biologically foundationalist thinking, then any talk about impairmentwill in fact re-admitthe medical model through the back door. The social model'sbiological foundationalism does not allow for the possibilityof dealing with impairmentin any other way except as those rare "instances [in which] biology matters"(Fine and Asch 1988, 26). Although there is a radical potential in Crow'smove toward a renewed model that reinstates impairmentto an equivalent if not foregroundingrole with disability,it cannot accomplishthe full inclusionof peoplewith disabilities any more than the social model can. MairianCorkermight suggestthat this attempt to restorethe ignoredpart of the impairment/disabilitybinary has a "distinctlyDerrideanfeel" (Corker 1999b, 639) as it seeks to employJacques Derrida's"double affirmative"(Shildrick and Price 1998, 245); however, as Corker argues, it falls short of fully employing Derrida'snotion of differance, which would restructuresociety such that people with differencesare not just includedbut are alreadypresentin the social structure. BecauseCrow'srenewedmodeldoes not examine and challengethe implications inherent in the term "impairment"as "biologicallyfactual,"it does not succeed in addressingthe complex relationsof biology and social construction within the concepts of impairmentand disability.The position here is that impairmentis a biological given, a "meaningless"fact upon which disability, the social construction, is built. This is no differentfrom the premisesof the traditional social model. Further,adding impairmentto disability may be a feminist move to undo the model's inherent sexism in that it upholds the feminist slogan of politicizing the personal and the private, but it does not necessarilyoffer a way for feminismand disabilityto be bridged,other than to providea resonance with feminism'sdichotomizationof sex and gender. 64 Hypatia I admireCrow'seffortsto correctthe social model'ssexism.However,remembering the patient-doctorscenario, let us consider whether the restorationof impairmentissues to the social model would help this woman. If impairment as a strictly biological phenomenon were fully recognized side by side with disability as a social construction, would this woman still have to ask the question of whether she would be able to have satisfying sexual relations? Unfortunately,the answeris yes. The social and political fallout of including impairmentissues in disabilitypolitics may produceawarenessabout disabled people'ssex lives so that doctorscan furnishappropriateinformation.But I can think of at least two reasons why increasedpublic and/or medical knowledge about the particularsof disabled people'ssexual practices does not eradicate the need for this woman to ask her question. One, how does focusing on impairmententail a change in the doctor'ssexist attitude?Let'ssupposehe does focus on impairment-what guarantee is there that he will understandthe woman'squestion to be aboutherselfand not her heterosexualpartner'sneeds? Even if he focuses on impairment,he still can arrive at the same conclusion about her ability to provide satisfyingintercourse.There is nothing inherent aboutfocusingon impairmentthat directsone to think aboutthe right impairment! Two, regardingableist assumptionsabout sexuality,how does bringing back impairmentchallenge the notion that disabled people don't have sex lives in the first place?At best, focusing on impairmentmay raise and make public issuesof how to have sex, what kinds of positions workand don't work, what actions are best for producingsensual-sexualsensations,and where such sensationsmay be produced.But this again does not do more than to provide a kind of disability sex education; we are still left with the question of how to get this informationout not just to disabledpeople but to the public as a whole-for example,mainstreamingdisabilitysexualityin publicschool sex ed programs(which, given its currentlack of attention to able-bodiedsexuality, I'm not altogetheroptimistic will addressdisabledpeople'ssexuality anytime soon). In the doctor-patientscenario, a recognition of impairmentissuesdoes not revealthe normsthat encode the doctor'ssexist and ableistbiases.The doctor's replyis sexist and ableistbecause he upholdsa heterosex model of intercourse that is dominated by an ends-orientedimage of heterosexualcopulation. He misunderstandsthe woman'squestionnot justbecausehe is sexist and/orableist but becausehis ideaof sexual activity is shapedby the heterosexmodel'snotion of erogenouszones-basically, as long as the woman'svagina is accessible,then there are no questionsto be raisedabouther abilityto providesatisfyingsexual relations. The heterosexual model of sex is based on not just heterosexual presumptionsbut also on ableist ones. The ableism lies in thinking that the heterosexualerogenouszones of genitalia and breastsare the only or the most significanterotic zones,when in fact, there are multipleand varianterotic sites Alexa Schriempf 65 in the body. For as long as heterosexist norms, with their ableist and sexist fallouts, are in operation, no amount of politicizing impairment issues will undermine these norms unless we change our paradigms,because the social model is only about challengingpublicnotions of access and disabilitystrictly as social constructions.There is, in short,no roomfor impairmentin the social model except as a meaninglessbiologicalfoundation. If a returnto impairmentdoes not succeed,mightcombiningthe frameworks of feminismanddisabilitytheoryproducea viabletheory?Some feminists'°have attempted to merge disability theory and feminism by arguing that disabled womenmustdealwith the twin but separateoppressions(a "doublehandicap"') of being femalein a sexist society and being disabledin an ableistsociety.Once each oppressionhas been mappedout, one can then "add"the two togetherto arriveat an explanationof disabledwomen'soppression.To put it crudely,one might say something like: "disabledwomen face a dual oppression,one on the level of disability,the other on the level of gender.Both identities are social constructionsheaped upon two biologicalfacts-one of impairment,the other of sex. The two identities are alike, also, in that neither impairmentnor sex in and of itself is problematicor difficult-that is, each becomes a problem only when placed in a social context that is designed to be unwelcoming to its biological characteristics.So, if we want to understanddisabled women's experiences,we need to look at how it is that sex and impairmentareinterpreted as negative and how they combine to formdisabledwomen'sdual oppression." I agreewith Jenny Morriswhen she rightlyproteststhis way of thinking, stating that she feels "burdenedby disadvantage"(Morris 1996, 2). Additionally, feminists familiarwith MariaLugones'sand ElizabethSpelman's(1995) work will recognizethat this kind of thinking is markedby an "additive"or a "popbead"frameworkin which one theorizesseparateoppressionsand identitiesand then adds them back together as if that would explain the whole experience. An additivemodel often requiresassumingthat gender,disability,impairment, and sex are separateentities-ones distinguishedby biological and cultural binaries. Because it presupposesa bio/cultural binary, this model theorizes about disabled women only by adding the two "biological foundations"of sex and impairmenttogether to conclude that disabledwomen are oppressed along the twin axes of genderand disability.Although this approachrests on biological foundationalism,it is distinct from "returnto impairment"efforts in that it presupposesbut then ignores the biological foundationsof sex and of impairment. Let me returnto the Ellen Stohl storyfora moment:I wish to point out that there is a contradictionbetween her picturesand her narrative.Her narrative and the editors' letter present her as an advocate of disability rights and of disabled people's sexuality. Her pictures, however, do not portray her as a disabledperson when she is depicted sexually.We all know that most people 66 Hypatia do not actuallyreadPlayboybut buy it and go straightto the centerfold.What, then, have Ellen Stohl and disabilityrights gained by her modeling?Because her identity and statusas a disabledpersonare renderedinvisible in these porn pictures, society is never really confronted with the possibility of having to deal with and interprether impairment(the "fact")in a meaningful way. To echo Stohl, her disabilitydoes not matter (nor does her impairment)because both are invisible where it counts (in the centerfold). How can biological foundationalismoperatehere to explain Stohl's identity as a disabledwoman if the foundation (impairment)is missing?How can the additivemodel explain Stohl's identity as a disabledwoman if one of the terms (disability)is missing? In Playboy,Stohl is merelya woman, not a disabledwoman. But suppose,for the sake of argument,that we applied the additive model anyway.We would say something like the following: 1) she is oppressedas a woman when she is sexuallyobjectified;2) she is oppressedas a disabledperson in that Playboymakesher impairment-disability invisible-they deny and hide it so that they can produce "normal"porn images. However, this two-step reasoning does not accommodate the contradiction presented between her life as a disabled woman and her life as an able-bodiedmodel. The additive model fails because it does not reveal a circle of invisibility and denial, the intertwining of ideologies and oppressionsthat in the end affirm and deny Stohl's identity as a human being. In the firstof the above claims, a paradox re-emerges:by her own claims, Stohl is not oppressedas a woman-instead, the objectificationof her body reaffirmsher womanhood. This may be rebutted by the feminist litany that women are enculturatedto believe that the objectificationof their bodies is a complimentand integralto their identitiesas femalebeings. However,we cannot forgetthe context of Stohl's disability-by virtue of having a disability,she is not sexually objectifiedbut renderedan immature, childlike being. The objectification of her body is what makes her an adult being, according to her (whether the orderlies'behavior would be pleasing to her were she not disabled is difficult to determine from the interview-however, what we need to observe in this situation is her profound relief in understandingthat she was being perceivedsexually).But here again we are faced with another paradox:in Playboy,the objectificationof her body takes place only by denying her disability,by renderingher impairmentinvisible. We cannot allow ourselvesto be temptedby a quick-fixcircle of reasoning that argues that Stohl can be an adult if we simply overlook her disability. There are too many demands (disability rights and identity issues, feminist concerns and liberatorypolitics of sexuality,to name a few) to believe that we can merelylook past her disabilityand see a full-fledgedhuman being. In this society,in the pagesof Playboy,Stohl needs the (feminist-eschewed)objectification of her sexuality to be seen as adult-but that very sexual objectification is not possiblewithout denying her disability. Alexa Schriempf 67 Along with Jenny Morris, I do not believe that being a disabled woman means that I am female on the one hand and impaired on the other and that I am representedby the sum of these two categories.My position is that acknowledgingdisabled women's issues is a crucial but insufficient step, for up until this point our efforts to addressthese issues have been shaped by materialistframeworks(medical, social, and feminist models) that result in amputatingkey aspects of disabled women's lives. I argue that in order for feminists and disabilitytheoriststo exploredisabledwomen'sissues,we need a radicalreworkingin the way we approachthe body and its role in society. INTERACTIONISM AS A BRIDGE FRAMEWORK FOR A FEMINIST THEORY OF DISABILITY12 Feminist readersof this paper undoubtedlywill be familiarwith the concept of starting theory with the lives and experiences of specificgroupsof people. Establishinga feminist theory of disabilityrequiresthe profoundlyimportant recognition that women with disabilitieshave not been "trapped"by the same issues that non-disabledwomen face, as I pointed out in the introduction.But it also demands the recognition that women with disabilitiesare not dually oppressed,doubly handicapped, or double whatever;instead they embody a complex of interwoven situations: "genderreaches into disability;disability wraps around class; class strains against abuse; abuse snarls into sexuality; sexualityfolds on top of race ... everythingfinallypiling into a single human body"(Clare 1999, 123). In pursuingthis alternate understandingof disabledwomen, I argue that we need to adopt a new frameworkthat enables us to promote an exchange between disability theory and feminism.'3The point of such a dialogue is to take responsibilityfor understandinghow bodies-marked by gender and by disability,by impairmentand sex, among other things-are formedin, created by, and acted upon by society, and also act within and impact society. Donna Harawayexplains the need for a new framework: I think my problemand "our"problem is how to have simultaneouslyan account of radical historical contingency for all knowledgeclaims and knowing subjects,a critical practicefor recognizingour own "semiotictechnologies"for making meanings, and a no-nonsense commitment to faithful account of a "real"world.... We don't want to theorize the world, much less act within it, in terms of Global Systems,but we do need an earth-widenetworkof connections, includingthe abilitypartiallyto translateknowledgesamongverydifferent-and powerdifferentiated-communities. We need the power of modern 68 Hypatia critical theories of how meanings and bodies get made, not in orderto deny meaning and bodies, but in orderto live in meanings and bodies that have a chance for a future.(1991, 187) In payingattention to disabledwomen'sissues,we need a new way of thinking aboutbodies that departsfrombiologicalfoundationalismand viewsourbodies as radical sites for meaning and knowing. Because of their plasticity, their abilitiesto be craftedinto superiorbeings and to breakdown or be injured,our bodies are at once powerfuland weak, insuperableand vulnerable.If we are to satisfyHaraway'sdemandto live in bodies that have a chance forthe future,we need to understandhow disability"getsmade."I borrowNancy Tuana'sterm, to describe the way we can begin to addressthis question "interactionism,"i4 of how disabledbodies get made. In choosing this term, I wish to emphasize the move away from binarisms and towards a recognition of the materialsemiotic.15 Interactionismis foundedon the principlethat everythingis "alwaysalready" social and material.This is not an extremeconstructivistposition. Materiality always already impacts the social-that is, bodies are not presocial nor are social practices divorced from materiality.Layeredupon this premise, other "elements"or "categories"are also seen as interactive.Forexample,to speakof biologyas "interactive"is to understandthat there is no simply"objective"fact of the matterto be uncoveredby the processof scientificstudy-the biological will alwaysbe embedded in a social, human/environmentcontext. Likewise, that which is "social"will be understoodto be composed of and contributing to that which is "biological."Thus, the lines between things like "sex"or "impairment"("biological"entities) and "gender"or "disability"("social"entities) become blurred.There can be no bio-social split in this account. "Tosay that the body is 'alwaysalready'cultureis not to deny that it is 'alwaysalready' material;just do not make a dichotomyout of it" (Tuana 1996, 60). Tuanauses the exampleof bodybuildersto show how at the so-called "most basic level" the body is a fluid,plastic organ that defies the static boundaries between biology and culture:"Bodybuildersperformsex by transformingflesh. Culture [interacts]with biology.Biologyis a well-springfor performativity,but it is neither fixed nor static. Nor is it a completelyplastic backgroundthat the social formsinto particularstructures.It is active, productive,acted upon, and produced.There is a materialitythat must alwaysbe taken into account, but not separatedfromthe discursive.Indeed,the discursiveis itself markedby the body" (Tuana 1996, 63). Using the premise that bodies are material-semiotic interactions,Tuanaarguesthat the complexrelationsbetweenbinarismsshould be viewed as "emergentinterplay,"ratherthan as dichotomous(2001, 223).6 The adoption of a specific metaphysicwill motivate the recognition that Tuanaproposesthat binarismsare to be re-fused17: Alexa Schriempf 69 contemporaryphilosophies of the body must be supplemented with a new metaphysic that treats the relationship between bodies and culture as a dynamic [interaction],that refuses to treat nature and nurture as dichotomous, and that rejects a mechanistic, additive model. Feminists must replace the traditional physical object metaphysic,wherein each object has essential and accidental characteristics,with a process metaphysicsthat emphasizesphenomena. (1996, 61) Tuana further explains that a process metaphysicsis one that views nature and nurture not as separateand dichotomous processesbut as alwaysbeing dynamicallyinterrelatedand emergent(1996,61).With this processmetaphysic in mind, let us returnfora momentto Crow'spositionon impairment/disability. Crowarguesthat impairmentis, at its most basic level, an object or a fact of the body. Impairment,as an object, is then acted upon or interpretedby society to mean a disability.This view is a perfect example of the traditionalobject metaphysicthat Tuanasuggestswe replace.Impairmentis an "internallyfixed" object and is acted on by other things only externally. That is, the basic core unit of what constitutes an impairmentremains unaltered.What is an impairment,at its most basic level, as a pre-social,meaningless object?It is simplya physical/anatomical/mental/bodilydeviance, accordingto the object metaphysic.We are,by now,well-schooledin arguingthat this bodilydeviance in and of itself does not entail disability. However,I want to point out that this traditionalobject metaphysiccarries an automatic and unyielding understandingof impairment as not normal: impairment is "internallyfixed" and is signified only by its departurefrom an equally fixed norm. If we follow Crow in accepting that impairment is objective, pre-social,and internallyfixed, then it becomes impossibleto challenge the deviance froman able-bodiednorm implicatedin the physicalobject metaphysic.Impairmentcannot be "meaningless"or "factual."To think of it that way is to endorse a bio-social split as well as to create a scenario where impairment itself will be always alreadydisabling materiallyand culturally, simply by a de facto deviance. The impairedbody thus comes to indicate an amputatedbody-one that never quite fits. Along with Crow,I advocatea returnto the impairedbody,but at the same time I wish to re-fuse its impairmentand its disability.I am suggestingthat "impairment"and "disability"be understoodas interactional.That is, there is no clear line between the two; neither one can be relegatedto either the "biological"or the "social"realm.Impairment,like disability,becomesa partof the social fabricand is no longersimplya materialdescriptionof a meaningless bodily reality.18 Disability,like impairment,describesnot just society'sresponse to impairedbodies but also how those bodies are shaped both materiallyand 70 Hypatia culturally. The interactionist model describes claims of "impairment"and "disability"as those which emerge from a historical and cultural tradition of classifying bodies, objects, behaviors, and so on. Labeling impairmentis as value-ladenand political a practice as is labeling disability.Disability and impairmentare both alwaysabout bodies in social situationsand thus always about the materialand social conditions of not just one's body and its abilities but also of one'senvironment.Classificationtakesplace in a social context that is governedby normsthat emerge,in part,out of ourparticularembodiments.If these normsdepictcertainbodies as "able-bodied," then other bodiesarealways already"impaired."To have an impairmentthen becomes as disabling as the lack of social and physicalaccess. Shelley Tremainexplains:"Itis importantto recognizethat ideas and classifications[emergeand] work in a culturalmatrix of institutional practices."19 Effortsto separateimpairmentand disability,as the social model does, will alwaysmiscarrybecause they fail to recognize the material-semioticcomplexity of the multiple interactionsbetween body and culture, nature and society, sex and gender,and impairmentand disability.I am not advocating that we cease to make distinctions at all-I am arguing that we cannot make the distinctions dichotomous; instead we have to be clear about and accept responsibilityfor the impact of the distinctions that we do make. To clarify this, considerthe patient-doctorscenario again. Let us firstfocus on the conception of sexuality framing this interaction, and from here turn to a discussionof how the conception and embodimentof sexuality intersects with whether the doctor'sresponse stems from his perceptionof the physical condition as an impairmentor as a disability.I arguethat it makes little sense to ask this question, let alone answer it, because regardlessof whether the doctor is viewing his patient through the lens of "disability"or through the lens of "impairment," he will still fail to understandthe questionbeing asked.I want to look at the conception of sexualityunderlyingboth the patient'sneed to ask this questionand the doctor'sresponse,becausesexuality,eroticism,and erogenouszones are clearlymaterial-cultural.By understandingthe materialcultural interactionismin sexuality and how sexuality is markedby the body and vice versa, we can understand better how things like sex-gender and areinteractionistaswell becausethese arebodilymarkers impairment-disability that cannot be separatedfrom sexuality. Any human body has erotic sites that producepleasurablesensationswhen stimulated;but how are these sites located and identified?At present, our dominant conception of what body parts provideerotic sites is framedby the context of an intercoursemodel of sexuality where what matters are those sites associatedwith that model. Forexample,within an intercoursemodel of sexuality,male and femalegenitaliaconstitute the erogenouszones.These sites undeniablyprovidereal, physicalexperiencesof erotic pleasure;however,the Alexa Schriempf 71 possibility that they do provide erotic pleasureis shaped by our concepts of eroticism.The physicalityof the physicalresponsein erotic pleasureis shaped by social discourses,which arethemselvesshapedby physicalresponses.This is what Ellen Stohl means when she says,"evenwhere I have lessenedfeeling, on my legs, if I can watch a lover touch me, I can be visuallystimulated.Orgasms reallyhappen in the brain, after all" (Playboy,74). In evaluating the doctor'sresponse, we need to ask instead how his position, grounded in an intercoursemodel of sexuality, shapes his approachto impairment-disabilityand to sex-gender.To tease this out, let me pose a few hypotheticalassumptionsthat emergefromhis heterosexistframework:one, the doctor assumesthat women in generaldon't receive pleasurefrom intercourse or that their pleasureis irrelevant;two, the doctor assumesthat the woman's vagina is the only erogenouszone in sex; three, the doctor also assumesthat since the vagina is the only erogenous zone, the patient can provide sexual pleasurein spite of her impairment(disability?)since its nature is such that it does not interferewith the supposederogenouszone20;four,the doctor assumes that while the disability (impairment?)would not interferewith the woman's ability to providesex, it preventsher fromdoing anything else relatedto intercourse,such as gettingpregnant,bearingand raisingchildren,and experiencing sexualpleasureherself;five,the doctorassumesthat the impairment-disability is indeeddistinctfromsexualfunction and that anypossiblecomplicationsarising from having spina bifida (such as the loss of sensation in those heterosexual erogenouszones) have no bearing on sex or vice versa. Becausethe doctorparticipatesin an intercoursemodel of sex that not only operateson the above assumptionsbut also narrowlydefineswhat constitutes erogenouszones, he misses the import of the patient'squestion. Is he ableist or sexist in doing so? The first assumptionalone is enough to suggest that we can simply reduce this scenario to a case of outrageoussexism, regardless of the impairment-disabilitypresent. However, if we look again at the third assumptionabove, it bearsaskingwhat constitutes this erogenouszone. Are a woman'sgenitalia erotic for the man or for the woman?Forboth? In the case of the woman with spina bifida,the doctor is not concerned with whether or not she can experience pleasurefrom her erogenous zones because they are not erotic for her but for her male partner.Fromwithin an intercoursemodel of sexuality, the doctor views the woman'sgenitalia as the only relevant site for the man's erotic pleasure.Because he fails to view this narrowlydefined erogenouszone as belonging to the woman, it matterslittle whether a woman does or does not have genital sensations. For the doctor, as long as the spina bifida does not impede a man's access to that erogenouszone, then she can fulfill her duty as a satisfactoryprovider.Sexism winds into ableism. There is furtherableistbiasin the fourthassumption,wherethe doctorhypothetically assumesthat the young woman would never have children, mother, 72 Hypatia or nurture.She would never mother not because spina bifidaperhapsmakes it physiologicallyimpossibleor medically unadvisablebut because impaireddisabledwomen in this society are not seen as fit to be mothers.Thus, the only thing she should concern herself with is being an appropriatesexual object; and because the only really significant thing in an intercoursemodel of sex is the passivityof the woman'sgenitalia, this woman with spina bifidamakes an ideal body for a man's erotic desire. She supposedlyhas limited mobility, limited sensations, and no real capacity to mother: the doctor'sview is that men who have sex with her do not need to worryabout impregnatingher or to concern themselves with eroticallypleasing her because the part that counts does not workfor herbutfor them.And so ableismfolds into sexism. Asking whetherthe doctorviews this woman'sspinabifidaas an impairment or as a disability does not serve us or the woman at all, for his response is couched in interwovenableist and sexist biases that emergefrom his conception of and embodimentin an intercoursemodel of sex. Instead,we must ask, How is sexualityshapedby impairment-disability? How is impairment-disability influencedby sexuality?How does impairment-disabilityexist as a wellspring for sexual objectificationwhile at the same time being made invisible in the face of objectification?The problemof oppressionand discriminationagainst women with disabilities will not be solved by making distinctions between impairmentand disabilitybut by understandingtheir interactionand how this interactionismenables biases such as sexism, ableism,heterosexism,classism, ageism,racism,and others to feed and sustain each other. The young woman asksthe questionshe does becauseher understandingof the physicalitiesof sex is shaped by the dominant culture'sintercoursemodel framework.As an impaired-disabledwoman who has little or no sensationand mobility below the waist, she wants to know how she can participatein this norm. She does not possessthose heterosexualerogenouszones that matterin this frameworkbecausethose zones arepredicatedupon an able-bodiednotion of heterosexualintercourse.She framesher question in the way that she does becauseshe is wonderingaboutother waysof having satisfyingsexual relations that arenot shapedby an intercoursemodelof sex and becauseshe is wondering if this model of sex would indeed workfor her. In short, she is wonderinghow to have sex. Her body is speaking in a myriadof tongues: her cultural body, impactedby her impairment-disability,wonders if it can experience pleasure in the ways that societal conventions describe sexual activity; her impaireddisabledbody,shapedby social conventions of sexual intercourse,cries against its exclusion from the norm. Assuming that she has no genital sensations, wheredo these bodily murmuringsof Eroscome from?She asks the doctor the question because she is asking if Eroscan be achieved in a differentway.The way we think about sexuality at this time impairsaccess to erogenouszones that with access would shift this woman'sand others'sconceptions and lived experience of sexual ability.21 Alexa Schriempf 73 In a non-sexist,non-ableist,non-heterosexistsociety,this womanwouldnot experiencea conflict between her desiresand her body becausethe verynotion of sexualitywould be constitutedby a multitude.of erogenouszones and erotic acts. In embodying Eros and realigning erogenous zones in response to her impaired-disabledbody, the young woman becomes otherwise embodied:does her impairment-disabilitypersist in the face of a differentlyembodied and enculturatederoticism?Yes and no, because in an interactionistframework, and its erotithoughts about the body, its sex-gender,its impairment-disability, cism are shapedby the body; as the body changes, so too does thinking about the body.As thought changes,bodilybeing emergesout of these changes.Ellen Stohl knowsthis lesson well:her firstfearupon becomingdisabledwaswhether or not she would be able to have sex; later, as she learns to live with and she discoversand valuesthe eroticresponse embodyher impairment-disability, produced in her when a man pays attention to her feet. Her embodiment changes literallyovernight and suddenlyshe is faced with a body that may or may not respond and participatein the dominant conception of intercourse; as she embodies her new body, she altersher thinking about these dominant erogenouszones and discoversthat she has erogenouszoneseven in those areas where she cannot sense her own physicality. We need to give bodies a chance for the future by making it unnecessary for disabledwomen like Ellen Stohl to have to establish and re-invent their own sexuality and for disabled women like the young patient to have to ask about even the possibility of having pleasurablesex. An interactionist paradigmprovides the best resourcesfor those working in disability studies, feminist studies, and queer theory to re-conceptualizeand re-embodytheory and experience so that these bodies can not only survivebut flourish.Interactionism is also the best hope for feminism and disability theory to dialogue because it demandsthat we assumeepistemic responsibilityfor the categories by which we live. Becauseinteractionismis groundedin the understandingthat these categories,distinctions, and classificationsare material-semiotic,we are then in a position to alwaysbe examining and re-evaluatingour thinking and our embodimentas we encounter and navigate the worldand its inhabitants. CONCLUSIONS In this paper I have presented argumentsfor adopting a new paradigmthat enables us to research and develop accounts of disability and gender that alwaysrecognize the inseparabilityof those categorieswe seek to classify as interrelatedbut separableaxes. I would urge feminists and disabilitytheorists to consider and adopt an interactionist account that will enable a dialogue between the two movements.With such a dialogue, it will become possibleto see what contributionscan be made to both disabilityand feminist theories. LindaNicholson claims:"evento the extent that the cultureitself links gender 74 Hypatia to biology,a feminist analysisthat follows this approach(a feminismof difference and the biologicalfoundationalismon which it rests) is unableto account for those who deviate" (Nicholson 1994, 98). Unless feminism takes up an interactionist account, it will be of little use in aiding disabled feminists to develop a theory that can explain the gendered nature of disability or the disabling nature of gender, or include other critical locations; nor will the "deviance"providedby disabledwomen'sbodies, experiences,and knowledges be able to contribute to the growth of feminist theory. However, it is up to disability theorists to examine the ways in which disabled women's bodies present in the flesh22a living example of how bodies are variableand highly contextual. I submit, in closing, a comment made by Haraway in reference to the "biological female" that can serve us well in understanding how disabled women'sbodies and experiences,mediatedby and situatedin culture,technology,and nature,can providean avenueforre-fusingthe sex/genderdichotomy23: "Differenceis theorized biologicallyas situational,not intrinsic, at every level from gene to foragingpattern, therebyfundamentallychanging the biological politics of the body.The relationsbetween sex and genderhave to be categorically reworkedwithin these framesof knowledge. I would like to suggestthis trend in explanatorystrategiesin biology as an allegoryfor interventionsfaithful to projectsof feminist objectivity .... the boundarybetween animal and human is one of the stakes in this allegory,as well as that between machine and organism"(Haraway1991, 200). Along with Tuana'ssuggestionthat the plasticity of bodybuilderscan offer living examples of the interwoven and interactive processes of nature and culture, I suggest that disabled women's locations and experiencescan offera living exampleof the mediationbetween organismand machine. Indeed, without such technology, many of us disabled would not live past birth, let alone participatefully in public life. Of course, with the recent technological advances, it is becoming increasingpossible to correct disabilities in utero, as well as to abort disabled fetuses. Negotiating the politics of eugenics and euthanasia would require another paper;but I maintain that if we follow Haraway'sargument that in taking up disabled women's locations and experiences we treat them not as resources but as agents, we will soon see the necessity of understandingthe embodimentsand knowledgespresentedby disabledwomen. NOTES I am gratefulboth to myadvisor,NancyTuana,and to the guesteditors,EvaKittay, Anita Silvers,and SusanWendell,for cheerfullyprovidingthe support,unending sustenance,and critiqueneededto help me beginand completethis paper.Mairian Alexa Schriempf 75 Corkerand Eli Clare, through their publicationsand e-mail correspondence,provided thoughtful, challenging, and ultimately exhilarating dialogues. I would like to thank also the three anonymous reviewersfor Hypatia. I am most appreciativeof Patricia Halliday'smeticulousand provocativecritiquesof multipledrafts,her endless patience in late-night conversations, and her unique insights into the many facets of gender and disabilityidentity. 1. See Michael Oliver (1996). 2. Similarly,feminists have pointed out that Western societies have an idealized image of a "normal"body,one that is predominantlythat of a youthful,healthy,white, Europeanmale. It goes without sayingthat this body is able-bodiedas well;this invisible assumptionis one that is teased out by disabilitytheorists in the processof theorizing disability,impairment,and bodily differences. 3. To be more specific, medical establishments typically make no distinction between "disability"and "impairment."These two are identical-what matters to medicine are the "facts"of the biological/mentalcondition. Even though they profess to limit themselvesto the functions of the body,a closer look revealsthat becausethere is no distinction between impairmentand disability,what gets labeled as impairment often translates into a disability.That is, the impairmentcalled "blindness"is also a disability that means that the blind person won't be able to read. The social model argues,"putBrailleinto a blind person'shands and she is no longerdisabled,but merely impaired."The medical model doesn'trecognize this. 4. This, of course, depends on the nature of the disability.Forexample, someone with an acquired disability such as paraplegiaoften is not, nowadays, institutionalized. Likewise,disabledchildren with affluentand caring parentsare sometimesmainstreamed in society, depending on the resourcesavailable and on the willingness of the family to eliminate barriers. 5. In this paperI use the terminologythat is predominantin the United Kingdom, especially in sociology.In the United States and in Canada,the social model is usually, but not always;referredto as the "socialconstructivist"approachor model. 6. Notice that Crow says "all my difficulties."In other words, the body itself is responsiblefor some difficulties,while others are created by a society that refuses to accommodateher. This is an importantclaim, because as Crow goes on to argue,this suggests that there are some aspects of impairment/disabilitythat are difficult and "disabling"pre-socially.Crow makes this claim against the social model for a number of reasons,the most significantof which is that it denies and privatizesthe physicaland personalexperience of disability/impairment(Crow 1996, 209-13). 7. I borrowthis concept fromLindaNicholson (1994). She usesthe term"coatrack" metaphoricallyto referto the fact that "sex"is often understoodby feminist theoristsas a biological foundationthat serves as the basis, if not the essence, upon which gender, the social construction, is "heaped."Following Nicholson, sex and impairmentoften function as unchanging and meaningless coatracksor biological foundations for the social constructions of gender and disability, respectively.The disability movement, like the feminist movement, argues that impairment (like "sex") means very little until placed in a context of meaning that attributesor denies certain activities, values, expectations, and behaviors to that body type. Thus, what needs to be challenged is society's concept of disability,not impairment(see UPIAS [1976]and ICIDH [1980] 76 Hypatia definitions of impairmentand disability).The equivalent in feminism, of course, suggests that it is society'sconcept of gender,not sex, that needs to be challenged. 8. Other disabledfeminist theoristswho focus on impairmentand disabledbodies includeJenny Morris(1993; 1996), Nasa Begum (1992; 1996), MairianCorker(1998a; 1998b;1999a; 1999b),MargritShildrickand Janet Price (1998), Carol Thomas (1999), and RosemarieGarlandThomson (1994). 9. Crow states: "ourinsistence that disadvantageand exclusion are the result of discrimination and prejudice, and our criticisms of the medical model of disability, have made us wary of acknowledgingour experiences of impairment.Impairmentis safernot mentioned at all" (Crow 1996, 209). 10. See Mary Jo Deegan and Nancy Brooks (1985), William Hanna and Betsy Rogovsky (1991), Susan Lonsdale (1990), and Nancy Mudrick(1983). 11. Deegan and Brooks (1985) use this phrase. 12. I borrow from Susan Wendell's title, The RejectedBody: Towarda Feminist Theoryof Disability(1996). 13. My arguments for an interactionist paradigm are not new. Susan Wendell, MairianCorker,MargritShildrickandJanetPrice,Eli Clare,and MargaretLloyd(1992) have adoptedsimilarframeworksin their approachesto disabilityand its intersectionality with other identities. The importance of dialogue between disciplines is further emphasizedby Corker,especially in her article "Difference,Conflations and Foundations"(1999b). ForCorker,such dialoguecan only emergewhen disciplinesbreakdown their rigid dichotomies (personalcorrespondence,2000). 14. Tuana (1996; 2001). 15. Arguably,JudithButlerand Donna Harawaywere among the earliestfeminists to advocatefor a morecomplex account of woman,by using termssuch as performativity (Butler 1990; 1993) and material-semiotic (Haraway1991). Forreasonsof space, I draw upon primarilyTuana'sand Nicholson's work. Other theorists who employ similar refusalsof binarismsand biological foundationalisminclude Mairian Corker (1998a; 1998b; 1999a; 1999b), MargritPrice and Janet Shildrick (1998), and Ruth Butler and Hester Parr(1999). It shouldbe noted that while these theoristsdo not use interactionism to describe their work, I find that they share the same paradigmaticthinking. I am grateful to Mairian Corkerfor informing me of Butler and Parr'swork (personal correspondence,2000). 16. This is the position endorsed by Corker as well, in her arguments against maintaining "material"and "ideal"understandingsof disability and impairment.See Corker(1999b). 17. Mairian Corkeralso arguesfor a paradigmin which these dichotomies are refused, but also wherein the political strength and motivation provided by the social modelist concept of "disability"is preserved:"it is perfectlypossible to retain UPIAS' concept of disabilityas a formof social oppressionwhilst problematisingthe foundations on which it is built-the conceptual distinction between disability and impairment" (Corker 1999a, 631). 18. This view will undoubtedlybe (and has been) protested;giving up the claim that a "real"impairmentis at the basis of having a disability makes possible the lack of distinction between the disabledand non-disabled.This threatens the basis of the Alexa Schriempf 77 disability movement by undermining"disabilityidentity."It is commonly understood in the disability movement that the preferredway of identifying oneself as a disabled person is left at precisely that-the specific disability (MS, ME, blind, low vision, deaf, hearing-impaired,etc.) is not centrally relevant to the person's identity as a disabledperson.What are importantto a disabledperson'sidentity and the subsequent connection to others who are disabledare the sharedexperiences of being disabledby society; there are, of course, shared experiences of similar"impairments,"but what is central is that there is a sharedexperience of oppressiondue to physicaldifference.See Corker (1999b) and interview with Simi Linton in The Chronicleof HigherEducation (Monaghan 1998): "I tend not to say [what my disability is] because I think it's a distraction.... it's not totally irrelevant.... when I say I'm a disabled women, I'm not talking about the fact that I have an impairment,I'm talking about my identity." This understanding of identity grounds the following position, held by many disability theorists and activists: "I am not willing or interested in erasing the line between disabledand non-disabledpeople, as long as disabledpeople are devaluedand discriminatedagainst, and as long as naming the category serves to call attention to that treatment"(Linton in Monaghan 1998, 13). I do not claim that such distinctions between the disabledand non-disabledcannot be made at all. They can and need to be made, but not in biologicallyfoundationalistterms. I cannot here proposehow we can distinguishbetween the non-disabledand the disabled,but I suggestthat by examining and participatingin the knowledgeclaims of other social theories such as feminism,we might be able to expand and clarifyhow this distinction can be made responsibly. 19. Email correspondencefrom Shelley Tremain(2000) on disability-researchlist, 9 June, 2000. 20. Spina bifida is a gap or split in the spinal column as a result of "improperly" formedvertebrae.Paraplegiaoften resultsfromspina bifida-but the specificsof mobility and sensation vary individually. 21. I am indebted to Nancy Tuana for the thoughts contained in these particular paragraphs. 22. Tuana (1996). 23. Refusingdichotomiesis a partof SandraHarding's"successorscience"(Harding 1998), and what Haraway(1991) calls "feministobjectivity,"which is predicatedupon situatedknowledges. REFERENCES Begum, Nasa. 1992. Disabled women and the feminist agenda. The FeministReview 40: 70-84. .1996. Doctor,doctor... : Disabledwomen'sexperiencesof generalpractitioners. In Encounterswith strangers:Feminismand disability,ed. Jenny Morris. London: The Women'sPress. Butler,Judith. 1990. Gendertrouble:Feminismand the subversionof identity.New York: Routledge. 78 Hypatia .1993. Bodiesthatmatter:On thediscursivelimitsof "sex."New York:Routledge. Butler, Ruth, and Hester Parr. 1999. 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