It is imperative that individuals with physical impairments maintain an active lifestyle to enhance various aspects of well-being and overall quality of life. This population, however, are also one of the most sedentary in society. One identified reason for this is the ableism which exists in many fitness establishments that promotes acceptance of one particular body; the strong, physically athletic, muscular body is given value. Individuals who do not align to his particular physical reality may be subject to discrimination which can have a detrimental effect on their psycho-emotional well-being and deter them from exercising. Surprisingly, there is an increasing number of disabled individuals who are becoming gym instructors and further integrating themselves into a space which is deemed to oppress them. The purpose of this PhD is to explore these individuals' journey from gym clients to gym instructors. Framed by interpretivism and with particular focus on narrative inquiry, various qualitative analysis techniques were applied to explore 1) participants experiences exercising in the gym, 2) participants' motivations to be gym instructors, 3) how participants made sense of their gym instructor training and, 4)what impact participants perceived they had in the gym as instructors. This thesis has made original contributions to the literature by crafting a deep understanding of disabled people s experiences in the gym and why people enact social missions. For example, this thesis contextualizes disability in the gym and identifies that despite the numerous health benefits disabled people experience by exercising in this space, the psycho-emotional disablism they are subject to acts as a barrier for individuals to exercise here. Importantly, although disablism acted as a barrier to continued exercise for participants, it was also a facilitator in their decision to become a gym instructor. Essentially, participants described their own negative gym experiences as fuelling their desires to enact positive change in this space and do social missions in the gym. To be a gym instructor, participants went through a training programme specifically designed to train disabled people to embody this role. At this training, participants initially experienced a sense of validation and belonging through peer group exercise and were able to craft a collective story which allowed them to resist the oppressive disablism they experienced in the gym. However, as training continued and evolved so too did the narratives participants crafted to make sense of their experiences. Instead of one united story, participants crafted two conflicting narratives which redefined their relationship with each other and InstructAbility, and ultimately determined why some participants continued their training and others did not. For those who did continue to become fully qualified gym instructors, they felt they had a positive influence in promoting inclusion, exercise and diversity in the gym. In light of these findings, there are several practical recommendations for exercise practitioners, rehabilitation specialists, gym managers and those prescribing exercise to disabled people. Implications are aimed at improving exercise promotion and experiences of exercise in the gym for disabled people. For example, disabled gym instructors could be a way to bridge the perceived experiential gap between disability and the gym as they exhibit an alternate way of being which is accepted in this space. Through their experiential knowledge of disability and practical knowledge of exercise, these individuals can also relate to disabled clients in a way that non-disabled instructors cannot. Disabled gym instructors, however, can educate non-disabled gym instructors in how to train someone with an impairment. Equally, a more critical attitude to promoting exercise to disabled people is called for. Specifically, to steer away from disabling expectations and narratives of disabled people s motivations to exercise and move towards more realistic, enabling strategies and narratives to facilitate disabled peoples exercise behaviour.

This portfolio examines, contextualises and evaluates the contribution of six selected publications focussed on the social model of disability and discrimination within adult nursing in the UK. The publications all appear in peer reviewed journals and trace a developing understanding of the concept "disability‟, recognition of the impact of discrimination and the role that nurses play in sustaining this situation. It develops the idea that a shift towards the social model of disability will be instrumental in challenging disability related discrimination. Implications for adult nursing are examined including the potential of social advocacy and the need for a closer relationship between nursing studies and disability studies. The contribution to the knowledge base is unique in the context of adult nursing suggesting that embracing the social model may facilitate a legitimate contribution to the aims of the disability movement. A framework is developed for the evaluation of the contribution of the submitted papers using the concepts; Model of disability, Interests being served, Non-exploitative approaches and Challenging disablism by extensive dissemination [MINC]. The portfolio draws on many more than the six submitted papers in demonstrating an extensive dissemination strategy. The complexity of the concept of disability and the role of nurses in disability research is explored and critiqued. Contemporary critical theory is drawn on as an epistemological base combining critical analysis and reflexivity with empirical procedures. It concludes with tangible links into future developments of this body of work in championing the need for challenging discrimination and the potential use of the social model as a valuable tool in moving towards this goal.

The experiences of dyslexic adults in education as well as the 'caring professions' of nursing, teaching and social work continue to be fertile ground for academic study. This study extends the range of current academic knowledge of dyslexia in the workplace by exploring the experiences of dyslexic police officers across England and Wales. The context is the extension of disability-related equality legislation to the police service in 2004. The overarching aim of the study is to examine the experiences and perceptions of dyslexic police officers who are 'on-the-streets' and not in the classroom environment. This research is underpinned by the principles of the social model of disability (Oliver 1990) and in it, dyslexia is understood not as a stand-alone difference but rather as an aspect of neurodiversity (Cooper 2009) A qualitative and exploratory research strategy was adopted. Data was collected by way of self-completed questionnaires and from face-to-face semi-structured interviews with twenty-five serving or recently resigned dyslexic police officers from ten police services from across England and Wales. The data was analysed using Layder's theory of domains and his adaptive theory (Layder 2005 & 2013). This study identified that the overwhelming majority of dyslexic police officers experienced a broad range of attitudinal, procedural and police 'barriers' to their full integration into the police organisation. All of the participants in this study had disclosed to their employing police service that they were dyslexic. Participant understanding of dyslexia and disability was deeply rooted within the medical model rather than the social model. The study identified substantial evidence of bullying, and discrimination was identified across the broad range of police services as well as significant failings in the provision of workplace assessments by Job Centre staff. Despite this treatment very few participants complained or sought redress. The dominance of the medical model of disability in wider society, together with negative aspects of police 'occupational' culture, were identified as key factors in the participants' decision making processes. This research concludes that institutional disablism in terms of dyslexia is widespread across some police services in England and Wales despite the extension of the disability discrimination legislation to the police service. The research concludes with some recommendations for policy and practice.

Although people with disabilities have made significant strides toward educational equity, they continue to face struggles in college that perpetuate their dismal college outcomes. Current research focuses on struggles endured in the on-campus setting and provides little insight into online course experiences. Toward addressing the knowledge gap, the study opened a social portal to online higher education, leveraging disability as an experiential lens to understand online course challenges and the potential for universal design for learning practices to reduce obstacles to academic success. We considered online course experiences concerning impairment effects and disablism within a social relational disability studies perspective. The study's methodological approach embraced liberatory access, leveraging access intimacy to practice interdependence as a recruitment and data collection tool that valued and enabled a disabled, deafblind researcher. An inductive thematic analysis foregrounding seven students with disabilities' lived experiences identified three themes in the data: adapting to impairment effects, negotiating constrained autonomy, and assessing universal design for learning. Study results showed that students with disabilities negotiate how their impairments and chronic illnesses affect their embodied functioning while also contending with structural and pedagogical constraints that impede students' efforts to adapt in ways that allow for flexibility in pace, time, and duration of academic work. Online course spaces were most beneficial and supportive for students with disabilities when instructors practiced universal design for learning. The implications of experiencing disability in online courses include a need for disability justice approaches to faculty training and research investigating universal design for learning practices, students with disabilities invisible work, and access intimacy in the higher education context.

Drawing on the theoretical influences of Mad and Disability Studies; philosophical conceptualizations of epistemic injustice (Fricker, 2007), ethical loneliness (Stauffer, 2015), and psycho-emotional disablism (Reeve, 2012; Thomas, 1999; 2007); disability/service user/feminist ethics; a decade of Mad Movement community organizing; as well as autobiographical illustrations and empirical data from two collaborative research projects, this thesis describes my efforts to live a Mad politics in the community, academy, and social work education. Central to this politics, and to the overall contribution of the thesis, is its focus on (1) the recognition and redress of affective-epistemic harms that are often ignored by legislative/social welfare approaches to in/justice; and (2) the generation and refinement of Mad knowledge/ways of knowing that respond to our own priorities as Mad people, rather than those of mental health systems. It contributes to these areas of Mad Studies theory in several ways: First, by recognizing and politicizing the often ignored affective-epistemic effects of abandonment and neglect Mad people experience from society, including loneliness, anger, resentment, distrust, low expectations of others and lack of confidence. Second, by seeking new conceptualizations (such as epistemic loneliness) and contributing to existing ones (like expectations of just treatment, psycho-emotional disablism) in order to more adequately interpret and attest to these harms and call for their redress. Third, by affirming emergent Mad moral and epistemological frameworks, especially those that manifest in the aftermath of harm and account for ontologies of knowing. Fourth, by developing Survivor/Service User Research approaches to analysis (listening for resonance, everyday forms of service user resistance, and ‘quiet’ data) that value affective engagements with data and perceive and respond to Mad onto-ethico-epistemologies in and on their own terms. Ultimately, this work calls for greater relational justice, and an expansion of what we owe each other. / Thesis / Doctor of Philosophy (PhD) / This thesis contributes to Mad theory by recording some of the things I learned while trying to survive in the world, community organizing, the academy, and social work education as a Mad person. To do so, I reflect on the existential and ethical questions I brought to my doctoral studies, the people, texts, and concepts that I found particularly good company during this time, and my Mad methods of living/doing/knowing. Three separate but interconnected articles then follow. These are about (1) moving with loneliness as a Mad student; (2) resisting unmet expectations as service user ethics, and (3) how pedagogical partnerships between students and faculty/staff can cultivate marginalized students’ confidence in their knowledge. The thesis ends with a discussion of its overall contributions to how we conceptualize the psycho-emotional harms produced through sanism/disablism and the ways we understand what Mad knowledge is and how it is generated.