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Relating through differences: disability, affective relationality, and the U.S. public healthcare assemblage

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Abstract

Using affect theory and disability theory, this article theorizes relationality as it emerges between disabled people who require daily assistance and their paid care providers. In response to the question of how people relate when not only their social identities but also their embodied capacities are different, the concept of affective relationality is developed. Using the work of Deleuze and Guattari, Spinoza, as well as Harney and Moten, I describe how such relationality emerges based on the ontological, haptic connection of bodies that develops through recursive practices of a task co-conducted by and between those bodies, and is co-capacitative. As this study takes place in the U.S. neoliberal public healthcare assemblage—which involves mainly lower- or no-income disabled beneficiaries and their paid workers who are disproportionately lower-income, non/immigrant women of color—the concept of affective relationality is brought into the political arena by contemplating what the relationality does in such assemblage.

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Notes

  1. Receiving and providing long-term care means that care recipients and providers spend time together almost every day of the week to conduct the care-based tasks assigned by care agencies (e.g., assistance in bathing, dressing, cooking). Hours of care provision assigned to care providers and recipients I interviewed vary from 4 to 12 h a day, five to seven days a week. (In cases where a disabled person requires care every day, a few care providers rotate throughout a week.) Therefore, care providers and recipients of long-term care often spend most of their waking time together and co-experience daily events.

  2. I use the term learning to emphasize its connotation to how the synchronization of bodies is gradually achieved through accumulated and repeated practices.

  3. While Spinoza’s notion of body entails “the actual existence of a human body and the formal essence of a human body,” (Garrett 2009, p. 286) in this article I bring up his work to think about the actual existence of and ontology of human body.

  4. The study this article is based on was conducted prior to the application of the Fair Labor Standards Act to domestic service under the U.S. Department of Labor (n.d.) which brings minimum wage and overtime protection among other labor protections.

References

  • Bernstein, N. 2014. Pitfalls seen in a turn to privately run long-term care. New York Times, March 6, A1.

  • Bernstein, N. 2014, July 15. Medicaid home care cuts are unjust, lawsuit says. New York Times, p. A18.

  • Blackman, L. 2010. Embodying affect: Voice-hearing, telepathy, suggestion and modelling the non-conscious. Body & Society 16(1): 163–192.

    Article  Google Scholar 

  • Blackman, L., J. Cromby, D. Hook, D. Papadopoulos, and V. Walkerdine. 2008. Creating subjectivities. Subjectivity 22: 1–27.

    Article  Google Scholar 

  • Breckenridge, C.A., and C. Vogler. 2001. The critical limits of embodiment: Disability’s criticism. Public Culture 13(3): 349–357.

    Article  Google Scholar 

  • Butler, J. 2004. Precarious life: The powers of mourning and violence. London: Verso.

    Google Scholar 

  • Chandler E. 2012. Cripping community: New meanings of disability and community. Nomopotlucks, 19.

  • Chen, M. 2012. Animacies: Biopolitics, racial mattering, and queer affect. Durham, NC: Duke University Press.

    Book  Google Scholar 

  • Clough, P.T. 2007. The affective turn: Theorizing the social. Durham, NC: Duke University Press.

    Book  Google Scholar 

  • Clough, P.T. 2008. The affective turn: Political economy, biomedia and bodies. Theory Culture Society 25(1): 1–22.

    Article  Google Scholar 

  • Curti, G.H., and M. Moreno. 2010. Institutional borders, revolutionary imaginings and the becoming-adult of the child. Children’s Geographies 8(4): 413–427.

    Article  Google Scholar 

  • Deleuze, G. 1990. Expressionism in philosophy: Spinoza. (M. Joughin, Trans.). Brooklyn, NY: Zone Books.

  • Deleuze, G., and Guettari, F. 1987. A thousand plateaus: Capitalism and schizophrenia. (B. Massumi, Trans.). Minneapolis, MN: University of Minnesota Press.

  • Ehrenreich, B. and Hochschild, A. R. (eds.) 2004. Global woman: Nannies, maids, and sex workers in the new economy. New York, NY: Mcmillan

  • Erevelles, N. 2011. Disability and difference in global context: Enabling a transformative body politic. New York, NY: Palgrave Macmillan.

    Book  Google Scholar 

  • Flores-González, N., Guevara, A., Toro-Morn, M., and Chang, G. (eds.) 2013. Immigrant women workers in the neoliberal age. Urbana, Chicago, and Springfield: University of Illinois.

  • Folbre, N. 2006. Nursebots to the rescue? Immigration, automation, and care. Globalizations 3(3): 349–360.

    Article  Google Scholar 

  • Folbre, N. (ed.). 2012. For love or money: Care provision in the United States. New York, NY: Russell Sage Foundation.

    Google Scholar 

  • Fox, N.J., and P. Alldred. 2013. The sexuality-assemblage: Desire, affect, anti-humanism. The Sociological Review 61: 769–789.

    Article  Google Scholar 

  • Fritsch, K. 2010. Intimate assemblages: Disability, intercorporeality, and the labour of attendant care. Critical Disability Discourse 2: 1–14.

    Google Scholar 

  • Fritsch, K. 2013. The neoliberal circulation of affects: Happiness, accessibility and the capacitation of disability as wheelchair. Health, Culture and Society. doi:10.5195/hcs.2013.136.

    Google Scholar 

  • Frosh, S. 2008. Elementals and affects, or on making contact with others. Subjectivity 24: 314–324.

    Article  Google Scholar 

  • Garrett, D. 2009. Spinoza on the essence of the human body and the part of the mind that is eternal. In The Cambridge companion to Spinoza’s ethics, ed. O. Koistinen. New York, NY: Cambridge University Press.

    Google Scholar 

  • Gibson, B.E., F.A. Carnevale, and G. King. 2012. “This is my way”: Reimagining disability, in/dependence and interconnectedness and assistive technologies. Disability and Rehabilitation 34(22): 1894–1899.

    Article  Google Scholar 

  • Glenn, E.N. 2010. Forced to care: Coercion and caregiving in America. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Goodley, D., R. Lawthom, and K.R. Cole. 2014. Posthuman disability studies. Subjectivity 7: 342–361.

    Article  Google Scholar 

  • Haraway, D.J. 2008. When species meet. Minneapolis, MN: University of Minnesota Press.

    Google Scholar 

  • Harbelstam, J. 2013. The wild beyond: With and for the undercommons. In The undercommons: Fugitive planning & black study, ed. S. Harney, and F. Moten, 2–13. Brooklyn, NY: Autonomedia.

    Google Scholar 

  • Harney, S., and F. Moten. 2013. The undercommons: Fugitive planning & black study. Brooklyn, NY: Autonomedia.

    Google Scholar 

  • Hooks, B. 2000. Feminism is for everybody: Passionate politics. New York, NY: South End Press.

    Google Scholar 

  • Lowe, L. 1997. Immigrant acts: On Asian American cultural politics. Durham, NC: Duke University Press.

    Google Scholar 

  • Massumi, B. 2015. Politics of affect. Cambridge: Polity Press.

    Google Scholar 

  • McCarthy, J.R., and R. Prokhovnik. 2014. Embodied relationality and caring after death. Body & Society 20(2): 18–43.

    Article  Google Scholar 

  • Nishida, A. 2015. Affecting neoliberal public health care: Interdependent relationality between disabled care recipients and their care providers (Doctoral dissertation). New York, NY: The Graduate Center, City University of New York.

    Google Scholar 

  • Nishida, A. Under review. Necropolitics of neoliberal public health care: Capacitation and debilitation of disabled people and their paid care providers. Manuscript submitted for publication.

  • Polson, D. 2013. The Caring precariat: Home health care work in New York City. (Unpublished doctoral dissertation). The Graduate Center, The City University, New York, NY.

  • Powers, L. E., and Oschwald, M. n.d. Violence and abuse against people with disabilities: experiences, barriers and prevention strategies. National Clearinghouse on the Direct Care Workforce. http://www.directcareclearinghouse.org/download/AbuseandViolenceBrief%203-7-04.pdf. Accessed December 1, 2010.

  • Puar, J.K. 2009. Prognosis time: Towards a geopolitics of affect, debility and capacity. Women & Performance: A Journal of Feminist Theory 19(2): 161–172.

    Article  Google Scholar 

  • Puar, J.K. 2012. CODA: The cost of getting better suicide, sensation, switchpoints. GLQ 18(1): 149–158.

    Article  Google Scholar 

  • Ruddick, S. 2010. The politics of affect: Spinoza in the work of Negri and Deleuze. Theory, Culture & Society 27(4): 21–45.

    Article  Google Scholar 

  • Ruddick, S. 2012. Power and the problem of composition. Dialogues in Human Geography 2(2): 207–211.

    Article  Google Scholar 

  • Seigworth, G.J., and M. Gregg. 2010. An inventory of shimmers. In The affect theory reader, ed. G.J. Seigworth, and M. Gregg, 1–25. Durham, NC: Duke University Press.

    Google Scholar 

  • Shildrick, M. 2015. Living on; not getting better. Feminist Review 11(1): 10–24.

    Article  Google Scholar 

  • Slife, B.D. 2004. Taking practice seriously: Toward a relational ontology. Journal of Theoretical and Philosophical Psychology 24(2): 157–178.

    Article  Google Scholar 

  • Smith, B. 1998a. The truth that never hurts: Writings on race, gender, and freedom. Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Stephens, L., S. Ruddick, and P. McKeever. 2015. Disability and Deleuze: An exploration of becoming and embodiment in children’s everyday environments. Body & Society 21(2): 194–220.

    Article  Google Scholar 

  • Siebers, T. 2008. Disability theory. An Arber, MI: University of Michigan.

    Book  Google Scholar 

  • Smith, B. 1998b. The truth that never hurts: Writings on race, gender, and freedom. New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Spinoza, B. D. 1996. Ethics. (E. Curley, Trans.). London: Pengiun Classics.

  • Spinoza, B. D. 1987. Ethics; On the correction of understanding. (A. Boyle, Trans.). London: Everyman’s Library.

  • The United States Department of Labor (n.d.). We count on home care: U.S. Course of Appeals unanimously upheld DOP rule, opinion effective as of October 13, 2015. Retrieved from http://www.dol.gov/whd/homecare/litigation.htm.

  • Yuval-Davis, N. 1997. Gender and Nation. London: Sage.

    Google Scholar 

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Nishida, A. Relating through differences: disability, affective relationality, and the U.S. public healthcare assemblage. Subjectivity 10, 89–103 (2017). https://doi.org/10.1057/s41286-016-0018-2

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