This chapter reproduces my Inaugural Professorial Lecture from 1993 and was published as Chapter 7 of the first edition of this book. I have reproduced it here for three reasons: first, the fact that I have had a mobility impairment for more than forty-five years has been of central importance in my life; second, my professorial lecture was an important landmark in my academic career; and, third, it shows that the claims that my work ignores impairment are false. I was tempted to update it but decided against because, despite the changing world, it still captures my essential views about the issues that I address therein.
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