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In some countries, the law requires that disabilities are documented by a healthcare provider in order to assess qualifications for disability benefits.Contemporary understandings of disability derive from concepts that arose during the West's scientific Enlightenment; prior to the Enlightenment, physical differences were viewed through a different lens.In the early 1970s, disability activists began to challenge how society treated disabled people and the medical approach to disability.Due to this work, physical barriers to access were identified.A disability is an impairment that may be cognitive, developmental, intellectual, mental, physical, sensory, or some combination of these.It substantially affects a person's life activities and may be present from birth or occur during a person's lifetime.Or the term may serve to refer to the identity of disabled people.Physiological functional capacity (PFC) is a related term that describes an individual's performance level.

In handicap racing, horses carry different weights based on the umpire's estimation of what would make them run equally.

During the Middle Ages, madness and other conditions were thought to be caused by demons.

They were also thought to be part of the natural order, especially during and in the fallout of the Plague, which wrought impairments throughout the general population.

These worked in tandem with scientific discourses that sought to classify and categorize and, in so doing, became methods of normalization.

The concept of the "norm" developed in this time period, and is signaled in the work of the Belgian statistician, sociologist, mathematician, and astronomer Adolphe Quetelet, who wrote in the 1830s of l'homme moyen – the average man.

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