Friday, February 23, 2007

On Destigmatizing Difference

Last Saturday I got myself a pair of those sneakers with small, removable wheels in the heels that seem to be popular with the pre-teen set. Frivolous? Perhaps, but they were on sale, and I'd been eyeing them longingly for over a year, thinking about how much fun it would be to zip around and spin and glide across smooth surfaces the way I saw countless 12-year-olds doing whenever I went out anywhere. And I've been tremendously enjoying this alternative means of traversing horizontal surfaces, to the point where "normal" walking is beginning to seem a bit, well, pedestrian.

I've always been intrigued by nonstandard methods of locomotion (possibly starting in infancy, when I supposedly preferred to crawl backwards). By around the age of three, I'd also developed a fascination with mobility devices, including crutches, wheelchairs, and walkers -- all these things feature prominently in my early drawings, and I remember very contentedly sitting and drawing them, trying to get the lines and angles just right. My fascination with these devices completely independent of the social and cultural baggage I later realized was attached to them -- I saw them as interesting objects and as tools.

It wasn't until mid-adolescence when it started to dawn on me that devices like crutches and wheelchairs carried strong associations with pain and pity for many people. Finally, I knew why people had expressed so much discomfort with my interest in (and use of) such things...they didn't see them as tools or even toys, as I did, but as symbols. Symbols of states in which they preferred not to imagine themselves, and symbols representing the shapes of things most people would seek to discard, rather than embrace.

But is this truly an accurate or constructive way of looking at things? As far as this author is concerned, no, it isn't. There is nothing remotely progressive about holding on to old symbols and archetypes when rather than deepening and enriching and explaining various aspects of sentient existence, these sociolinguistic objects start to supersede and obscure the power of the actual, physical objects they initially applied to (while simultaneously, and often unwittingly, devaluing the people who would make good, practical use of these objects).

While there is doubtless power in language and the reality-structures created by language, there is a different but no less real power in the physicality of things that exist even when our eyes are closed, our ears are blocked, and our attention is diverted. Without cultural baggage applied, a crutch is simply a versatile piece of wood or metal, and a speech synthesizer is simply another voice with a person behind it.

I fully support the right of all persons to seek and access the means to alter their intrinsic physical/cognitive configuration, regardless of whether that alteration brings that person closer to or further from contemporary norms. But I also support the right of all persons to not alter themselves or be altered except under the circumstances of informed, nonduressed consent. These are the tenets of morphological liberty, which represents a point of stark and obvious convergence between disability theory and the emerging technosocial discourse surrounding the emerging and potential applications of transformative technologies.

One of the important implications of holding morphological liberty as a primary ideal is that if a majority of people truly recognized this ideal, we'd probably have a lot easier of a time getting various kinds of adaptive technology to people who might benefit from it -- and in the process, we'd be broadening the scope of what is considered acceptable in terms of societal and personal functioning.

This is why I defend my philosophical positions on such matters with primary regard to morphological liberty and the value of diversity. Romanticizing disability might initially sound progressive and inclusive, but taken too far, it can lead to a kind of depersonalization every bit as insidious as the sort that stems from taking a "leave-the-weak-ones-for-the-wolves" utilitarian position. It is no more right to turn someone into a political or even religious symbol (as in the case of Audrey Santo, who had akinetic mutism, and is described as "an instrument" and "one with Christ") than it is to smother them with unrelenting patronization and pity, and indeed there's something inherently patronizing about making someone into a symbol.

People who need feeding tubes, ventilators, wheelchairs, crutches, or speech synthesizers should certainly be looked upon with no greater horror or disgust than people who use calculators or roller skates.

But at the same time, such individuals should not be reduced to embodiments of even supposedly "positive" disability stereotypes, such as the hero archetype.

People are people, not archetypes, and when people require or prefer to use particular technologies in going about their daily lives in a maximally enabled and participatory fashion, it is the responsibility of an inclusive society to consciously blur the lines between intrinsic and extrinsic means of technological enablement.

Certainly, if someone wants surgery to address their paralysis they should be able to get it, but if this sort of surgery is offered only in the context of a culture that pities or talks patronizingly toward people who use wheelchairs, then there can really be no such thing as informed, nonduressed consent.

Upon encountering a person, it should not matter to any of us just how this person chooses to seek enablement with regard to their social participation. Modern humans are already beginning to blend with our machines, to the extent where the loss of a PDA can be tantamount, functionality-wise, to a traumatic brain injury. And as such, it only makes sense that a rational culture would be lenient and liberal with regard to the various means by which people can creatively address their challenges.

The destigmatization of adaptive technology is part and parcel of the process of technodevelopmental change along a positive trajectory likely to lead to a far more inclusive, and therefore better, world for everyone. Though (as noted above), romanticization of any challenging aspect of the sentient condition is generally ill-advised due to its depersonalizing potential, it is also an unwarranted invocation of a slippery-slope to suggest that by accepting different, more diverse, and even radical lifeways and morphological states, we're somehow going to end up harming people.

Quite the opposite is probably true, and I see widening the sphere of acceptance and validation of multiple diverse forms and ability sets as being absolutely essential to the survival of sentient life into the future. Neither liberty nor democracy is deepened through simplistic practices that are enacted in the spirit of "culling the herd" of deviation and difference just so that the normals don't have to deal with the weirdos, the cyborgs, the differently-enabled, the morphologically interesting.

It should not be considered overly idealistic to expect that a society can provide both acceptance and liberty to change, and liberty to not change, and liberty to change in particular (and not necessarily normative) ways. In fact, a commitment to morphological liberty and valuation of diversity (not merely for its own sake, since there you run the risk of turning people into symbols) means that we must demand a social, political, and technological landscape that meets the aforementioned criteria. None of us should ever be too timid to demand too much of the future.

7 comments:

Pendula said...

Thank you for this post. I recently was posting about a similar thought in a similar vein. As a person who would like to one day have technology assist me with a challenge nature gave me from the start, I wonder often if stigmatization doesn't disable the person more than the disability itself.

And thank you for offering you Theory of Mind commentary. As a mother of an Asperger's child, you give me both insights and hope about my child's direction.

AnneC said...

Pendula said:

I wonder often if stigmatization doesn't disable the person more than the disability itself.

Frequently I think that is the case, which is a big part of why I wrote this article. At the very least, I don't think stigma serves any useful purpose.

And regarding Theory of Mind: this is something I highly recommend explaining to your kid as soon as possible -- if I'd known earlier in life that other people didn't see the world the way I did, things might have been a lot less confusing.

I also recommend telling your kid about their DX and letting him/her know that this doesn't mean s/he is bad or broken...just different. Some parents worry that their children are going to feel trapped if they learn of a "label" that they think applies to them, but in some cases I think the opposite is true. I got called all kinds of things a lot more hurtful than "autistic" and eventually internalized the hurtful names for a while...and that's something I wouldn't wish on anyone.

Anonymous said...

Well you certainly know a lot of long words. If I can summarise your article:

(1) You think that disabled people are different, but not better or worse than non-disabled people.

(2) You think that the disabled should have the choice to be cured, but equally should have the right not to be.

(3) You think that the real villains here are normal people, who oppress the disabled by acting extra-nice to them and generally insinuating that disability is in some way a hardship.

Apologies if I have misrepresented any of your views.

The problem with (1) is that the disabled are different in at least one obviously undesirable way. If the difference were not undesirable we'd be calling them "gifted", and if it weren't obvious we wouldn't be calling them anything.

The problem with (2) is that nobody, disabled or not, gets exactly what they want in our society. You have to give as well as take. The disabled generally do more taking than giving, which can't be helped since they are by definition less able to give. However, if / when a disability can be treated, refusal would constitute the most colossal example of mauvaise foi.

The problem with (3) is the belief of a vocal minority of disabled people that everything good or bad that happens to them results from their disability. So you get patronised occasionally? So what? You don't need to be disabled to meet idiots.

Get over yourself!

AnneC said...

Hi anonymous,

One problem with trying to summarize my views is that they can't always be easily summarized -- any attempt to do so inevitably leads to misleading oversimplification. I know that a lot of ideas and concepts can be put in concise form, but there are some that can't, so in order to really get a sense of what is being communicated, one needs to read all the words, read other material along the same subject lines, and let the ideas expressed therein percolate for a while. Present-day culture tends to be impatient, and many people seem to hold a sort of misconception that all ideas worth expressing can be done so neatly and tidily, perhaps in the context of a 45-second advertisement. Of course it's up to you what ideas you consider to be worth expressing, and I know full well that not everything I think about is of any real priority to many others. That's fine; the world needs all kinds of people.

I will respond to your three points below.

(1) You think that disabled people are different, but not better or worse than non-disabled people.

This is true in the sense that I think that a person's value as an individual does not, and should not, depend on whether they are considered disabled or not. You raised the objection that "the disabled are different in at least one obviously undesirable way". My problem with this objection is that sometimes, what one person considers "undesirable" is a trivial matter, a non-issue, or even a benefit as far as another person is concerned. For instance, I have hypersensitive hearing. This can be disabling in some contexts (like when a car alarm is going off), but it also enables me to detect some sounds that other people can't, and additionally probably enhances my appreciation for certain musical pieces. Disability is very frequently context-dependent. If I took my goldfish out of his tank he'd be quite disabled by his inability to extract oxygen from the air, but if I stuck my head into his tank and tried to breathe, my own disability in that context would become readily apparent.

(2) You think that the disabled should have the choice to be cured, but equally should have the right not to be.

Yes. And your objection regarding disabled people supposedly "taking more than giving" is erroneous -- when properly enabled (as is the prerogative of a civilized society), many different kinds of people become able to do a lot more than they would have otherwise. Also, many people easily definable as "disabled" by current standards frequently do have very strong skills in certain areas, only these areas aren't as valued by society as it is right now. I'd suggest reading this and this for some further supporting material on this matter.

Perhaps put more simply: unless you are in the habit of growing and harvesting all your own food, making your own clothes, fixing your own car, generating the power to run your household appliances, and performing dentistry on yourself (among other things) you are receiving accomodations. This is how society works -- none of us exists in a vaccuum. You might say that you have indirectly earned these services by, for instance, having a job that enables you to pay for them -- but it's very likely that your job also provides you with particular accomodations (such as artificial light -- something you're generally dependent upon unless you're blind), convenient access to food and water, and restrooms. It might take some initial investment to produce a more accomodating, more inclusive environment, but that kind of environment tends to expand the pool of people who can work there, meaning that everyone wins.

Plus, there's the fact that what passes as "normal" or "traditional" employment today isn't inclusive of all the possible roles or occupations that could exist. I don't know about you, but I like to think that in the future, we will evolve enough socially as a culture to value diversity and inclusion to a far greater degree -- which will mean that more people's skill sets will be appreciated, more job opportunities will open up, and things will just get better from there. There was a time when nobody could imagine women working as engineers or scientists (or even voting, for that matter, since women were thought to be terminally child-like and incapable of making important decisions), and yet this is commonplace nowadays.

(3) You think that the real villains here are normal people, who oppress the disabled by acting extra-nice to them and generally insinuating that disability is in some way a hardship.

I am not trying to portray anyone as a "villain"; I'm just trying to demonstrate the ways in which people can frequently speak and act out of fear and ignorance, to the detriment of all. And "being extra nice" is not the same thing as pity. Niceness is fine; pity is not. Have you ever been on the receiving end of pity? Have you ever been in the position to have people tell you that they feel sorry for you for being you? I have, and believe me, it is not pleasant -- and I don't think it's my responsibility to protect other people's sense of "do-gooder-ism" by just taking this with a smile. And why should people not be told off for insinuating something about you is a hardship, if you don't believe it to be so?

I don't believe that everything bad that happens to me is the result of my atypicality/disability/whatever you want to call it; that statement of yours is a good example of drastic oversimplification. Just because I happen to have written about one particular form of oppression and not all forms of oppression doesn't mean I'm unaware of the others, or that I'm unaware that "you don't need to be disabled to meet idiots". One way of helping people overcome their idiocy with regard to matters like discrimination is to attempt to educate them. And since I can't possibly attempt to educate everyone about everything, I'm trying to stick to subjects I know fairly well and have at least some personal experience in dealing with.

And lastly, in regard to your admonition for me to "get over myself" -- I spend the first 20-something years of my life feeling like I probably didn't deserve to exist because of how "strange" and "insufficiently useful" I was. But then I started learning more about my strengths and how to use them to my advantage (there are some that I didn't even know I really had until I stopped focusing so much on what was supposedly "wrong" with me), and in addition, I realized that by holding that view of myself, I was potentially, at the same time, devaluing people whose skill sets had even fewer traditionally-useful applications than mine. And I don't consider anyone to be worth more or less based on their skill set, so I had to stop seeing myself that way. I think that sentient society can do a lot better than, say the "beehive" model in which everyone is just an interchangeable cog, and whoever isn't ends up getting left out in the cold or chewed to bits.

Anonymous said...

OK, firstly I shouldn't have made a personal comment in the last post so sorry about that.

"I know that a lot of ideas and concepts can be put in concise form, but there are some that can't."

Everything that can be said can be said clearly (if not briefly). If you have a rational argument to make then make it. So far, I've just seen emotional pleading.

"Disability is very frequently context-dependent."

That's right, and the context is the real world. In what situation are you suggesting it's better to be blind, deaf or paraplegic than not to be?

"only these areas aren't as valued by society as it is right now."

Society doesn't choose what the economy demands as part of some able-bodied conspiracy. Actually, the world is overflowing with non-disabled people who think their skills are undervalued. Why should you be special?

"This is how society works -- none of us exists in a vaccuum."

That is why conformity is an inherently desirable trait. Economic and legislative functions all benefit from scale in homogeneous societies. So even if (for example) the autistic were just as capable in their everyday lives as normal people, their distinctness would in itself be a drain on social resources.

"In the future, we will evolve enough socially as a culture to value diversity and inclusion."

If we go that way then it won't be thanks to evolution. Evolution requires selection pressures, which is the exact opposite of what you are suggesting.

"Women were thought to be terminally child-like."

This is a straw-man argument. Of course, there have always been chauvinists of both genders. However, the social expectation that women raise children does not in any way presuppose female inferiority. As an evolutionary strategy, it's just good sense.

Those societies that didn't place an emphasis on reproduction aren't around today, just like we won't be around tomorrow.

"Have you ever been in the position to have people tell you that they feel sorry for you for being you?"

Worse, I've been told to be someone else. That happens pretty much everyday. And each time, I keep my mouth shut and do my best to give what's expected of me.

"I can't possibly attempt to educate everyone about everything."

And no-one can be expected to learn about everything. So I guess it comes down to whether you think it's worth the time and energy to politically indoctrinate the population, just so a few disabled guys can go a bar without risking some hurt feelings.

AnneC said...

Anonymous:

This is about way more than "hurt feelings". Whenever people are systematically devalued, the potential for them to be tortured, murdered, or redefined into expendable nonpersons increases dramatically. This happens to disabled people all the time, and it also happens to elderly people -- which is one of the main reasons I strongly advocate life extension research. How long someone has already lived should not be a defining factor in whether they're allowed and enabled to continue existing.

I'm quite happy with how I'm spending my time, by the way...if you just want to "shut up and do what's expected of you" all the time, then that's your choice and I won't begrudge you that, so long as you don't insist that I do the same.

Sandra said...

I caught up on podcasts today and heard this essay read by James Hughes on Changesurfer Radio. It reminded me of an art project destigmatizing mobility/cognitive aids and I wondered if you were aware of it. If not, here's the link to Adorn: Equip.

http://www.adornequip.co.uk/

In a similar vein, Walking as Art:

http://www.univie.ac.at/cga/art/patients.html

Also a wicked YouTube video of extreme wheelchair tricks:

http://www.youtube.com/watch?v=m1ifun9-ufw

Cheers to destigmatization!