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Exploring Internalized Ableism Using Critical Race Theory

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Abstract

This paper is an attempt to theorize about the way disabled people live with ableism, in particular internalized ableism. Typically literature within disability studies has concentrated on the practices and production of disablism, examining attitudes and barriers that contribute to the subordination of people with disabilities in society. My exploration occurs through examining the insights of critical race theory (CRT) and the contribution that CRT can further make to thinking through the processes, formation and consequences of ableism. A focal concern is the possible ways that the concept of internalized racism, its deployment in CRT and application to critical disability studies. The paper is interested in working through points of difference between the way internalized racism/ableism are mediated in the processes of subjectification and identifying points of convergence that can benefit dialogue across varied sites of scholarship. The author concludes that the study of ableism instead of disability/disablement may produce different research questions and sites of study.
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From: Helen Oliver <H.J.Oliver@sheffield.ac.uk>
To: Fiona.Campbell@griffith.edu.au
Date: Friday, September 21, 2007 12:13AM
Subject: Disability and Society article
Dear Fiona
I am very pleased to be able to inform you that your paper entitled "Exploring internalised ableism using critical race theory" has now been
accepted for publication. It will appear in Volume 23, Number 2 (March 2008) of the journal. Proofs will eventually be sent to you via email
directly from the publishing company (Routledge: Taylor and Francis Group), but this will not be until much nearer the time.
If you have any further queries in the meantime, please do contact me. Thank you for considering our journal.
Yours sincerely
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Journal Administrator
for Professor Len Barton, Editor, Disability and Society
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Article Title : Exploring internalised Ableism using critical race theory A
UTHOR
:
F
IONA A KUMARI CAMPBELL
Griffith University, AUSTRALIA,
Abstract
This paper is an attempt to theorise about the way disabled people live with ableism, in particular internalised ableism. Typically literature
within disability studies has concentrated on the practices and production of disablism, examining attitudes and barriers that contribute to the
subordination of people with disabilities in society. My exploration occurs through examining the insights of critical race theory (CRT) and
the contribution that CRT can further make to thinking through the processes, formation and consequences of ableism. A focal concern is the
possible ways that the concept of internalised racism, its deployment in CRT can be applied to critical disability studies. The paper is
interested in working through points of difference between the way internalised racism/ableism are mediated in the processes of
subjectification and identifying points of convergence that can benefit dialogue across varied sites of scholarship. The author concludes that
the study of ableism instead of disability/disablement may produce different research questions and sites of study.
Keywords:
Ableism; Social theory; Critical race theory; Subjectivity; Disablism.
Author Biography To precede references.
Dr Fiona Kumari Campbell is the Convenor of the Disability Studies Program in the School of Human Services at Griffith University and
Director of the Social Justice Stream of the Socio-Legal Research Centre. She has been involved in disability activism for 25 years and
currently specialises in research on the deployment of disability in law and new technologies. Fiona’s other interests relate to race and
colonialism in Sri Lanka. In 2007 Dr Campbell was appointed as an Adjunct Professor with the Disability Studies Unit, Faculty of Medicine
at the University of Kelaniya, Sri Lanka.
Title Page Footnote:
_____________________
* Socio-Legal Research Centre & the School of Human Services, Disability Studies Major, Griffith University, University Drive,
Meadowbrook QLD 4131 AUSTRALIA.
Email: Fiona.Campbell@griffith.edu.au
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Article Title
Exploring internalised Ableism using critical race theory
Abstract
This paper is an attempt to theorise about the way disabled people live with ableism, in particular
internalised ableism. Typically literature within disability studies has concentrated on the practices and
production of disablism, examining attitudes and barriers that contribute to the subordination of disabled
people in society. My exploration occurs through examining the insights of critical race theory (CRT) and
the contribution that CRT can further make to thinking through the processes, formation and consequences
of ableism. A focal concern is the ways the concept of internalised racism, its deployment in CRT can be
applied to critical disability studies. The paper is interested in working through points of difference
between the way internalised racism/ableism are mediated in the processes of subjectification and
identifying points of convergence that can benefit dialogue across sites of scholarship. The author
concludes that the study of ableism instead of disability/disablement may produce different research
questions and sites of study.
Keywords: Ableism; Social theory; Critical race theory;
Subjectivity; Disablism.
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Exploring internalised Ableism using critical race theory
I. Mapping the project
From the moment a child is born, she emerges into a world where she receives messages that
to be disabled is to be less than…, a world where disability maybe tolerated but in the final
instance, is inherently negative. We are all, regardless of our subject positions shaped and
formed by the politics of ableism. This paper is about theory it is an attempt to theorise
about the way we as disabled people live with ableism. My exploration occurs through a
theoretical assessment of critical race theory (CRT) and examines the contribution CRT can
make to thinking through the processes, formation and consequences of ableism as well as
the project of speaking otherwise about disability. In particular the paper explores the
concept of internalised racism, its deployment in CRT and application to critical disability
studies. The paper’s focal interest is working through points of difference between the ways
internalised racism/ableism is mediated in the processes of subjectification and identifying
points of convergence that can benefit dialogue across sites of scholarship. First, I will an
outline the purview of CRT; second, the conceptual framework of ableism will be addressed.
The paper then discusses internalised racism and considers the connection to the phenomena
of internalised ableism.
CRT has not only problematised the notion of race as a permanent and abiding classification,
but also made a contribution to race as a subjectifying practice resulting in internalised
racism studies (Frankenberg, 1993; McClintock, 1995;). CRT considers racism not aberrant
but rather a natural part of American [and no doubt, Western], life. Expanding on this stance,
Richard Delgado and Jean Stefancic (2000, p. xvi) declare
Because racism is an ingrained feature of our landscape, it looks ordinary and natural to
persons in the culture. Formal equal opportunity – rules and laws that insists in treating blacks
and whites (for example) alike-can thus remedy only the more extreme and shocking forms of
injustice ….It can do little about the business-as-usual forms of racism that people of colour
confront everyday and that account for much misery, alienation, and despair.
Applying Delgado’s reasoning to the state of disablement, the ‘business-as-usual’ forms of
ableism are so refracted into the metabolism of western societies that ableism as a site of social
theorisation (even within critical disability studies) represents the last frontier of inquiry still
preoccupied with the arcane distinction between ‘impairment’ and ‘disability’ in the government
of disability. Whilst acknowledging the neologism disability is both culturally and
economically constructed, the state of impairment remains under theorised, (see Tremain,
2005 and Corker, 2001 for notable exceptions). Cultural practices of shaping bodies can
affect the aetiology of ‘typical’ human functioning. The marking and evaluative ranking of
bodies are additionally intertwined and partitioned by descriptors of ‘race’ and ‘disability’
(see Lingis, 1994; Grosz, 1994; Mitchell & Snyder, 2003; Stubblefield, 2007). Gordon and
Rosenblum (2001) suggest that convergences in social constructionist approaches to race and
disability may lead to new and productive sites of engagement. They argue we can see
likenesses and distinctions in the ways disabled people and other subalterned groups are
named, enumerated, dis-enumerated, partitioned, stigmatised and denied attributes valued in
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the culture. One example is the enshrinement in Indian law of the notion ‘backward’ classes
which refers to a specific segment of the population grouped by caste and location.
‘Backwardness’ also is rendered in intelligence quotient scales the exposure of so-called
‘sub normalcy’ and ‘retardation’ (Scheerenberger, 1983). Certain theories of development
describe whole nations of the ‘third world’ as ‘backward’ and ‘undevelopable’ (Baster,
1954). CRT then, has an investment in ‘interest convergence’ a concept developed by
Derrick Bell to delineate situations where white people with power endure or foster black
advancements to the extent that these advancements promote white interests (Delgado and
Jean Stefancic; 2000). A critical disability studies perspective invites us to explore as Bell
suggests, the limits of liberal tolerance of disability, interest convergence and the points of
departure away from the interests of ableism.
II. Accounting for ableism – conceptual frameworks
In the social sciences and disability studies fields literature has concentrated on the practices
and production of disablism, specifically examining those attitudes and barriers contributing
to the subordination of people with disabilities in liberal society (as an example, Bolderson,
1991; Goggin & Newell, 2001; Johnson & Moxon, 1998; Stainton, 1994). Disablism is a set
of assumptions and practices promoting the differential or unequal treatment of people
because of actual or presumed disabilities.
Whilst diverse the strategic positions adopted to facilitate emancipatory social change
essentially relate to (re)forming negative attitudes, assimilating people with disabilities into
normative civil society, providing compensatory initiatives and safety nets in cases of
enduring vulnerability. Although some disabled people have refused the assimilationist
imperative by resisting any mitigation of their impairment and spoken otherwise about
disability (through new disability histories, cultures and the arts), significant numbers of
disabled people still adopt culturally valued roles to blend into society. The site of
reformation has been at the intermediate level of function, structure and institution in civil
society and shifting values in the cultural arena. For some the term ableism has been used
interchangeably with the term disablism. However these two words render radically different
understandings of the status of disability to the norm. Disablism relates to the production of
disability and fits well into a social constructionist understanding of disability. Whereas
ableism can be associated with the production of able-ness, the perfectible body and by
default the creation of a neologism that suggests a falling away from able-ness, that is dis-
ability. Harlan Hahn (1986) testifies there is a close link between the attitude of paternalism,
the subordination of disabled people and the ‘interests’ of ableism:
Paternalism enables the dominant elements of a society to express profound and sincere
sympathy for the members of a minority group while, at the same time, keeping them in a
position of social and economic subordination. It has allowed the nondisabled to act as
the protectors, guides, leaders, role models, and intermediates for disabled individuals
who, like children, are often assumed to be helpless, dependent, asexual, economically
unproductive, physically limited, emotional immature, and acceptable only when they are
unobtrusive (Hahn, 1986, p.130).
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Jones’s (1972, p.172) seminal work on racism argues that race-based power relations are
galvanized “… with the intentional or unintentional support of the entire culture”. However
Richard Delgado (2000) claims that the situation of members of racial minorities is akin to
persons with (physical impairment). Supporting this conclusion, Delgado cites the work of
Oliver Cromwell Cox (1948) who exclaims that a
… rebuff due to one’s skin color puts [the victim] in very much the situation of the very
ugly person or one suffering from a loathsome disease. The suffering … may be
aggravated by a consciousness of incurability and even blameworthiness, a self-
reproaching which tends to leave the individual still more aware of his [sic] loneliness
and unwantedness”. (Cox 1948, cited in Delgado, 2000, p. 132).
Despite the remarkableness of Cox’s proposition no further exploration is made by Delgado
to explore intersections between the experiences of racism and ableism. As a conceptual tool
ableism transcends levels of governance related to procedures, structure, institutions and
values of civil society and locates itself clearly in the arena of genealogies of knowledge.
Ableism is embedded deeply and subliminally within culture. At the outset it is important to
refute an essentialised understanding of ableism. The intention here is not to propose ableism
as another explanatory ‘grand narrative’, a universalised and systematised conception of
disability oppression. Rather my approach indicates a convergence of networks that produce
exclusionary matrices and ontologies. Focussing on the study of ableism instead of
disability/disablement may produce different research questions and sites of study. Whilst the
players in the government of disability may change, other formations such as the use of
regimes of law and medicine remain constant. Campbell (2001, p.44) maintains that ableism
is
… a network of beliefs, processes and practices that produces a particular kind of self and
body (the corporeal standard) that is projected as the perfect, species-typical and
therefore essential and fully human. Disability is cast as a diminished state of being
human.
The corporeal standard has an illusory self-evident permanence but is always in a state of
flux. Commenting on a recent dictionary definition of ableism as a kind of discrimination in
favour of able-bodied people Simi Linton adds this definition also “includes the idea that a
person’s abilities or characteristics are determined by disability or that people with
disabilities as a group are inferior to non-disabled people” (1998, p. 9). Linton however
points out that unlike discourses of racism and sexism, there is little consensus amongst the
general public (and scholars) as to what practices and behaviours constitute ableism. The
nuances of ableism close off certain aspects of the imagination. As Judith Butler puts it:
The operation of foreclosure is tacitly referenced in those instances in which we ask:
what must remain unspeakable for the contemporary regimes of discourse to continue to
exercise power? (Butler, 1997a, p.139)
The processes of ableism sees the corporeal imagination in terms of compulsory ableness,
that is, certain forms of ‘perfected’ materiality are posited as preferable. A chief feature of an
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ableist viewpoint is a belief that impairment (irrespective of ‘type’) is inherently negative and
should the opportunity present itself, be ameliorated, cured or indeed eliminated. What
remain unspeakable are readings of the disabled body presenting life with impairment as an
animating, affirmative modality of subjectivity. Instead of ontological embrace, the
processes of ableism like those of racism induce an internalisation which devalues
disablement. Unspeakable silences exist regarding the study of certain aspects of race. Pyke
and Dang (2003) note there is an intellectual taboo/fear surrounding the study of internalised
racism; attention to internalised racism may undermine the political potency of the African-
American rights movement and eclipse liberalism’s black ‘success’ stories. What then about
the hidden stories of the ‘can do’ generation of successful professionals with disability? One
might be led to believe that the pathologisation of the disability ‘problem’ has, in contrast to
matters of race, meant an acceptance and awareness of internalised ableism.
III. Bodies of internalisation
Joel Kovel presents a bleak but pertinent testimony of the impact of internalised racism. The
“… accumulation of negative images …presents [racial minorities] with one massive and
destructive choice: either to hate one’s self, as culture so systematically demands, or to have
no self at all, to be nothing” (Kovel, 1970, p. 195). Penny Rosenwasser defines what she
terms ‘internalised oppression’ as
… an involuntary reaction to oppression which originates outside one’s group and which
results in group members loathing themselves, disliking others in their group, and
blaming themselves for the oppression rather than realizing that these beliefs are
constructed in them by oppressive socio-economic political systems (Rosenwasser, 2000,
p. 1).
The key ingredients then are negative ontologies of human signification (perverted
sexualities, ambiguous bodies and skins) the processes of subjectification which act as
regulatory norms. CRT’s notion of internalised racism indicates a process whereby people of
colour absorb and internalise aspects of racism (Akbar, 1996; Freire, 1970; Harvey, 1995).
The nature of differentially situated realities means that one’s standpoint places us in a
different relationship with internalised racism. Watts-Jones (2002) argues that for people of
European descent internalised racism can empower if not privilege, feelings of superiority.
“It is an experience of self-aggrandizement on an individual, sociocultural and institutional
level” (p.592), whereas for coloured people internalised racism induces self-mortification and
estrangement. Internalised racism compels people of colour to adopt strategies of disavowal
as “enjoyment or privileges we accrue are by virtue of abandoning our identity to
approximate that of the extolled group. There is no entitlement or sense of entitlement” (pp.
592-593).
Recent research correlates the experience of racism to low socio-economic status and
acquisition of physical and psychological impairment (Williams & Collins, 1995). The
subjectifying experiences of racism as racism not only cause distress but impact on mental
health status (Kreiger et al, 1999). Pyke and Dang argue that because internalised racism is
an adaptive response to racism, compliance and resistance which in their own ways
reproduce or replicate racism, are interrelated processes (Pyke and Dang, 2003, p. 151). One
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of the approaches of CRT is storytelling – counter storytelling in combination with the
“historical triangulation of facts that have an impact on present-day discrimination…”
(Parker & Stovall, 2004). The silence of disabled people has been inverted with the
emergence of a disability rights movement and the development of critical disability studies.
Speaking otherwise about the lived body with impairment needs to extend to spaces
exploring the personal costs of living under ableism beyond the dominant genre of biography
into theory. In this respect a study of ableism especially internalised ableism, moves outside
the narrow confines of an individualised phenomenology and squarely locates the analysis
within a collectivist history of ideas and the field of discursive practices.
IV. Connecting with internalised ableism
Having considered the dynamics of internalised racism, this section addresses a hitherto
underdeveloped concept within disability studies scholarship, namely internalised ableism or
disabled self-hatred. In examining sites for the internalisation of racism, Burstow makes it
clear that we should not be looking at a single event or site of impact, rather internalisation
occurs through the accumulative, residual and reoccurring experiences of racism. Burstow
sharply remarks: “the point is oppressed people, are routinely worn down by the insidious
trauma involved in living day after day in a sexist, racist, classist, homophobic, and ableist
society” (Burstow, 2003, p.1296). Within ableism the existence of disability is tolerated
rather than celebrated as a part of human diversification. I contend that internalised ableism
utilises a two-prong strategy, the distancing of disabled people from each other and the
emulation by disabled people of ableist norms.
Tactics of Dispersal
The experience of disablement can arguably, be spoken of not in terms of individualised
personal tragedy, but in terms of communal trauma where the legacies of ableism pervade
both conscious and unconscious realms. Although the prevailing trope has been the
individualisation of disability by the domination of biomedical realism, nonetheless histories
of catastrophe, negative ontologies of disability and an absence of oppositional role models
saturate the lives of disabled people collectively. Unlike other minority groups disabled
people have had fewer opportunities to develop a collective conscious, identity or culture let
alone interrogate cultures of ableism. The connection between epistemologies of ableism and
the production of internalised ableism can be seen in Social Role Valorisation Theory (SRV)
as articulated by Wolf Wolfensberger (1972). His strategy of ‘conservatism corollary’
explicitly discourages fellowship amongst persons with disabilities and other minorities.
Clearly this is a precursor to a strategy of dispersal, predicated on the belief disabled people
should not draw attention to each other via ‘mixing’ (with culturally devalued people)
(Szivos, 1992). This ‘dilution of deviancy’ or mitigation campaign rings familiarly in the
histories of other marginalised populations such as indigenous, coloured, gay and lesbian
peoples. Dispersal consequences generate internalised ableism because congregating with
other people with impairments is interpreted as a negative, inadvisable choice. Tactics of
dispersal have not only received credibility through SRV, but ensure another form of
biopolitics for governing the population.
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The work of Schwalbe et al (1996) on the injuries of racism supports this point. He argues
that for Asian-American’s to deflect stigma and have imputed the characteristics of their
‘ethnicity’, they often engaged in “defensive Othering”. Defensive Othering occurs when the
marginalised person attempts to emulate the hegemonic norm, whiteness or ableism, and
assumes the “… legitimacy of a devalued identity imposed by the dominant group, but then
saying, in effect, ‘There are indeed Others to whom this applies, but it does not apply to me’”
(1996, p.425). This attitude readily taps into a State supported system of diagnostic apartheid
and evaluative ranking of bodies according to type and severity of impairment. Dispersal
policies are only permissible because the integration imperative exists and receives, albeit
critically, tremendous support from the disability services sector and is based on the belief
that mainstreamed institutions and methods are superior to separate settings (O’Brien &
Murray, 1996). Separation however should not be confused with segregation. As Watts
Jones (2002) points out ‘within group’ processes can act as a sanctuary for healing
internalised oppression.
Emulating the norm
The ‘naturalness’ of the notion of the abled-bodied liberal individual coupled with
the negation of a disabled sensibility makes many disabled people queue for the
chance to be anointed as ‘people first’, whilst simultaneously disavowing their
previous embodied positions as ‘gimps;’ and ‘cripples’. Ironically, disabled
people who achieve ‘people first’ status are not achieving full normative status
but are only legitimizing an able-bodied resemblance through their desire for
normality. (Overboe, 1999, p. 24)
The desire to emulate the Other (the norm) is contemporaneous with a process of colour
and/or impairment disavowal. It attempts to establish and maintain a wide gap between
that/those which are loathed and that which is desired. The linkage between internalised
racism as a ‘rational’ response to oppression makes it possible to examine the operation of
dishonour. Watt-Jones notes two levels of shame; first is linked with being a person of
colour, the second tier relates to a shame induced by being consciously aware of one’s
shamefulness. Steven Kuusisto’s autobiographical extract, Planet of the Blind, captures this
sense of shame for people with disabilities:
Raised to know I was blind but taught to disavow it, I grew bent over like the dry tinder
grass. I couldn’t stand up proudly, nor could I retreat. I reflected my mother’s complex
bravery and denial and marched everywhere at dizzying speeds without a cane. Still, I
remained ashamed of my blind self, that blackened [sic] dolmen (Kuusisto, 1998: p.7).
Shamefulness is magnified in culture where the rhetoric of being a survivor, a non-victim, is
powerful and being a victim is to be “passive or deficient” (Watt-Jones, p.594). For
‘enlightened’ disabled people such shame taps into a wellspring of discourses of residual
disability deficiency. The emerging counter-discourse of the disability survivor mitigates
against exploring the personal costs of disability subordination and normalisation. In my own
scholarly community the few faculty with disability teaching disability studies report
privately struggling with demands to perform, live up to leadership challenges and mentoring
expectations. An isolated minority within a marginal teaching area, there are few
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opportunities to find a sanctuary for healing/sheltering from the forces of ableism. In
Australian there is an awareness that many of our disability rights movement leaders are
suffering ‘burnout’, have had emotional collapses or just moved on in order to cope with the
realities of living in a hostile world. This cognizance has not to my knowledge, been
translated into theoretical explorations.
In the case of disability subjectification internalisation of negative ontologies of disability
contributes to the formation of a docile and readily pliable disabled body, continuing various
ways to inhibit performances of disability acceptance and rehabilitation so demanded by the
inclusivist impulses of liberal contract theory. Internalised ableism can mean the disabled
subject is caught ‘between a rock and a hard place’; in order to attain the benefit of a
‘disabled identity’ one must constantly participate in processes of disability disavowal,
aspiring towards normativity, a state of near-ablebodiedness, or at very least to effect a state
of ‘passing’. As Kimberlyn Leary (1999, p. 85) puts it:
Passing occurs when there is perceived danger in disclosure.…. It represents a form of
self-protection that nevertheless usually disables, and sometimes destroys, the self it
means to safeguard.
The workings of internalised ableism by way of ‘passing’ are only possible when viewed
broadly, moving focus from the impaired individual to the arena of relationships. In the
interactivity with the norm (such as an ableised able-bodied person) another form of erasure
is required. Ableist passing is not just an individual hiding their impairment or morphing
their disability; ableism involves a failure to ask about difference ie. disability/impairment.
For internalised ableism to occur there needs to be an existing a priori presumption of
compulsory ableness. Such passing is about keeping the coloniser happy by not disturbing
the peace, containing the matter that is potentially out of place
1
. An example of ‘passing’
under these circumstances would be the conundrum encountered by some university
academics with impairments who experience trepidation about revealing their impairment
status fearing stigma and tenure discrimination despite the fact that many argue that they and
others would benefit from disability focused mentoring and networking arrangements (see
Bishop 1999; Monaghan, 1998).
Whilst successful rehabilitation may be measured in terms of personal care management,
employment retraining and placement, the benchmark of successful inclusion is the
acquisition of new skills for performing the part(s) of a disembodied abled self. Though
there can be no denial of an injured body by rehabilitation professionals and the injured
client, a way out of the strictures of injury is to adopt and emphasize those aspects of self and
subjectivity that are able to mimic the qualities of ableist personhood. The corporeality of
the disabled body is constantly in a state of deferral, in a holding pattern, waiting the day it
will be not just repaired but made anew (cured). Until then the conditions of fabrication, of
mimicking the abled-body are usually of a disembodied kind; because it is assumed that
flight from the body will act as a distraction towards those assimilating qualities of social
conduct and deportment. In time, rehabilitation personnel will be able to re-create corporeal
1
Thomson cites a number of strategies such as charm, humor, deference to relieve the discomfort of able bodied people
(Thompson, 1997, pp. 12 -13).
10
normalcy by way of rebuilding or morphing the injured body to a form that for all practical
purposes replicates the old (whole) form (see Campbell, 2004). Developments in new
technologies have the effect of re-conceptualizing impairment in terms of provisional or
tentative disability (Campbell, 2005, 2007).
Ableism produces disabled subjectivities
Internalisation involves apprehending that which “… belongs to the other” [and
incorporating it as] one’s own” (Wertsch, 1998, p.53). Clearly the processes of internalisation
are not straightforward and predictable. As Fanon remarks: “In the colonial context the settler
only ends his work of breaking in the native when the latter admits loudly and intelligibly the
supremacy of the white man’s values” (Fanon, cited in McClintock, p.329). But the
absorption process is deeper implying a belief that the subaltern body requires something that
“…only their superior dominators have or can give them” (Oliver, 2004, 78). This may be a
somewhat lumpy and indigestible process as many words obstinately refuse, sound alien in
the voice of the one who enacts them through speech. In any case, the internalisation of
negativity ultimately shapes and inspires technologies of self and ways such technologies
become mediated within a range of networks:
Internalized oppression is not the cause of our mistreatment; it is the result of our
mistreatment. It would not exist without the real external oppression that forms the social
climate in which we exist. Once oppression has been internalized, little force is needed
to keep us submissive. We harbour inside ourselves the pain and the memories, the fears
and the confusions, the negative self-images and the low expectations, turning them into
weapons with which to re-injure ourselves, every day of our lives. (Mason, as cited
Marks, 1999, p.25).
Internalised ableism means that to assimilate into the norm the referentially disabled
individual is required to embrace, indeed to assume an ‘identity’ other than one’s own – and
this subject is repeatedly reminded by epistemological formations and individuals with
hegemonic subjectifications of their provisional and (real) identity. I am not implying that
subjects have a true or real essence. Indeed the subjects' formation is in a constant state of
fluidity, multiplicity and (re)formation. However, disabled people often feel compelled to
fabricate ‘who’ they are – to adopt postures and comportments that are additional to self. The
formation of internalised ableism cannot be simply deduced by assessing the responses of
individuals to Althusser’s famous interpolative hailing “Hey you, there” (Althusser &
Balibar, 1979). Whilst a subject may respond to “Hey you there, crip!” – it is naïve to assume
that an affirmative response to this hailing repressively inaugurates negative disabled
subjectification. In fact the adoption of more positive or oppositional ontologies of disability
by the subject in question may be unexpectedly enabling. As Susan Park (2000: 91) argues
“what is at stake here is not so much the accuracy behind the hailing privilege, but the power
of the hailing itself to instantly determine (or elide) that thing it is naming”. Nonetheless,
censure and the cancellation of the legitimacy of oppositional subjectivities remains common
place as Cherney reminds us with respect to Deaf culture: “If abnormal [sic] bodies must be
fixed to fit within dominant cultural views of appropriateness then the Deaf celebration of
their differences must be read as an illegitimate model of advocacy”. (Cherney, 1999, p. 33).
11
Foucault’s (1976; 1980) theorisation of power as productive may provide some offerings
from which to build a conversation about internalised ableism. I am not so much interested in
the ‘external’ effects of that power, but for the moment wish to concentrate on what Judith
Butler aptly refers to as the ‘psychic life’ of power. She describes this dimension:
an account of subjection, it seems, must be traced in the turns of psychic life. More
specifically, it must be traced in the peculiar turning of a subject against itself that takes
place in acts of self-reproach, conscience, and melancholia that work in tandem with
processes of social regulation (Butler, 1997b, p.19).
In other words, the processes of subject formation cannot be separated from the subject
him/herself who is brought into being though those very subjectifying processes. The
consequences of taking into oneself negative subjectivities not only regulate and continually
form identity (the disabled citizen) but can transcend and surpass the strictures of ableist
authorizations. Judith Butler describes this process of the “carrying of a mnemic trace”:
One need only consider the way in which the history of having been called an injurious
name is embodied, how the words enter the limbs, craft the gesture, bend the spine
…how these slurs accumulate over time, dissimulating their history, taking on the
semblance of the natural, configuring and restricting the doxa that counts as “reality”.
(Butler, 1997b, p. 159)
The work of Williams and Williams-Morris (2000) links racism experienced by African-
Americans to the effects of hurtful words and negative cultural symbols on mental health,
especially when marginalized groups embrace negative societal beliefs about themselves.
They cite an international study by Fischer et al (1996) which inter alia links poor academic
performance with poor social status. Although using different disciplinary language
Wolfensberger (1972) in his seven core themes of SRV, identified role circularity as a
significant obstacle to be overcome by disabled people wanting socially valued roles.
Philosopher Linda Purdy contends it is important to resist conflating disability with the
disabled person. She writes
My disability is not me, no matter how much it may affect my choices. With this point
firmly in mind, it should be possible mentally to separate my existences from the
existence of my disability. (Purdy, 1996, p. 68).
The problem with Purdy’s conclusion is that it is psychically untenable, not only because it is
posited around a type of Cartesian dualism that simply separates being-ness from
embodiment, but also because this kind of reasoning disregards the dynamics of subjectivity
formation to which Butler (1997a; 1997b) has referred. Whilst the ‘outputs’ of subjectivity
are variable the experience of impairment within an ableist context can and does effect
formation of self – in other words ‘disability is me’, but that ‘me’ does not need to be
enfleshed with negative ontologies of subjectivity. Purdy’s bodily detachment appears
locked into a loop that is filled with internalised ableism, a state with negative views of
impairment, from which the only escape is disembodiment; the penalty of denial is a flight
12
from her body. This finds agreement in the reasoning of Jean Baudrillard (1983) who posits
that it is the simulation, the appearance (representation) that matters. The subject simulates
what it is to be ‘disabled’ and by inference ‘abled’ and whilst morphing ableist imperatives,
in effect performs a new hyper reality of be-ing disabled. By unwittingly performing ableism
disabled people become complicit in their own demise – reinforcing impairment as an outlaw
ontology.
Before proceeding I need to clarify this argument because my reasoning and your reading
about subjectivity occurs always in context. Much of the discussion about ‘disability is me’
raises another related claim that requires comment, namely the matter of immutability. In
recent years claims around minority rights protections, especially within the Federal arena of
law in the United States, have been based on the immutability argument in opposition to
cultures or identities of ‘choice’ (Currah, 1995). The argument suggests that when
individuals or populations have an attribute that is inherent and unable to be removed (e.g.
colour and race) there is a stronger claim for civil rights entitlements than claims being
pressed by groups where referentiality can be chosen or changed (e.g. the controversy of
‘homosexual’ orientation is an often cited example).
Within this illusionary binary world of fixed or chosen corporeal attributions the status of
impairment is not so clear. Impairment inheres within the body (or mind, cognition and so
forth) however impairment despite being often characterised (etiologically) as ‘permanent‘ is
in a broader sense ‘provisional’. Impairments exist in a state of constant deferral, being open
to the interventions of psycho-medical regimes posting corrections, cures or indeed
elimination. (Campbell, 2001; 2005). The act of strategic essentialism (utilising strict
categories of personhood to access social benefits, e.g. Deaf people registering for disability
programs even if sections of this group do not identify as ‘disabled’) might initially seem
commendable and even viewed as an act of subversive resistance, also brings into itself acts
of ‘self-subversion’, wherein passports of recognition become passports of unfreedom for it
can be difficult to uphold the divide between negative ascriptions and negative internalised
incorporations of impairment into one’s subjectivity.
What begins as an attempt to gain benefits and potentially usurp the forces of enumeration
and calculation in the governing of disability often ends up becoming complicit, reproducing
the constitutional ontologies essential to the continued power of ableism. The deployment of
the neologism disability strategically cannot be undertaken without some incorporation of
internalised ableism, either at a conscious or unconscious level. Within ableism disability
cannot be detached from its negative association. People living with impairment face these
two dilemmatically co-existing dynamics, sometimes jostling in tension, even when adopting
outlaw and resistant subjectivities and lifestyles.
Conclusion: let it all hang out!
I HATE [it] when people tell me how well I’ve overcome my disability. To me, it’s
suggesting that I am separate from my body. But my body is me and I am my body. This
includes my disability. It is part of who I am and a part of what makes my body beautiful
and a part of what makes me a beautiful person. My disability CANNOT be separated
from who I am. I cannot overcome my own body (Shain, 2002).
13
The ruminations of CRT (cf. Delgado & Stefancic, 2000) transposed to an analysis of
ableism point to its embeddedness. The very existence of ableism and its effects, like racism,
are covert but more often profoundly veiled. Ableism as an epistemology and ontological
modality frames an individual’s subjectivity and thus becomes the power “…that animates
ones emergence”, complicity and resistance (Butler, 1997b, p.198). At the end of this paper
two strong images of living with impairment emerge. The first is of disabled people as
survivors. People with disabilities labour under the pain and burden of violence - violence
that is epistemic, psychic, ontological and physical. This labouring has resulted in lives of
ontological vulnerability. For scholars there is an ethical imperative to interrogate the
violence of ableism and speak of its injuries. By exposing the practices of ableism and
unravelling the psychic life of internalised ableism, unearthing various states of injury,
(apologies to Wendy Brown), when reiterating these violences and injuries I am mindful of
the necessity not to re-perform them. An example here could be the continual usage of
photographic images of people exhibited as freaks when alive, and re-exhibited in a form of
fetishist graphics on the internet. To do so would be to fall victim to a theorizing that
reinstitutes the notion of an overwhelming vision of catastrophe, where disabled people are
forever sucked into the vortex of being perpetual victims. This paper invites the reader to
sign up to the field of critical ableism studies and argues the critical need to investigate
internalised ableism and its effects on the psychic life of our community. Further research
could explore the process of counter-story telling about liberalism’s so-called ‘disability
success stories’, and the way these stories differ when the individual ‘succeeds’ in spite of
impairment and those stories which embrace impairment and frame success in terms
because disability’.
The second image is of disabled people engaged in guerrilla activity – rejecting the promises
of liberalism and looking elsewhere, daring to speak otherwise about impairment. For too
long critical theorist’s have figured places of marginality and liminality as places of exile
where the emarginated are to be ‘brought in from the cold’ and integrated so that they too can
sit beside the ‘warm fires’ of liberalism (and all will be well). However, as Bell Hooks
reminds us, the margin can be “… more than a site of deprivation it is also the site of
radical possibility, a space of resistance” (hooks, 1990, p.149).
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Importance Most studies use impaired functioning alone to specify populations with disabilities. However, some people with functional impairments do not identify as disabled. With functional status-based definitions, studies have shown disparate care quality for people with disabilities. Objective To examine whether impairment and disability identity have different associations with perceived health care experiences and explore factors associated with disability identification. Design, Setting, and Participants This cross-sectional study used a nationally representative survey of US adults conducted from April 20 through May 31, 2021, and analyzed between June 1 and August 31, 2022. Survey participants were 1822 English- or Spanish-speaking adults responding either online or via telephone. Exposures Using 8 survey questions, participants were grouped according to presence of impairment and disability identity. Main Outcomes and Measures Likert scale measures of trust, respect, and fairness (henceforth, procedural justice measures) were dichotomized. Sociodemographic characteristics and rates of procedural justice responses were compared across groups. Multivariable logistic regressions adjusting for baseline characteristics were performed to (1) estimate associations of impairment and disability identity with perceptions of procedural justice and (2) explore factors associated with disability identification. Analyses applied survey weights. Results Of 6126 individuals invited to participate, 1854 (30.3%) completed the survey. Thirty-two were excluded due to unreportable gender, for a final analytic sample of 1822 participants. Participants with impairments (n = 816; mean [SD] age, 48.1 [17.0] years; 51.2% women, 48.8% men) had worse perceptions on 7 of 10 procedural justice measures (crude) compared with those without impairments (n = 1006; mean [SD] age, 49.6 [18.1] years, 55.1% female, 44.9% male). Among respondents with impairments, those who did (n = 340) vs did not (n = 476) identify as disabled gave better ratings for clinician communication efforts (a lot of effort, 38.8% vs 31.0%) and having health goals understood (understood very or fairly well, 77.2% vs 70.1%) but gave worse ratings for respect (almost never felt inferior or talked down to, 66.1% vs 59.1%). Disability identification was associated with more reports of unfair treatment (31.0% vs 22.4%; adjusted odds ratio, 1.65; 95% CI, 1.12-2.42) and of being unafraid to ask questions or disagree (50.5% vs 40.1%; adjusted odds ratio, 1.51; 95% CI, 1.04-20.19). Income and employment were associated with disability identification. Conclusions and Relevance In this cross-sectional survey study of US adults, health care perceptions differed between groups defined by impairment status and disability identity. These findings suggest that, alongside functional measures, health systems should capture disability identity to better address disparities for people with impairments.
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While clearly not intended to do so, the Paralympics and the notion of disability associated with them provides significant opportunity for ethical reflection on how far society has not come regarding disability. Yet, this opportunity to explore disability has rarely been taken up. Instead, the overwhelming representation of people with disability within mainstream media is found in portrayals of brave, elite athletes who overcome their disability. As has been suggested by earlier studies of media and disability, such media representations fit well within the established power relations which oppress people with disability in society. While there have been some changes and improvements, we contend that, overwhelmingly, the separation between the Paralympics and Olympics is not questioned, and that if the Paralympics are reported at all, disabling media representations still very much persist.
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Frankenberg explores the unique intersection of race and sex as she examines the way that white women relate to racism. She writes from the assumption that whiteness is socially constructed rather than naturally pre-existing. She theorizes "from experience" to offer a unique perspective that retains the strength of a theoretical foundation as well as the relatability of personal narratives. She interviews thirty white women to get their perspectives on various racial topics and gain a critical standpoint for thinking about individual and social forces that construct and maintain whiteness in contemporary society. She begins with the question, "What is white women's relationship to racism?" The women discuss various aspects of interracial courtship, the role of power in acknowledging racial differences, and the function of language in facing and overcoming the negative effects of this difference.
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Bodies can be articulated in a variety of politically charged ways, and recent work has introduced the cyborg as a radically new way of imagining the body. In this paper I critically examine the potential benefits and limitations of cyborg politics. By exploring depictions of cyborgs in science fiction stories and examining the Deaf culture's arguments in the cochlear implant debate, I investigate the current viability of cyborg politics as a mode of advocacy for people with disabilities.
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Book synopsis: Giving an account of the uncertainties and conflicts which accompanied the expansion of the state role in the provision of benefits, the book analyzes the principles in the development of war pensions, national insurance and industrial injuries provision and medical, rehabilitation and re-employment services. The emphasis is on the nature of the policy choices which were made in the period spanning the two World Wars and the influences and conflicting interests which affected the decisions made. The analysis illuminates why the resultant policies were often incompatible. The main principles governing disability benefits remained in place after 1946 but they were subsequently developed and modified in important respects. The postscript discusses some of the issues which still present dilemmas for policy making in this area.