Thursday, August 28, 2014

Disability and Art: The Nature of Disability



In works of art there is often a lack of characters with disabilities. When present, such characters tend to be marginalized and portrayed as helpless. In society – especially Western societies – having a disability of any kind is met with stigmatizing attitudes. Many examples in societal institutions prevail. For example, the practice of secluding or restraining misbehaving children in public schools disproportionately impacts students with disabilities. In particular, students with autism or are labeled emotionally disturbed are secluded when they became upset.[1]   I ride an electric scooter and – similar to the experiences of most people who make use of such mobility devices – face many forced detours due to inaccessible stairs and other structures.  Another example is the portrayal of people with schizophrenia as violent and needing isolation. These messages about disability are internalized, resulting in self-stigma. Art reflects society, resulting in stigmatizing messages that sustain an oppressive society.

 Understanding disability as portrayed in art can be paralleled with actual portrayals of disability in society. What is disability, though? Many definitions and models of disability exist in a myriad of variations. Disability is understood as a major impediment – a condition or change of some kind that impacts major life activities. To this end disability is a form of oppression. The bird cage model, put forth by feminist writer Marilyn Frye, is simple enough to thoroughly explain oppression.  When viewed microscopically, one notes that any individual bar in a cage can be bypassed, either above or below. Viewing the cage as a whole, one clearly sees that each bar is systematically placed as to restrict or block movement.[2] That’s the point of a cage.  Frye writes, “It is perfectly obvious that the bird is surrounded by a network of systematically related barriers, no one of which would be the least hindrance to its flight, but which, by their relations to each other, are as confining as the solid walls of a dungeon.“  Individual barriers do not oppress an individual; these barriers, however, interact with each other, ensnaring the person.

Now that oppression can be more easily understood, disability can be more precisely defined. The United Nations defines disability as “[having] long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others.”[3] This definition emphasizes the social exclusion that accompanies disability. The coalescing of barriers, which leads to oppression, is thus a key element of disability, not just the medical condition itself.  A similar definition of disability comes from the World Health Organization: “ Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.”[4] This definition again emphasizes that though a disability can be viewed medically, it truly becomes a “disability” due to exclusion from societal institutions.

While both definitions mentioned above are adequate, I believe that terminal illness should be included with disability because it also results in entrapment. The mother of one of my close friends passed away this spring, after having been bedridden due to illness for the past few years. Though she was not “disabled” in the traditional sense, she clearly was limited in a manner that impacted her life. One possible definition of disability is a debilitating long-term condition that significantly changes one's life. This definition can be deconstructed further: "a debilitating condition" can be defined as a condition that through its negative effects worsens your quality of life and "significantly changes one's life" can be defined as requiring changes relative to a normal life in response to the condition and cannot be easily fixed, resulting in increased difficulty in managing one's health. A disability can be congenital or occur later in life. It is permanent or otherwise long-term. A disability is also an important part of one's identity, though it itself does not define a person.

Disability can be physical, mental, intellectual or sensory. My experiences mainly deal with physical and mental disabilities, though concepts of stigma and discrimination are still pertinent to all persons with disabilities.

In a social psychology study, experimenters discovered that physical disabilities were “perceived as onset-uncontrollable, and elicited pity, no anger, and judgments to help” while mental disabilities were considered “onset-controllable, and elicited little pity, much anger, and judgments to neglect.”[5] Though both groups are stigmatized, mental disabilities are often viewed as controllable, thus allegedly reflecting the person’s irresponsibility. One prime example is people with depression often being told to simply get over it. Another study discussed the impact of stigma on people with mental disabilities. Stigmatizing attitudes are believed about mental disability and then perpetuated in the media. Three highly prevalent ones include: 1. Persons with severe mental illnesses[6] should be feared and kept out of most communities. 2. Persons with severe mental illnesses are irresponsible, so their life decisions should be made by others. 3. Persons with severe mental illnesses are helpless and need to be cared for.[7] Another attitude that I’ve seen personally is that people with mental disabilities are responsible for taking medication to live a normal life. In particular, people who suffer from depression are expected to seek counseling or take antidepressants. The former option I did not find particularly helpful. I have never taken antidepressants because I want to limit the amount of drugs I must rely on - taking a corticosteroid is enough for me. Furthermore, our understanding of the neuroscience underlying depression is shaky and at least some part of the effect of antidepressants could be the placebo effect. Anti-depressants alone produce a small effect on depression, except in cases of severe depression.[8] Living in a society that widely endorses stigmatizing ideas leads to their internalization, resulting in self-stigma. Thus a person with a mental disability lives with both public stigma and stigma emanating from within, resulting in devaluation of the person.

            Persons with physical disabilities face a separate set of stigmas from mental disabilities. Having a physical disability places an individual beyond that which is considered normal, complicating interactions with able-bodied persons. Growing up I was thought to have conditions such as ADHD and Asperger’s Syndrome due to my struggles with interacting with other people. My mom told my doctors that I had difficulty socially due to my having Beckers Muscular Dystrophy but the doctors decided that I likely had another condition. I believe that I had trouble interacting with my peers because of my condition. In my experience growing up with a disability makes it much harder to interact with able-bodied people.  Individuals with physical disabilities “frequently experience various forms of devaluation and discrimination.” A disabled body is assumed to lack individual autonomy and be helpless, passive, and dependent. Furthermore the everyday skills of competencies of persons with physical disabilities are doubted frequently. Internalization of these assumptions impairs social interactions, leading to self-doubt and suffering of self-esteem.[9] Riding a scooter I feel that I am treated differently, which makes me uneasy. All of these stigmas come into play but instead of being angry I feel insecure about my surroundings.

            Though mental and physical disability are medically quite different, both lead to internalization of bigoted attitudes. The sense of self is maimed. This discussion about systems and institutions is quite abstract. At the same time, these views are translated into works of art, resulting in most characters being able-bodied. Stigmatizing attitudes put into art are then able to influence the consumers of the art, creating a cycle of institutional cruelty. Ending oppression of the disabled requires more than simply showing more characters with disabilities. Rather, characters with disabilities need to be portrayed in a strong, positive light – which is not simply the opposite of oppression -  to break the cycle. Nagisa Furukawa, one of my all-time favorite characters, is someone who, despite being physically frail, tenaciously follows her dreams. Similarly, characters with disabilities should run parallel to persons with disabilities: they can rise above the systematic barriers restricting them, reflecting human strength of will.





[1] “National Data Confirms Cases of Restraint and Seclusion In Public Schools.” 19 Jun 2014. Web. 28 Aug 2014 NPR.
[2] . “Oppression” by Marilyn Frye. 1983.
[3] Convention on the Rights of Persons with Disabilities. United Nations. 2006. Web. 28 Aug 2014.
[4] “Disabilities.” World Health Organization. 2014. Web. 28 Aug 2014.
[5] Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attributional analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55(5), 738-748. doi:10.1037/0022-3514.55.5.738
[6] Though the term mental illness is used, I prefer the term mental disability because it is less antagonistic.
[7] Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry 2002; 1: 16–20
[8] Khan A., Faucett J., Lichtenberg P., Kirsch I., Brown W. A. (2012). A systematic review of comparative efficacy of treatments and controls for depression. PLoS ONE 7:e41778 10.1371/journal.pone.0041778
[9] Taub, Diane E., Elaine M. Blinde, and Kimberly R. Greer. "Stigma Management through Participation in Sport and Physical Activity: Experiences of Male College Students with Physical Disabilities." Human Relations 52.11 (1999): 1469-84.

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