Internalized Ableism: Finding Your Freedom to Participate in Life

AiArthritis Voices 360 Episode #15 

Air Date: February 23, 2020

This episode join co-hosts Charis Hill and Tiffany Westrich-Robertson as they discuss the important topic of overcoming internalized ableism, both individually and as a society. They discuss the reasons people living with AiArthritis diseases may find it difficult to transition to identifying as a disabled person. Charis also shares insight on medical vs social models of disability and some suggestions for overcoming our invisible prejudices against disabled people. They also touch on the United States federal disability benefits application process. This episode is important for everyone! Learn more about Charis and Tiffany below.

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Show Notes: Episode 15 ”Invisible Ableism”


00:52 - Tiffany welcome listeners and co-host, Charis Hill

02:34 - Charis was diagnosed with Axial Spondyloarthritis in 2013

02:45 - They applied for Social Security Disability Insurance less than 3 years later

03:18 - Living with Ax-Spa has affected them mentally and physically

04:16 - Charis considers their identity as a disabled person to be very empowering

05:43 - The definition of disability is any condition that restricts one or more activities of daily living, which applies to anyone living with chronic disease

06:04 - Based on this definition, everyone living with an AiArthritis disease is disabled from symptom onset

06:40 - Most people have a moment where they decide to use assistive devices, and that is often accompanied by a change in identity

06:59 - Ableism is discrimination in favor of the able-bodied

07:40 - Ableism normalizes able-bodied and neuro-typical individuals as the privileged class

08:32 - The medical model of disability mentioned before is what is used to define disability from a legal standpoint

09:05 - The medical model of disability blames the individual for being impaired and views them as incomplete or in need of fixing

09:14 - The social model of disability places the responsibility on society to make the world more accessible to all people, regardless of impairment

09:32 - “My disease impairs me, but society is what disables me”

09:41 - Disease does not prevent someone from entering a building. Society’s preference for stairs prevents them from entering the building or being able to participate.

10:24 - Internalized ableism is a fear of becoming or being disabled

11:34 - Children are socialized to blame their body for not doing what society says it should do

12:10 - Using assistive devices allows disabled people more freedom to participate in life

14:18 - Tiffany has avoided using devices that could improve her quality of life out of fear of being judged by others 

17:41 - Part of the hesitation to use devices may stem from fear of letting go of their former identity

19:30 - Letting go of ability and losing privilege is a scary transition because you are completely shifting your outward appearance to the world

20:30 - Disabled people make up one of the largest minorities in the world, but also one of the most oppressed identities in the world

21:36 - Charis’ transition in identity began with using canes and wheelchairs in airports

22:13 - Why shouldn’t canes be accessories?

24:18 - Charis is sometimes politically motivated to park in accessible spots when they are not using their cane to normalize invisible disability

24:47 - If people confront Charis for parking in an accessible spot, they ask the person to please explain what a disabled person looks like

25:17 - Shortly after borrowing a wheelchair, Charis realized that they wanted their own wheelchair so they could be independent and participate in activities

 27:46 - Never assume someone needs help or put your hands on someone’s wheelchair without asking

28:20 - In the same way you would obtain consent before touching someone’s body, you should always have consent before touching someone’s wheelchair because it is an extension of their body

29:18 - Sometimes non-disabled people have a tendency to treat disabled people as though they are not fully human

32:25 - There is so much value in our culture associated with working, which feeds ableism

33:50 - When your disease is unpredictable, it can be challenging to identify as disabled because you don’t feel disabled every day even though you have that disease every day

37:31 - Many people in the disability community are shifting to identity-first language (disabled person) vs person-first language (person with a disability), but you should ask about preference because there is not universal agreement

39:44 - On average, it takes 3-5 years in the United States for disabled people to receive federal disability benefits

41:40- Disability in the US does not pay a living wage, so there is a lot of fear associated with relying on that to survive

42:01 - The US discourages people from applying for disability benefits by making the application process very difficult, long, and expensive and by denying half of the applicants

43:42 - Charis recommends that anyone who applies for federal disability benefits in the US should use a disability attorney from the start

44:14 - Tiffany asks any international listeners to submit tips for applying for disability benefits in other countries

45:00 - Universal accessibility - which can apply to any space - is a model that seeks to maximize usability for as many people as possible 

46:39 - Overcoming internalized shame - both as a society and an individual - is an important step to overcoming ableism

46:57 - At least 20% of the US population lives with a disability

49:00 - Buttons that make doors accessible to disabled people are not legally required to work in all locations in the US

51:00 - Eyeglasses are an assistive device that are now widely accepted by society, which demonstrates that shifts in acceptance can happen

52:20 - Tiffany thanks Charis for nominating the topic and coming on the show to lead the discussion

52:41 - Tiffany invites listeners to join the discussion on social media @ifaiarthritis on all platforms

53:00 - Listeners are invited to visit aiarthritis.org/podcast to submit topic ideas or get involved with the show



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AiArthritis Voices 360 is produced by the International Foundation for Autoimmune and Autoinflammatory Arthritis. Visit us on the web at www.aiarthritis.org/talkshow. Find us on Twitter, Instagram, TikTok, or Facebook (@ifAiArthritis) or email us (podcast@aiarthritis.org).



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Your Co-Hosts & Guests: Who is at the table this episode?

Charis Hill

Charis is an unstoppable, award-winning advocate since 2013, professionally disabled writer, speaker and model living with Ankylosing Spondylitis (AS), Major Depressive Disorder, Anxiety and Post-Traumatic Stress Disorder. Charis has been instrumental in creating spondyloarthritis disease treatment guidelines, designing and conducting patient-centered rheumatological research, forming international criteria for disease treatment outcomes, and is consistently involved in nationwide/international advocacy, awareness, and legislative campaigns to improve spondylitis education, funding, and access to treatment. They have modeled in Los Angeles Style Fashion Week and New York Fashion Week; and have been on the cover of Féroce magazine, Arthritis Today, and Spondylitis Plus magazine.

You can find Charis at www.BeingCharis.com, Twitter & Instagram: @BeingCharisBlog

Tiffany Westrich-Robertson

Tiffany is the CEO at International Foundation for AiArthritis and uses her professional expertise in mind-mapping and problem solving to help others, like her, who live with AiArthritis diseases work in unison to identify and solve unresolved community issues. For the last several years, she has continued her education in research, including becoming a professional focus group moderator, and translated this experience with our organization to develop award-winning, innovative projects that are taking patient engagement to next levels. 

Tiffany has served on several advisory boards, including those to advance patient voices in policy, clinical trials, and precision medicine. In addition to reviewing grants at PCORI and for the Department of Defense, she was the sole patient grant reviewer for the National Institute of Arthritis and Musculoskeletal and Skin diseases from 2015-2018. She currently participates as a Patient Research Partner for OMERACT (Outcome Measures in Rheumatology), co-leads our organization's international effort to advance patient voices in rheumatology research (the ACTion Council) and has dedicated her professional career to developing other patients to utilize their voices to impact the future of millions.

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