What causes disability? Do you live with disability? Is disability in the picture?

CraigAndrews's picture

I've been thinking about what connections there are between MS and disability.

If you have a medical diagnosis (eg., multiple sclerosis) does that mean you have a disability? (is that possible? or is a medical condition just a medical condition?)

If you have a ‘physical impairment’, does that mean you have a disability?

If you have symptoms of ms – does that mean your health is compromised?
Does a symptom of ms constitute a ‘physical impairment’?
Does this mean you have ill-health or is health something completely separate to any ‘physical impairment’?

Could ‘physical impairment’ be the same thing as your eye, hair or skin colour? Everyone has one.

Can you have a ‘medical condition’ without a disability?
Can you have a ‘physical impairment’ without having any disability?

If you’re over 50/60 and have arthritis, does that mean you have a physical impairment? does it mean you have a disability? do you have an illness? is your health compromised?

Is MS any different?

Where is disability? in your body? in your mind?
or is disability only in the 2nd floor apartment unit you live in, the town hall building you'd like to access? or the movie theatre/cafe/post office/seven-eleven you can't get into?

Who causes you disability?
What causes you ‘physical impairment’?
Do the symptoms of a medical condition have anything at all to do with 'disability'?

Could ‘living with disability’ be about dealing day-by-day with ignorant town planners, thoughtless architects, witless builders and negligent event-planners?

What relevance has disability to do with health?
Are health and disability happy bedfellows? or does one negate the other?
Could you have splendid health and still carry out all your daily activities with some physical impairment?

Can a human being live with a ‘medical condition’, a ‘physical impairment’ or ‘disability’? or are they three very separate beasties?

What relevance does ‘medical condition’ have in this picture?

Love to explore in conversation these questions and more…

Comments

michaelbgerber's picture

I AM HEALTHY

Except for this MS thing, I am a very healthy guy. Do I have a disability? You bet. There are a number of things that I used to do that I can no longer do. I suppose that is a good definition of DIS-ability, ability no longer.
MS does not mean disability......unless it does. Many people are living with this disease and are only minimally impacted. But if it does impact you to an extent where you can no longer do what you used to do, I think that is a disability.
Can a disability be in yoour head? Unfortunately, yes. Many people are more emotionally crippled by an MS diagnosis than they are physically.
Perhaps like many people, I used to take my good health for granted. Now not so much. I am much more grateful today for all the good health I have then ever before....and that is a good thing.
Great questions. Thanks for asking.
Michael

CraigAndrews's picture

Hi Michael, good to hear from

Hi Michael,
good to hear from you!

As someone with no symptoms of MS - but who has lived since birth with Osteogenesis Imperfecta (a medical diagnosis - 'Brittle bones'), I've never had a disability.

That's right - all four foot four of me, using a w'chair, drive with hand-controls, couldn't stand to save myself -- no disability
Smile

I'm not coming at this from a 'glass-half-full', 'stiff upper lip' attitude - I'm coming from a very practical real place of reality.

Disability doesn't reside in you or I Michael.
It is a collective misguided concept of the community/societies we live in, imposed on us for a whole range of reasons.

When you say "But if it (MS) does impact you to an extent where you can no longer do what you used to do, I think that is a disability."

Okay - can I encourage you to gently unpack that a little?
Does an ordinarily ageing person with declining physical abilities, who no longer can do what he used to do, say he has a disability?
Most don't.

So why should we?
Why does a medical diagnosis make any difference?

Short-sightedness ia a medical diagnosis - but I doubt many people wearing glasses believe they have a disability.

The diabetic who needs insulin for the rest of his life has a medical diagnosis, but we don't say he has a disability (and I'd be surprised if he did thought so).

There is no concept of disability in the minds of the average ageing person who has to adapt to physical limitations - so why do we accept it?

Disability is *imposed* on me when I can't go to the cinema or cafe like anyone else.

Disability is *imposed* on me when people behave oddly around me (similar to racism or sexism).

Disability is *imposed* on me if I went for an interview and find the panel has assumptions about my physical limitations or MS (thankfully this has never happened).

Disability is *imposed* on me when decisions are made by architects, planners and builders who choose to discriminate against me.

I don't know why people accept the label 'disability' (which is a term dreamed up by people without physical limitation!) without discrimination or robust interrogation of the meaning.

* Where is this disability?
* Whose interests does it serve? and
* Why do so many accept the label?

It's a dreadful imposition.
It's an 'ism' like many other isms which women, gay people and indigenous people know only too well.

Here in Australia we have a well-known phrase on government posters, literature and the like (dreamed up by government)..."Don't DIS my ability".
It's a dreadful phrase - always struck me very double-speak Orwellian in nature. On the surface, apparently supportive but on the other hand, reminding us it's all about DISability. To me, it's a very dangerous (but clever) technique.

The best thing about looking-deeply into these kinds of things, is the freedom people realise and experience for themselves when that light-bulb moment happens.

I know I don't have a disability. Applying the term to me is about as useful as calling me Aboriginal (Aust indigenous people). Clearly I'm not Aboriginal.

So when the assumption rises, I use it as an opportunity to gently unpack it with others.
* Where does this idea of disability sit - and
* What value it is to me (none at all) and others (??).

food for thought?
Craig

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

admin's picture

Disability is just a label, I

Disability is just a label, I never have given much cred to labels.

The way to get publicity for ones plight or situation they are in, is quite often to give it a label, you know, firsts things first and all, otherwise the poor old action groups, would have to say something like

Please help those who are "NQR" (not quite right), can't walk, can't breathe, can't process sugar properly etc etc etc you get my point I'm sure.

I will admit I often refer to myself as being a bit spazzy today, because I am having an off day, it's directed at myself and effects no one else, but I really do feel a bit spazzy and ya know what, often it is because of spasticity, my muscles just aint working how they probably should be. Now thin skinned people may get upset with me saying that about myself, who knows, everyone gets offended by something these days, usually from a purely selfish perspective, so what ya gonna do.

Let's be honest, at certains times in history having an impairment, NQR, or disability may have meant an early demise, you know survival of the fittest and all, can't hunt, ya can't eat, ya can't live, those were simple times.

Since the monday just gone (I won't go into details here) I have MS problems, I had to go to hospital three days in a row and return home, if I didn't have some label attached to me, there is no way they would have helped me with transport to the needle sticking event held over three days, so labels can be a good thing, they are a bit like Taxonomy on this site lol.

I kinda think if a label that isn't offensive eg. "shit head" for example, people can categorise my situation anyway they like, aren't we going back to the school ground and the whole bully scenario if we blindly believe what people tell us we are. I was always told that sticks and stones etc etc etc.

Even though we really are centuries from being enlightened, it's a start when politicians and the powers that be have to consider differences in society, should there be a label for these differences, probably not, but it's how it is for now, if having a label attached to oneself can be of benefit to the person being labeled then honestly I have no problem, maybe the problem is with the person who is labeled, maybe they shouldn't sweat the small stuff.

I'm all for positivity, but positivity that resides with at least one component of reality in the mix somewhere

Anyway I can hardly see the screen, so wouldn't really have a clue what I just writ lol.

jjoh1971's picture

Funny man!

Oh Darin, you are such a classic! I love that bit of Monty Python! The mark of true courage, "come on you pansy!".

Jodi.

"Don’t judge each day by the harvest you reap, but by the seeds you plant" Robert Louis Stevenson.

MSB47's picture

You look fine

I was fortunate to be at the opening of the 8 unit MS housing project in Brisbane last week. Walking around the units I got to speak to a couple of govt people in disability services. During the conversation I eventually mentioned that I had MS. The response was that 'you look fine' to which I replied, that's because I am fine. I limp and run out of steam on hot days but I still get things done. I think a bit of adversity has made me lift my game and stop taking the abilities that I am still lucky to have for granted.

From that point on I went on to point out the amazing people out there who are, or were, really at the top of their field. Think of Stephen Hawking, Betty Cuthbert, FD Roosevelt for example.

I also threw in a couple of my favorite quips about how we are already way ahead in certain areas. On the transport front I told them how we had been using electric vehicles for years and wished the rest of the travelling public would try and keep up. Smile I also went through my home electrical systems, including solar power, and how my power bills were now back to 1990 levels despite the recent price rises.

Anyway here's a couple of links.

http://en.wikipedia.org/wiki/Franklin_D._Roosevelt

http://en.wikipedia.org/wiki/Stephen_Hawking

MSB47's picture

Video from TED discusses this issue very well

This talk by James Heywood on TED who had a brother with ALS seems to fit perfectly with this topic so here is the link. MS gets a few mentions throughout.

I get a lot of good info from TED on a huge range of topics so hopefully you will look around this site once you watch this video.

http://www.ted.com/talks/jamie_heywood_the_big_idea_my_brother_inspired....

Helen's picture

More TED Aimee Mullins

This TED telecast really nails it. it is called "The Opportunity of Adversity" by some one who walks the talk.

Enjoy!

http://www.ted.com/talks/aimee_mullins_the_opportunity_of_adversity.html

Helen.

admin's picture

Ok that's enough links for

Ok that's enough links for this thread!

michaelbgerber's picture

AIMEE MULLINS

tTHAT IS ONE OF THE GREATEST VIDEOS I HAVE EVER SEEN. THANK YOU SO MUCH FOR SHARING IT WITH US.

michaelbgerber's picture

Touche'!

That was a wonderful and thoughtful response...and a good one. Your statement "Disability doesn't reside in you or I Michael. It is a collective misguided concept of the community/societies we live in, imposed on us for a whole range of reasons" carries with it a lot of truth. I do not believe that this is just a matter of semantics. Words are the envelopes we use that contain our experiences either individually or collectively. I once wrote about handicap vs. disability (
http://www.ozms.org/modules/wordpress/?p=359 ) explaining that while I do have a disability, I am not handicapped.
For the most part, I think we are on the same page. At a minimum, you have given me cause for consideration. Thank you for that. I like to be challenged.
Michael

CraigAndrews's picture

Hey Michael, I like your

Hey Michael,
I like your phrasing - "words are envelopes" - so exquisitely true!

Have you read the book by Susan Scott called "Fierce Conversations"? Not 'fierce' as in angry, violent etc - but 'fierce', robust, challening, inspiring, strong, passionate.

The first thing she talks about is encouraging us to "Master the courage to interrogate reality". Generally, this is very scary for peops - but it's actually more frightening not to.

Michael, "Out beyond ideas of wrongdoing and rightdoing there is a field. I'll meet you there. -- RUMI"

Looking forward to have a yarn with you in person!
Smile

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

KarenH's picture

There is such a thing as disability

Hi all,

I've read this with interest. To put a brand new spin on this if we didn't believe we had a disability, or believe in disability, then we wouldn't expect people the community to provide us with better ways, or easier access to things? The reason we want these things is because we have a disability in getting around or using things like we should be able to.

Craig, I'm hearing you about the ageing process, BUT a disability is really gauged on what could an average person do, or be able to do at that particular age etc;

When we get old we expect our bodies to start to clap out from wear and tear, especially if we haven't treated them well. We expect our movements to slow up, to maybe become a bit stiff, to maybe not be as quick thinkiing etc; BUT should we expect this of someone in their 20's, 30's or 40's? In a period of time when our bodies at supposedly at the prime of their lives?? No, we don't!

I believe a disability is not being able to do the 'normal' things, that others can do without much effort. If one truly believed they were not disabled in any way, they wouldn't expect things to be modified for them, would they? The reason we have things modified is because we can't do something like the average person can and we need that help in order to make it happen.

The truth is a lot of us at some point with MS will become disabled in some way. Whether it be physical or whether it be mentally. I know my fatigue disables me in many ways but I try and work around it the best I can.

So I believe, yes, there is such a thing as disability, which is the opposite to ability, which means to have the capacity to do something. Now if we have modifications to help us achieve these things, well we've managed to work our way around some of the disability. But the disability still remains there, but maybe not as prominent, but once we remove that help or modifications it's there full-on.

But in saying that, it's what we do with our disabilities that makes all the difference. Do we let it define us, or do we keep moving forward doing the best we can with what we have, and what services or modifications are available to make us be able to do certain things. Which in turn makes us become capable to a degree, but maybe not as competent as someone without such a disability, who would be expected to do something in a shorter time period etc.

Some people will be lucky enough that with the aid of certain things to be able to do most things they like in a competent manner, whereas others will not be so lucky, as their disablity will not allow that to happen.

Sometimes I think the general public and some people with chronic illnesses etc; view the terminology of disability as a dirty word. It should NOT be viewed that way. We don't view 'broken' as a disability because it's something that can be fixed. So we need the stigma attached to the word disability to be changed, not the word or meaning.

Disability should be more viewed with the approach of how can we all make this world a better place so that people with disabilities can have an active role in society and not feel alienated. So we can all feel equal. The world is all full of talk about racism and that everyone should be treated equally, BUT why don't we hear the same about people with disabilities?

The world should be disabled friendly where the majority of workplaces, all transport, all schools etc have made allowances for people who do have mobility issues etc; so that the general population doesn't look upon disabled people as inferior, which unfortunately does happen a lot. People need to be re-educated. Disabled people are just as normal as anyone else but just can't do what others can do in the same manner.

There should be stock standard cars on sale for people with hand controls at a reasonable price, rather than one having to pay alot of money for a conversion, or make a special order. There should be ramps at all train stations etc; There should be some form of public transport offered in major cities for people with mobility issues; such as special bus services and the list goes on...

But one thing that is really needed in our society is compassion, as that seems to have disappeared. If people had compassion so many people wouldn't lose their jobs once their illness was revealed. People would work together to find a way for a person to still contribute without taking advantage of them, which once again unfortunately happens as people seem to think that disabled people are worth less money in the workplace. Just plain wrong!

The other thing that is lacking is respect. Respect for elders and also little things like giving up your seat for someone else who one can see is having balance issues etc; but these things just don't happen often enough anymore because our society has become all about ME syndrome and PERFECTION.

I think it would be wrong to say there is no such thing as disabilities and that it would in fact totally offend those who, not by choice, cannot participate much because they are limited because of their disability. No-one asks to be disabled and I think that's what the general public just doesn't get.

One cannot take away the fact that people instantly notice an odd walk, a person in a wheelchair, frame or walking stick, a person who has a slur or slow speech as being different, because these people are not the vast population, therefore not perceived as normal, as normal does what normal sees. It's more to do with how do we re-educate and change societies views and get more resources so that people with disabilities can become more able to do things...

Disabilities will always be there, but it's how we provide for that to make people more abled within their competencies that will make all the difference. There needs to be a meeting of minds where people with disabilities are also willing to allow people to help them in order to provide better services without taking away peoples' self worth etc; It has to be a two-way street or it's never going to improve.

That's my two bobs worth.

CraigAndrews's picture

Hi KarenH, thanks for that!

Hi KarenH,
thanks for that!

Good to hear your perspective!
Smile

--- lots and lots of unpacking to do there, but it's a terrific start.
keep thinking,

Craig

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

KarenH's picture

No worries Craig

I don't think being called disabled is the problem here, I believe the problem is the way it is perceived.

For some reason both the person with the disability and the person who is abled seem to have issues with the word. Not all people but there are quite a lot.

To me it is quite simple, the word disabled speaks for itself meaning we can't do the same as the average person in the normal way, or what we could do before. But there are definitely varying degrees of it. But with help we may be able to do more, such as modifications to houses, workplaces etc.

We don't sneer at words like chronic illness, or fatigue which can be very debilitating and disabling but yet mention the word disabled and people jump up in arms!!

The word has become a 'label' if you like, of a perception. It's not the word that's the issue but the perception of the word.

We need the perception to change in everyones' views.

People with disabilities will always have a disability of either physically or mentally not being able to do what the 'normal population can do, in the same manner as they can' but, that doesn't mean that the disabled can't do something, or even possibly do better than someone else if given the right tools to do it.

That's the point I'm trying to give. That there's nothing wrong with the terminology but rather the perception of the term. The gov'ts campaign has not helped this perception at all in my view.

We are all equal no matter what our disease, race or colour and everyone should be treated as such. No-one should be discriminated against based on any of these things.

What needs to happen is that people with disabilities need to stand up and be proud and say yes I have a disability BUT if you give me access to the right tools, or flexibility with things, I too could do as well as you but maybe in a different way!

We need to stand up and state what we need in society in order to make it a better place for disabled people, to enable them to become more abled instead of being excluded because of lack of recognition eg; access to venues etc.

But this doesn't happen. People say I'm not disabled and don't need help which sends the message well okay if that's what you want...; when in fact many people do need help in order to follow their dreams and aspirations. It may be help in the form of material modifications, it may be in the form of having help to look after themselves in order to have a better quality of life.

If we didn't have access to things or anywhere for those in wheelchairs etc; imagine the outcry. The fact is we do need this type of help to become more abled but we should not be made to feel less of worth because we need these things. If disabilities were taken into account when building workplaces, housing, units etc; it would become a normal and accepted part of life which is what we would want it to be. Not to be made out to be different, if that makes sense.

Imagine if property developers who were building a block of units close to amenities thought to make the ground floors into wheelchair friendly units, imagine if other developers like the Lend Lease (not sure if they're still around?) built a house or a few houses in each of their housing estates that was wheelchair friendly and had modified kitchens etc; that would be unreal!! but this sort of thing doesn't happen but it should!!

CraigAndrews's picture

Sounds like you'd really

Sounds like you'd really enjoy engaging with the crew over at Physical Disability Australia Karen.

They're a splendid bunch who like you say: "We need to stand up and state what we need in society in order to make it a better place...instead of being excluded."

Where you say: "Imagine if property developers who were building a block of units close to amenities...built a house or a few houses in each of their housing estates that was wheelchair friendly and had modified kitchens..."

Increasingly, the Australia Building Code is such, that all the units must be accessible not just a few. This is the way of the future across Australia.

It's called "Universal Housing Design" or "Lifecycle Housing" (UHD principles). The idea is whether you're 5mths in a pram, 25 with a broken leg or 85 with arthritic knees - all residential buildings are built in such a way to accommodate the lifecycle of the individual. Such a home can be sold and bought across the lifespan without the barriers which impose disability on human beings.

http://www.disabilitycouncil.nsw.gov.au/portfolios/uhd/LifecycleHousing.pdf

Smile

These changes are bought about by people realising they actually *make* life difficult for their fellow human beings when they build, act, interact with them in certain ways - ie., they force disability on other people putting them in helpless, difficult and uncomfortable situations purely through the environment.

And now that the Australia Government has ratified a new United Nations Human Rights convention, Australia is required to address exactly these issues - where our society forces disability onto people. It's a Human Rights issue now.

It's a fascinating time no matter what one's physical condition.
Smile

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

CraigAndrews's picture

Impairment is a normal part of life.

Interesting line from Erik Leipoldt - a man with acquired quadriplegia (1978). He describes his blog as "Impairment is a normal part of life. Disability is not. That is caused by our attitudes towards people who have impairments. It's about time we accepted that wholeheartedly."

Craig

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

pennysue's picture

Disability

I wholeheartedly agree with what karen has written & know she has put a lot of thought into it.
I have been following this discussion but couldnt put my thoughts into words clearly.

I personally dont care if someone else thinks that it is an impairment not a disability as you quoted Craig. Thats up to the idividual & is really a lot of how they deal with it.

I do class myself as disabled as I do need to use aids & have to have accommodations made to be able to work. If I was not disabled I wouldnt need any of this. I use a scooter to get to work as I am not able to walk one city block - to me this is a disability as I am not able to do something I used to do. I cant just use any chair in the office as I need a chair with arms because after a little while sitting I lean to the left (my weak side).

I could go on but everyone has different things & they can vary on the day/week too. I have no problem with saying "I am disabled" as that does describe why I needs aids without going into it any more (in most cases).

Yes I live with a disability & I have a disability. It is not embarrassing to use that label. Without this name I would not to be able to get a lot of the help that I need.
Everyone is entitled to their opinion & some people are uncomfortable with this & use other words.

Breathing in, breathing out, I return to my own blessed center.
I am ready to receive miracles!

CraigAndrews's picture

Hi Penny,good to see your

Hi Penny,
good to see your view!

I'm not suggesting anyone is "embarrassed" about the label disability. Whatever label works for people works for them. If you can live with the label 'disability' - you go girl! More power to you!

I am only too aware of the dreadful value society places on the term and how our communities, society (city councils, builders, airlines, etc) continually use it to excuse physical apartheid. It's simply unacceptable.

I've seen it over and over again how people who have a physical impairment, suddenly light up when they realise they don't have a disability. It's a light bulb moment!

When people realise the 'disability' is imposed by people who really should know better - it's amazing to see the change in their whole lives! They become empowered to live life just like other people - they change their community, some people change attitudes, others change the physical environment around them eg., the local post office steps, and they all end up changing their way of relating to the outside world.

It's a liberating concept and a huge buzz to see their lives change!

The labels we use to describe ourselves are immensely powerful. This is not just about semantics. As MichaelG described it as "Words are the envelopes we use that contain our experiences". It's so important to question and unpack labels. They are the tools we hand onto other people and say - "it's ok to relate to me or think of me in this fashion".

Anyhoo - don't take my word for it. Check this stuff out for yourself.
Smile

Craig

Craig Andrews
____________________

ACTIVE MS NSW www.activemsnsw.net
Participate. Make a difference. Live a life that matters.

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Please Note: Any advice given on OzMS must not be taken as medical advice, it's merely advice given by members from their own experiences of living with Multiple Sclerosis. Always check with your GP or Neurologist or other medical professionals, it's the smart thing to do and only logical! If you have something to contribute please do so, everybody has something to offer.