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Kids Together, Inc.

To ensure Inclusion, Freedom, and Respect

for all, we must use

PEOPLE FIRST LANGUAGE

A commentary by Kathie Snow

Who are the so-called " handicapped " or " disabled " ?

According to stereotypical perceptions, they are:

People who suffer from the tragedy of birth defects.

Paraplegic heroes who struggle to become normal again.

Victims who fight to overcome their challenges.

Categorically, they are called retarded, autistic, blind, deaf,

learning disabled, etc., etc., etc.-ad naseum!

Who are they, really?

Moms and Dads. . . Sons and Daughters . . . Employees and Employers

Friends and Neighbors . . . Students and Teachers. . . Leaders and Followers

Scientists, Doctors, Actors, Presidents, and More

They are people.

They are people, first.

People with disabilities constitute our nation's largest minority group. It

is also the most inclusive and most diverse: both genders, any sexual

orientation, and all ages, religions, socioeconomic levels, and ethnicities

are represented. Yet people who have been diagnosed with disabilities are

all different from one another. The only thing they have in common is being

on the receiving end of societal misunderstanding, prejudice, and

discrimination. Furthermore, this largest minority group is the only one

which any person can become part of, at any time! Some join at birth-others

in the split second of an accident, through illness, or during the aging

process. If and when it happens to you, will you have more in common with

others who have disability diagnoses or with family, friends, and

co-workers? How will you want to be described? And how will you want to be

treated?

The Power of Language and Labels

Words are powerful. Old and inaccurate descriptors, and the inappropriate

use of these descriptors, perpetuate negative stereotypes and reinforce an

incredibly powerful attitudinal barrier. And this invisible, but potent,

attitudinal barrier is the greatest obstacle facing individuals who have

disability diagnoses. When we describe people by their medical diagnoses, we

devalue and disrespect them as individuals. Do you want to be known

primarily by your psoriasis, gynecological history, the warts on your

behind, or any other condition?

Worse, medical diagnoses are frequently used to define a person's potential

and value! In the process, we crush people's hopes and dreams, and relegate

them to the margins of society. If we know about (or see) a person's

diagnosis, we (mistakenly) think we know something important about him, and

we give great weight to this information, using it to determine how/where a

person will be educated, what type of job he will/won't have, where/how he'

ll live, and more. In effect, a person's future may be determined by those

with authority over him, based on the diagnosis. Today, millions of children

and adults with disability diagnoses are effectively " incarcerated " behind

the walls of " special (segregated) places: " special ed classrooms,

congregate living quarters, day programs, sheltered work environments, and

more-all because of the diagnosis that's been assigned. When incorrectly

used as a measure of a person's abilities or potential, medical diagnoses

can ruin people's lives.

Inaccurate Descriptors

" Handicapped " is an archaic term-it's no longer used in any federal

legislation-that evokes negative images (pity, fear, and more). The origin

of the word is from an Old English bartering game, in which the loser was

left with his " hand in his cap " and was thought to be at a disadvantage. A

legendary origin of the " H-word " refers to a person with a disability

begging with his " cap in his hand. " This antiquated, derogatory term

perpetuates the stereotypical perception that people with disability

diagnoses make up one homogenous group of pitiful, needy people! Other

people who share a certain characteristic are not all alike; similarly,

individuals who have disability diagnoses are not alike. In fact, people who

have disabilities are more like people who don't have disabilities than

different!

The " handicapped " descriptor is often used for parking spaces, hotel rooms,

restrooms, etc. But most accommodations so designated provide access for

people with physical or mobility needs. These modifications may provide

little or no benefit for people with visual, hearing, or cognitive

diagnoses. This is just one example of the inaccuracy and misuse of the

H-word as a generic descriptor. (The accurate term for modified parking

spaces, hotel rooms, etc. is " accessible. " )

The difference between the right word

and the almost right word

is the difference between lightning

and the lightning bug.

Mark Twain

" Disabled " is also not appropriate. Traffic reporters frequently say,

" disabled vehicle. " (They once said, " stalled car. " ) In that context,

" disabled " means " broken down. " People with disabilities are not broken!

If a new toaster doesn't work, we call it " defective " and return it for a

new one! Shall we return babies who have " birth defects " ? The more accurate

and respectful descriptor is " congenital disability. "

Many parents say, " I have a child with special needs. " This term typically

generates pity, as demonstrated by the, " Oh, I'm so sorry, " response, a sad

look, or a sympathetic pat on the arm. (Gag!) A person's needs aren't

" special " to him-they're ordinary! I've never met an adult with a disability

diagnosis who wants to be called " special. " Let's learn from those with real

experience, and stop inflicting this pity-laden descriptor on others.

What is a Disability?

Is there a universally-accepted definition of disability? No! What

constitutes a disability depends on who you ask and what services a person

receives. First and foremost, a disability label is a medical diagnosis,

which becomes a sociopolitical passport to services or legal status. Beyond

that, the definition is up for grabs! The " disability criteria " for early

childhood services is different from vocational-rehabilitation which is

different from special ed which is different from worker's compensation,

etc. Thus, disability is a social construct, created to identify people who

may be entitled to specific services or legal protections because of certain

characteristics.

Disability is Not the " Problem "

Because society tends to view disability as a " problem, " this seems to be

the #1 word used about people with disability diagnoses. People without

disabilities, however, don't spend a lot of time talking about their

problems. They know this would promote an inaccurate perception of

themselves, and it would also be counterproductive to creating a positive

image. A person who wears glasses, for example, doesn't say, " I have a

problem seeing. " She says, " I wear [or need] glasses. "

What is routinely called a " problem " actually reflects a need. Thus,

doesn't " have a problem walking, " she " needs/uses a wheelchair. " doesn'

t " have behavior problems; " he " needs behavior supports. " Do you want to be

known by your " problems " or by the multitude of positive characteristics

which make you the unique individual you are? When will people without

disabilities begin speaking about people with disabilities in the respectful

way they speak about themselves?

Then there's the " something wrong " descriptor, as in, " We knew there was

something wrong when... " What must it feel like, to a child, to hear his

parents repeat this over and over and over again, throughout his childhood?

How would you feel if those who are supposed to love and support you

constantly talked about what's " wrong " with you? Let's stop talking this

way!

The Real Problems are Attitudinal and Environmental Barriers

A change in attitude can change everything. If educators believed children

with disability diagnoses are boys and girls who have the potential to

learn, who need the same quality of education as their brothers and sisters,

and who have a future in the adult world of work, we wouldn't have millions

of children being segregated and undereducated in special ed rooms.

If thought corrupts language,

language can also corrupt thought.

Orwell

If employers believed adults with disability diagnoses have (or could learn)

valuable job skills, we wouldn't have an estimated 75% unemployment rate of

people with disabilities! If merchants saw people with disabilities as

customers with money to spend, we wouldn't have so many inaccessible stores,

theaters, restrooms, and more. If the service system saw people with

disabilities as " customers, " instead of " clients, " " consumers, " or

" recipients, " perhaps it would focus on meeting a person's real needs (like

inclusion, friendships, etc.) instead of trying to remediate a person's

" problems. "

And if individuals with disabilities and family members saw themselves as

first-class citizens who can and should be fully included in all areas of

life, we might also focus on what's really important (living a Real Life),

instead of a Special Life governed by services that often result in social

isolation and physical segregation.

A New Paradigm

" Disability is a natural part of the human condition... "

U.S. Developmental Disabilities/Bill of Rights Act

Yes, disability is natural, and it can be redefined as a " body part that

works differently. " A person with spina bifida has legs that work

differently, a person with Down syndrome learns differently, and so forth.

And when we recognize that the body parts of people without disability

diagnoses are also different, we'll know it's the way these differences

affect a person and/or her qualifying for services, entitlements, or legal

protections which mandates the use of a disability descriptor.

A disability, like gender, ethnicity, and other traits, is simply one of

many natural characteristics of being human. One in five Americans is a

person with a disability diagnosis! People can no more be defined by their

diagnoses than others can be defined by their gender, ethnicity, religion,

sexual orientation, or anything else!

Additionally, whether a person has a disability is often a consequence of

the environment. Why are many children not diagnosed until they enter public

school? Is it because their parents or physicians were ignorant or " in

denial " ? Or is it because as toddlers, they were in environments that

supported their learning styles? But once in public school, if a child's

learning style doesn't mesh with an educator's teaching style, we may say he

has a " disability. " Why do we " blame " the child, label him, and segregate

him in " special ed " ? Why don't we simply modify the regular ed curriculum

(per Special Ed law) to meet his individual needs?

When a person is in a welcoming, accessible environment, with the

appropriate supports, accommodations, and tools, does he still have a

disability? I think not. Disability is not a constant state. The medical

diagnosis may be constant, but whether or not the condition represents a

" disability " is often more a consequence of the environment than what a

person's body or mind can or cannot do.

Using People First Language is Crucial

People First Language puts the person before the disability,

and it describes what a person has, not who a person is.

Are you " myopic " or do you wear glasses?

Are you " cancerous " or do you have cancer?

Are you " freckled " or do you have freckles?

Is a person " handicapped/disabled " or does she have a disability?

If people with disability diagnoses are to be included in all aspects of our

communities-in the ordinary, wonderful, and typical activities most people

take for granted-and if they're to be respected and valued, we must use the

ordinary, wonderful, typical language used about people who have not yet

acquired a disability diagnosis. (If you live long enough, your time is

coming!)

Children with disability diagnoses are children, first. The only labels they

need are their names! Parents must not talk about their children in the

clinical terms used by professionals. The parent of a child who wears

glasses (diagnosis: myopia) doesn't say, " My daughter is myopic, " so why

does the parent of a child who has a diagnosis of autism say, " My daughter

is autistic. " ?

Adults with disability diagnoses are adults, first. The only labels they

need are their names! They must not talk about themselves the way

professionals talk about them. An adult with a medical diagnosis of cancer

doesn't say, " I'm cancerous, " so why does an adult with a diagnosis of

cerebral palsy say, " I'm disabled. " ?

The use of disability diagnoses is appropriate only in the service system

(at those ubiquitous " I " team meetings) and in medical or legal settings.

Medical labels have no place-and they should be irrelevant-within families,

among friends, and in the community.

We often use diagnoses to convey information, as when a parent says, " My

child has Down syndrome, " hoping others will realize her child needs certain

accommodations or supports. But the outcome of sharing the diagnosis can be

less than desirable! A diagnosis can scare people, generate pity, and/or set

up exclusion ( " We can't handle people like that... " ). In these

circumstances, and when it's appropriate, we can simply describe the person'

s needs in a respectful, dignified manner and omit the diagnosis.

The greatest discovery of my

generation is that human beings

can alter their lives by altering

their attitudes of mind.

Besides, the diagnosis is nobody's business! Have individuals with

disabilities given us permission to share their personal information with

others? If not, how dare we violate their trust! Do you routinely tell every

Tom, Dick, and Harry about the boil on your spouse's behind? (I hope not!)

And too many of us talk about people with disability diagnoses in front of

them, as if they're not there. We must stop this demeaning practice.

Attitudes and language changed as a result of the Civil Rights and Women's

Movements. The Disability Rights Movement is following in those important

footsteps, and similar changes are occurring.

My son, , is 18 years old. More important than his diagnosis are his

interests, strengths, and dreams. He loves history, burned fish sticks,

classic rock, and writing movie reviews, and he's great at mimicking actors

and politicians! He's earned two karate belts, taken drama classes, and

performed in five children's theater productions. Benj wants to major in

journalism and be a movie critic. He has blonde hair, blue eyes, and

cerebral palsy. His diagnosis is only one of many characteristics of his

whole persona. He is not his disability. His potential cannot be predicted

by his diagnosis.

When I meet new people, I don't disclose that I'll never be a prima

ballerina. I focus on my strengths, not on what I cannot do. Don't you do

the same? So when speaking about my son, I don't say, " Benj can't write with

a pencil. " I say, " Benj writes on a computer. " I don't say, " He can't walk. "

I say, " He uses a power chair. " It's a simple matter of perspective. If I

want others to know what a great young man he is-more importantly, if I want

him to know what a great young man I think he is-I must use positive and

accurate descriptors that portray him as a whole, real, wonderful person,

instead of as a collection of " defects, " " problems, " or " body parts. "

A person's self-image is strongly tied to the words used to describe him.

For generations, people with disabilities have been described by negative,

stereotypical words which have created harmful, mythical portrayals. We must

stop believing (and perpetuating) the myths-the lies-of labels. We must

believe children and adults who have been diagnosed with conditions we call

disabilities are unique individuals with unlimited potential to achieve

their dreams, just like all Americans.

People First Language isn't about being " politically correct. " It is,

instead, about good manners and respect (and it was begun by individuals who

said, " We are not our disabilities! " ). We have the power to create a new

paradigm of disability. In doing so, we'll change the lives of children and

adults who have disability diagnoses-and we'll also change ourselves and our

world.

Isn't it time to make this change?

If not now, when? If not you, who?

People First Language is right.

Just do it-NOW!

Examples of People First Language

Say:

People with disabilities.

He has a cognitive disability (diagnosis).

She has autism (or an autism diagnosis).

He has a diagnosis of Down syndrome.

She has a learning disability (diagnosis).

He has a physical disability (diagnosis).

She's of short stature/she's a little person.

He has a mental health diagnosis.

She uses a wheelchair/mobility chair.

He receives special ed services.

She has a developmental delay.

Kids without disabilities.

Communicates with her eyes/device/etc.

Customer

Congenital disability

Brain injury

Accessible parking, hotel room, etc.

She needs . . . or she uses . . .Instead of:

The handicapped or disabled.

He's mentally retarded.

She's autistic.

He's Down's.

She's learning disabled.

He's a quadriplegic/crippled.

She's a dwarf/midget.

He's emotionally disturbed/mentally ill.

She's confined/wheelchair bound.

He's in special ed.

She's developmentally delayed.

Normal or healthy kids.

Is non-verbal.

Client, consumer, recipient, etc.

Birth defect

Brain damaged

Handicapped parking, hotel room, etc.

She has problems/special needs.

Keep thinking-there are many descriptors we need to change.

This document may be photocopied and shared with others. Please let me how

and when

you use it (kathie@...). Download the PDF version below.

Please don't violate copyright laws; inquire before reprinting in any

publication.

© 2005 Kathie Snow; revised 01/05.

Visit the Revolutionary Common Sense page for other new ways of thinking!

You may copy and distribute in its entirety. Rev. 01/05

As a courtesy, please notify the author, Kathie Snow at kathiesnow@...

See Also:

Pennsylvania's Executive Order

" All Commonwealth agencies, boards or commissions under the Governor's

jurisdiction shall use 'People First' language... "

The following are links to other websites, use the back button on your menu

to return to the Kids Together, Inc's website.

Web link to: President's Committee on Employment of People with

Disabilities

Communicating With and About People with Disabilities

Web link to: RTCIL Home Page

Guidelines for reporting and writing about people with disabilities

Copyrighted 2005 Kids Together, Inc

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