Ableism in Writing and Everyday Language
Content note: This post contains ableist slurs, words, and phrases.
In my social work class on human diversity and social justice, I learned about privilege in different forms: race, gender and gender identity, sexual orientation, religion, and education, to name a few. I already knew I held privilege in some ways and not in others, but there was one particular area I was oblivious to: disability. Until that class, I didn’t realize that I have privilege because I’m non-disabled. I never have to think about whether I can navigate public spaces. I never have to worry that people will treat me like I’m unintelligent because of my ability status. I never have to strain to find authentic representations of my ability levels in media. Given my privilege, I’m not an expert on disability or ableism. I do, however, recognize how ableism is perpetuated through writing and everyday language, and I’m continually working on recognizing how I contribute to this. The purpose of this post is not to tell anyone what they can or can’t say, but to provide others with the context and resources that have helped me think critically about my own words when it comes to ableist language.
Disability
To understand ableism, it’s important to understand disability. The Americans with Disabilities Act of 1990 defines a disability as “a physical or mental impairment that substantially limits one or more major life activities of such individual.”
Disabilities come in many forms, and not all of them are visible. The CDC lists different areas that disabilities may affect, such as
Vision
Movement
Thinking
Remembering
Learning
Communicating
Hearing
Mental health
Social relationships
Ableism
The National Conference for Community and Justice defines ableism as “the intentional or unintentional discrimination or oppression of individuals with disabilities.” In a post for the Center for Disability Rights, Leah Smith explains that ableism “often rests on the assumption that disabled people need to be ‘fixed’ in one form or the other.” She explains how ableism usually stems from non-disabled people with good intentions: how we view disability as something wrong, how we treat people with disabilities through our actions and our language, and how we exclude them from having a seat at the table and a voice in conversations.
When I learned what ableism was, I began to recognize how my own thoughts, words, and actions played into it. I’ve gone out of my way to be extra nice and helpful to someone with a visible disability because I thought they must need this from me. I’ve projected my voice when talking to an older adult because I assumed they were hard of hearing (which is also a form of ageism). I’ve judged people for parking in accessible parking spots when they don’t look like they have a disability. I’ve used ableist language, like calling a person lame or dumb—words that have origins referring to disabled people in negative contexts.
This last example is the one I want to focus on here. As an editor and a social worker, I’m particularly interested in the role language plays in social justice and stigma. Out of all the ways I can check my bias and privilege, changing my language is one of the easiest things I can do.
Person-first and identity-first language
The idea of person-first language and identity-first language is to reduce stigma when referring to an individual with a physical or cognitive disability, or a health or mental health diagnosis.
Person-first language places the individual first, such as “a person with a disability” or “a person with autism.” The reason for this is to place the person first and to separate the characteristic from their identity. Identity-first language places the characteristic first, such as “a disabled person” or “an autistic person.” This type of language may be preferred by those who see their disability as part of who they are, which cannot—and should not—be separated from their identity. People with Disability Australia details the differences between PFL and IFL. As J. R. Thorpe writes for Bustle, “The difference between the perspectives essentially boils down to personhood and disability: is it something that you have, or something that's at the core of your identity?”
While there's been a strong push to make person-first language standard, PFL is considered harmful by many disability advocates because of the message it sends: that being disabled is separate, shameful, or unworthy of affirmation. PFL is frequently used and recommended by families of disabled folks and the professionals who work with them, but not often used by the disabled folks themselves (where IFL is more common). For a much more nuanced breakdown of PFL versus IFL and why PFL can be harmful, I strongly encourage you to read Lydia X. Z. Brown’s two articles on the significance of semantics and identity and hypocrisy.
There is no consensus on whether to use person-first or identity-first language for a specific group, disability, or diagnosis. Some people prefer PFL, and others prefer IFL. If possible, talk to the individuals you’re writing about to understand how they self-identify. You can also consult the National Center on Disability and Journalism’s style guide, which has guidance on preferred language for some specific groups.
Regardless of whether person-first or identity-first language is used, grouping all individuals that share a common characteristic with a preceding “the” should generally be avoided, such as saying “the disabled,” “the mentally ill,” or “the elderly.” This type of language is seen as lumping all of these individuals into one group and ignoring the unique experiences of each person. This also applies to groups across other marginalized characteristics, such as race, sexual orientation, gender identity, and religion.
Ableist words and phrases
There are many lists that cover specific words and phrases that are considered ableist, so I’m not going to try to create one. Instead, I encourage you to look at one or all of them to get an understanding of how pervasive these are in everyday language. Some words relate to physical disabilities (crippled, wheelchair-bound), some relate to mental health (crazy, cuckoo, schizo), some relate to intellectual disabilities (moron, simple, derpy). Others refer to how we frame a person with a disability (a victim of, suffers from) versus a person without a disability (normal, healthy, well). Some are considered slurs, while others may be ableist in specific contexts. If you use any of these terms, it doesn’t mean you’re a bad person. What I’m encouraging you to do is to think about the impact of these words or phrases on people who are affected by ableism.
Here are some comprehensive word lists:
Ableist word list by Lydia X. Z. Brown
Disability language style guide by the National Center on Disability and Journalism
Language guide by People with Disability Australia
While not a word list, Conscious Style Guide has articles and links to resources on ability and disability.
For a curated list of words and phrases related to disability and health, you can also check out my Conscious Language Toolkits for Editors and Writers.
Why it matters
So why do I care, especially if it doesn’t affect me? These are some of the reasons why it matters to me, and I hope it’ll help frame why I’ve made a commitment to learning about ableist language, removing it from my own vocabulary and writing, and educating on the topic.
Many disability advocates have said that using ableist language can be harmful. I’m not disabled, so it’s not my place to say whether that’s true. Instead, because I hold privilege in this area, my role is to listen, learn, and do better—not to tell someone how they should or shouldn’t feel. It matters because compassion and empathy matter.
Usually, there are suitable alternatives to replace everyday ableist words and phrases, as seen in the word lists above. Even though some of the alternatives may be synonyms, they don’t carry the same history and baggage that the ableist words and phrases do. It takes some work on my part, but I lose nothing by replacing this language.
The language I use communicates my thoughts, feelings, ideas, beliefs, and perceptions. I’d like to think that I don’t contribute to ableism, but I know I do, whether consciously or subconsciously. Using ableist language is just one of the ways. Learning about ableist language helps me recognize my own biases when it comes to disability.
Because ableist language is prevalent in everyday use, words and phrases are often cliched or used as catch-all terms. An example of this is when a person’s behaviors are described as “crazy” or “insane.” Not only are these words loaded, but they’re also vague. Maybe the person’s behaviors are shocking or reckless or horrible instead. While many generally agree that words like “crazy” and “insane” shouldn’t be used to describe people, opinions about usage get trickier when describing situations.
By using ableist language, I may be perpetuating stereotypes and feeding stigma about disabilities. The word “psycho” has been used to stigmatize people with mental health diagnoses, and we use it to label someone whose behavior is abnormal or dangerous. The word “cripple” has been used to stigmatize people with mobility impairments, and we use it to describe something harmful (crippling the economy, crippled by fear). Deaf people are stereotyped as unintelligent, and we ask “Are you deaf?” when someone doesn’t understand what we’re saying. By using ableist language in my insults, I’m perpetuating the harmful idea that disability is an insult.
In writing, sometimes it’s not about the intent I have with my words but about the impact my words have on readers. What messages am I communicating to disabled readers when I use ableist language, even casually? Even if I believe my intent is harmless or I don’t recognize a word as ableist, it may not be harmless to readers. Readers carry all of their experiences with them as they read, and they may have negative reactions to words regardless of how I mean them. Readers may not notice the absence of ableist language, but they’ll notice its use.
This is a side note, but when we make digital content accessible to users with disabilities, we send the message that we know they exist and want them to join too. I’m still learning and working toward this. Web Accessibility Initiative lists ways to write for web accessibility. This includes things like captioning videos, providing alt text for images and GIFs, and using PascalCase for hashtags so they can be picked up by screen readers (#ThisIsAPascalCaseHashtag vs. #thisisalowercasehashtag).
For more about disability rights and language, I highly encourage you to read Rachel Cohen-Rottenberg’s post about why this matters.
Final thoughts
If this is all new to you, you’re not alone. The nature of privilege is that it’s invisible—it’s only until we learn about how we benefit from privilege and begin to recognize it that we can change how we fit into the picture. Language is only one way in which ableism manifests in society, but the language we use can transform conversations, perceptions, and biases. It’s okay if this is overwhelming and if you don’t change the way you speak and write overnight. It’s also okay if you choose not to change at all. However, I encourage you to think about how taking these small steps can create a different experience in an ableist world.