Medicalizing disabled people's emotions—Symptom of a dis/ableist society

The theoretical–conceptual article at hand explores how emotional discourses shape social relations by specifically focusing on the medicalization of disabled— and chronically ill—people's emotions. Medicalization is a concept from medical sociology that describes medicine's expansion into...

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Main Author: Yvonne Wechuli
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Sociology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsoc.2023.1230361/full
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author Yvonne Wechuli
Yvonne Wechuli
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Yvonne Wechuli
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description The theoretical–conceptual article at hand explores how emotional discourses shape social relations by specifically focusing on the medicalization of disabled— and chronically ill—people's emotions. Medicalization is a concept from medical sociology that describes medicine's expansion into non-medical life areas, for instance into the realm of emotions, sometimes in order to challenge this expansion. The emotions of disabled people are often presented as a medicalized problem, rather than recognizing their embeddedness in a dis/ableist socio-cultural context. Such discourses instrumentalize feelings in order to individualize the responsibility for disability. For a contextualized and emancipatory approach, this study reviews papers on medicalized emotions from Disability Studies—a research program that can provide a rich archive of experiential accounts yet to be theorized through a comprehensive emotional perspective. The medicalization of disabled people's emotions can manifest in different ways: (1) In a dis/ableist society, able-mindedness is compulsory; i.e., we fail to question that a healthy mind is the norm and something to strive for unconditionally. This is also true on an emotional level; after all, some medical diagnoses are based on the wrong degree or temporality of emotionality. (2) Unpleasant feelings such as sadness are misunderstood as symptoms of impairment rather than effects of discrimination. (3) The expression of hurt feelings, e.g., related to discrimination, can easily be dismissed as hysterical. This assumption epistemologically disables patients. (4) Love and desire are delegitimized as fetish, for example, the desire for a disabled lover or the wish to start a family despite a chronic illness. The medicalization of disabled people's emotions individualizes and delegitimizes unpleasant emotions that emerge in a dis/ableist society. Different facets of medicalization enforce medical treatment instead, albeit in different ways. Disabled and sick people are cast as not feeling and desiring the right way, while hegemonic discourse prescribes psychological treatment against the effects of discrimination and bodily symptoms it cannot explain. Beyond the dismissal of disabled people's experience, adverse effects on healthcare delivery and health outcomes can be expected.
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spelling doaj.art-dc145cf079d54ce283d25e5546288be12023-12-11T10:04:18ZengFrontiers Media S.A.Frontiers in Sociology2297-77752023-12-01810.3389/fsoc.2023.12303611230361Medicalizing disabled people's emotions—Symptom of a dis/ableist societyYvonne Wechuli0Yvonne Wechuli1Section Disability, Inclusion, and Social Participation, Department of Social Work, Faculty of Human Sciences, University of Kassel, Kassel, GermanySection Theory of Special Education and Rehabilitation, Department Special Education and Rehabilitation, Faculty of Human Sciences, University of Cologne, Cologne, GermanyThe theoretical–conceptual article at hand explores how emotional discourses shape social relations by specifically focusing on the medicalization of disabled— and chronically ill—people's emotions. Medicalization is a concept from medical sociology that describes medicine's expansion into non-medical life areas, for instance into the realm of emotions, sometimes in order to challenge this expansion. The emotions of disabled people are often presented as a medicalized problem, rather than recognizing their embeddedness in a dis/ableist socio-cultural context. Such discourses instrumentalize feelings in order to individualize the responsibility for disability. For a contextualized and emancipatory approach, this study reviews papers on medicalized emotions from Disability Studies—a research program that can provide a rich archive of experiential accounts yet to be theorized through a comprehensive emotional perspective. The medicalization of disabled people's emotions can manifest in different ways: (1) In a dis/ableist society, able-mindedness is compulsory; i.e., we fail to question that a healthy mind is the norm and something to strive for unconditionally. This is also true on an emotional level; after all, some medical diagnoses are based on the wrong degree or temporality of emotionality. (2) Unpleasant feelings such as sadness are misunderstood as symptoms of impairment rather than effects of discrimination. (3) The expression of hurt feelings, e.g., related to discrimination, can easily be dismissed as hysterical. This assumption epistemologically disables patients. (4) Love and desire are delegitimized as fetish, for example, the desire for a disabled lover or the wish to start a family despite a chronic illness. The medicalization of disabled people's emotions individualizes and delegitimizes unpleasant emotions that emerge in a dis/ableist society. Different facets of medicalization enforce medical treatment instead, albeit in different ways. Disabled and sick people are cast as not feeling and desiring the right way, while hegemonic discourse prescribes psychological treatment against the effects of discrimination and bodily symptoms it cannot explain. Beyond the dismissal of disabled people's experience, adverse effects on healthcare delivery and health outcomes can be expected.https://www.frontiersin.org/articles/10.3389/fsoc.2023.1230361/fulldisabilitydis/ableismemotionmedicalizationcompulsory able-mindednessimpairment effects
spellingShingle Yvonne Wechuli
Yvonne Wechuli
Medicalizing disabled people's emotions—Symptom of a dis/ableist society
Frontiers in Sociology
disability
dis/ableism
emotion
medicalization
compulsory able-mindedness
impairment effects
title Medicalizing disabled people's emotions—Symptom of a dis/ableist society
title_full Medicalizing disabled people's emotions—Symptom of a dis/ableist society
title_fullStr Medicalizing disabled people's emotions—Symptom of a dis/ableist society
title_full_unstemmed Medicalizing disabled people's emotions—Symptom of a dis/ableist society
title_short Medicalizing disabled people's emotions—Symptom of a dis/ableist society
title_sort medicalizing disabled people s emotions symptom of a dis ableist society
topic disability
dis/ableism
emotion
medicalization
compulsory able-mindedness
impairment effects
url https://www.frontiersin.org/articles/10.3389/fsoc.2023.1230361/full
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