Hear Me
My parents were not able to handle my feelings, especially sadness and anger. An only child and the only physically disabled
member in my family, I lacked a safe, nurturing, affectionate adult who could validate my feelings and experiences. My parents,
like many disabled people's parents, were trying so hard to give me as "normal" an upbringing as possible that my disability
ended up consuming me. Consequently, I withdrew at the age of three. I created my "real" life in my head and developed excellent
dissociating skills . . . I lived there so much, I would confuse it for reality at times.
Prior to finding my present therapist, I tried a few others. They both had issues with my physical disability. One of them
was lesbian and able-bodied. It did not work out with her because on my first visit with her, she started the session by asking
me, "So, what is your problem?" When I began sharing what I wanted to work on, she stopped me and asked it again, looking
at my wheelchair. I remember not believing she was really asking that, since I assumed at the time all therapists, especially
a lesbian therapist, would not have issues with a client who had a disability. The other therapist had a physical disability
and was heterosexual. It did not work out with her because our sessions felt like peer counselling, with her sharing her experiences.
I needed "real" therapy . . . the bottom line is [the therapist] must to be able to see her client for what she is - a whole
person.
Understand Me
Disabilities, invisible or visible, have been redefined in the disabilities studies field as impairments that can have effects
on the level and quality of activities that individuals can pursue. Since the 1970s, people with disabilities, and allies,
have worked to explain their reality, based on the idea that it is not the actual impairment that limits a person's interaction
in the world, but the barriers, both physical and attitudinal, that society constructs around impairments. Academics refer
to ideas that support this thinking as the social model of disability. The quotes above poignantly show societal barriers
facing young women with impairments. These challenges may include physical barriers as well as struggles with parents, siblings,
friends or helping professionals who feel sorry for a young woman with a disability. Being the "receptacle" of others' emotions
can have negative effects on self-esteem. Gender-role stereotypes of women as caregivers may lead a young woman with a disability
to want to help others cope with her impairments, but clearly this is not her responsibility. She also may feel she is a disappointment
or a burden to her family.
Invisible disabilities present similar and additional challenges. Some young women may try to minimize or hide their impairments
from others. Diabetes, with its schedule of needles, blood tests and regular snacks, can be an embarrassing regime to uphold,
especially at an age when spontaneity is greatly valued. Concern over potential low blood sugar while drinking or partying
may discourage a young woman from going out, or may cause conflict with parents who want her to stay home. Having a hearing
impairment or a learning disability can lead to feelings of being different or "damaged." Lack of control over circumstances
can affect a young woman's feelings about herself and her ability to fully participate in life. This can lead to feeling disempowered
and helpless, placing young women at a greater risk for experiencing depression.
Support Me
No young woman should be or can be viewed as one-dimensional. The layering of identities, histories and experiences that each
young woman has makes her unique, and a disability is just one aspect of a young woman's life. Don't assume that she has chosen
it as her defining identity.
We can work with young women to help them identify their intrinsic strengths and move forward in ways that will build their
self-esteem. We can also improve our ability to support young women by focusing on ourselves and our services - by checking
assumptions, prejudice or discrimination in our own attitudes and behaviours, and actively removing barriers in our environments.
In addition, acknowledging that ableism - systemic discrimination against people with visible and invisible disabilities -
exists at all levels of society may connect young women to an analysis that can be a potent source of strength and healing.
Service providers can watch out for ableist thinking and offer alternative ideas and resources to strengthen young women's
self-esteem. Encourage young women to explore their strengths and abilities and to build on them. For example, if a young
woman identifies that she likes talking to people, encourage her to develop and enhance that skill either through volunteer
work or by joining a public speaking association such as Toastmasters. Explore the young woman's social networks and how she
can expand social supports for her interests and, if she's interested, her disability.
Provide appropriately formatted information (e.g., Braille, audiotape, large print materials, etc.) as well as American Sign
Language interpreters for young women who are deaf, deafened or hard of hearing, to ensure proper understanding of their needs.
Connecting with advocacy and education groups around disabilities may be a source of strength for young women. A good place
to start in Ontario is the Disabled Women's Network (DAWN) (http://dawn.thot.net/) or Disabled People International (http://www.dpi.org).
Young women and girls with disabilities are more at risk of violence in their lives. DAWN has created a video and educational
guide to raise awareness for young women and girls. Order at http://dawn.thot.net/literature.html#video.
Educate yourself about disability-related issues. Canadian statistics offered through the Disabled Women's Network Fact Sheet
on disabled women (http://dawn.thot.net/fact.html) provide key insights:
- Sixteen per cent of all women are disabled (Health and Activity Limitation Survey, Statistics Canada).
- Disabled girls are twice as likely to be sexually assaulted (Violent Acts Against Disabled Women, DAWN Toronto Survey, 1986).
- Disabled women are more likely to be the victims of violence.
- Support and services for disabled mothers are almost totally inaccessible or do not exist.
- Women's services are often inaccessible to women with disabilities.
- Many doctors have difficulty dealing with women who are both pregnant and disabled.
- The unemployment rate for women with disabilities is 74 per cent.
- The most inescapable reality for women with disabilities is poverty. The median employment income for a disabled woman is
$8,360. The median employment income for a disabled man is $19,250 (Health and Activity Limitation Survey, Statistics Canada).
Additional helpful resources include:
Barnes, C., Mercer, G. & Shakespeare, T. (1999). Exploring Disability: A Sociological Introduction. Cambridge: Polity Press.
Farwett, B. (2000). Feminist Perspectives on Disability. New York: Pearson Education Ltd.
Feldman, W. (2000). Learning Disorders: A Guide for Parents and Teachers. Richmond Hill, ON: Firefly Books.
Written by a professor emeritus and former head of a hospital pediatrics division, this book provides an accessible guide
to dyslexia, attention deficit/hyperactivity disorder and other learning disorders. It covers the pros and cons of and information
on the latest treatment options. For more information, visit http://www.fireflybooks.com/health/parenting.html.
Ferri, B.A. & Gregg N. (1998). "Women with disabilities: Missing voices." Women's Studies International Forum, 21 (4), 429-439.
Kaufman, M. (1995). Easy for You to Say: Q & As for Teens Living with Chronic Illness or Disability. Richmond Hill, ON: Firefly Books.
This book profiles the lives of uniquely challenged teens as they work hard to make sense of the world and their place in
it. The book includes street language that teens can identify with and readily understand. The questions posed are frank and
courageous, and cover such issues as sex, drugs, family and death. Easy for You to Say provides practical information for teens and their families.
For more information, see the following web sites:
Accessibility Ontario
http://www.gov.on.ca/citizenship/accessibility/english/resources.htm
An Ontario government web site that provides templates, tools and information to support accessible health care organizations,
institutions and businesses
Canadian Abilities Foundation
www.enablelink.org
Home to a variety of disability directories and resources
Canadian Standards Association
www.csa.ca
A solutions-oriented organization that works in Canada and around the world to develop standards that address real needs,
such as enhancing public safety and health, helping to preserve the environment, and facilitating trade
Center for Young Women's Health, Children's Hospital Boston
www.youngwomenshealth.org
Designed to educate and empower girls and young women aged 12 to 22, this web site provides a variety of information and
services including Teen Talk, a newsletter by teens for teens, and live on-line chats moderated by experts from the hospital
and intended as a safe place for young women to ask questions and discuss concerns about important health issues
Directory for Accessibility
www.accessibilitydirectory.ca
A one-stop resource of Ontario-based companies and organizations that provide services or assistance for people with disabilities
Disability and Technology: A Resource Collection
http://home.nas.net/~galambos/tech.htm
Links to web sites that focus on disability and technology, including assistive/adaptive devices that are computer-based
or related to computer access
World Enable
http://www.worldenable.net/women/default.htm
A comprehensive book and resource list
Canadian Diabetes Association - Teen Spirit: The Young, the Restless and Diabetes
http://www.diabetes.ca/Section_Membership/DialogueSummer00-teenspirit.asp
This web page explores the priorities of teenagers and their parents, how these priorities affect diabetes management, and
how to develop strategies that will promote health and well-being. Visit the CDA web site for this and other resources on
teens and diabetes.
American Diabetes Association
http://www.diabetes.org/for-parents-and-kids/for-teens.jsp
All teens face challenges and have to make decisions about dating, driving and alcohol, among other things. Teens with diabetes
face the same choices as their friends, but having diabetes complicates the choices they make. This web site outlines some
common teen issues and how diabetes may affect them.