Vision Impairment Related Quotes

Though diagnosis is unquestionably critical in treatment considerations for many severe conditions with a biological substrate (for example, schizophrenia, bipolar disorders, major affective disorders, temporal lobe epilepsy, drug toxicity, organic or brain disease from toxins, degenerative causes, or infectious agents), diagnosis is often counterproductive in the everyday psychotherapy of less severely impaired patients. Why? For one thing, psychotherapy consists of a gradual unfolding process wherein the therapist attempts to know the patient as fully as possible. A diagnosis limits vision; it diminishes ability to relate to the other as a person. Once we make a diagnosis, we tend to selectively inattend to aspects of the patient that do not fit into that particular diagnosis, and correspondingly overattend to subtle features that appear to confirm an initial diagnosis. What’s more, a diagnosis may act as a self-fulfilling prophecy. Relating to a patient as a “borderline” or a “hysteric” may serve to stimulate and perpetuate those very traits. Indeed, there is a long history of iatrogenic influence on the shape of clinical entities, including the current controversy about multiple-personality disorder and repressed memories of sexual abuse. And keep in mind, too, the low reliability of the DSM personality disorder category (the very patients often engaging in longer-term psychotherapy).

Darwin’s transcendantly democratic insight that all humans are descended from the same non-human ancestors, that we are all members of one family, is inevitably distorted when viewed with the impaired vision of a civilization permeated by racism. White supremacists seized on the notion that people with high abundances of melanin in their skin must be closer to our primate relatives than bleached people. Opponents of bigotry, perhaps fearing that there might be a grain of truth in this nonsense, were just as happy not to dwell on our relatedness to the apes. But both points of view are located on the same continuum: the selective application of the primate connection to the veldt and the ghetto, but never, ever, perish the thought, to the boardroom or the military academy or, God forbid, to the Senate chamber or the House of Lords, to Buckingham Palace or Pennsylvania Avenue. This is where the racism comes in, not in the inescapable recognition that, for better or worse, we humans are just a small twig on the vast and many-branched tree of life.

[A] political/relational framework recognizes the difficulty in determining who is included in the term “disabled,” refusing any assumption that it refers to a discrete group of particular people with certain similar essential qualities. On the contrary, the political/relational model of disability sees disability as a site of questions rather than firm definitions: Can it encompass all kinds of impairments—cognitive, psychiatric, sensory, and physical? Do people with chronic illnesses fit under the rubric of disability? Is someone who had cancer years ago but is now in remission disabled? What about people with some forms of multiple sclerosis (MS) who experience different temporary impairments—from vision loss to mobility difficulties—during each recurrence of the disease, but are without functional limitations once the MS moves back into remission? What about people with large birthmarks or other visible differences that have no bearing on their physical capabilities, but that often prompt discriminatory treatment?