Writing Visible vs Invisible Disabilities
Poll winner! Here goes. I would like to emphasize that my information and knowledge pertains specifically to the USA - I’m going to discuss some legal stuff with accommodations/disability equity that are super specific to America so if you are reading from/writing outside of the USA, you should probably conduct some of your own research on that.
Vocab
Invisible disability, hidden disability, or non-apparent disability are all terms used to describe a disability that is not readily measurable or apparent to sighted individuals. Invisible disability is the most commonly used, but non-apparent is felt to be the most neutral, as “hidden” implies a conscious secrecy and some so-called “invisible” disabilities do become visible or apparent in the right circumstances. Examples may include things like neurological conditions, chronic illnesses, mental illness, or autoimmune diseases.
Personal note: In this post I primarily use invisible disability because to me, it is the most common, and most recognizable. I also use non-apparent, because I think it’s specific and useful. I don’t use hidden because it does seem to carry value judgment, more so than invisible.
Visible disability is a term that describes a disability that is measurable or readily apparent to a sighted individual. Examples might include someone with a partial limb, muscular dystrophy requiring the use of a wheelchair, or a form of dwarfism resulting in a different body shape and size.
Multiple disabilities or multiply disabled refers to a person that has more than one disability.
Cross-disabled or cross-disability is a term that refers to organizations or concerns that apply broadly to people across the spectrum of ability and disability. This is as opposed to organizations or concerns that are specifically tailored or related to a particular disability.
The ADA, or Americans with Disabilities Act, is a piece of cross-disability legislation.
The SMA Foundation (Spinal Muscular Atrophy) is a single disability organization.
Passing is a term sometimes used to describe someone that is not in an identity group but can look or behave as though they do. An example might be a Deaf person using hearing aids to “pass” or be seen as hearing.
Nondisabled is a good neutral term for people that do not have disabilities. Abled or able-bodied is frequently used, but some see it as creating a hierarchy between abled and disabled people. Try to avoid words like “normal” or “healthy.”
Limb difference is a term describing the partial or complete absence, or malformation, of an arm or leg. This can be congenital (from birth) or acquired.
Facial difference is a term that describes anything above the neck that is visibly different from the majority of other people. I have a post about it that goes into much greater detail.
Self-disclosure means sharing something about oneself. In the context of disability, self-disclosure refers to the decision to share one’s disability status or diagnosis. Generally speaking, self-disclosure is a formal term and in my experience is used when referring to disclosing disability status or diagnosis as part of attending school, starting a new job, or otherwise requesting accommodations.
Access needs are something that a person needs to communicate, learn, or take part in an activity.
Support needs are sometimes used interchangeably with access needs, but can also refer to a person’s basic needs in order to live (eating, sleeping, bathrooming, etc.)
Accommodations is a term often used to describe legally mandated services provided to a person who has been diagnosed with a disability. These are most commonly in place at a person’s school or work and help a disabled person effectively complete tasks.
Access needs, support needs, and accommodations are similar in nature and are sometimes used interchangeably, but are not always the same thing. I know this is wildly confusing.
Generally speaking, the word “accommodations” (in regards to access) is used primarily in schools, and sometimes in professional working environments. Access needs are used more often in public or professional environments, and support needs in personal environments.
Some examples: Ramps are an access need. They can also be an accommodation, but an accommodation would more likely be phrased as “wheelchair-accessible classrooms or workspaces,” which could either be accessed through ramps or being on the bottom floor.
Assistance with handling finances is a support need. Extra time on tests is an accommodation.
Visible Disability Considerations
Before we get started: I am not saying these things only apply to those with visible disabilities. They may be more common for people with visible disabilities, but people with invisible disabilities could, and many have, experienced the same or similar things. I am not gatekeeping anything; I am just trying to organize this post.
Harassment in public. Someone who is visibly disabled may be openly stared at or subject to ableist abuse because people can tell that they have a disability. Most of what I have to say here relates to this, but there are some specifics I’m going to get into as well.
Being pitied. “Well-meaning” non-disabled people may try to do something “nice” for someone who they see as “less fortunate.” Assistance with things someone doesn’t need assistance with, comments about being brave or inspiring, or offers to pray for someone all fall under this category - all that and more, in fact.
Assumption of incompetence. Sometimes this means that people assume someone with a visible disability is automatically cognitively disabled. Sometimes it means that people believe a visibly disabled person is not capable of performing simple tasks. This can mean anything from being “helped” in a supermarket to being discriminated against when applying for work.
Ableism and discrimination. Everything listed is ableism and discrimination, but it’s worth saying outright. People with visible disabilities are often subject to ableist abuse, hiring discrimination, housing discrimination, and many other kinds of prejudice because they cannot mask or hide their disability, or pass as non-disabled.
People with invisible disabilities also suffer from ableism and discrimination. This is sometimes more common for people with visible disabilities, but can happen to anyone - even, actually, to non-disabled people who are thought to have a disability.
Inappropriate questions. Just because someone is visibly disabled does not mean that anyone is entitled to further information. Asking a stranger “what happened to them” or “what’s wrong with them” is always inappropriate, and is often inappropriate with coworkers or acquaintances as well. Your characters should know someone decently well and be able to gauge your disabled character’s comfort level before asking this kind of question.
Mobility aid policing. Mobility aids are visible, so users often fall under the visible disability umbrella. Sometimes, even though someone is using a mobility aid, random people in public decide they do not need it, or try to argue with them about faking it. Not being visibly disabled “enough,” or not being believed about being disabled, is still a problem for the visibly disabled.
Service dogs can be mobility aids, or other kinds of disability aids. People interacting with them, or trying to interact with them in public, also falls under this category.
Invisible Disability Considerations
Once again: I am not saying these things only apply to those with invisible disabilities. They may be more common for people with invisible disabilities, but people with visible disabilities could, and many have, experienced the same or similar things. I am not gatekeeping anything; I am just trying to organize this post.
Assumption of ability. Someone with an invisible disability may be assumed to be capable of everything a non-disabled person can do. They may have to repeatedly explain why they cannot do certain things or even why they do do things - like take pills, avoid certain foods, or rest more frequently than non-disabled peers. This ties into our next section -
Not being believed about severity or symptoms. People without visible or measurable disabilities can be disbelieved by strangers about their disability status, but also, very painfully, by friends, family, or medical professionals. Since a non-apparent disability may rely on self-report, other systemic biases may come into play here as well, like not believing someone because they’re a woman, or POC. People may also get comments like “you’re too young to be disabled,” “it’s all in your head,” or “you don’t look disabled.”
Again, this can and does also happen to visibly disabled people as well.
Being accused of lying or faking it. This is obviously the same as not being believed, but is a slightly different manifestation. This is when non-disabled people believe someone is faking having a disability in order to get attention or access to disability resources. Ignoring the fact that that is a completely unrewarding thing to do, this is a combination of disbelief, and suspecting the disabled person in question of intentional malice and selfishness. Again, this can be frustrating and incredibly painful.
Once again. Can and does happen to visibly disabled people.
When to self-disclose. Someone with an invisible disability gets more of a choice in if and when to talk about their disability. This means they have more control over who gets to know, when, how, what, and why, but also comes with problems of its own.
Telling new friends may come with concerns about being viewed or treated differently.
Telling a school or place of work may introduce the risk of scrutiny or discrimination.
Telling anyone risks potential ableism or alienation.
Asking for accommodations. Possibly more so than a visibly disabled person, a person with a non-apparent disability may have to self-disclose and then actively pursue the fulfillment of their support needs, access needs, or accommodations. I know many people who have voluntarily gone without the accommodations that they are legally entitled to, because they wanted to avoid shitty conversations about them and their needs.
Being able to go without one’s accommodations and “pass” for non-disabled can be viewed as a privilege, but going without one’s needed support needs, access needs, or accommodations can also be difficult, painful, and sometimes more impossible than a person realizes.
Resource policing. Some people may not be visibly disabled, but may still need resources like a service dog, an accessible parking pass, or use of the accessible bathroom stall. It is not at all uncommon for random people in public to see someone that they don’t think is disabled making use of a public resource for disabled people, and decide to say something about it.
Cross-Disability Considerations
What are your character’s support needs, access needs, and/or accommodations? If they don’t have any, why not?
How is your character perceived? Is their disability apparent to all, some, or none of the people around them? Under what circumstances might it become apparent?
How comfortable is your character with talking about their disability? Is it something that they take pride in, or something they would rather not be defined by? Does it feel very personal to them, or is it not that big of a deal? In what situations do they explain their diagnosis, and in what situations do they decide not to?
In what ways does ableism manifest, or not manifest, in your character’s life? Is there stigma attached to their diagnosis? Why or why not?
How does the medical establishment of your setting view your character’s disability or disabilities? How does that contrast with other disabilities? What is the reasoning behind this?
How does your character feel about medical interventions or cures? How much time/effort/money are they willing to put into medical interventions and cures, and why might that be?
Is your character part of a community or identity group centered around their disability? Do they know anyone with their same disability, or any disabilities at all? How does this community, or the lack of it, feel to them? How does the representation and kinship, or lack thereof, feel to them?
Rethink
This visibly disabled character has it harder than the invisibly disabled character. Or vice versa. Try not to set up hierarchies of suffering or ability. Non-apparent disabilities can be just as disabling, or more so, than visible disabilities. Setting up these two arbitrary categories in conflict is not really necessary, and is ableist no matter what direction it is in.
This character has accommodations/access needs/support needs but doesn’t use them or seem to truly need them. Why would your character have accommodations/access needs/support needs but not use them? Why might it seem “better” to not have these kinds of needs?
This character goes to great lengths to appear non-disabled. Again - why? Not saying you can’t do this, but think about what messages it sends and be intentional in the way you write this.
This character is visibly disabled, but can function exactly like a non-disabled person in every way. Exact same questions as above. Also - how realistic is this? Why might it be important or valuable to adhere to a non-disabled standard? What might be gained or lost?
Resources
As I have mentioned, I don’t like recommending media I haven’t personally read/watched/listened to, because I like to know what I’m recommending. In reviewing my own stuff, I don’t have much for invisible vs. visible resources. I have two books that are pretty general. If anyone else has media that fits with this post, please feel free to add it on!
Demystifying Disability by Emily Landau is a cross-disability primer on disability basics, etiquette, and disability justice. It’s a quick read that I highly recommend.
Disability Visibility, collected by Alice Wong, is a book of essays written by disabled people about their lives, thoughts, and experiences. It’s super engaging and informative, and I also highly recommend, particularly because these people are talking about their own lives in their own words.
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