#I also would welcome commentary on how healthism interacts with medical racism as that's not something I have experience with | Explore Tumblr Posts and Blogs

disabledunitypunk · 10 months

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[Image ID: A tumblr post with the username cut off which reads "i mean this in the gentlest way possible: you need to eat vegetables. you need to become comfortable with doing so. i do not care if you are a picky eater because of autism (hi, i used to be this person!), you need to find at least some vegetables you can eat. find a different way to prepare them. chances are you would like a vegetable you hate if you prepared it in a stew or roasted it with seasoning or included it as an ingredient in a recipe. just. please start eating better. potatoes and corn are not sufficient vegetables for a healthy diet." /end ID]

No. Just no.

You don't HAVE TO do anything. ARFID is called an EATING DISORDER for a reason. What's it going to take to get it through your heads that some people cannot, under ANY circumstances, eat certain foods because of their neuroDISABILITIES. It's almost like disabilities of the brain can still make you NOT ABLE to do things!

You also have no moral obligation to be healthy. Healthism is one of the fundamental pillars of ableism. Health is a personal choice that must be fully, enthusiastically consensual (which does not mean you can mumble-grumble about the steps it takes to get there or have complex feelings that include resentment about the process or what caused the unhealthiness in the first place).

The "hi, I used to be this person!" is, get this, ALSO ABLEISM. Like good job, you had the ability to do something with effort that some people with your same disability can never do! Something that, might I add, you had no obligation to do but chose to because YOU either wanted it or were unfairly pressured to. Plus, the narrative of "you can overcome your disabilities if you try hard enough" is incredibly insidious even in disabled communities (in my experience, especially so in neurodivergent communities, but I'll also add my experiences aren't universal).

Just, everything about this post reeks of ableism. A "hey, if you're wanting to eat more veggies but can't because of sensory issues, these ways of preparing them might make them edible for you!" would have reached MORE people and accomplished more than... all of that.

I'd also like to add: healthism is how you get involuntary psychiatric holds for even people who are self-harming or using substances as a form of harm reduction. Healthism is how you get psychiatric and medical abuse that forces or manipulates you onto meds you do consent to being on (including coerced consent, as that is not consent).

Healthism and ableism both is why insurances and doctors require you to go to physical therapy to "get better" before even considering prescribing a mobility aid because "what if the mobility aid has health consequences when PT could 'fix' you?" Healthism is responsible for "do no harm" stopping at bodily harm and not taking a holistic, whole-person approach to making sure disabled people have a good quality of life.

Healthism is also a primary driver of fatphobia and to a lesser extent, medical intersexism. There is a normative idea of what "health" even is, one that is often incorrect and based in bigotry, that means deviations from that norm get blamed for any symptoms a person expresses while actual causes are ignored. "Corrective" measures are forced are many people who neither want nor need them to be healthy.

Healthism aims to make people more abled (or at least more able to conform to abled standards) without regard for their quality of life, personal wishes, or even consent. It is directly responsible for medical abuse.

It is also responsible for medical neglect, in that if you *can't* pursue a treatment option, doctors will often refuse to explore other treatments. Instead, they assume you're simply lazy and don't want to get better, and are therefore a waste of their time.

("Can't" here includes 'is technically possible but the consequences of doing so make you as sick or sicker/in as much or more pain/as or more disabled than not doing anything at all.)

Often there's another treatment option that would work just fine. Sometimes there's no viable option, and GOOD treatment then becomes exploring how to still live as fulfilling a life as possible with the condition untreated. Sometimes it's only possible to manage a disability that is usually fully possible to send into remission. There's a wide spectrum of experiences here.

But the most important thing is: what do YOU want for your body? Will conforming to standards of "health" help you feel happier and live a more preferable life for you? Will the requirements in the process of becoming "healthy" end up just making you sicker or more disabled in one way or another?

Also, are there access barriers or direct obstacles caused by your disability in the way of seeking the health outcomes you want? Are those outcomes not possible because of your disabilities, and if so, is healthy OR helpful to keep pushing yourself past your limits or trying and failing to do so? Have you made sure this is what YOU want, and not what you feel pressured into doing*?

*(Reminder to BELIEVE PEOPLE if they say it is what they want. We respect autonomy above all here.)

I've talked about this before, but recovery is about what YOU want and are able to do. There are no milestones you have to make or requirements you have to meet. It's okay to be unhealthy. Often, disability means you don't have a choice in the matter, and moralizing health is therefore moralizing disability.

It contributes to the myth that disability and chronic illness especially is a result of "bad choices", and especially the culturally christian idea that it is a "punishment" for "sinful behaviors" and "righteous behaviors" will be rewarded with the person becoming abled again.

As I said above, remember: Autonomy above all. What matters, first, foremost, and forever, is what each disabled individual wants. Helping other disabled people with tools to reach their desired bodily and psychiatric outcomes? Yes!! Do that!!

Disabled people don't owe anyone health, though, and certainly not standards of health that may make us sicker or more disabled than simply not conforming to them.

#ableism #healthism #intersexism #fatphobia #disability #culturally christian #recovery #neurodisability #eating disorder #ARFID #just another reminder that if YOU want to recover and be healthier we FULLY support you #this is about respecting people's autonomy and not moralizing or forcing 'health' on anyone #I also would welcome commentary on how healthism interacts with medical racism as that's not something I have experience with #cw medical abuse #cw psych abuse #cw medical neglect #cw self harm #cw substance use

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