I have chosen to discuss and evaluate how it can be possible to design in order to both minimize stigmatization and broaden the “normality” area for people suffering from different kinds of physical impairments. The main reason I have chosen physical impairments is that these kinds of impairments are the ones that are most often directly visible to other people. As a result of this, a bad (excluding) design for a product that is supposed to for example help a person walk, can make this person feel uncomfortable and makes it hard for the broader mass to ignore the specific impairment. With that being said, bad design can obviously have a negative effect on stigmatization on all different kinds of impairments but I just felt that physical impairments are the most affected one.
Designing to minimize stigmatization is extremely tricky. The very basic requirement is that the product that is being designed actually solves or aids the persons that intended to use it, the product should be useful. If a person is missing an arm the product should somehow help with the difficulties that is a direct result of the missing arms, for example picking up stuff. If a person is unable to use their legs, the product should instead help the person using it to move around, as a minimum. Now, both of the examples above can be achieved and created in both good and bad ways. If we want a product to help a person with a missing arm it might seem like an obvious choice to create an arm prosthesis which mimics the usual look, behavior and feel of a regular arm as close as possible, right? This is not always the case, there is a relatively large amount of arm prostheses that look partly like an arm but then have a large hook at the end. This is a solution that (partly) solves the issues related to the loss of an arm, for example the person can now lift bags etc. But this is a highly stigmatizing solution. The hook prosthesis is wide known also due to its appearance in horror movies, imagine how that might feel? To be portrayed as the main character of a horror movie is most likely nothing a physically impaired person would like and since the hook is something that separates the user from the general population this is something that will be highly stigmatizing. If we take a historic standpoint, dating back to as late as ancient egypt there is examples of arm prosthesis models which main purpose is to look like a regular arm, although these models were made in for example metal and were very heavy. The focus with these products were to make the person feel “complete” again and to avoid stigmatization by making the persons impairment “invisible”. The problem with these products were the basic functionality, the fact that the metal arm does not provide any functionality makes it a very bad aid or tool and does in no way actually compensate for the impairment. Luckily, we now are able to create prosthesis for arms and other limbs which both look and behave very realistically, it is even possible to connect nerve cords and move for example an arm, a hand or a finger by using your brain very much in the way you would with a natural body part.
As I mentioned early it is very hard to find a good balance of actually aiding or supporting an impairment while also not making it look “abnormal”, here technology has helped us a lot since many of the technical parts have become smaller and easier to integrate. Even when considering other types of physical impairments and their solutions, for example wheelchairs, the same logic applies. It managed to (partially) solve the problem of not being able to walk/move but it does not avoid stigmatization in any way.
Stigmatization is really a result of what we, or the general populations, perceive as normal. The word normal in its very essence assumes that there is an opposite, something that would not be considered normal and this is where prejudices are created and assumptions about specific groups, individuals or impairments are made, but what is really normality? I would say that normality is largely based on majority, if the majority of people in our vicinity (country, city etc) behave in one way then that is considered normal. As soon as a group of people deviate from this behaviour in any way, they might be considered as abnormal. If this group later becomes larger the behaviour might be considered normal again. Normality in our society seems to be solely dictated by what the majority decides. Even though some people actually want to avoid normality, being judged as abnormal against your will is something that can be truly hurtful. Ultimately I would say that the more important part is that every individual feel comfortable and confident with who they are, and this is made more difficult if people judge and classify you based on your impairment or difficulties.
With the above in mind let’s consider the physical impairments again, many of these conditions can impair mobility and movement by the inability to use arms or legs to their full extent. People who suffer from physical impairments may find it difficult to for example participate in social activities as a result of their impairment although they really would like to and this is just one example of when the individual might feel abnormal and excluded from the general population. For this reason it is important to design with normality in mind, a wheelchair is a perfect counterexample where although the person is able to move again, their sense of normality is most likely not improved. Here more modern solutions exists for example the Exoskeleton which allows a person to walk in an upright position and behave in the same way as would be considered normal. The same goes for the prosthetic arms of today. Of course we can question if it should be necessary to adapt to the general populations view on normality but ultimately this is about including impaired people rather than excluding and improving their sense of independence and self confidence.