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Elysia: Welcome to the Oxford

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Undergraduate Law Podcast,

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where we discuss the law and its

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implications on our relationships,

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our markets, and our futures.

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I'm Elysia Boon, one

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of the podcast editors.

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We platform academics, practitioners,

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and experts from different

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backgrounds on this podcast.

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This series was made possible by the

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generous support of Crown Office Chambers,

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one of the leading London sets of chambers

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specializing in civil and commercial work.

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The definition of disability is primarily

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governed by the Equality Act 2010.

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One is considered to have a disability

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if they have a physical or mental

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impairment that has a substantial and

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long-term negative effect on one's

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ability to do normal daily activities.

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The law as it relates to disability

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affects a range of social interactions,

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from discrimination to a duty to

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make reasonable adjustments, and

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conversations surrounding it primarily

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focus on ethical considerations

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and the legal decisions themselves.

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However, an often forgotten aspect

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of disability law is the terminology,

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legislation, and the judiciary

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specifically used to describe and

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label disability, which has profound

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impact on how people understand

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and treat people with disabilities.

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Today we are extremely honored to speak

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to Dr. Heloise Robinson, Singer Fellow

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in Law at the University of Oxford.

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Dr. Robinson is interested in the

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philosophical foundations that inform the

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law, with a special focus on legal and

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ethical issues surrounding a selection

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against disability, including in relation

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to eugenics and to gender equality.

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Her work has been published in leading

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law and bioethics journals, such as

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the Modern Law Review Legal Studies,

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Journal of Medical Ethics and the

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Cambridge Quarterly of Healthcare Ethics.

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Hello, Dr. Robinson.

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It's great to have you here today.

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Just to introduce us to the realm

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of disability law, what are the

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laws that govern disability, such

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as the Equality Act 2010 and the

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European Convention of Human Rights?

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Heloise: Great.

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Thank you for having me.

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I'm happy to be here.

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The question as to what is disability

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law or what we're looking at when

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we're looking at disability law

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is a very interesting question.

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I think actually it's very broad.

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There's not a very straightforward

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answer to that question.

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So when people think about what might

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be disability law or how disability

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is relevant in the law, people may

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well think about certain explicit

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mentions to disability, and certainly

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you mentioned the Equality Act.

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So the Equality Act has a definition

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of disability and people will often

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refer to that, although of course

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that definition is relevant in the

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particular context of that statute.

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If we are thinking about how

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disability is relevant in the law,

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or more broadly what disability law

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can be, it can go far beyond that.

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You might want to look at how

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disability is treated within or

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approached in certain areas like

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contract law, tort law, criminal law.

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And so it's an interesting

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question to think about how

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the law approaches disability.

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I would say it's a much wider topic

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than what many people might think.

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Elysia: So this podcast episode isn't

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necessarily going to be all about

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substantive law because it is mainly

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based on your paper "Naming and Describing

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Disability in the Law", which draws

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from lots of different parts of the law.

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It's not just law, but also language in

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the philosophical or jurisprudential way.

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So, if you like to tell us a little

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bit like an overview of what your

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paper is about and why it's important.

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Heloise: Yes.

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Thank you.

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So this paper, I authored it with

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Professor Jonathan Herring, we

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wrote it together and that's right.

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So in this article, we look at the

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way that a disability is named and

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described in the context of medicine

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as well as in the legal context.

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It's important to say that the article

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is, is not really actually about,

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substantive law or legal effect,

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but about the words themselves.

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So the terminology, the language

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itself that's used and of course

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legal effect is important or

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questions in the medical context

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about medical treatment are important.

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But what we focused on are the words

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which also deserve separate attention.

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So the words that are used to name,

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to label, to describe -- it can

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affect someone's sense of identity,

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the way they perceive themselves.

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It can affect the way that other

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people perceive an individual.

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And one of the reasons we examine,

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in particular, the context of

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medicine and law is that in those

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contexts, there's authority.

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So there's an authoritative

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source behind the words.

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So, so many people in their

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everyday lives refer to disability.

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People have different preferences

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as to which words are used.

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Different individuals prefer different

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terms, but in medicine, you have a

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source of authority as to official

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terminology, and in the law as well,

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some of the language used might seem

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to reflect the view of the state.

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And so to some extent, you can't always,

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if you disagree with the language use,

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you can't necessarily avoid it because

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you might need to name a particular

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condition in the medical context, or

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you might need to use the words in a

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statute, specifically in legal argument.

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So you can't necessarily

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avoid those particular words.

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What's also important in those contexts

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is when you do have authority you have

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- there's also an exercise of power.

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So being able to name someone or

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something is an exercise of power.

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And so if the words used are not the best

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ones, or if it can lead to stereotyping

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or to stigma, this is especially

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important to consider if there's

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power and authority behind the words.

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Elysia: So in your paper naming and

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describing disability in law, you identify

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several different ways in which different

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kinds of disabilities have been labeled.

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So the four examples you have identified

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are the use of the word disease

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versus condition, the use of the word

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abnormality, the changing labeling of

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ASD or autism spectrum disorder and the

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labeling of intellectual disabilities.

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Would you like to explain firstly, how

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the use of the labels disease versus

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condition are used in legal settings?

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Heloise: Yeah, so we, so more, more

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broadly speaking, I think we can make a

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distinction between the word condition

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and the word disease in the sense that

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condition is often thought to be a more

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neutral term, whereas disease implies

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there could be a problem or there needs

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to be medical treatment, for example,

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or something that needs to be rectified.

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And this is something that, that's

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a recurring issue in many types of

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discussions that, that take place

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surrounding disability because

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sometimes what you have is you have

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a condition itself, which is not

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negative, but there may well be

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associated negative health effects.

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So one example which we wouldn't think

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of as disability would be pregnancy.

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So we wouldn't think

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pregnancy is a disease.

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We don't think it's negative, but you

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can have associated negative effects.

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You can have gestational diabetes.

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So we can say gestational diabetes is bad.

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We don't want that.

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But it doesn't mean the

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pregnancy itself is bad.

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You can separate it out.

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So another example that could

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be given is Down syndrome.

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So people with Down Syndrome

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are more likely to have certain

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negative health effects, but you

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can say that some of those health

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problems are negative in themselves

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without saying that Down Syndrome

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itself is a condition is negative.

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Elysia: it does seem as though the

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word condition has a more neutral

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kind of presentation as opposed

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to the more negative word disease.

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Um, but specifically would you like to

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elaborate on some of the potentially

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misleading references to health with

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regards to these words of disease and

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condition in a legal context, such as

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in McFarlane v Tayside Health Board--

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Heloise: Mm-hmm.

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Elysia: And Parkinson v St. James and

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Seacroft University Hospital NHS Trust?

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Heloise: Sure.

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So you have some cases

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involving a failed sterilization

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procedure, where subsequently

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there was the birth of a child.

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And so in McFarlane, for example,

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there was a reference to the

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child being born healthy.

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In fact, there were many

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references throughout the case

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to there being a healthy child,

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which seemed to be important.

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In Parkinson, it was a disabled child who

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was born, so I suppose there's an issue

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there in understanding what we mean by the

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term healthy, because as I was explaining

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before with the term condition, so you

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could have a disability or you could

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have a condition which is not negative in

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itself and where you actually are healthy.

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So you could have Down syndrome and

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be healthy, and in fact, many people

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can be proud of their disabilities.

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Or there's a lot of discussion

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about this in the philosophical

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literature about what it means

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and how you can define disability.

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And so many people can identify

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with their condition and be proud

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of it and you can have a disability

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and nevertheless be healthy.

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So this is an example where the

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terminology used might not be

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ideal and can be misleading.

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Of course there, there are a number

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of reasons why that might be the case.

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Generally, when you're looking at case

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law, the judges may have their own

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preferred terminology, but it may well

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be that certain terms are used by the

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parties in the course of argument.

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But when you are identifying this language

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surrounding disability, if it is in a

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case, you have, as I said earlier, a

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source of language used, which can be

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perceived as being more authoritative,

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and that can have stronger effects

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or effects of a different nature than

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the kind of language that's used in,

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for example, a more everyday context.

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Elysia: So the second example

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you identify in your paper is

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the use of the word abnormality.

280
00:10:36,813 --> 00:10:38,193
So what would you say

281
00:10:38,193 --> 00:10:39,723
about that specifically?

282
00:10:40,308 --> 00:10:41,088
Heloise: Sure.

283
00:10:41,118 --> 00:10:44,928
So abnormality is a tricky term because

284
00:10:44,988 --> 00:10:48,184
it could be interpreted as implying a

285
00:10:48,184 --> 00:10:50,494
value judgment or a normative judgment

286
00:10:50,494 --> 00:10:52,054
that there's something wrong, there's

287
00:10:52,054 --> 00:10:54,604
something not normal, but equally it

288
00:10:54,604 --> 00:10:57,184
might not be used with that intention.

289
00:10:57,184 --> 00:10:59,254
It might just be referring to,

290
00:10:59,254 --> 00:11:02,494
statistical deviation, for example.

291
00:11:02,749 --> 00:11:05,779
So , it's a term I think is important

292
00:11:05,809 --> 00:11:09,673
to pay attention to and to take those

293
00:11:09,673 --> 00:11:12,403
factors into account and think about

294
00:11:12,403 --> 00:11:14,893
the context in which the word is used.

295
00:11:15,283 --> 00:11:17,563
If someone is being labeled

296
00:11:17,563 --> 00:11:18,913
as abnormal, that could be

297
00:11:18,973 --> 00:11:20,863
considered to be stigmatizing.

298
00:11:21,643 --> 00:11:24,209
And so it's a term that can, I

299
00:11:24,209 --> 00:11:26,135
think that just merits some thought

300
00:11:26,135 --> 00:11:28,025
and attention when it's used.

301
00:11:29,594 --> 00:11:30,854
Elysia: So in a legal setting,

302
00:11:30,854 --> 00:11:32,834
one of the ways in which the term

303
00:11:32,834 --> 00:11:34,424
abnormality or related terms is

304
00:11:34,424 --> 00:11:36,974
used is in the Abortion Act 1967.

305
00:11:36,974 --> 00:11:37,634
So would you like to talk

306
00:11:37,634 --> 00:11:38,294
a little bit about that?

307
00:11:39,231 --> 00:11:40,011
Heloise: Sure.

308
00:11:40,101 --> 00:11:42,261
So yes, in that statute you have

309
00:11:42,261 --> 00:11:44,331
a specific disability ground.

310
00:11:44,421 --> 00:11:46,735
So, there's provision to allow

311
00:11:46,735 --> 00:11:48,535
for abortion on the grounds of

312
00:11:48,535 --> 00:11:51,445
disability, and there has been some

313
00:11:51,466 --> 00:11:53,585
criticism of the specific language

314
00:11:53,585 --> 00:11:55,385
used in that ground, as well.

315
00:11:55,385 --> 00:11:57,005
So again, leaving aside the legal

316
00:11:57,005 --> 00:11:59,375
effect or issues about abortion more

317
00:11:59,375 --> 00:12:00,875
generally, there, there's also been

318
00:12:00,875 --> 00:12:02,795
attention to the specific language.

319
00:12:02,795 --> 00:12:05,885
So in that particular ground in the

320
00:12:05,885 --> 00:12:08,572
statute, abortion can be lawful, if

321
00:12:09,427 --> 00:12:11,527
there is a substantial risk that if the

322
00:12:11,527 --> 00:12:13,627
child were born, it would suffer from

323
00:12:13,627 --> 00:12:16,777
such physical or mental abnormalities

324
00:12:16,837 --> 00:12:18,817
as to be seriously handicapped.

325
00:12:19,567 --> 00:12:22,117
And so there you have an example

326
00:12:22,117 --> 00:12:24,867
of the word abnormalities used.

327
00:12:24,990 --> 00:12:25,980
There could be criticism

328
00:12:25,980 --> 00:12:29,430
of the word risk or suffer.

329
00:12:29,537 --> 00:12:30,677
Maybe people don't necessarily

330
00:12:31,037 --> 00:12:32,447
suffer from a disability.

331
00:12:32,537 --> 00:12:33,917
And also handicapped is now

332
00:12:33,917 --> 00:12:35,597
considered to be outdated.

333
00:12:35,980 --> 00:12:38,263
So this was raised, for example, in

334
00:12:38,263 --> 00:12:41,263
a recent case in the Court of Appeal

335
00:12:41,623 --> 00:12:44,673
where a person from Mencap, a charity

336
00:12:44,673 --> 00:12:46,323
for people with learning disabilities

337
00:12:46,873 --> 00:12:49,223
referred to some of this problematic

338
00:12:49,223 --> 00:12:52,113
language in the statute  as being

339
00:12:52,113 --> 00:12:53,643
a problem with the language itself.

340
00:12:54,554 --> 00:12:56,054
Elysia: You identified the shift in

341
00:12:56,054 --> 00:12:58,934
labeling ASD from autism to autism

342
00:12:58,934 --> 00:13:00,854
spectrum, and rightly point out

343
00:13:00,854 --> 00:13:02,774
the benefits of doing so, such as

344
00:13:02,864 --> 00:13:04,544
acknowledging that each individual on the

345
00:13:04,544 --> 00:13:06,674
spectrum is unique in their presentation

346
00:13:06,674 --> 00:13:08,324
of ASD and how it affects them.

347
00:13:08,684 --> 00:13:10,274
However, the courts have not been

348
00:13:10,274 --> 00:13:12,224
as quick to pick up on this as

349
00:13:12,224 --> 00:13:13,754
you identify in Khan v Meadows.

350
00:13:13,994 --> 00:13:15,074
Why do you think this is the case?

351
00:13:16,097 --> 00:13:16,487
Heloise: Yes.

352
00:13:16,487 --> 00:13:19,127
So in Khan v Meadows, there was

353
00:13:19,217 --> 00:13:21,797
a reference to an individual

354
00:13:21,857 --> 00:13:24,017
as suffering from autism.

355
00:13:24,017 --> 00:13:26,351
So here you have that reference

356
00:13:26,351 --> 00:13:29,461
again to the word suffer which is

357
00:13:29,560 --> 00:13:32,270
unfortunate to be used in this context.

358
00:13:33,260 --> 00:13:34,970
Why the courts use this language

359
00:13:34,970 --> 00:13:36,560
is a difficult question.

360
00:13:36,560 --> 00:13:38,660
It, it may be that it would be helpful

361
00:13:38,660 --> 00:13:40,915
for there to be greater awareness

362
00:13:40,915 --> 00:13:43,855
about the terminology that can be used.

363
00:13:44,315 --> 00:13:45,635
it's important to remember,

364
00:13:45,635 --> 00:13:46,600
of course, that it could

365
00:13:46,600 --> 00:13:48,130
come from a particular judge.

366
00:13:48,130 --> 00:13:50,080
It may also be that parties are

367
00:13:50,380 --> 00:13:52,660
maybe themselves using certain

368
00:13:52,660 --> 00:13:54,670
expressions in the course of argument.

369
00:13:54,793 --> 00:13:56,863
There are a number of examples where you

370
00:13:56,863 --> 00:13:59,863
can look to the way that disability is

371
00:13:59,863 --> 00:14:02,323
referred to or described in judgements

372
00:14:02,323 --> 00:14:04,666
where it would be better if different

373
00:14:04,666 --> 00:14:08,236
formulations were used and no doubt

374
00:14:08,236 --> 00:14:11,416
a greater awareness in general and

375
00:14:11,416 --> 00:14:14,576
society and perhaps in the legal context

376
00:14:14,596 --> 00:14:17,516
could lead to progress in this area.

377
00:14:17,950 --> 00:14:19,305
Elysia: I think the last situation

378
00:14:19,305 --> 00:14:20,775
that you identify is the labeling

379
00:14:20,775 --> 00:14:22,815
of intellectual disabilities, where

380
00:14:22,815 --> 00:14:24,585
some of the most egregious comments

381
00:14:24,585 --> 00:14:26,085
have been made by the judiciary,

382
00:14:26,295 --> 00:14:28,335
including comparing someone with an

383
00:14:28,335 --> 00:14:30,375
intellectual disability to a cabbage.

384
00:14:30,885 --> 00:14:32,385
Uh, there is a widespread use of

385
00:14:32,385 --> 00:14:34,335
terms generally considered offensive,

386
00:14:34,335 --> 00:14:36,705
such as mongoloid or vegetable-

387
00:14:36,855 --> 00:14:36,975
Heloise: Mm-hmm.

388
00:14:37,215 --> 00:14:38,355
Elysia: -Uh, within the judiciary.

389
00:14:38,445 --> 00:14:39,735
So why do you think this might still

390
00:14:39,735 --> 00:14:42,285
be the case, even though most people

391
00:14:42,285 --> 00:14:43,755
would tend to think that these terms

392
00:14:43,755 --> 00:14:46,245
would not be acceptable anymore.

393
00:14:47,362 --> 00:14:47,872
Heloise: Yes.

394
00:14:47,872 --> 00:14:50,842
So it's certainly true in the context

395
00:14:50,872 --> 00:14:52,912
of referring to intellectual disability.

396
00:14:52,912 --> 00:14:54,742
There are some very unfortunate

397
00:14:54,802 --> 00:14:56,302
examples, maybe some of the most

398
00:14:56,302 --> 00:14:58,282
unfortunate examples of language used.

399
00:14:58,882 --> 00:15:01,112
So the reference you, you

400
00:15:01,112 --> 00:15:03,112
made, there to reference to a

401
00:15:03,112 --> 00:15:04,952
cabbage, was from some time ago.

402
00:15:04,982 --> 00:15:06,932
So that was a case from 1981.

403
00:15:07,098 --> 00:15:08,628
We certainly can hope there's been some

404
00:15:08,628 --> 00:15:10,608
evolution in the language that's been

405
00:15:10,608 --> 00:15:14,238
used, but one example of terminology

406
00:15:14,238 --> 00:15:16,698
we still see now, in both the medical

407
00:15:16,698 --> 00:15:20,178
context and still in case law, is

408
00:15:20,178 --> 00:15:22,848
reference to a vegetative state,

409
00:15:23,848 --> 00:15:25,888
or a persistent vegetative state.

410
00:15:26,433 --> 00:15:30,213
And that's used quite commonly

411
00:15:30,263 --> 00:15:32,213
perhaps without much question.

412
00:15:32,213 --> 00:15:33,593
Although when, when you think about it,

413
00:15:33,593 --> 00:15:35,423
it's actually quite insulting, isn't it?

414
00:15:35,423 --> 00:15:37,343
Because it seems quite dehumanizing,

415
00:15:37,343 --> 00:15:39,263
in fact, to use that, that terminology.

416
00:15:39,443 --> 00:15:42,353
Perhaps people think it's not insulting

417
00:15:42,353 --> 00:15:45,233
to the individual, the themselves, if

418
00:15:45,283 --> 00:15:47,753
they are not hearing the terminology.

419
00:15:48,473 --> 00:15:51,353
I think we have seen some progress

420
00:15:51,353 --> 00:15:54,563
and some evolution in the terminology

421
00:15:54,563 --> 00:15:57,143
that's used, but there's definitely room

422
00:15:57,143 --> 00:15:59,423
for more progress and awareness still.

423
00:15:59,916 --> 00:16:00,996
Elysia: Now that we've gone through all

424
00:16:00,996 --> 00:16:03,166
these examples of the way that these

425
00:16:03,166 --> 00:16:04,576
different terms are used in a legal

426
00:16:04,576 --> 00:16:06,526
setting, do you think that firstly

427
00:16:06,526 --> 00:16:08,506
labels do actually have a real impact

428
00:16:08,506 --> 00:16:10,366
on the way that courts treat disability

429
00:16:10,366 --> 00:16:12,436
and therefore people treat disability?

430
00:16:12,706 --> 00:16:14,146
And secondly, do you think that this

431
00:16:14,146 --> 00:16:15,796
is really like the be all and end

432
00:16:15,796 --> 00:16:18,106
all about disability and language?

433
00:16:18,670 --> 00:16:20,470
Heloise: Well, it is a very difficult

434
00:16:20,470 --> 00:16:22,540
issue to deal with problematic

435
00:16:22,590 --> 00:16:26,130
terminology because what can be negative

436
00:16:26,160 --> 00:16:30,330
is not necessarily a meaning inherent

437
00:16:30,330 --> 00:16:32,190
or necessary within the word itself.

438
00:16:32,190 --> 00:16:33,840
It can also be the connotations

439
00:16:33,840 --> 00:16:34,890
that attached to a word.

440
00:16:35,310 --> 00:16:38,715
So I mentioned vegetative before that in

441
00:16:38,715 --> 00:16:40,735
a way, maybe that's inherently negative

442
00:16:40,735 --> 00:16:43,225
if there's reference to vegetable,

443
00:16:43,225 --> 00:16:45,805
it seems dehumanizing, but there are

444
00:16:45,805 --> 00:16:47,695
other words where there's nothing

445
00:16:47,755 --> 00:16:50,455
obviously negative in the word itself.

446
00:16:50,515 --> 00:16:52,735
It's more that they're, or not necessarily

447
00:16:52,735 --> 00:16:54,685
more negative than other words, but it's

448
00:16:54,685 --> 00:16:57,115
the connotations that surround the word.

449
00:16:57,115 --> 00:16:58,320
So it's perceived as an

450
00:16:58,320 --> 00:16:59,670
offensive term, for example.

451
00:17:01,080 --> 00:17:03,840
And that's difficult to deal with

452
00:17:03,840 --> 00:17:05,280
because in the short term, you could

453
00:17:05,280 --> 00:17:07,140
say, right, okay, there are some words

454
00:17:07,140 --> 00:17:08,490
we should avoid, and that's true.

455
00:17:08,490 --> 00:17:10,380
Some words are offensive and we should

456
00:17:10,380 --> 00:17:11,970
just avoid them, and so there could

457
00:17:11,970 --> 00:17:14,550
be greater awareness to avoid them.

458
00:17:15,390 --> 00:17:18,630
But if there continues to be general

459
00:17:19,050 --> 00:17:22,230
prejudice and stigma regarding disabled

460
00:17:22,230 --> 00:17:25,440
people in society, then if we use another

461
00:17:25,440 --> 00:17:27,510
word, which might seem more neutral

462
00:17:27,510 --> 00:17:30,945
now, eventually, negative connotations

463
00:17:30,945 --> 00:17:33,965
can attach to that word as well if

464
00:17:33,965 --> 00:17:36,395
there is general prejudice in society.

465
00:17:36,815 --> 00:17:39,035
So I mentioned earlier the term

466
00:17:39,035 --> 00:17:42,005
condition, which is quite neutral,

467
00:17:42,005 --> 00:17:45,386
but if there is a lot of prejudice

468
00:17:45,446 --> 00:17:47,696
surrounding disabled people, and the

469
00:17:47,696 --> 00:17:50,726
term condition is used, maybe one

470
00:17:50,726 --> 00:17:53,300
day that term will also be associated

471
00:17:53,300 --> 00:17:55,380
with more negative connotations.

472
00:17:55,980 --> 00:18:00,285
So, really, in order to, to

473
00:18:00,285 --> 00:18:02,055
deal with a problem, you need

474
00:18:02,055 --> 00:18:03,765
to have a wider approach.

475
00:18:03,765 --> 00:18:07,575
You need to be looking at ideally changing

476
00:18:07,575 --> 00:18:10,755
attitudes more broadly in society, and so

477
00:18:10,785 --> 00:18:13,245
dealing at a higher level, at a broader

478
00:18:13,245 --> 00:18:16,005
level with combating stigmatization.

479
00:18:16,335 --> 00:18:18,795
So the more we're able to reduce

480
00:18:18,795 --> 00:18:22,040
stigma, prejudice in society, then

481
00:18:22,040 --> 00:18:24,200
the less that's going to come up and

482
00:18:24,260 --> 00:18:26,810
attach itself to particular words.

483
00:18:27,470 --> 00:18:29,480
And again, so that's why also it can be

484
00:18:29,480 --> 00:18:32,600
particularly important to look at words

485
00:18:32,690 --> 00:18:35,535
used in a context where there is more

486
00:18:35,535 --> 00:18:37,875
authority and power, so in the context

487
00:18:37,875 --> 00:18:40,425
of medicine, in law, words that people

488
00:18:40,425 --> 00:18:43,365
are really gonna look to as a first

489
00:18:43,365 --> 00:18:45,495
source or as an authoritative source.

490
00:18:45,495 --> 00:18:47,805
And that can then be used elsewhere.

491
00:18:48,325 --> 00:18:50,495
To really combat the use of

492
00:18:50,495 --> 00:18:53,795
problematic terminology, we can't

493
00:18:53,795 --> 00:18:55,415
just look at words one by one.

494
00:18:55,475 --> 00:18:57,605
You have to also take a broader approach.

495
00:18:58,576 --> 00:19:00,136
Elysia: Thank you so much Dr. Robinson,

496
00:19:00,136 --> 00:19:01,756
for your insightful commentary regarding

497
00:19:01,756 --> 00:19:03,346
the current use of labels within

498
00:19:03,346 --> 00:19:05,656
disability law and outside of it as well.

499
00:19:06,076 --> 00:19:07,696
Before we move on to the next segment

500
00:19:07,696 --> 00:19:09,826
regarding possible reforms of terminology

501
00:19:09,826 --> 00:19:11,896
used with regards to disability, we would

502
00:19:11,896 --> 00:19:13,546
like to express our gratitude for the

503
00:19:13,546 --> 00:19:16,006
generous support of Crown Office Chambers.

504
00:19:26,148 --> 00:19:28,390
Crown Office Chambers is a leading

505
00:19:28,390 --> 00:19:30,640
set consisting of over a hundred

506
00:19:30,640 --> 00:19:32,620
commercial and common law, barristers,

507
00:19:33,040 --> 00:19:35,050
arbitrators, and mediators.

508
00:19:35,710 --> 00:19:37,210
They have just released a short

509
00:19:37,210 --> 00:19:39,880
film introducing their pupils, the

510
00:19:39,880 --> 00:19:42,040
film, as well as other information

511
00:19:42,040 --> 00:19:44,155
about pupillages, can be found on

512
00:19:44,155 --> 00:19:48,295
their website at www.crown office

513
00:19:48,295 --> 00:19:53,335
chambers.com/careers/pupilage.

514
00:19:53,965 --> 00:19:55,525
Thank you Crown Office Chambers.

515
00:20:04,956 --> 00:20:06,096
Elysia: Now we return to the next

516
00:20:06,096 --> 00:20:08,196
segment of our episode today discussing

517
00:20:08,196 --> 00:20:09,846
possible reforms of terminology

518
00:20:09,846 --> 00:20:11,286
used with regards to disability.

519
00:20:11,787 --> 00:20:13,377
To resolve or mitigate the issues

520
00:20:13,377 --> 00:20:15,117
surrounding labeling of disability

521
00:20:15,117 --> 00:20:17,307
within a legal context, your paper,

522
00:20:17,307 --> 00:20:18,957
"Naming and Describing Disability in

523
00:20:18,957 --> 00:20:20,757
the Law" explores two ways in which

524
00:20:20,757 --> 00:20:22,857
descriptions of disability can be handled.

525
00:20:23,157 --> 00:20:24,717
Firstly, the neutral approach, and

526
00:20:24,717 --> 00:20:26,187
secondly, the targeted approach.

527
00:20:26,707 --> 00:20:27,627
Would you like to elaborate on

528
00:20:27,627 --> 00:20:28,917
the first approach of presenting

529
00:20:28,917 --> 00:20:30,807
information in a value neutral way?

530
00:20:32,036 --> 00:20:32,426
Heloise: Yes.

531
00:20:32,426 --> 00:20:35,066
So there's a lot of discussion

532
00:20:35,066 --> 00:20:37,556
in the philosophical literature

533
00:20:37,856 --> 00:20:40,856
about how to define disability or

534
00:20:40,856 --> 00:20:42,896
the right model of disability or

535
00:20:42,896 --> 00:20:44,906
conception or theory of disability.

536
00:20:44,906 --> 00:20:46,285
It's one of the themes, the issues

537
00:20:46,285 --> 00:20:47,995
that's getting the most attention in the

538
00:20:47,995 --> 00:20:49,675
philosophical literature on disability.

539
00:20:50,365 --> 00:20:54,175
And it's a very difficult question.

540
00:20:54,225 --> 00:20:55,611
It might seem quite obvious, it's,

541
00:20:55,611 --> 00:20:57,441
it's a bit like defining health and

542
00:20:57,471 --> 00:20:59,391
health notoriously -we all think we

543
00:20:59,391 --> 00:21:01,251
know what it means, but it's very

544
00:21:01,251 --> 00:21:03,771
notoriously difficult to actually define.

545
00:21:04,861 --> 00:21:07,201
One way to look at it is we might need

546
00:21:07,251 --> 00:21:10,041
to agree, you know, on how we understand

547
00:21:10,041 --> 00:21:12,291
disability and whether we can also

548
00:21:12,291 --> 00:21:14,421
understand disability in the absence

549
00:21:14,421 --> 00:21:16,461
of any particular value judgments

550
00:21:16,461 --> 00:21:18,671
or whether that's possible or not.

551
00:21:19,241 --> 00:21:20,981
But another approach might be to

552
00:21:20,981 --> 00:21:24,491
say we can look at more specific

553
00:21:24,701 --> 00:21:26,921
narrow or targeted issues.

554
00:21:27,341 --> 00:21:29,081
And especially perhaps in a legal

555
00:21:29,081 --> 00:21:31,871
context, we might say there might be

556
00:21:31,871 --> 00:21:33,551
some instances where we don't necessarily

557
00:21:33,551 --> 00:21:37,361
need to agree in an abstract way on

558
00:21:37,421 --> 00:21:40,151
how we define disability, but we might

559
00:21:40,151 --> 00:21:42,281
think, okay, here we're concerned with

560
00:21:42,746 --> 00:21:45,686
pain or we're concerned with mobility

561
00:21:45,686 --> 00:21:47,996
issues and so on, or in a medical context

562
00:21:47,996 --> 00:21:49,376
too, we might think we're concerned

563
00:21:49,376 --> 00:21:51,876
with these particular targeted issues.

564
00:21:52,446 --> 00:21:56,766
And so then we can leave aside

565
00:21:57,711 --> 00:22:00,441
broader complications about how you

566
00:22:00,441 --> 00:22:02,571
define disability or whether there is

567
00:22:02,571 --> 00:22:06,471
something good or bad in being disabled.

568
00:22:06,471 --> 00:22:08,511
If it's something that's a positive

569
00:22:08,511 --> 00:22:11,151
identity or something that is

570
00:22:11,151 --> 00:22:12,531
associated with medical treatment

571
00:22:12,531 --> 00:22:14,631
and so on, we can leave aside some of

572
00:22:14,631 --> 00:22:16,341
those complications if you're looking

573
00:22:16,341 --> 00:22:18,891
at specific, more targeted issues.

574
00:22:19,663 --> 00:22:19,873
Elysia: Okay.

575
00:22:19,873 --> 00:22:21,223
So just zooming in a little

576
00:22:21,223 --> 00:22:22,873
bit on the neutral approach.

577
00:22:22,873 --> 00:22:24,673
So what exactly would that look like?

578
00:22:24,703 --> 00:22:26,113
So for example, you mentioned that

579
00:22:26,113 --> 00:22:28,723
NHS guidance on prenatal testing aims

580
00:22:28,723 --> 00:22:30,733
to provide more balanced information

581
00:22:30,733 --> 00:22:32,023
and has attempted to move towards

582
00:22:32,023 --> 00:22:34,003
a more balanced language using

583
00:22:34,003 --> 00:22:36,313
chance versus risk of a baby being

584
00:22:36,313 --> 00:22:37,933
born with a particular condition.

585
00:22:39,375 --> 00:22:41,985
Heloise: Yeah, so one context where

586
00:22:41,985 --> 00:22:45,015
it is very relevant to think about

587
00:22:45,015 --> 00:22:49,062
how information is provided and

588
00:22:49,062 --> 00:22:50,675
whether the approach to disability

589
00:22:50,675 --> 00:22:53,885
is neutral or implies certain value

590
00:22:53,885 --> 00:22:57,215
judgments is in the context of prenatal

591
00:22:57,215 --> 00:22:59,795
testing and information provided

592
00:22:59,855 --> 00:23:02,795
to parents about the chance that

593
00:23:02,795 --> 00:23:05,435
their child will be born disabled.

594
00:23:05,929 --> 00:23:09,639
In that context, a recurring criticism

595
00:23:10,059 --> 00:23:13,899
is that the information provided can

596
00:23:13,899 --> 00:23:16,179
be overly negative about disability.

597
00:23:16,179 --> 00:23:17,649
So the parents will be told, there's

598
00:23:17,649 --> 00:23:18,969
a chance your child will have this

599
00:23:18,969 --> 00:23:20,973
particular condition, this particular

600
00:23:20,973 --> 00:23:24,768
disability, and it's thought to be

601
00:23:24,768 --> 00:23:27,138
important to provide this information,

602
00:23:27,168 --> 00:23:29,658
often to promote reproductive autonomy

603
00:23:29,658 --> 00:23:32,508
and to give the pregnant woman an the

604
00:23:32,508 --> 00:23:34,728
choice to have or not have an abortion:

605
00:23:34,908 --> 00:23:36,318
an abortion on the grounds of disability.

606
00:23:36,948 --> 00:23:37,878
So it's often thought that it's

607
00:23:37,878 --> 00:23:40,378
important to provide accurate

608
00:23:40,378 --> 00:23:43,463
information in terms of the chance or

609
00:23:43,463 --> 00:23:45,533
the risk or the diagnosis, and also

610
00:23:45,533 --> 00:23:47,153
information about the condition itself.

611
00:23:47,450 --> 00:23:49,070
But one of the difficulties is how

612
00:23:49,070 --> 00:23:50,540
can you provide this information

613
00:23:50,540 --> 00:23:52,438
in a way which is neutral or is it

614
00:23:52,438 --> 00:23:54,298
possible to, to really provide this

615
00:23:54,298 --> 00:23:56,878
information in a way that is neutral?

616
00:23:57,568 --> 00:24:00,533
And so a recurring criticism is that

617
00:24:01,118 --> 00:24:03,518
the information can be overly negative.

618
00:24:03,548 --> 00:24:06,518
It can maybe, there can be a

619
00:24:06,518 --> 00:24:10,318
discussion of certain negative sides

620
00:24:10,378 --> 00:24:13,048
associated with raising a child

621
00:24:13,148 --> 00:24:15,518
with a particular disability, but

622
00:24:15,518 --> 00:24:17,705
no mention of some positive sides.

623
00:24:18,935 --> 00:24:23,945
So there has been recently some efforts

624
00:24:24,095 --> 00:24:26,940
to try to provide with, it's often

625
00:24:26,940 --> 00:24:28,950
called more balanced information,

626
00:24:28,950 --> 00:24:30,570
more neutral, more balanced.

627
00:24:30,676 --> 00:24:32,716
So there has been, for example, a

628
00:24:32,716 --> 00:24:35,096
change in, instead of referring to a

629
00:24:35,096 --> 00:24:37,136
risk that the child will be born with

630
00:24:37,136 --> 00:24:39,486
a particular condition, guidance might

631
00:24:39,486 --> 00:24:42,006
say there's a chance that the child

632
00:24:42,006 --> 00:24:43,596
be born with a particular condition,

633
00:24:43,596 --> 00:24:46,116
which seems to be a more neutral term.

634
00:24:47,316 --> 00:24:50,646
So that is seen by many

635
00:24:50,646 --> 00:24:51,606
people as an improvement.

636
00:24:51,636 --> 00:24:54,156
Of course, it's not entirely neutral

637
00:24:54,246 --> 00:24:56,136
because the fact that you're being

638
00:24:56,136 --> 00:24:58,266
informed that there's a chance that

639
00:24:58,266 --> 00:24:59,556
your child will have this particular

640
00:24:59,556 --> 00:25:01,206
condition, it's of course implying

641
00:25:01,206 --> 00:25:03,036
that you need to think about it and

642
00:25:03,036 --> 00:25:04,596
that there would be a good reason

643
00:25:05,241 --> 00:25:06,981
not to give birth to this child.

644
00:25:07,311 --> 00:25:10,321
So it's not entirely neutral given

645
00:25:10,321 --> 00:25:12,781
that it takes place in the context of

646
00:25:12,781 --> 00:25:15,046
testing where routine prenatal testing

647
00:25:15,086 --> 00:25:16,866
implies there's a reason for testing and

648
00:25:16,866 --> 00:25:18,426
there's a reason to think about whether

649
00:25:18,426 --> 00:25:19,716
or not you want to have the child.

650
00:25:20,072 --> 00:25:23,282
But the specific word chance in this

651
00:25:23,282 --> 00:25:25,172
context is considered, for example, to

652
00:25:25,172 --> 00:25:28,412
be less negative than the word risk.

653
00:25:29,149 --> 00:25:30,259
Elysia: So in your previous answer,

654
00:25:30,259 --> 00:25:31,999
you do touch upon some of the possible

655
00:25:31,999 --> 00:25:33,829
issues or objections with the approach,

656
00:25:34,069 --> 00:25:35,559
but would you mind fleshing it out, what

657
00:25:35,559 --> 00:25:37,779
exactly the possible issues or objections

658
00:25:37,779 --> 00:25:39,099
with the neutral approach might be?

659
00:25:40,052 --> 00:25:40,412
Heloise: Sure.

660
00:25:40,412 --> 00:25:43,622
So for example, there's a guidance that

661
00:25:43,622 --> 00:25:48,302
describes Down syndrome where both what

662
00:25:48,498 --> 00:25:50,088
might be considered to be positive and

663
00:25:50,088 --> 00:25:52,068
negative characteristics are listed.

664
00:25:52,908 --> 00:25:55,578
So there you have an example of what

665
00:25:55,578 --> 00:25:58,638
might seem to be a more balanced approach.

666
00:25:58,858 --> 00:26:00,538
So the guidance, for example, says that

667
00:26:00,538 --> 00:26:02,428
children with this condition will have

668
00:26:02,428 --> 00:26:04,588
a learning disability and will be more

669
00:26:04,588 --> 00:26:06,448
likely to have certain health problems.

670
00:26:06,823 --> 00:26:08,293
But then it also mentions that

671
00:26:08,293 --> 00:26:09,343
they can have a good quality

672
00:26:09,343 --> 00:26:11,563
of life and attend school.

673
00:26:12,103 --> 00:26:15,613
So this can be an example where it seems

674
00:26:15,613 --> 00:26:20,203
that more balanced information can be

675
00:26:20,233 --> 00:26:23,053
provided where the information provided

676
00:26:23,053 --> 00:26:26,878
is not only negative, but it is difficult

677
00:26:26,878 --> 00:26:28,498
if you're trying to provide information

678
00:26:28,498 --> 00:26:30,388
in a neutral way, it is really difficult

679
00:26:30,388 --> 00:26:33,780
because how do you know how many positive

680
00:26:33,780 --> 00:26:35,940
or negative aspects would you mention?

681
00:26:36,240 --> 00:26:37,500
We don't normally do this for

682
00:26:37,500 --> 00:26:39,600
most people, for most babies, we

683
00:26:39,600 --> 00:26:41,070
don't list positive and negative

684
00:26:41,070 --> 00:26:42,570
features about someone's life.

685
00:26:43,250 --> 00:26:44,840
To provide more balanced information

686
00:26:44,840 --> 00:26:48,927
might seem to be making a move towards

687
00:26:49,007 --> 00:26:50,717
a less negative approach to disability

688
00:26:50,717 --> 00:26:52,397
in the context of prenatal testing.

689
00:26:52,787 --> 00:26:54,527
But at the same time, it's not entirely

690
00:26:54,527 --> 00:26:56,653
neutral, especially since one way

691
00:26:56,653 --> 00:26:59,731
to interpret it is that if you hear

692
00:26:59,731 --> 00:27:01,441
information like that, it will sound

693
00:27:01,441 --> 00:27:03,661
like the child will have certain negative

694
00:27:03,661 --> 00:27:05,611
traits that other children won't have.

695
00:27:06,721 --> 00:27:07,801
And then the positive traits

696
00:27:07,801 --> 00:27:09,061
are ones which most children

697
00:27:09,061 --> 00:27:10,141
would have anyway really.

698
00:27:10,141 --> 00:27:13,771
So it sort of implies that that overall

699
00:27:13,771 --> 00:27:15,811
there is still something negative.

700
00:27:15,934 --> 00:27:20,809
A better approach might be to, if

701
00:27:20,809 --> 00:27:23,269
you're listing negative traits,

702
00:27:23,779 --> 00:27:26,309
to also list positive traits that

703
00:27:26,309 --> 00:27:27,989
are specific to the condition.

704
00:27:27,989 --> 00:27:29,189
So mentioning that the child will

705
00:27:29,189 --> 00:27:31,739
probably attend school is not specific

706
00:27:31,739 --> 00:27:33,299
to Down Syndrome and most children attend

707
00:27:33,299 --> 00:27:35,549
school, but perhaps something which

708
00:27:35,549 --> 00:27:37,679
is especially positive and associated

709
00:27:37,679 --> 00:27:39,899
with Down Syndrome and not with most

710
00:27:39,899 --> 00:27:42,199
children could also be provided.

711
00:27:42,528 --> 00:27:44,298
So that's, I I think it's, this is

712
00:27:44,298 --> 00:27:45,918
really tricky because it's an example

713
00:27:45,918 --> 00:27:48,888
where your information is provided.

714
00:27:49,608 --> 00:27:51,888
If the objective is for the information to

715
00:27:51,888 --> 00:27:54,948
be accurate and balanced and neutral, it's

716
00:27:54,948 --> 00:27:57,048
important to think about these issues.

717
00:27:57,348 --> 00:27:58,428
But equally, of course it will

718
00:27:58,428 --> 00:28:00,738
never entirely be neutral.

719
00:28:01,458 --> 00:28:03,858
There's no entirely neutral way of

720
00:28:03,858 --> 00:28:08,928
presenting this information and, really,

721
00:28:08,958 --> 00:28:11,478
given the wider context in which it's

722
00:28:11,478 --> 00:28:13,938
provided, you could say that overall

723
00:28:13,938 --> 00:28:15,648
there, the message being sent is still

724
00:28:15,648 --> 00:28:18,588
that there's a good reason to consider

725
00:28:18,588 --> 00:28:19,938
avoiding the birth of the child.

726
00:28:21,729 --> 00:28:22,749
Elysia: So moving on to the

727
00:28:22,749 --> 00:28:24,279
second approach, which is the

728
00:28:24,279 --> 00:28:25,599
targeted approach which seeks to

729
00:28:25,599 --> 00:28:27,339
address specific ethical concerns.

730
00:28:27,549 --> 00:28:28,839
So you did talk about this in the

731
00:28:28,839 --> 00:28:30,159
beginning of this segment where

732
00:28:30,159 --> 00:28:31,895
you talked about how people want to

733
00:28:31,895 --> 00:28:33,485
address specific concerns, so such as

734
00:28:33,485 --> 00:28:35,075
reduced mobility and things like that.

735
00:28:35,345 --> 00:28:36,545
So would you mind elaborating

736
00:28:36,545 --> 00:28:37,985
on what that would look like as

737
00:28:37,985 --> 00:28:39,575
compared to the neutral approach?

738
00:28:40,711 --> 00:28:41,281
Heloise: Yes.

739
00:28:41,341 --> 00:28:43,261
Well, one thing that can be done is

740
00:28:43,261 --> 00:28:46,171
to distinguish between cases where

741
00:28:46,231 --> 00:28:47,791
you can have a condition that can be

742
00:28:47,791 --> 00:28:50,701
cured and a condition that is lifelong.

743
00:28:51,091 --> 00:28:53,891
So if you have a condition with a

744
00:28:53,891 --> 00:28:55,991
number of health problems that can

745
00:28:55,991 --> 00:28:57,971
be treated or that can be cured,

746
00:28:58,461 --> 00:28:59,961
maybe a targeted approach can be

747
00:28:59,961 --> 00:29:02,031
taken where you refer to specific

748
00:29:02,031 --> 00:29:04,059
problems and how to deal with them.

749
00:29:04,629 --> 00:29:07,719
But if you have a lifelong condition,

750
00:29:08,049 --> 00:29:11,139
it might be especially important to

751
00:29:11,139 --> 00:29:13,209
refer if there are negative aspects

752
00:29:13,209 --> 00:29:14,739
to refer to positive aspects as

753
00:29:14,739 --> 00:29:16,869
well, and to bear in mind that with

754
00:29:16,869 --> 00:29:20,919
a lifelong condition, it may affect

755
00:29:20,919 --> 00:29:23,829
more a person's sense of identity.

756
00:29:24,339 --> 00:29:27,639
And so if negative information is given

757
00:29:28,089 --> 00:29:31,584
about a lifelong condition, it might be

758
00:29:31,584 --> 00:29:33,804
interpreted as not just being negative

759
00:29:34,104 --> 00:29:36,599
with respect to something that could

760
00:29:36,604 --> 00:29:39,014
be separated out, and health problems

761
00:29:39,014 --> 00:29:40,664
as something separate, but that can

762
00:29:40,664 --> 00:29:42,764
attach to the person themselves.

763
00:29:43,124 --> 00:29:45,861
So I think there it can be important

764
00:29:45,861 --> 00:29:47,671
to bear in mind the nature of the

765
00:29:47,671 --> 00:29:48,991
condition you're dealing with.

766
00:29:50,073 --> 00:29:51,573
Elysia: So what are some possible issues

767
00:29:51,573 --> 00:29:53,853
or objections with the targeted approach?

768
00:29:55,010 --> 00:29:57,820
Heloise: Well, I think in some

769
00:29:57,820 --> 00:30:02,140
contexts we can look at very specific

770
00:30:02,200 --> 00:30:04,080
issues and we don't necessarily need

771
00:30:04,080 --> 00:30:06,360
to ask, is this disability or not?

772
00:30:06,780 --> 00:30:10,140
We can refer to something more specific.

773
00:30:10,740 --> 00:30:13,567
I think more broadly though, it can

774
00:30:13,567 --> 00:30:16,507
be helpful for a number of reasons to

775
00:30:16,507 --> 00:30:19,397
ask whether we're generally dealing

776
00:30:19,397 --> 00:30:21,787
with disability and how we understand

777
00:30:21,787 --> 00:30:24,477
disability more broadly in society.

778
00:30:24,927 --> 00:30:27,177
So although there can be different

779
00:30:27,177 --> 00:30:29,727
specific issues, they can be tied

780
00:30:29,727 --> 00:30:31,497
together in certain important ways.

781
00:30:31,497 --> 00:30:33,927
And so it's important to see, I suppose

782
00:30:33,927 --> 00:30:35,907
the, the broader picture as well.

783
00:30:36,807 --> 00:30:39,387
So sometimes referring to

784
00:30:39,387 --> 00:30:41,127
specific issues is helpful.

785
00:30:41,398 --> 00:30:43,074
But at the same time, bearing in

786
00:30:43,074 --> 00:30:45,234
mind the links between specific

787
00:30:45,234 --> 00:30:48,204
issues or what a broader approach

788
00:30:48,444 --> 00:30:51,014
can achieve will also have benefits.

789
00:30:52,256 --> 00:30:53,876
Elysia: In your paper, you've identified

790
00:30:53,876 --> 00:30:55,646
a recent case in which the courts have

791
00:30:55,676 --> 00:30:57,686
attempted a balanced description, which

792
00:30:57,686 --> 00:30:59,486
is Crowter v Secretary of State for Health

793
00:30:59,486 --> 00:31:01,346
and Social Care, which you've also written

794
00:31:01,346 --> 00:31:03,056
an article about titled "Discrimination

795
00:31:03,056 --> 00:31:05,506
in Abortion Law and Message the Law

796
00:31:05,506 --> 00:31:08,126
is Sending: R (Crowter) v Secretary

797
00:31:08,126 --> 00:31:10,136
of State for Health and Social Care."

798
00:31:10,616 --> 00:31:11,456
Would you mind telling us

799
00:31:11,456 --> 00:31:12,716
what happened in this case?

800
00:31:13,499 --> 00:31:14,009
Heloise: Yes.

801
00:31:14,009 --> 00:31:16,019
So one of the reasons why the case

802
00:31:16,019 --> 00:31:19,529
was really interesting is that it was

803
00:31:19,529 --> 00:31:21,299
in a sense about what you could call

804
00:31:21,299 --> 00:31:23,369
the expressivist argument, which has

805
00:31:23,369 --> 00:31:24,989
been discussed extensively in the

806
00:31:24,989 --> 00:31:28,199
literature on philosophy on bioethics.

807
00:31:28,829 --> 00:31:31,199
The expressivist argument is essentially

808
00:31:31,199 --> 00:31:34,079
that prenatal testing and abortion on

809
00:31:34,079 --> 00:31:36,635
the grounds of disability expresses a

810
00:31:36,635 --> 00:31:39,365
negative message about disabled people.

811
00:31:39,365 --> 00:31:42,035
It sends a message that they're less

812
00:31:42,035 --> 00:31:44,075
welcome in society, for example,

813
00:31:44,075 --> 00:31:45,737
or that society might think,

814
00:31:45,737 --> 00:31:47,207
or some people might think that

815
00:31:47,207 --> 00:31:49,217
their lives are less worthwhile.

816
00:31:50,427 --> 00:31:53,757
So that's been discussed extensively

817
00:31:53,757 --> 00:31:55,197
in the philosophical literature.

818
00:31:55,197 --> 00:31:56,067
There's debate about it.

819
00:31:56,067 --> 00:31:57,867
Not everyone agrees with the argument.

820
00:31:58,197 --> 00:31:59,427
What's particularly interesting

821
00:31:59,427 --> 00:32:01,407
is that this essentially was

822
00:32:01,510 --> 00:32:03,550
the argument that came to court.

823
00:32:03,838 --> 00:32:05,723
There wasn't any reference in the

824
00:32:05,753 --> 00:32:07,793
case to the philosophical literature.

825
00:32:07,793 --> 00:32:09,443
I guess that's not, not surprising.

826
00:32:09,460 --> 00:32:13,160
But also what I should say is, one

827
00:32:13,160 --> 00:32:14,700
difficulty with the expressivist

828
00:32:14,720 --> 00:32:18,020
argument is we might ask who

829
00:32:18,020 --> 00:32:19,490
is expressing the message.

830
00:32:19,502 --> 00:32:22,383
So if it's the parents or the pregnant

831
00:32:22,383 --> 00:32:24,963
woman herself, we might think, well.

832
00:32:25,393 --> 00:32:28,093
If an individual pregnant woman decides

833
00:32:28,093 --> 00:32:29,473
to have an abortion on the grounds

834
00:32:29,473 --> 00:32:32,173
of disability, she isn't necessarily

835
00:32:32,173 --> 00:32:34,333
trying to express a wider message

836
00:32:34,333 --> 00:32:36,343
about disabled people in general.

837
00:32:36,343 --> 00:32:37,963
She might be making a decision based

838
00:32:37,963 --> 00:32:40,183
on her own personal circumstances.

839
00:32:40,183 --> 00:32:42,073
She might be taking many different factors

840
00:32:42,073 --> 00:32:43,603
into account, so she's not trying to

841
00:32:43,608 --> 00:32:45,778
necessarily say, other people should

842
00:32:45,778 --> 00:32:48,183
do the same thing as me or making a

843
00:32:48,183 --> 00:32:50,253
general statement about disability, it

844
00:32:50,253 --> 00:32:51,843
might seem like a personal decision.

845
00:32:52,173 --> 00:32:53,373
So that's one problem with

846
00:32:53,373 --> 00:32:54,453
the expressivist argument.

847
00:32:55,413 --> 00:32:57,183
But if the message is coming from the

848
00:32:57,183 --> 00:32:59,283
law itself, so that was the issue in

849
00:32:59,283 --> 00:33:00,963
Crowter, then it's different because

850
00:33:00,963 --> 00:33:02,883
if we think it's the law or it's the

851
00:33:02,883 --> 00:33:05,013
state that's sending the message that

852
00:33:05,013 --> 00:33:07,250
there's an especially good reason to

853
00:33:07,255 --> 00:33:09,410
avoid the birth of disabled children,

854
00:33:09,860 --> 00:33:12,290
then it could be more concerning.

855
00:33:13,715 --> 00:33:16,505
One thing I should say as well, and

856
00:33:16,505 --> 00:33:18,965
this did not come out clearly from

857
00:33:18,965 --> 00:33:20,615
the case if you read the case, but

858
00:33:21,225 --> 00:33:23,955
this is not in fact a sort of pro-life

859
00:33:23,955 --> 00:33:26,055
or pro-life or pro-choice issue.

860
00:33:26,475 --> 00:33:29,415
So you can take issue with a negative

861
00:33:29,415 --> 00:33:33,780
message in the law without necessarily

862
00:33:34,155 --> 00:33:36,855
thinking that access to abortion

863
00:33:36,885 --> 00:33:38,865
should be, needs to be restricted.

864
00:33:39,198 --> 00:33:41,382
So right now the law singles

865
00:33:41,382 --> 00:33:43,152
out disability as a very

866
00:33:43,152 --> 00:33:46,152
specific ground for abortion.

867
00:33:46,812 --> 00:33:48,792
There are other reasons a woman

868
00:33:48,792 --> 00:33:49,932
might want to have an abortion that

869
00:33:49,932 --> 00:33:52,062
are, that are not listed in the law.

870
00:33:52,288 --> 00:33:55,858
If you had, for example, a more liberal

871
00:33:55,858 --> 00:33:57,418
approach to the law and abortion, if,

872
00:33:57,418 --> 00:33:59,518
for example, a woman could just have

873
00:33:59,698 --> 00:34:03,193
an abortion for any reason, then you

874
00:34:03,193 --> 00:34:05,683
wouldn't have disability singled out.

875
00:34:05,803 --> 00:34:08,023
So, in practice there could be abortions

876
00:34:08,023 --> 00:34:10,783
on the grounds of disability, and that

877
00:34:10,783 --> 00:34:12,973
may well reflect a personal decision

878
00:34:13,393 --> 00:34:15,223
and the law wouldn't be singling it out.

879
00:34:15,293 --> 00:34:17,313
So it was, it was a very interesting

880
00:34:17,363 --> 00:34:20,617
and somewhat complicated case, but one

881
00:34:20,617 --> 00:34:22,327
of the reasons why it was interesting

882
00:34:22,357 --> 00:34:24,247
is that it was really looking at this

883
00:34:24,247 --> 00:34:28,327
expressivist argument as tied to a message

884
00:34:28,327 --> 00:34:30,577
coming from the law itself and coming

885
00:34:30,577 --> 00:34:33,217
from the state itself, which is more

886
00:34:33,217 --> 00:34:35,767
concerning, but equally, it wasn't in fact

887
00:34:35,767 --> 00:34:38,137
a, a pro-life, pro-choice sort of issue.

888
00:34:39,781 --> 00:34:40,956
Elysia: Yeah, so the case was very

889
00:34:40,956 --> 00:34:42,666
interesting for the kind of arguments

890
00:34:42,816 --> 00:34:44,856
that both parties brought to the table.

891
00:34:44,911 --> 00:34:47,476
But would you'd like to summarize for us

892
00:34:47,496 --> 00:34:50,316
basically what the outcome was of Crowter?

893
00:34:52,687 --> 00:34:54,757
Heloise: Yeah, so the case was dismissed.

894
00:34:54,757 --> 00:34:55,567
So the appellants weren't

895
00:34:55,567 --> 00:34:56,887
successful in their case.

896
00:34:56,987 --> 00:34:59,687
Essentially, the central reason in the

897
00:34:59,687 --> 00:35:04,010
lead judgment was that the law on abortion

898
00:35:04,010 --> 00:35:07,310
is not concerned with disabled people.

899
00:35:08,180 --> 00:35:10,220
It's just concerned with

900
00:35:10,370 --> 00:35:11,780
the unborn, with the fetus.

901
00:35:12,530 --> 00:35:14,420
So it's not sending a negative

902
00:35:14,420 --> 00:35:15,830
message about disabled people

903
00:35:15,830 --> 00:35:16,987
because it's not about disabled

904
00:35:16,987 --> 00:35:18,277
people, it's about the fetus.

905
00:35:19,147 --> 00:35:22,227
So, with respect, I don't think it's

906
00:35:22,227 --> 00:35:25,257
a very convincing interpretation.

907
00:35:25,707 --> 00:35:27,927
Clearly, the ground is about

908
00:35:27,927 --> 00:35:30,207
preventing the birth of disabled

909
00:35:30,207 --> 00:35:31,887
children, about the child.

910
00:35:31,887 --> 00:35:33,897
In fact, the law specifically refers

911
00:35:34,032 --> 00:35:36,402
to the, it uses the words, the child.

912
00:35:36,569 --> 00:35:37,559
I don't think anyone is really

913
00:35:37,559 --> 00:35:39,299
concerned about whether there's

914
00:35:39,809 --> 00:35:41,429
a disabled fetus, whether there's

915
00:35:41,479 --> 00:35:43,095
disability only in the womb.

916
00:35:43,095 --> 00:35:44,505
So really the provision is about

917
00:35:44,505 --> 00:35:46,665
preventing the birth of a disabled child.

918
00:35:47,325 --> 00:35:48,615
So there's much more that can be said

919
00:35:48,615 --> 00:35:50,175
about it, but certainly I think that

920
00:35:50,175 --> 00:35:52,065
central reason is unfortunately not very

921
00:35:52,275 --> 00:35:54,255
convincing as an interpretation of the way

922
00:35:54,255 --> 00:35:56,795
we can understand the law in its message.

923
00:35:58,240 --> 00:35:58,750
Elysia: I see.

924
00:35:58,750 --> 00:36:00,340
So why do you think that the courts are

925
00:36:00,340 --> 00:36:02,620
still reluctant to interpret legislation

926
00:36:02,620 --> 00:36:04,990
as being worded in a discriminatory way?

927
00:36:06,498 --> 00:36:07,068
Heloise: I think that's-

928
00:36:07,076 --> 00:36:09,041
it is a difficult question.

929
00:36:09,041 --> 00:36:12,950
I think perhaps inevitably, because the

930
00:36:12,950 --> 00:36:17,380
case was on abortion that might just color

931
00:36:17,380 --> 00:36:19,420
the approach to this particular case.

932
00:36:20,043 --> 00:36:21,033
You could have another case,

933
00:36:21,033 --> 00:36:22,833
which is about the negative

934
00:36:22,893 --> 00:36:24,753
message sent by the law.

935
00:36:25,203 --> 00:36:26,913
You could imagine maybe a scenario

936
00:36:26,913 --> 00:36:29,853
where you have a negative message

937
00:36:30,033 --> 00:36:31,833
about disability sent in the law, and

938
00:36:31,833 --> 00:36:34,113
it's not in the context of abortion.

939
00:36:34,253 --> 00:36:36,683
It may well be that, given that this was

940
00:36:37,148 --> 00:36:39,868
an abortion case, and given that that's

941
00:36:39,868 --> 00:36:42,368
a sensitive area, that may well have

942
00:36:42,398 --> 00:36:45,438
affected the approach that was taken here.

943
00:36:46,437 --> 00:36:47,757
Elysia: So you mentioned that the

944
00:36:47,757 --> 00:36:49,707
reality is that it might be impossible

945
00:36:49,707 --> 00:36:51,567
to describe disability in a way that's

946
00:36:51,567 --> 00:36:53,667
entirely neutral, especially as many

947
00:36:53,667 --> 00:36:55,737
conditions have a range of presentations,

948
00:36:55,737 --> 00:36:57,207
which make it difficult to fully

949
00:36:57,207 --> 00:36:59,607
encompass the diversity of experience.

950
00:36:59,967 --> 00:37:01,917
So how can legislators and the judiciary

951
00:37:01,917 --> 00:37:04,047
move forward then to provide descriptions

952
00:37:04,047 --> 00:37:05,997
of disability that do people justice?

953
00:37:06,639 --> 00:37:06,969
Heloise: Yes.

954
00:37:06,969 --> 00:37:08,439
That's such an important and such

955
00:37:08,439 --> 00:37:10,079
a difficult question and so we

956
00:37:10,079 --> 00:37:11,939
didn't intend in this article to

957
00:37:11,939 --> 00:37:15,209
provide a full resolution to that.

958
00:37:15,599 --> 00:37:17,279
I think part of the answer will

959
00:37:17,279 --> 00:37:19,494
come from greater awareness.

960
00:37:19,494 --> 00:37:21,564
I think as there's greater awareness

961
00:37:21,564 --> 00:37:24,414
of the importance of language and more

962
00:37:24,414 --> 00:37:26,574
understanding about disability, there can

963
00:37:26,574 --> 00:37:28,554
be progress that can be made in both the

964
00:37:28,554 --> 00:37:31,374
medical context and the legal context.

965
00:37:32,004 --> 00:37:37,139
But, and as I said before what's important

966
00:37:37,139 --> 00:37:40,929
to bear in mind is that the broader

967
00:37:40,929 --> 00:37:45,149
attitudes to disability, if there is

968
00:37:45,419 --> 00:37:48,089
a broader prejudice and stigma within

969
00:37:48,089 --> 00:37:51,609
society, it is very likely that that's

970
00:37:51,609 --> 00:37:53,889
going to affect one way or another the

971
00:37:53,889 --> 00:37:56,409
terminology that's going to be used.

972
00:37:56,707 --> 00:38:00,727
In terms of making progress, part of

973
00:38:00,727 --> 00:38:02,737
the progress can come from saying,

974
00:38:03,007 --> 00:38:05,197
right, we need greater awareness about

975
00:38:05,257 --> 00:38:08,167
certain terms that should not be used.

976
00:38:08,767 --> 00:38:10,147
There's some terms where it's obvious,

977
00:38:10,147 --> 00:38:11,647
there's others where there's debate

978
00:38:11,647 --> 00:38:12,817
and different views, but there's some

979
00:38:12,817 --> 00:38:15,819
terms we shouldn't use, but equally the

980
00:38:15,819 --> 00:38:18,579
connotations attaching to terms can change

981
00:38:18,669 --> 00:38:22,369
over time, and so the more we have a more

982
00:38:22,369 --> 00:38:25,429
inclusive approach in society in general,

983
00:38:25,669 --> 00:38:27,709
and the more that hopefully that will

984
00:38:27,739 --> 00:38:30,379
trickle down to the terminology as well.

985
00:38:30,975 --> 00:38:31,845
Elysia: That's all the questions

986
00:38:31,845 --> 00:38:32,805
that we have for today.

987
00:38:33,022 --> 00:38:34,792
Dr. Robinson, thank you so much for

988
00:38:34,792 --> 00:38:36,622
taking time out of your day to speak

989
00:38:36,622 --> 00:38:37,822
with us and to let everyone know a

990
00:38:37,822 --> 00:38:39,232
little bit more about the descriptions

991
00:38:39,232 --> 00:38:41,002
of disability in a legal context.

992
00:38:41,242 --> 00:38:43,162
Would you like to say a few final words?

993
00:38:44,709 --> 00:38:45,669
Heloise: Uh, that's all great.

994
00:38:45,669 --> 00:38:46,749
I, I just wanna say thank you

995
00:38:46,749 --> 00:38:48,639
very much for having me and

996
00:38:48,639 --> 00:38:50,339
for speaking with me today.

997
00:38:50,339 --> 00:38:51,959
And I'm very happy if there is

998
00:38:51,959 --> 00:38:54,019
any interest in these issues.

999
00:38:55,600 --> 00:38:56,770
Elysia: Thank you very much to Dr.

1000
00:38:56,770 --> 00:38:58,330
Robinson once again for coming to the

1001
00:38:58,330 --> 00:39:00,100
Oxford University Undergraduate Law

1002
00:39:00,100 --> 00:39:02,320
Podcast and to Crown Office Chambers

1003
00:39:02,320 --> 00:39:03,850
for making this series possible.

1004
00:39:04,150 --> 00:39:05,830
Lastly, thank you to our listeners

1005
00:39:05,830 --> 00:39:07,000
for supporting the podcast.