Communicating Quadriplegia: An Autoethnography of Disability Perceptions.

Communicating Quadriplegia: An Autoethnography of Disability Perceptions.

Garett Lee Parrish
Copyright: © 2022 |Pages: 16
DOI: 10.4018/978-1-7998-9125-3.ch020
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Abstract

Autoethnography is an intriguing and promising qualitative research method that gives voice to personal experience to extend psychological and sociological understanding. The author's experience of having a spinal cord injury (SCI) provides the reader with insight regarding perceptions of quadriplegia and informalities of addressing disabilities in communication settings. Education on communication is valuable because it helps people who have not had previous exposure to disabilities understand guidelines for appropriate and ethical behavior when having a conversation with an individual with disabilities. Taboo conversations that are mishandled can lead to adverse physical and mental health outcomes in society. This chapter includes quantitative and qualitative research to provide evidence of these negative social and health outcomes and present communication and coping strategies for dealing with the more difficult conversations associated with quadriplegia and paralysis.
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Disability As Taboo: Difficult Conversations In Restaurants

Mobility is something that we may take for granted. For example, I can recall a time when I arrived at the parking lot of a local restaurant in my red Toyota, handicap-accessible, minivan. My dad had freshly painted the wheels black for my 25th birthday. My girlfriend is driving as I ride in the passenger seat; however, onlookers may notice that my chair looks slightly different from the others. My chair is the wheelchair that I use every day to go everywhere. It is not only the place where I sit and rest, it is also my only source of mobility—a way for me to move around independently despite my paralysis. I am labeled a person with quadriplegia—the loss of nerve function in all four limbs—due to a cervical fracture in the fourth vertebra in my next resulting in permanent spinal cord injury. For me, mobility is a challenge that I must confront directly. In the pages that follow are stories about my disability. This autoethnography will introduce readers to the influential role that communication plays in mollifying taboos related to recovery and rehabilitee for those with spinal cord injuries and other disabilities. Through my experience, I will explicate communication strategies to overcome taboos related to disability and disability studies.

To continue the story, my girlfriend parks the vehicle and deploys the ramp that allows me to drive my chair out of the van. The process is clangorous, causing those walking in and out of the restaurant to turn their attention to us. Sometimes people stare; but other times, they scurry past while avoiding eye contact. I smile as they walk past and, if the person is friendly enough to look at me, I might say hello. Occasionally, young children will look in awe because my minivan just might be the closest thing to a real-life Transformer that they’ve ever seen (see Figure 1). If their parents see them staring, they will quickly tug their child by the arm, all the while averting their eyes in hopes their little one doesn’t say or do anything “offensive.” My presence is taboo. However, children can be naïve to social filters that my appearance unspeakable, and in my personal experience, they often ask the best questions about my disability. I finish rolling my chair down the ramp toward the front door of the restaurant. My girlfriend holds the door open for me, and I move through to greet the hostess.

I understand that not many people look like me. Oftentimes, I will see a person pause to readjust or give me an inquisitive face upon my arrival. The nonverbals speak just as loudly as what is said. As humans, we communicate through a vast linguistic system developed long over the evolution of our species, an innovation that is unique to the human species alone (Fisher & Marcus, 2006). This communication also involves universal facial expressions, which are reflective of the endless stream of perceptions, feelings, and thoughts at both the conscious and the unconscious levels (Mlodinow, 2012). If a person has never seen an individual with a high spinal cord injury, they are often unable to hide the implicit expression of confusion. Nonverbal signaling and reading facial signals are automatic and performed outside the conscious awareness and control (Mlodinow, 2012). Our nonverbal cues unconsciously communicate information about ourselves and our state of mind. The gestures people make, the position in which they hold their body gate, the expressions they wear on their faces, and the nonverbal qualities of their speech all contribute to our perception of others.

Key Terms in this Chapter

Autoethnography: Autoethnography is an approach to research and writing that seeks to describe and systematically analyze personal experience to understand cultural experience. This approach challenges canonical ways of doing research and representing others and treats research as a political, socially-just, and socially-conscious acts.

ASIA Scale: The American Spinal Injury Association (ASIA) impairment scale or AIS describes a person's functional impairment due to an SCI. This scale indicates how much sensation a person feels after light touch and a pinprick at multiple points on the body and tests critical motions on both sides of the body.

Schemas: A mental codification of experience that includes a particular organized way of perceiving cognitively and responding to a complex situation or set of stimuli.

Sexual Abstinence: The fact or practice of restraining oneself from indulging in sexual activity.

Hyperreflexia: Overactivity of physiological reflexes, usually observed in the extremities and limbs. However, hyperreflexia spasticity can be present in organs as well.

Paralysis: Complete or partial loss of function, especially when involving the motion or sensation in a part of the body.

Spinal Cord: The cord of nervous tissue that extends from the brain lengthwise along the back in the spinal canal, gives off the pairs of spinal nerves, carries impulses to and from the brain, and serves as a center for initiating and coordinating many reflex acts.

Perceptions: A mental image/quick, acute, and intuitive cognition.

Quadriplegia: One affected with partial or complete paralysis of both the arms and legs, primarily due to spinal cord injury or disease in the neck region.

Implicit: Present but not consciously held or recognized.

Rehabilitation: Restoration especially by therapeutic means to an improved condition of physical function.

Spasticity: A spastic state or condition. Especially in muscular hypertonicity with increased tendon reflexes.

Hypertonia: The condition of exhibiting excessive muscular tone or tension.

Taboo: A prohibition imposed by social custom or as a protective measure/something that is not acceptable to say, mention, or do.

Spinal Cord Injury: Damage to any part of the spinal cord or nerves at the end of the spinal canal. A spinal cord injury often causes permanent loss of strength, sensation, and function below the injury site.

Disability: A physical, mental, cognitive, or developmental condition that impairs, interferes with, or limits a person's ability to engage in specific tasks or actions or participate in typical daily activities and interactions.

Hippocampus: A curved elongated ridge that extends over the floor of the descending horn of each lateral ventricle of the brain that consists of gray matter covered on the ventricular surface with white matter. This area of the brain is involved in forming, storing, and processing memory.

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