Yes, calling someone ‘mentally disabled’ causes real harm

In a recent speech^[1], Donald Trump used the language of intelligence, or intellectual impairment, as a weapon against Kamala Harris. And he used similar language about vice presidential candidate Tim Walz^[2] in a TV appearance.

In a rally on Sept. 29, 2024, in Prairie du Chien, Wisconsin, Trump told supporters^[3] that “Joe Biden became mentally impaired. Kamala was born that way. She was born that way. And if you think about it, only a mentally disabled person could have allowed this to happen to our country.” He made similar comments^[4] at a rally in Erie, Pennsylvania, over the same weekend.

Disability rights advocates^[5] were quick to point out that Trump’s language is what is called “ableist,” meaning that it assumes people with disabilities are somehow less valuable than those without.

In an attempt to fire back, “Saturday Night Live” Weekend Update host Colin Jost quipped that^[6] “I cannot believe Trump admitted he lost the debate to a mentally disabled person,” repeating the same ableist premise.

And on a Fox Nation program on Sept. 30, 2024 hosted by Kellyanne Conway, Trump called Walz “a total moron^[7].”

While this is the most recent round of personal attacks focusing on a lack of intelligence, it is far from unusual. Demeaning language about intelligence is a bipartisan political campaign staple – and extends further into much of American history and contemporary culture.

The worth of a person

Donald Trump has repeatedly called Kamala Harris – and others – “low IQ^[8]” and recently referred to Jewish voters as “fools^[9]” were they to help elect Harris. Harold Myerson of The American Prospect refers to Trump as a “blithering idiot^[10],” and political cartoons^[11] paint Trump as akin to a buffoon.

While people often stop to think about and discuss race or gender, comments about intelligence do not typically get much sustained attention. People either agree with Trump or laugh along with Jost, not thinking about what it means to be called “low IQ,” “mentally impaired” or an “idiot.”

For me, as a mother of a child with Down Syndrome, these comments remind me of the ways in which she is consistently categorized, compared with so-called “normal” children, and found lacking based on variations of IQ tests.

And as a mother and a disability studies scholar^[12] writing a book about cognitive disability, I know that intelligence has always been defined in different ways by different societies. You cannot take a number on an IQ test and use it to definitively categorize any person.

In the West, before the mid-19th century, there was no definitive distinction between the “insane,” the “idiot” and the “imbecile^[13].” While many of these individuals were sent to asylums or, in the case of author Jane Austen’s brother^[14], to live with another family, it was more common to keep them at home and integrate them into the larger community.

Much of this changed in the 1840s when Adolphe Quetelet^[15], the Belgian mathematician, astronomer and statistician^[16], sketched the body – complete with measurements – of the “normal” man. While he focused only on the physical body, the idea of the norm, reinforced by the rise of statistics as a discipline, grew more and more important when it came to intellectual function.

Once statistics took off and people started the process of norming, or coming up with what the average human should look and think like, statisticians and laypeople grew to rely heavily on the bell curve^[17], a useful but inaccurate means of measuring all sorts of characteristics, chief among them being intelligence.

Forced sterilization, institutionalization

By the 1880s, intelligence, now a characteristic quantified by IQ testing, was used to “prove” the inferiority of anyone whose behaviors, ways of talking and even ways of thinking threatened the social order. That characterization was part of the theory of eugenics^[18], in which people labeled inferior were discouraged – or actively prevented – from having children^[19] and, in some cases, from living at all^[20].

As historian Douglas Baynton^[21] points out in his 2013 essay Disability and the Justification of Inequality in American History^[22], many would-be immigrants were turned away by officials at Ellis Island if they had “any mental abnormality whatever,” be it a cognitive disability, a stutter or even depression.

The language becomes even more horrific when race is brought in. In the racial science^[23] of the early 1800s, both the “idiot” skull and the “African” skull resembled the orangutan more than they resembled Shakespeare or Napoleon. Africans and people considered “idiots” were seen to be animalistic and unreasonable, in need of protection by their wards or owners.

In the early 20th century, these same ideas about racial and cognitive inferiority resulted in forced sterilization^[24] of women with intellectual disabilities as well as women of color, many of whom were considered “unfit^[25]” to birth the next generation of American children.

In addition to sterilization, those considered to have low IQs or to be mentally disabled were placed into unhygienic institutions located in places far from populated urban centers. Unseen and unthought of, these people were kept at places such as the Willowbrook State Developmental Center^[26] on Staten Island in New York Bay, where they often had no clothing, no means of sanitation, and were subject to abuse.

Institutions still exist today^[27] where people with intellectual disabilities are housed. The U.S. does not have an educational system^[28] in which people like my daughter can learn every day with neurotypical^[29] kids – kids whose brains work in a way deemed normal.

References

1. ^{^} a recent speech (www.washingtonpost.com)
2. ^{^} similar language about vice presidential candidate Tim Walz (www.nytimes.com)
3. ^{^} Trump told supporters (www.wpr.org)
4. ^{^} made similar comments (whyy.org)
5. ^{^} Disability rights advocates (www.aapd.com)
6. ^{^} quipped that (www.youtube.com)
7. ^{^} Trump called Walz “a total moron (www.nytimes.com)
8. ^{^} low IQ (www.politico.com)
9. ^{^} fools (www.politico.com)
10. ^{^} blithering idiot (prospect.org)
11. ^{^} political cartoons (theweek.com)
12. ^{^} disability studies scholar (www.researchgate.net)
13. ^{^} “insane,” the “idiot” and the “imbecile (www.pen-and-sword.co.uk)
14. ^{^} author Jane Austen’s brother (jasna.org)
15. ^{^} Adolphe Quetelet (networks.h-net.org)
16. ^{^} Belgian mathematician, astronomer and statistician (doi.org)
17. ^{^} the bell curve (doi.org)
18. ^{^} characterization was part of the theory of eugenics (www.genome.gov)
19. ^{^} discouraged – or actively prevented – from having children (www.pbs.org)
20. ^{^} from living at all (irp.nih.gov)
21. ^{^} historian Douglas Baynton (scholar.google.com)
22. ^{^} Disability and the Justification of Inequality in American History (courses.washington.edu)
23. ^{^} racial science (wellcomecollection.org)
24. ^{^} forced sterilization (www.npr.org)
25. ^{^} unfit (embryo.asu.edu)
26. ^{^} Willowbrook State Developmental Center (disabilityjustice.org)
27. ^{^} Institutions still exist today (www.cbc.ca)
28. ^{^} educational system (www.edweek.org)
29. ^{^} neurotypical (www.health.com)
30. ^{^} North Carolina State Documents Collection/State Library of North Carolina (digital.ncdcr.gov)
31. ^{^} most often diagnosed with behavioral disabilities (files.eric.ed.gov)
32. ^{^} school-to-prison pipeline (inclusivity.consulting)