Consultant Clinical Psychologist | Psychotherapist | Senior Lecturer | Writer
Internalised Ableism and Internal Family Systems
When the parts keeping us safe learned to police and shame us instead
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The voice that says assimilate
Internal Family Systems offers a way of understanding the mind as plural: a Self, capacious and curious, alongside parts that carry burdens we have accrued across a lifetime. Most clinical writing on trauma focuses on the interpersonal — attachment ruptures, family injunctions, relational trauma. Less often named is the burden that arrives before any single relationship does: the cultural conviction that certain bodies, minds, and ways of being are deviations from a neurotypical norm that doesn't reflect the diversity we all need in order to thrive.
Ableism is not only something enacted upon a person from outside. It is absorbed, metabolised, and eventually spoken in a neurodivergent person's own internal voice — by parts that believe they are protecting us, when in fact they are enforcing social disciplinary power on us. Don't ask for the accommodation. Don't stim. Don't admit you're exhausted. Don't inconvenience anybody. Prove your worth. Assimilate, assimilate, assimilate.
The part that masks
A managerial part that insists on masking, on performing competence at the cost of exhaustion, on hiding stimming or sensory need or executive dysfunction, is rarely acting from cruelty. It is acting from an accurate read of a hostile environment. Somewhere along the way that part learned that visible difference would be punished, pathologised, or used as grounds for exclusion. Its strategy of concealment is a protector's strategy: preemptive, exhausting, and often unable to turn itself off, so we get stuck in a shame cycle that then adrenalises the protector to keep going. No wonder we are likely to burn out.
What the exiles carry
Beneath such managers often sit exiles who carry something more specific than shame in the generic sense — they carry the conviction of being fundamentally wrong, faulty, a burden in the literal sense of costing others too much. This is where internalised ableism does its deepest work, because it does not only tell a person that their body or mind functions differently; it tells us that this difference is a moral failing, a drain on collective resources, a life less worth accommodating. Exiles formed under this belief often hold memories that are mundane rather than dramatic — a teacher's sigh, a colleague's raised eyebrow, the particular loneliness of being the one who always needs the exception made. Small moments, repeated relentlessly, sediment into a felt sense of illegitimacy that no single memory fully explains.
Firefighters, and what they're outrunning
Firefighter parts, in this landscape, frequently take the form of overcompensation: relentless productivity, perfectionism, an inability to rest that reads as ambition but is closer to terror. If the exile's belief is "I am a burden," the firefighter's logic is to outrun that verdict through sheer output — to earn a place that should never have needed earning. Other firefighters numb outright, because the exhaustion of constant translation (explaining, justifying, requesting access, anticipating disbelief) becomes, eventually, unbearable without some form of relief. Or they discover that something harmful long-term — drug use, toxic relationships, self-injury — works really well in the short term, so it becomes the immediate response to the internalised ableism that haunts us.
What unburdening actually means
The clinical task is not to argue parts out of these positions. It is to help Self-energy — curious, compassionate, unafraid — reach the managers and firefighters with enough trust that they allow contact with what they are protecting. And here anti-ableist practice asks something specific of the therapist: not to treat the exile's belief as simply distorted cognition to be corrected, since the belief was largely accurate to the person's lived environment. The unburdening is not to doubt experiences of ableist discrimination but to bear witness to it — to give that pain the accompaniment and compassion it never had.
It is to introduce those wounded exiles and the protectors around them to people, places, landscapes, animals, and ideas that celebrate neurodivergent beingness, so shame can sit back, so over-effort can sit back, so the firefighters that try to help but get us stuck in dangerous addiction or toxic relationships or self-harm can sit back too.
We can't solve ableism this way alone — I wish — but in working so actively with internalised ableism we can stop enacting it in our own system, to make space for play and purpose on our own terms.
If you would like to explore challenging internalised ableism in your system as part of a psychotherapy, or as a problem in groups, communities and society as a fellow activist, you are welcome to email jay@jaywatts.co.uk.
Related: Emotional Flashbacks Without Memories | Attachment Hunger | Toxic Shame & Mortification | Neuroaffirmative Therapy | PDA | Complex PTSD Therapy Online | If You Are At Risk