Masks in the time of COVID-19 as an inadvertent simulation of facial paralysis

Abstract

New face mask requirements to slow the spread of COVID-19 have complex ramifications on stigma for people who have facial paralysis or facial difference. The author, a psychology researcher who has facial paralysis, links her research and insight into adapting to and destigmatizing facial paralysis to the COVID-19 pandemic. Masks render this visible disability nearly invisible, potentially undermining adaptation and identity. While people without facial paralysis are suddenly experiencing restricted facial expressions, people with facial paralysis are skilled in alternative expression (i.e. communicating with gesture, posture, and prosody). Disability simulations such as this increase non-disabled people’s frustration and pity by simulating the immediate acquisition of a disability unless they showcase the adaptations disabled people develop over time. There is an opportunity to destigmatize people with facial paralysis and other disabilities by learning from their adaptations.