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Daring to be Different

May 20, 2020 by Fay

Daring to be Different

The Author

Amanda Bates

The fourth and final blog in our Halloween series, written by Paddy Adamson, brings together the key themes of Hollywood and disfigured faces. As a researcher in film, and a member of Face Equality International’s Lived Experience Group, Paddy brings a unique perspective to the topic. Don’t miss the rest of the series, starting with Fay Bound Alberti’s introduction, Sara Wasson’s blog on Les yeux sans visage and Lauren Stephenson’s analysis of The Eye. Let us know what you think!

Daring to be Different

Dr Amanda Bates, CPsychol, is a Patient Experience and Public Involvement Lead in the Centre for Health Services Studies at the University of Kent. She brings health researchers and service users together to enable patient involvement in the design and management of research using best practice principles of Patient and Public Involvement (PPI). Aside from these roles, Amanda conducts freelance training in disability equality, resilience and living with difference. As someone with a facial difference from birth, Amanda is also involved with the charities Changing Faces, The Cleft Lip and Palate Association (CLAPA) and Face Equality International and has carried out media work on behalf of all three organisations. Amanda sits on our Lived Experience Advisory Panel (LEAP).

Daring to be Different

Despite numerous surgeries in my childhood and teenage years owing to a cleft lip and palate (and other differences), staring strangers and intrusive questions, I rarely spoke about my appearance and what it meant to me. Although I was okay with my reflection, I had put my appearance–my face–and therefore a significant part of who I was-in a box and locked the lid so tightly that opening it seemed an impossibility.

How I relate to my appearance has changed over time (flipped 180 degrees actually) but eventually I found my voice as a self-advocate, grew into my own skin and ultimately learned to like who I was, as a whole person.

As a child/teenager, I was seen as someone who generally coped well, was sociable and ‘lived’ life. It was presumed I’d accepted my difference. Far from it I’m afraid; it wasn’t until my early 20s that I started grappling with the issues.

Why did I separate my appearance from myself and my identity for so long? Well, difference was a taboo subject in my family. My Mum and I were busy protecting each other by not discussing it and my Dad founded the British stiff upper lip society. Therefore, I assumed people didn’t want me to talk about it as it was difficult for them.

Growing up, difference scared me as I assumed it was always a bleak, woeful experience, something to be avoided and certainly to never identify with. Multiple signs reinforced this; being bullied, rarely mixing with anyone who was different, media stereotypes, never seeing disabled people on television…the list goes on. When at times I was forced to face my difference (usually via bravery awards – well-meant but utterly mortifying) or by people telling me they would ‘throw themselves off a cliff’ if they were me, I saw it as a reluctant, unwanted challenge and would shake it off pronto.

A traumatic thread running through everything was surgery. Healthcare culture is mostly different now but growing up I had no say and felt I was on a treatment conveyor belt whereby surgeons were determined to ‘correct’ my appearance, regardless of my feelings. The many required ‘corrections’ surely meant my difference was far from desirable? Given everything, it’s unsurprising that to cope, I locked my face away so it was a separate entity to my being; I had no reason to see it positively, to embrace it as part of my identity, why would I?

The catalyst for change happened when pursuing a health psychology qualification. I deliberately chose a course that incorporated the topic of visible difference so at some level of consciousness I must have wanted to explore these issues, albeit in a ‘removed’ way via academia. Rather inevitably however, when suddenly immersed in a culture where it was acceptable and encouraged to talk and write about visible difference, I was no longer able to hide from myself. My ensuing emotional reactions were immensely powerful and cut deep. Letting go of the well-rehearsed, protective mechanism of projecting myself as someone who wasn’t different in any way, shape or form, was, for a time, catastrophic.

I felt isolated and on display, terrified I would be asked to talk about appearance issues. I started counting the number of times I was stared at. My difference, although always evident to others, was newly noticeable to me and I started to reflect upon my family and hospital experiences. A fuse had been furiously lit within me and I knew my perception of myself and my past was changing; I was powerless to stop it. I realised I couldn’t continue to separate myself from my difference–it was a significant part of my identity. I reached out for support from friends, family and professionals who all answered the call.

With time and support, I realised I wasn’t born knowing how to cope with looking different. None of us arrive with a handbook (if only!) and much less support was available when I was growing up compared to nowadays. I just lived my life; I didn’t question how and why I did things a certain way.

Talking with others gave me permission to explore my difference and related issues in a way that I hadn’t ever done. I gave myself permission to talk and to feel, too. In time, my experiences at last felt validated and understood. I started working for a disability rights organisation and volunteering for visible difference charities; these strands further enabled me to grow into my own skin, find my voice and explore societal views about difference.

Facing my past and processing all that had happened allowed me to embed my appearance and related experiences into my identity. It was a lengthy and difficult process, but a liberating, rewarding and ultimately empowering one. I stopped counting the number of times I was stared at and went on to deliver disability equality workshops and take part in media interviews about appearance diversity. Quite a journey…

How anyone deals with their difference is of course a personal issue and no-one should be forced to feel a certain way about it. I just chose a path that was ultimately right for me.

Difference is perfectly normal and should be respected as such. Not hidden, not dehumanised, not infantilised. Societal perceptions and images around difference have started to change, but there is still some way to go to achieve Face Equality. We all have a role to play to facilitate positive changes so people living with difference don’t feel they have to hide either all, or part of themselves, away.

Have open and honest conversations with friends and family about difference, embrace the normality of it. Start early, talk with children about it. Don’t cross the road or sweep the issues under the carpet, making difference awkward and shameful. Treat others as you would wish to be treated. Respect and value difference.

That’s enough from me, so over to you…what will you do to help bring about Face Equality?

Further reading

view all
March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: face equality, facial injury, facial surgery, guest blog, human rights, Visible Facial Difference

The challenges of living with an unusual appearance: What do we know, why don’t we know more and where do we go from here?

May 19, 2020 by Fay

The challenges of living with an unusual appearance: What do we know, why don’t we know more and where do we go from here?

The Author

Nicola Rumsey

Nicola Rumsey

Our second Face Equality Week blog is on the subject of living with an unusual appearance, and is written by Nichola Rumsey. Nichola is Emerita Professor of Appearance Psychology, University of the West of England, where she founded the Centre for Appearance Research in 1992 and was its Co-Director until 2018. Nichola was a member of the RCS Expert Groups on Face Transplantation from 2003-2004 and 2006-7. She was appointed OBE in 2016 for services to people with disfigurement. Nichola now works as a Consultant Research Psychologist and is developing training and clinical aids designed to improve standards of patient care in the cosmetic and reconstructive plastic surgery sectors.

The challenges of living with an unusual appearance: What do we know, why don’t we know more and where do we go from here?

The AboutFace project has given me the opportunity to reflect on the debates about face transplant that ranged from 2002-2006 in the UK and in doing so to reflect on what we currently know (and don’t know) about the challenges of life with an appearance that is different from the norm.

We live in a society that attaches considerable importance to an attractive physical appearance.  Social media and the internet, together with marketing and advertising funded by the ever-expanding cosmetics industry, have conspired to produce and then fuel unprecedented levels of dissatisfaction, worry and anxiety about “looks” in most segments of the population (for more, see Nuffield Council on Bioethics Report, 2017).

In our daily lives, we are bombarded by images of people exemplifying current appearance ideals, often accompanied by explicit or implicit messages that suggest that we should be striving to match up to these ideals ourselves. To a greater or lesser degree, we take on board these messages and the resulting belief that changes to our appearance will enhance our relationships and social lives, maybe even our achievements at work.  For many people, the value placed on outward appearance is becoming disproportionately large compared with other aspects of self-esteem and sense of self-worth.

In this social context, living with an appearance that is noticeably different to current ideals is widely acknowledged to be challenging.  Visible differences result from a diverse range of causes.  They can be permanent, temporary, progressive or fluctuating and yet, despite this diversity, the psychological and social issues that people experience are similar.  The emotional impacts can be extensive, encompassing anxiety – particularly in social situations, shame and embarrassment, negative body image, self-consciousness and a lack of self-confidence.  These impacts can also influence behaviour.  For example, the experience of negative emotions, coupled perhaps with unwanted attention or questioning from others, can lead to the avoidance of potentially anxiety provoking social situations – such as meeting new people, forming new friendships or embarking on an intimate relationship.

Despite similarities in the experiences of many people living with a visible difference, there are also striking variations in their levels of adjustment and wellbeing. Some people experience these challenges as no more than a minor inconvenience, whereas for others, there are devastating effects on psychological wellbeing and daily life. Interestingly (and often in contrast to the beliefs of healthcare professionals and the lay public), the extent, severity and cause of a visible difference are not good predictors of adjustment.

A very noticeable disfigurement is not necessarily an insurmountable impediment to a good quality of life. Neither are gender, age, or socioeconomic background good predictors of adjustment. Instead, research has demonstrated that psychosocial factors and processes play major roles in a person’s level of resilience or distress. The key role played in adjustment by a person’s outlook on life (this varies from optimism – the tendency to look on the bright side and make the most of things, to pessimism – a focus on the down sides) is now well established.  In addition, the extent to which a person’s feelings about his or her appearance contribute to the person’s sense of self-worth is important.

Think of someone’s self-esteem as a pie chart.  If the person has internalised the messages from advertisers, social media and their peers about the importance of appearance in many aspects of life, then their pie chart is more likely to be dominated by their feelings about their looks. They worry about what they “should” look like and fear that they will judged negatively by others because they are failing to match up to current standards. These people are more likely to experience distress and to judge their quality of life negatively.  If, on the other hand, the person has populated their self-esteem pie chart with lots of different elements (for example, their sense of humour; their ability at sport etc), with appearance occupying only a small segment, then that person is more likely to be resilient to the challenges of an unusual appearance (and also to many other hurdles they may encounter in life).

So, we have made some progress in understanding individual differences in adjustment to visible difference, but why don’t we know more?  The short answer is that these differences result from the combination of a myriad factors and processes  On the upside, this complexity makes us all unique. The bad news (for researchers at least) is that progress in understanding the detail is slow. Rather like trying to complete an enormous jigsaw made up of thousands of tiny pieces, some small clusters of the overall picture are now clear, but we are still a long way from completing the tantalising picture on the outside of the jigsaw box.

Researchers have very different ideas about the key variables in adjustment and use these different ideas to drive their own agendas for research. Many different methodologies and measures are used making it impossible to combine data sets from different studies. As a result, we are continuing to populate new, small areas of the jigsaw but less progress is being made with the inter-connections.  Researchers from The Centre for Appearance Research at UWE in Bristol are working hard to produce a framework of adjustment to appearance and a set of key measures, proposing these as a common currency amongst researchers in the field, but we are still in the foothills of persuading research communities across the world to join this effort.

The good news from a psychological point of view is that many of the factors that have already been identified as contributing to the wellbeing of people with visible differences are amenable to change.  For example, people predisposed to a pessimistic outlook on life can be helped to become more optimistic. The challenge is how to make effective interventions available at scale – both within the health services and also as open access resources online. Training packages designed to help health professionals and community workers to support people with visible differences have been developed, but we need to find ways to persuade those in charge of policy and practice to prioritise and fund the roll out of this training.

The biggest challenge is the societal one.  How can we bust the ‘beauty myths’ – the idea that a more ‘attractive’ appearance is the key to happiness, relationship and occupational success – and instead, promote positive attitudes towards diversity in appearance?  Achieving change at this level is complex, challenging and definitely not for the faint hearted.  To make progress, we all need to lean in and get involved.  Face Equality Week is a great place to start.

Nuffield Council on Bioethics report on Cosmetic Procedures.  2017.  Available from www.nuffieldbioethics.org

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: face equality, facial injury, human rights, Visible Facial Difference

Visualising Evil: Depictions of Visible Facial Difference in Film Culture

May 7, 2020 by Fay

Visualising Evil: Depictions of Visible Facial Difference in Film Culture

The Author

Dr Sarah Hall

Facial scarring has long been used in the film industry to imply evil or villainy. In this blog, Dr Sarah Hall (University of York) explores the damaging effects of this outdated trope.

Visualising Evil: Depictions of Visible Facial Difference in Film Culture

At a pivotal moment in Star Wars: The Rise of Skywalker, the antagonist of the sequel trilogy, Kylo Ren, is healed of the facial scar that he received in The Force Awakens. That scar, which had mysteriously moved across Ren’s face by the time that The Last Jedi was released, was inflicted after the antagonist committed his darkest act in that film. That the scar healed as Ren was brought back to the light side was no afterthought. The appearance and disappearance of the scar represented Ren’s character progression from troubled, to unquestionably, abhorrently and violently evil, and back to redemption.

Visual Clues

It is a familiar trope. There is a long history of popular film culture relying on facial difference, particularly scarring, to denote villainy. Viewers are inundated with visual references to remind us of the immorality of the antagonists that occupy our screens, and the final Star Wars instalment continued to cement the narrative that a wounded face is a signifier of evil. To really bring the point home, we should perhaps remind ourselves that Ren’s redemption story failed to offer up any real reasoning for his change of heart, only that he was moved by protagonist Rey’s decision to heal him. The scar, then, becomes a primary signifier of his redemption. Not only is it a visual clue for the viewer, but its removal forms an emotional foundation for change from bad to good, dark side to light.

Star Wars is set in a galaxy full of archetypes. Good and evil form the balance on which numerous characters teeter in all three trilogies. However, this familiar simplicity should not prevent us from questioning why popular film repeatedly returns to this tired trope.

Scarring and James Bond

I am new to the AboutFace project. I will admit to not having thought critically about this issue in any depth until recently. It is something that I’ve had a background awareness of, I think you’d be hard-pressed to find someone that isn’t, but I’ve been afforded the privilege of not being directly impacted by these issues. Since joining AboutFace in March, I have been thinking about faces, facial difference, facial injury, surgery and their representations more than I ever thought I would. All of a sudden, the presence of villains with facial scarring became excruciatingly apparent. My timing was perhaps partly to blame.

After seeing a trailer for the new Bond film, No Time to Die, I decided to tackle my entrenched dislike of the Bond franchise and watch all of the Daniel Craig films before the release of the latest instalment, which was due in April but has been pushed back to November due to the Covid-19 pandemic. I was surprised. I did enjoy the films, but they also made me uncomfortable.

The Bond series is especially wedded to the trope that scars, burns, and other facial injuries signify evil. Even if you just take the recent releases, you can’t help but notice the trend: Mads Mikkelsen’s La Chiffre in Casino Royale; Javier Bardem’s Raoul Silva in Skyfall; Christoph Waltz’s Blofeld in Spectre (back for a second instalment in No Time to Die); and if one scarred villain wasn’t enough for No Time to Die, Rami Malek has also joined the cast to play a terrorist leader with an injured face, partially covered by a mask. That two facially scarred villains were written into a single film might suggest that the 25th Bond instalment may not, as hailed, be the ‘most woke yet.’ It might be fair to say that Bond films are not known for their subtlety or nuance, but these are villains played by talented actors whose abilities need not be augmented by visual scarring. Why, then, do producers continue to rely on this trope?

Credit: MGM/Columbia Pictures

The face, identity and history

The history of this association goes back further than you might imagine. Beauty ideals have long contributed to the notion that beauty equates with goodness and ugliness with evil, stemming from the classical world. While beauty ideals may have shifted over time, there is a consistent connection between the face and identity. In the early modern period, the face also carried deeper suggestions of honour, and severe facial difference or injury often carried dehumanising associations. The connection between villainy and facial scarring or difference is not new, it was not invented by film companies, though it has become their bread and butter.

These cultural and emotional histories have also been influential in contemporary medical intervention. It has been suggested that negative responses to facial difference could have emerged from a cognitive threat detection mechanism. Health professionals working on the human face, whether in psychology, dermatology or surgery, have drawn connections between disgust and facial disfigurement. Perhaps, then, producers and writers in the film industry are just playing on recognised human responses? But the argument that disgust is somehow an evolutionary response does not take into account the fact that disgust sensitivities are far from static throughout history, that ‘disgust’ is subjective, dynamic, and emotionally and culturally influenced. Is it not time to give current cinema audiences the credit that they might be able to work out which character is the villain without facial scarring?

A ‘historical document’?

In an article for The New Yorker, David Owen wrote that over time, the body becomes ‘a kind of historical document.’ Dramatic moments are memorialised in scar tissue. It rings true for scars in film. Scars can be illustrations of a traumatic incident that either marks the point of descent into evil, as with Kylo Ren, or they might signify a past event in a character’s life that has contributed their villainous state. Suggesting stormy lives, filled with pain or violence, think Heath Ledger’s Joker in The Dark Knight, scars are visual clues to a villain’s (sometimes complex) backstory. All too often, however, the scar is little more than a device to make a character appear more sinister, as with the surprisingly superficial Isabel Maru played by Elena Anaya in Wonder Woman (2017). I say surprisingly, because the film was so widely praised for its progressive outlook. The suggestion in this case is that Maru is evil from the outside in.

But while there may sometimes be a rationale for choosing to give facial scars to on-screen villains, this does not negate the significant negative stereotypes that can be associated with visible facial difference as a result. In a video produced by the Guardian, the notion that scars are representative of past trauma is reinforced. However, the speakers remind us of some of the painful reactions people have had to their scars. Whether the scarring serves to reveal the hidden depths of a villain to the audience, or if it solely serves as a visual clue for evil, the association strengthens the notion that a visible facial difference marks the bearer as unfamiliar to many audience members, defining them as ‘other.’

#IAmNotYourVillain

UK charity Changing Faces sought to challenge this tired trope in 2018 and have continued fighting for change on our screens ever since with their #IAmNotYourVillain campaign. Their call for action followed numerous studies that highlighted the negative association between visible facial difference and villainy on-screen. The charity’s CEO, Becky Hewitt, told the Guardian that young people don’t tend to make the association between facial difference and negative traits until they are exposed to popular media representations. This would suggest that the prejudice is learned, and possibly at a young age.

AboutFace hopes to contribute to the efforts set in motion by Changing Faces, challenging prejudice and misconception as part of our research, which will explore cultural systems of conformity, beauty and facial perfection in the age of the selfie both through academic research and public engagement events. Our Lived Experience Advisory Panel supports us in this work. Their involvement at key milestones in the project will ensure the research is relevant and meaningful to those to whom it matters the most.

Representation

Misrepresentation can be incredibly damaging, but so can a lack of representation. Changing Faces has called not only for fewer negative depictions of facial difference, but an increase in positive representations. They encourage the diversification of occasions of facial difference in film, moving away from the most prevalent villainy or vulnerability. The reasons for this have been powerfully articulated by some of the charity’s champions, such as Tulsi Vagjiani, a plane crash survivor who told the Telegraph that she was compared to Freddy Kreuger when she was growing up. The makeup used to transform actor Robert Englund into the notorious horror villain was based on medical photographs of burn victims, directly connecting real scarring to the demonic Kreuger.

The BFI quickly moved to support the Changing Faces campaign in November 2018, making the decision not to fund films in which the villain has scars, marks and burns. Speaking about the decision, deputy CEO Ben Roberts referred to the criteria in the BFI diversity standards, which call for meaningful representations on screen. In 2019, the BFI helped to fund Dirty God, a film about a woman trying to reclaim her life after an acid attack, starring burn survivor Vicky Knight. The film has been hailed as a strong positive representation and has also had a positive transformative effect on Knight’s own outlook.

This might be new ground for film, but it doesn’t appear to be the herald of a new era. While high-budget, high-profile films like No Time to Die, continue to dominate, can we hope to see any meaningful change in the cinematic representation of visible facial difference? The AboutFace project is seeking to explore the social context in which facial transplantation happens. In doing so, we are drawing attention to the social pressures to look a certain way. This theme of the scarred villain is part of our broader discussions of difference in societies fixated by visual appearance.

Author bio

Dr Sarah Hall is Associate Lecturer in Public History at the University of York. She was previously Public Engagement and Events Officer on AboutFace.

Further reading

view all

March 10, 2023 | 4 MIN READ

The making of a blueprint. How historical, qualitative research should inform face transplant policy and practice.

January 23, 2023 | 4 MIN READ

Before and After? What the humanities bring to medical images

January 23, 2023 | 4 MIN READ

Diminishing their Voices: Face Transplants, Patients, and Social Media

January 23, 2023 | 4 MIN READ

Robert Chelsea and the First African American Face Transplant: Two Years On

January 23, 2023 | 4 MIN READ

History has Many Faces: researching histories of facial surgery

January 23, 2023 | 4 MIN READ

When face transplants fail: Carmen Tarleton and the world’s second retransplant

January 23, 2023 | 4 MIN READ

Drag Face: exploring my identity through masculine performance

January 23, 2023 | 4 MIN READ

Future Faces

January 23, 2023 | 4 MIN READ

Reflecting on Reflections

January 23, 2023 | 4 MIN READ

Owning My Face

January 27, 2023 | 4 MIN READ

Portrait of an Angry Man – or not?

January 23, 2023 | 4 MIN READ

Picturing Death: Dealing with Post-Mortem Images

Filed Under: facial injury, facial surgery, film, hollywood, human rights, Popular Culture, Visible Facial Difference

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