I sometimes hard it find to differentiate the two, past or present. Even if we are not being silenced by physically brain altering treatments and trauma, even if Thorazine, ECT, and leeches have become a thing of the past, the hyperbolic external and emotional condescension stifling us remains. Social stigmas still exist, ableism is still acceptable, and our rights as human beings, capable of choice, dignity, and respect are still being abused.