#130: Understanding Stigma: How Judgment Replaces Empathy in Modern Culture

When we equate human worth with productivity, stigma becomes inevitable. This episode unpacks how judgment toward disability and dependence is shaped by cultural conditioning—and how reclaiming empathy is both a personal and collective act of resistance.

Stigma shows up quietly, in a raised eyebrow, a dismissive comment, or an assumption that someone else isn’t “pulling their weight.”

In Episode 130 of Conversations from the Heart, I talk with Bryan about a very particular kind of stigma involving his his lived experience of being on disability income and fielding repeated judgments about this.

The stigma we explore here, is the cultural belief that a person’s worth is determined by their productivity, independence, and economic output.

It shows up most clearly in how people on disability income, those with limited capacity, or those living with invisible constraints are judged as lazy, irresponsible, or morally suspect rather than understood as navigating complex medical, legal, and systemic realities.

This stigma is not just personal prejudice: it is structural and internalized.

It is reinforced by economic systems that reward constant output, policies that create double binds around assistance, and social narratives that equate needing help with failure. Over time, these messages shape how people treat others and how they treat themselves, leading to shame, self-doubt, and fractured connection rather than care, curiosity, and shared responsibility.

Our conversation explores how these judgments evolve within us, keeping us stuck, and how we might embrace new practices that are more aligned with human thriving.

Many of us believe that if we just explain ourselves well enough, we’ll finally be understood. Yet repeatedly offering our most vulnerable stories to people who are committed to judging us for them instead of leaning in with curiosity or empathy, only deepens harm.

We cover four central responses for when we feel the weight of a stigma upon us:


• Separating the human from the system. We can validate shared values—fairness, contribution, dignity—without accepting the premise that someone’s worth is up for debate.


• Releasing the need to convince. Not every conversation is an invitation to explain. Sometimes the most protective move is to disengage.


• Redirecting inward. When stigma hooks us, it’s often because it touches our own shame. Building capacity to notice, feel, and regulate internally creates freedom we won’t find in debate.


• Choosing nourishing community. Healing happens where we don’t have to justify our existence.

Ultimately, stigma thrives in silence and speed.

Empathy grows when we slow down enough to ask different questions: We move from “What’s wrong with them?” into curiosity: “What are they carrying?” and “What kind of world are we participating in by the stories we repeat?”

The full conversation goes much deeper as we explore boundaries, self-sovereignty, nervous system regulation, and how to stay human inside dehumanizing systems.

You can listen to the full episode here.

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Dr. Yvette Erasmus is a clinical psychologist, author, and host of the podcast Conversations from the Heart. Through her integrated approach to personal transformation, she has built a global community, teaching people how to live into their values with courage and authenticity.

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