In this paper the author offers a discussion of Ebony Dennis’ paper, “The Paranoid-Schizoid Poison and Envious Attacks on the Black Other” (this issue, pp. 141-153). The author summarizes Dennis’ perspective on whiteness as well as that of other psychoanalytic authors. Similarities and differences between racism and ableism are discussed, and the author offers a history of the disability rights movement, the main concepts in the field of critical disability studies, and a clinical discussion illustrating ableism and nondisabled privilege in the clinical process.