Someone not working in that paradigm most often brings about the paradigm shift. Of course, the role of cross-disciplinary collaboration has helped reshape this a bit and promises greater potency in time.
There seems to be a stigma that equates disability with 'non-functioning' or asexual. But it's just not true. The way in which we live may be different, but we are just as alive. So how do we go about making this topic less taboo? Open dialogue.