This document provides a summary of a presentation by Dr. Simon Duffy reflecting on the history of support for people with intellectual disabilities. It discusses how in the past, people with disabilities were dehumanized and institutionalized. It describes the seven steps that preceded the Holocaust, including the weakening of shared humanity through ideas like utilitarianism and nationalism. It notes that existing stereotypes were used to scapegoat and victimized groups. The presentation reflects on lessons learned and reasons for optimism going forward, including examples of self-advocacy, family support, and community-based models of support.