According to Shapiro, these outcomes and their justifications formed a “secondary vision of Appalachia as an area in need of assistance from outside agencies.” Experts, he continued, “insisted vigorously on the vision of Appalachian ‘otherness’…and their discussions on the nature and meaning of Appalachian otherness were rarely made with reference to the real conditions of mountain life or the normal complexity of social and economic conditions which prevailed in the mountains as in every other section of the nation.”

