from the world's big
Is mask-shaming effective?
To empathize or scream, that is the question.
- NYU associate professor Jennifer Jacquet writes that effective shaming can be a powerful tool for social change.
- Tess Wilkinson-Ryan, law and psychology professor at the University of Penn, believes shame is useless in the case of the pandemic.
- The politicization of the coronavirus takes our attention away from the failure of the administration.
I can expect anywhere between two and five Karen tweets to come across my social media feed every day. Recently, there was the $40,000 Rolex-wearing Costco Karen, the basket-slamming Trader Joe's Karen in North Hollywood, and this runner-up Costco Karen in Florida.
Of course, anti-maskers aren't confined by gender. A Florida man lost his job after screaming at an elderly woman in Costco. A Nevada man was arrested after refusing to mask up in a casino. Then there's former pro baseball player turned slacktavist, Aubrey Huff, who regularly tweet-storms about his constitutional rights being infringed upon, etc.
Everything in modernity is captured in some manner. That's not entirely criticism; smartphone videos are a democratizing force. They hold people accountable when inside voices become pubic, either through words or actions. While this phenomenon sometimes results in a slippery slope into cancel culture, social media channels play an essential role in how we relate (or don't relate) to one another.
This doesn't give social media a free pass, as plenty of toxicity is brewed by quick fingertips. But the uptick in videos has lent renewed vigor to an old concept: shame. Specific to this moment, the shaming of anti-maskers. But does it work?
Tess Wilkinson-Ryan, a law and psychology professor at the University of Penn, writes that our "disgust should be aimed at governments and institutions, not at one another." If our collective rage, confusion, and grief could be harnessed and used as a catalyst for political change, we would be in a very different situation. Her assessment that America is enduring a "failure of leadership" is an understatement.
Wilkinson-Ryan's call for empathy over indignation is commendable, though we have to wonder if it meets this moment. She writes that shaming others for lack of social distancing is "useless or even harmful to society." The question of shame requires cognitive reframing: it becomes too easy to blame people for making bad choices "rather than on people having bad choices."
Jennifer Jacquet: How Do You Punish Global Mega-Corp? Shame Them | WIRED 2014 | WIRED
She backs this up with research on the fact that we're more likely to blame people of other races for standing too close and overestimating our own compliance with public health regulations while underestimating others. In conclusion, she calls for humility: don't get so caught up in your biases that you overlook other people's efforts. The real problem is "America's half-hearted reopening," the administration's consistently inconsistent messages, lack of national regulations, and the weaponization of a pandemic.
Wilkinson-Ryan's article is a fantastic example of what we should be focused on. But is shame really useless? I would argue no.
This goes back to differences between individualistic and collectivist societies. In her book, "Is Shame Necessary? New Uses for an Old Tool", NYU associate professor Jennifer Jacquet points out that shame served as a "primitive emotion" that worked well in tribes restricted by Dunbar's number. Shame is a powerful motivational tool if you'll never know more than 150 people. Early societies were collectivist by default.
By contrast, guilt is experienced in private, away from the group—a marker of individualism. You need privacy to experience private emotions. Guilt, therefore, might be a Western emotional construct that evolved with large societies. Religions that evolved with it know the power of guilt. Yet does that mean we should leave shame behind? Jacquet argues against it.
She writes that the key is finding shame's "sweet spot." There are no clear "shame this, but don't shame that" guidelines, though Jacquet notes seven habits of effective shaming.
"The transgression should (1) concern the audience, (2) deviate wildly from desired behavior, and (3) not be expected to be formally punished. The transgressor should (4) be sensitive to the group doing the shaming. And the shaming should (5) come from a respected source, (6) be directed where possible benefits are highest, and (7) be implemented conscientiously."
People wait in line outside of a Costco in Brooklyn on May 14, 2020 in New York City.
Photo by Spencer Platt/Getty Images
Wearing a mask certainly concerns the audience, which is everyone. Refusing to mask deviates from desired behavior and is not formally punishable (though some cities are changing that due to non-compliance). Since masks have been politicized, number four is mostly off the table. Plenty of respected sources argue for masks, though that too is lost in the weaponization of masks (which also effects the last two habits).
Jacquet writes that acceptable shaming often focuses on "the powerful over the marginalized." Yet no society has ever endured the reactive scrutiny of social media during a global pandemic. In a QAnon-fueled conspiracy theory-crazed culture, the powerful never look out for the marginalized, except in the deepest trenches where the president is considered a savior bringing forth a new age.
(This sounds insane, and it is, but it's having real-world impact. I spend considerable time investigating conspiracy theories in the wellness community, and this theory is spreading on the Left and Right.)
Jacquet and Wilkinson-Ryan intersect in their desire to see our better angels emerge. As Jacquet concludes, there have been plenty of effective shaming campaigns, such as shaming fisherman for killing dolphins and manufacturers for poor working conditions. In each instance, a marginalized group (or animal) received better treatment.
Wilkinson-Ryan's political assessment is spot-on, as marginalized communities need better leadership: the immuno-compromised, the elderly, the imprisoned, workers in the meatpacking industry. At the moment, however, our better angels are absent. That means shaming is one of the few tools in our arsenal that might provoke compliance. Or, as with anti-vaxxers, it might only make anti-maskers more committed to their lunacy. Tough call.
As Jacquet writes, "Shame's service is to the group, and when it is used well and at the right time, it can make a society better off." Since America can't do any worse, some well-intentioned and thoughtful shaming might make an impact, in inches if not in miles.
Innovation in manufacturing has crawled since the 1950s. That's about to speed up.
Health officials in China reported that a man was infected with bubonic plague, the infectious disease that caused the Black Death.
- The case was reported in the city of Bayannur, which has issued a level-three plague prevention warning.
- Modern antibiotics can effectively treat bubonic plague, which spreads mainly by fleas.
- Chinese health officials are also monitoring a newly discovered type of swine flu that has the potential to develop into a pandemic virus.
Bacteria under microscope
needpix.com<p>Today, bubonic plague can be treated effectively with antibiotics.</p><p style="margin-left: 20px;">"Unlike in the 14th century, we now have an understanding of how this disease is transmitted," Dr. Shanthi Kappagoda, an infectious disease physician at Stanford Health Care, told <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">Healthline</a>. "We know how to prevent it — avoid handling sick or dead animals in areas where there is transmission. We are also able to treat patients who are infected with effective antibiotics, and can give antibiotics to people who may have been exposed to the bacteria [and] prevent them [from] getting sick."</p>
This plague patient is displaying a swollen, ruptured inguinal lymph node, or buboe.
Centers for Disease Control and Prevention<p>Still, hundreds of people develop bubonic plague every year. In the U.S., a handful of cases occur annually, particularly in New Mexico, Arizona and Colorado, <a href="https://www.cdc.gov/plague/faq/index.html" target="_blank">where habitats allow the bacteria to spread more easily among wild rodent populations</a>. But these cases are very rare, mainly because you need to be in close contact with rodents in order to get infected. And though plague can spread from human to human, this <a href="https://www.healthline.com/health-news/seriously-dont-worry-about-the-plague#Heres-how-the-plague-spreads" target="_blank">only occurs with pneumonic plague</a>, and transmission is also rare.</p>
A new swine flu in China<p>Last week, researchers in China also reported another public health concern: a new virus that has "all the essential hallmarks" of a pandemic virus.<br></p><p>In a paper published in the <a href="https://www.pnas.org/content/early/2020/06/23/1921186117" target="_blank">Proceedings of the National Academy of Sciences</a>, researchers say the virus was discovered in pigs in China, and it descended from the H1N1 virus, commonly called "swine flu." That virus was able to transmit from human to human, and it killed an estimated 151,700 to 575,400 people worldwide from 2009 to 2010, according to the Centers for Disease Control and Prevention.</p>There's no evidence showing that the new virus can spread from person to person. But the researchers did find that 10 percent of swine workers had been infected by the virus, called G4 reassortant EA H1N1. This level of infectivity raises concerns, because it "greatly enhances the opportunity for virus adaptation in humans and raises concerns for the possible generation of pandemic viruses," the researchers wrote.
So far, 30 student teams have entered the Indy Autonomous Challenge, scheduled for October 2021.
- The Indy Autonomous Challenge will task student teams with developing self-driving software for race cars.
- The competition requires cars to complete 20 laps within 25 minutes, meaning cars would need to average about 110 mph.
- The organizers say they hope to advance the field of driverless cars and "inspire the next generation of STEM talent."
Indy Autonomous Challenge<p>Completing the race in 25 minutes means the cars will need to average about 110 miles per hour. So, while the race may end up being a bit slower than a typical Indy 500 competition, in which winners average speeds of over 160 mph, it's still set to be the fastest autonomous race featuring full-size cars.</p><p style="margin-left: 20px;">"There is no human redundancy there," Matt Peak, managing director for Energy Systems Network, a nonprofit that develops technology for the automation and energy sectors, told the <a href="https://www.post-gazette.com/business/tech-news/2020/06/01/Indy-Autonomous-Challenge-Indy-500-Indianapolis-Motor-Speedway-Ansys-Aptiv-self-driving-cars/stories/202005280137" target="_blank">Pittsburgh Post-Gazette</a>. "Either your car makes this happen or smash into the wall you go."</p>
Illustration of the Indy Autonomous Challenge
Indy Autonomous Challenge<p>The Indy Autonomous Challenge <a href="https://www.indyautonomouschallenge.com/rules" target="_blank">describes</a> itself as a "past-the-post" competition, which "refers to a binary, objective, measurable performance rather than a subjective evaluation, judgement, or recognition."</p><p>This competition design was inspired by the 2004 DARPA Grand Challenge, which tasked teams with developing driverless cars and sending them along a 150-mile route in Southern California for a chance to win $1 million. But that prize went unclaimed, because within a few hours after starting, all the vehicles had suffered some kind of critical failure.</p>
Indianapolis Motor Speedway
Indy Autonomous Challenge<p>One factor that could prevent a similar outcome in the upcoming race is the ability to test-run cars on a virtual racetrack. The simulation software company Ansys Inc. has already developed a model of the Indianapolis Motor Speedway on which teams will test their algorithms as part of a series of qualifying rounds.</p><p style="margin-left: 20px;">"We can create, with physics, multiple real-life scenarios that are reflective of the real world," Ansys President Ajei Gopal told <a href="https://www.wsj.com/articles/autonomous-vehicles-to-race-at-indianapolis-motor-speedway-11595237401?mod=e2tw" target="_blank">The Wall Street Journal</a>. "We can use that to train the AI, so it starts to come up to speed."</p><p>Still, the race could reveal that self-driving cars aren't quite ready to race at speeds of over 110 mph. After all, regular self-driving cars already face enough logistical and technical roadblocks, including <a href="https://www.bbc.com/news/technology-53349313#:~:text=Tesla%20will%20be%20able%20to,no%20driver%20input%2C%20he%20said." target="_blank">crumbling infrastructure, communication issues</a> and the <a href="https://bigthink.com/paul-ratner/would-you-ride-in-a-car-thats-programmed-to-kill-you" target="_self">fateful moral decisions driverless cars will have to make in split seconds</a>.</p>But the Indy Autonomous Challenge <a href="https://static1.squarespace.com/static/5da73021d0636f4ec706fa0a/t/5dc0680c41954d4ef41ec2b2/1572890638793/Indy+Autonomous+Challenge+Ruleset+-+v5NOV2019+%282%29.pdf" target="_blank">says</a> its main goal is to advance the industry, by challenging "students around the world to imagine, invent, and prove a new generation of automated vehicle (AV) software and inspire the next generation of STEM talent."
A new Harvard study finds that the language you use affects patient outcome.
- A study at Harvard's McLean Hospital claims that using the language of chemical imbalances worsens patient outcomes.
- Though psychiatry has largely abandoned DSM categories, professor Joseph E Davis writes that the field continues to strive for a "brain-based diagnostic system."
- Chemical explanations of mental health appear to benefit pharmaceutical companies far more than patients.
Challenging the Chemical Imbalance Theory of Mental Disorders: Robert Whitaker, Journalist<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="41699c8c2cb2aee9271a36646e0bee7d"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/-8BDC7i8Yyw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>This is a far cry from Howard Rusk's 1947 NY Times editorial calling for mental healt</p><p>h disorders to be treated similarly to physical disease (such as diabetes and cancer). This mindset—not attributable to Rusk alone; he was merely relaying the psychiatric currency of the time—has dominated the field for decades: mental anguish is a genetic and/or chemical-deficiency disorder that must be treated pharmacologically.</p><p>Even as psychiatry untethered from DSM categories, the field still used chemistry to validate its existence. Psychotherapy, arguably the most efficient means for managing much of our anxiety and depression, is time- and labor-intensive. Counseling requires an empathetic and wizened ear to guide the patient to do the work. Ingesting a pill to do that work for you is more seductive, and easier. As Davis writes, even though the industry abandoned the DSM, it continues to strive for a "brain-based diagnostic system." </p><p>That language has infiltrated public consciousness. The team at McLean surveyed 279 patients seeking acute treatment for depression. As they note, the causes of psychological distress have constantly shifted over the millennia: humoral imbalance in the ancient world; spiritual possession in medieval times; early childhood experiences around the time of Freud; maladaptive thought patterns dominant in the latter half of last century. While the team found that psychosocial explanations remain popular, biogenetic explanations (such as the chemical imbalance theory) are becoming more prominent. </p><p>Interestingly, the 80 people Davis interviewed for his book predominantly relied on biogenetic explanations. Instead of doctors diagnosing patients, as you might expect, they increasingly serve to confirm what patients come in suspecting. Patients arrive at medical offices confident in their self-diagnoses. They believe a pill is the best course of treatment, largely because they saw an advertisement or listened to a friend. Doctors too often oblige without further curiosity as to the reasons for their distress. </p>
Image: Illustration Forest / Shutterstock<p>While medicalizing mental health softens the stigma of depression—if a disorder is inheritable, it was never really your fault—it also disempowers the patient. The team at McLean writes,</p><p style="margin-left: 20px;">"More recent studies indicate that participants who are told that their depression is caused by a chemical imbalance or genetic abnormality expect to have depression for a longer period, report more depressive symptoms, and feel they have less control over their negative emotions."</p><p>Davis points out the language used by direct-to-consumer advertising prevalent in America. Doctors, media, and advertising agencies converge around common messages, such as everyday blues is a "real medical condition," everyone is susceptible to clinical depression, and drugs correct underlying somatic conditions that you never consciously control. He continues,</p><p style="margin-left: 20px;">"Your inner life and evaluative stance are of marginal, if any, relevance; counseling or psychotherapy aimed at self-insight would serve little purpose." </p><p>The McLean team discovered a similar phenomenon: patients expect little from psychotherapy and a lot from pills. When depression is treated as the result of an internal and immutable essence instead of environmental conditions, behavioral changes are not expected to make much difference. Chemistry rules the popular imagination.</p>