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<https://www.vox.com/the-big-idea/2018/3/5/17080470/addiction-opioids-moral-blame-choices-medication-crutches-philosophy>
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| Claim | Elaboration | Link to source |
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| ---------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
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| Addiction treatment options aren't embraced by the public because treating addiction is seen as indulging in weakness rather than "curing" addiction | - The data shows that we could save many lives by expanding [medication-assisted treatments](https://www.vox.com/science-and-health/2017/7/20/15937896/medication-assisted-treatment-methadone-buprenorphine-naltrexone) and adopting harm reduction policies like [needle exchange programs](https://www.cdc.gov/policy/hst/hi5/cleansyringes/index.html).<br>-Methadone and buprenorphine, the most effective medication-assisted treatments, are [“crutches,”](https://www.nbcnewyork.com/news/local/Methadone-Judge-Rule-Father-Blame-Lepolszki-Son-Overdose-Heroin-Addict-Ruling-I-Team-Investigation-273213211.html) in the words of felony treatment court judge Frank Gulotta Jr.; they are [“just substituting one opioid for another,”](https://www.vox.com/policy-and-politics/2017/5/11/15613258/tom-price-opioid-epidemic) according to former Health and Human Services Secretary Tom Price<br>- | [link](https://www.vox.com/the-big-idea/2018/3/5/17080470/addiction-opioids-moral-blame-choices-medication-crutches-philosophy#:~:text=The%20data%20shows,than%20%E2%80%9Ccuring%E2%80%9D%20i) |
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| - people view addiction as a moral failure | - Most of us have been trained to use more forgiving language when talking about addiction. We call it a disease. We say that people with addiction should be helped, not blamed. But deep down, many of us still have trouble avoiding the thought that they could stop using if they just tried harder. | |
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- People view addiction as a moral failure
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- Addiction treatment options aren't embraced by the public because treating addiction is seen as indulging in weakness rather than "curing" addiction
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- "Most of us have been trained to use more forgiving language when talking about addiction. We call it a disease. We say that people with addiction should be helped, not blamed. But deep down, many of us still have trouble avoiding the thought that they could stop using if they just tried harder. "
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- "There’s a part of us that can’t help but see addiction as a symptom of weak character and bad judgment."
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- The view of addiction as a moral failure is causing real damage to the world
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- "The stigma against addiction is “the single biggest reason America is failing in its response to the opioid epidemic,” [Vox’s German Lopez concluded](https://www.vox.com/science-and-health/2017/12/18/16635910/opioid-epidemic-lessons) after a year of reporting on the crisis""
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- "Lives depend on where we come down. The stigma against addiction owes its stubborn tenacity to a specific, and flawed, philosophical view of the mind, a misconception so seductive that it ensnared Socrates in the fifth century BC."
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- People view addiction as a moral failure because of the subconscious societal belief that our actions always reflect our beliefs and values
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- "We tend to view addiction as a moral failure because we are in the grip of a simple but misleading answer to one of the oldest questions of philosophy: Do people always do what they think is best? In other words, do our actions always reflect our beliefs and values? When someone with addiction chooses to take drugs, does this show us what she truly cares about — or might something more complicated be going on?"
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- Plato describes acting against one's best judgement as "Akrasia"
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- "At one point their discussion turns to the topic of what the Greeks called akrasia: acting against one’s best judgment."
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- "Akrasia is a fancy name for an all-too-common experience. I know I should go to the gym, but I watch Netflix instead. You know you’ll enjoy dinner more if you stop eating the bottomless chips, but you keep munching nevertheless."
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- This makes the article more relatable
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- Socrates felt that this didn't make sense, arguing that actions always reveal true beliefs
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- "Socrates clearly never went to a restaurant with unlimited chips. But he has a point. To figure out what a person’s true priorities are, we usually look to the choices they make. (“Actions speak louder than words.”) When a person binges on TV, munches chips, or gets high despite the consequences, Socrates would infer that they must care more about indulging now than about avoiding those consequences — whatever they may _say_ to the contrary"
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- He argues that people simply have bad judgement, and that they aren't acting against their better judgement.
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- He also argues that bad decisions indicate bad priorities.
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- The idea that people need to hit "rock bottom" before they can hit true recovery reinforces that idea. It means that a person needs to truly understand the consequences of their "selfishness".
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- Socratic rationale for punishing drug possession with jail is another example of this idea.
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- Addiction intensifies the disconnect between judgement and action
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- "Here’s the testimony of one person with addiction, reported in Maia Szalavitz’s book [_Unbroken Brain_](https://books.google.com/books?id=4yJ3CgAAQBAJ&lpg=PP1&pg=PA114#v=onepage&q&f=false): “I can remember many, many times driving down to the projects telling myself, ‘You don’t want to do this! You don’t want to do this!’ But I’d do it anyway.”
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- Ethos
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- The "self" is not a single unitary thing
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- The concept of a "dual process" mind comes from Nobel laureate Daniel Kahneman, who divides the mind into a part that makes judgements quickly, intuitively, and unconsciously ("System 1") and a part that thinks more slowly, rationally, and consiously ("System 2").
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- Neuroscientist Kent Berridge notes a system in our brain he calls the "wanting system", which regulates our cravings for things like food, sex, and drugs, using signals based in the neutrotransmitter dopamine
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- "More pertinent for our purposes is research on what [University of Michigan neuroscientist Kent Berridge](http://www-personal.umich.edu/~berridge/) calls the “wanting system,” which regulates our cravings for things like food, sex, and drugs using signals based in the neurotransmitter dopamine. The wanting system has powerful control over behavior, and its cravings are insensitive to long-term consequences."
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- He notes that drugs hijack that system causing cravings that are far stronger than humans experience.
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- The boundaries of where "the self" is in the human brain aren't clearly defined, processes in the brain mesh together tightly, so there's no clean boundary.
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- From a philosophical sense, there are many different ways to approach the concept of the self.
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- Modern philosophers reject the socratic view on behavior, instead saying that the self is instead based on judgements about the kind of person one wants to be, and the life they want to lead.
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- Addiction lies somewhere between choice and compulsion. Addiction doesn't make the choice for you, but it makes you gravitate towards a particular options.
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- Addiction is not a moral failure because it's still the same person, they just face cravings that are far harder to resist.
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- Treatments like methadone and buprenorphine can help with addiction by reducing the power of those cravings.
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-
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- What conversations are meaningful?
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- What conversations are intentionally emotionally charged?
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- Fake news is rising
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- More people get news from social media
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- The attention economy is extremely effective
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- Social media is intentionally habit forming
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- Hate speech is poorly moderated, if at all
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- Fake news is meant to drive emotion
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- Manipulating emotions through social media (fake news) should raise
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- Emotional analytics *can* benefit the user
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- Very small (1/250 sec) exposure to content still has an impact
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- News literacy curriculum rarely addresses emotional news literacy
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- Mindfulness is good
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- System 1 and 2 thinking
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- Schools should address larger societal issues in discussion surrounding news literacy
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-
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- Chose something to genuinely research, because I don't know, rather than a topic I'm passionate about.
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- Write out my opinion on the topic *before* starting formal research
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- An issue or topic I've always wanted to learn more about is the political system
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- An issue or topic I have a personal connection to is philosophy, technology
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- A conversation or debate I spend a lot of time thinking about is the art of improvement
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- Something I think needs to change in society is the existence of self propagating norms
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- An issue that affects my community negatively is political discourse.
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- Something I wish more people cared about was fixing the world
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- I worry that I see safe spaces being used in a negative way
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# Primary research
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- Interview prominent public figures or heads of clubs that have public stated feelings about safe spaces, asking about why they did it, how they did it, what impact they feel it's had.
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- https://www.usu.edu/safe-at-usu/
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# Secondary Research
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- https://qz.com/398723/slavoj-zizek-thinks-political-correctness-is-exactly-what-perpetuates-prejudice-and-racism
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- https://en.wikipedia.org/wiki/Jonathan_Haidt
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- https://www.insidehighered.com/node/7407
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- https://www.vox.com/2016/7/5/11949258/safe-spaces-explained
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- https://www.dochaspsych.com/blog-defining-your-safe-space-what-does-safe-space-mean/
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- https://dictionary.cambridge.org/us/dictionary/english/safe-space
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- https://www.merriam-webster.com/dictionary/safe%20space
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- https://chicagomaroon.com/2016/news/reg-honors-chicago-blood-bank-founder/
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# The Complex Case of Fear and Safe Space
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## Introduction
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- The Chicago School board considered a proposal for a magnet school intended to be a safe space for LGBT individuals
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- The only reliable way to prevent disrespectful treatment is through separation
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- The rational commonly used for safe spaces makes it difficult for an educator to effectively respond to actual harassment
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- The need for safe space for students who experience social exclusion and harassment is the result of a political economy that was *intended to create safe space for others*. (2) Students *who are able* to articulate a need for safe space often don’t need the kind of space separation offers; *students who need (if only temporarily) separation, often are unable to say so.* (3) ‘‘Safe space’’ does not always or only function to defuse fear and establish safety for students; safe space may also function to create emotional relief for adults
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- Safe spaces translate feelings of fear into separation, creating a divide
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- The desire for safe spaces comes from the inherent idea that being hurt is an uncomfortable emotion, and fearing being hurt is an uncomfortable emotion. These are generally perceived to impede students' abilities to learn and grow. As such, safety is the antidote for fear, but this safety creates separation
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- The creation of safe spaces relies on the assumption that the creators of safe spaces are able to effectively anticipate the fears of students across cultural, racial, and social divides.
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- In this context, fear is fear of harm and danger. By operating on the assumption that more harm will come, this establishes a power relationship that's rooted in *past histories*, where the disadvantaged group is harmed.
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- By implementing safe spaces, you create a dynamic where the response to harassment (assumed or real) is fear.
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- If safe spaces create a dynamic of fear, the effect of safe spaces is less than desirable, and it doesn't move towards the intended goal of making students feel safer, rather it moves them away.
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## Where do calls for safe spaces come from?
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- Many students do not want to be separated from their peers
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- Many students who have the luxury of asking for a safe space don't truly need one
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- Calls for safe spaces have typically come from parents or educators
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- Many of the dynamics that enable harassment are invisible to those who enjoy privilege, social or otherwise
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- A call for a safe space indicates acknowledgement that a student feels uncomfortable in the face of other peers' behavior. The call for a safe space as a solution places that uncomfortable feeling into the box of "fear"
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- As long as we assume that emotions are instinctual reactions of a person to external events (even if triggered by cognitive judgment) that prompt action, the only available analysis of emotion relies on an outmoded faculty psychology. This has the troubling effect of divorcing logic and affect in action
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## Fear
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- Emotions can be viewed through the lens of a cognitive device that can help create and form habits.
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### Fear as an evolutionary tool
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- As Dewey helps us to understand, *it is not that fear as emotion causes us to move away from persons perceived as somehow dangerous; rather, affect becomes ‘‘fear’’ by the interpreted action of separation.*
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- Therefore, neurologically, *fear stems from habit*, not the other way around
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- Affect arises unbidden in a reaction to a problematic circumstance in which habits of adjustment are inadequate
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- Basically: You feel fear when you are unable to resolve the perceived issue through typical means
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- This emotional response doesn't necessarily need to be fear, leading to separation
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- This emotional response can be redirected into a search for understanding, creating a productive output (Dewey)
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- The author disagrees with the above sentiment, arguing that fear and anger can be intelligent, productive, emotions.
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### Fear as a Sociocultural Practice
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- According to Ahmed, objects and rhetoric can become "sticky, or saturated with emotion"
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- The author then uses this to reinforce the idea that by propagating "past feelings" forward by proactively acting against them, we continue to let these ideas hold meaning, and power.
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- The author refers to this propagation of fear as "habituated fear"
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- This fear works in two ways, the discriminated group fears further discrimination, and the dominant group fears losing control, change, and that which it does not understand. "The more we don't know \[understand] what or who it is we fear, *the more the world becomes fearsome*"
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- You can change the narrative around an idea, thus changing the emotions associated with it
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- *By designating fears \[at a societal level], we divide the world into safe spaces and unsafe spaces \[for different groups of people]*
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- By creating a designated "zone" of safety, you're allowing fear to restrict the space in which "targeted groups" exist in, which in turn allows "attacking groups" to grow and occupy more space
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- Without the ability to attach fear to certain objects, the "world itself" becomes fearsome. Humans attach fear to certain objects, thus enabling them to view the world from a simpler perspective of "safe", and "unsafe
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- Those in the discriminated group are often led to mask discomfort because societally, especially in "dominant groups", showing fear is seen as a sign of weakness. They are not able to avoid interacting with the dominant group without facing significant socioeconomic consequences.
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- The effect of safe spaces is to restrict the movement of parties *least likely* to cause trouble. This includes examples like restricting females to dorms to keep them safe from roving males, to the creation of a LGBT school for the protection of those students
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- The creation of safe spaces places people into categories, categories built around fear. This is effectively actively *investing* in the set of societal norms, creating further discrimination and harm.
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### Understanding emotions
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- Emotions come to be with reference to relational, socially constructed, context oriented experience
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- Separation is one way in which responding to an event results in the event being recorded as "something to be afraid of" in the amygdala
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- In may ways, safe spaces enable the habituation of fear in this manner
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- Fear is an emotion that's more easily used to hurt or control others, by making targeted groups afraid, then you give the dominant group control over them
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- *Safe spaces are a simple solution for an inherently complicated problem*. They limit rich deconstruction and interpretation of a situation, leading to limited ability to act on a fitting response.
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- When fear becomes habitually associated with an object, it becomes resistant to rational control
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- **How does fear benefit the fearful one?**
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- As people put up defenses from each other, we grow farther apart, and it becomes easier to view a group of people as "the other"
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- These groups tend to
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- Harassment can be more effectively combatted by re-interpreting the treatment they receive.
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# Dilemmas of political correctness
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<https://ora.ox.ac.uk/objects/uuid:40d31aed-1296-4dc6-b511-e7135b83ee8a>
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- Discussions around political correctness can often be simplified down into such:
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- Proponents see nothing to fear in erecting norms that inhibit expression on one side, and opponents see this as a misguided effort to silence political enemies.
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- The author defines political correctness as "the attempt to establish norms of speech (or sometimes behavior) that are thought to protect vulnerable, marginalized, or historically victimized groups, with the goal of shaping public discourse with the goal of avoiding insult or outrage, a lowered sense of self esteem, or otherwise offending sensibilities." By dubbing something politically incorrect, it implies that there is something worrisome or objectionable at work
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- The author places strong emphasis on the distinction between an idea being morally right or wrong, and being politically correct. He provides the examples that:
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- Criticizing someone for referring to an administrative assistant as a "secretary" constitutes political correctness, but advocating for higher wages is not
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- Insisting on trigger warnings or deleting offending material is a form of political correctness, but arguing for rape prevention security measures is not.
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- In the inverse, it's not politically incorrect to make a donation to fight gay marriage, but it is politically incorrect to speak publicly against gay marriage
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- Political correctness can be viewed as something to benefit marginalized groups, or as a societal movement towards restraint on public expression
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- Given the idea that political correctness is a societal movement, it culminates in a form of self censorship where there are consequences for those who violate communal norms
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- One practical example of this is when German politician Phillipp Jenninger fell into disgrace after a speech that engaged rhetorically with the perspective of Nazi Germany, even though the speech was devoid of Nazi sympathy or anti-semitism. The same speech was given in a jewish synagogue by a jewish leader, and it received no negative response, demonstrating that the worry was the *signal* sent by the speech being given by a german politician
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- Another practical example is when the mayor of Washington DC was forced to resign after making use of the word "niggardly"
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- The N word is derived from latin roots (*niger* - dark) and developed from french and spanish roots in the mid 18th century, whereas niggardly is derived from the old english word *nigon*, meaning stingy. The modern etymological root is niggle, meaning giving excessive attention to minor details
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- Self censorship is an ultimate victory for those seeking to eliminate a form of censorship
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- Political correctness stems from concern for the victimized groups, and is typically seen on the left end of the political spectrum, but it can also be seen on the right
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- Examples includes attempts to delegitimize opposition to war by suggesting dissenters are insulting "the brave men and women who fight on our behalf"
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- Those opposed to political correctness often dismiss it as a trivial insistence to redefine words, or an attempt to silence opposition.
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- It's easy to dismiss some cases, but it's harder to dismiss others (eg, the taboo on the N word or certain taboos around racial science, or the underlying worries around such ideas).
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- There are perfectly valid motivations for attempting to cultivate and enforce political norms, eg a record of violence and injustice directed towards African Americans being promoted through superficially respectable means
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- On a broader level, enlightened moral thinking has led society to converge on a *default norm against advancing ideas associated with oppression or marginalization*
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- The author agrees with the idea that political correctness has made “the casual infliction of humiliation...much less socially acceptable than it was,” and even that “encouraging students to be ‘politically correct’ has made our country a far better place.”
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- The author argues that political correctness has brought huge benefits, but there are limits of being politically correct
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- Where those limits should be located is subject to disagreement. On one end of the spectrum are minor conventions and taboos, at the other end are explicit laws prohibiting forms of expression (hate speech)
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- You can acknowledge the value of political correctness without endorsing all uses of political correctness as a barrier in public discourse
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- Potential drawbacks of political correctness are especially relevant when you note how individual applications of political correctness are applied at an extreme level.
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- Extreme political correctness can often revolve around morally superficial applications of reasonable norms, taken to an extreme
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- Political correctness concerns offense and sensibilities, not the objective interests of everyone involved.
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- There's an increasing tendency to reject government terms like "illegal alien" in favor of "undocumented immigrant" with the implication that refusing to do so implies reactionary or hateful views.
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- One example of political correctness backfiring is when "sensitive" material is removed from coursework to avoid upsetting students.
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- This is shown with affirmative action causing problems and not having the intended affect
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- We want to avoid "being gored on either horn"
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- Enforcing political correctness can lead to widespread "preference falsification", in which what people believe in private is detached from what is spoken in public
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- "preference falsification" can lead to polarization.
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- In the example of social justice, many attribute poor social outcomes to factors *external* to the person, because then you can avoid directly blaming the person, an inherently uncomfortable discussion. Regardless of how correct the end result is, this tendency is still present.
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- In promoting norms intended to benefit marginalized groups, we both help and hurt them.
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# Safe spaces, explained
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- The author introduces the paper by showcasing some of the negative ways in which safe spaces are viewed and understood.
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- The author then explains that safe spaces are a place where marginalized groups can feel welcome and accepted
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- Distinction is made between psychological safety and physical safety
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- The first usages of the term "safe space" came from the 1960s, where same sex relationships were outlawed, so a safe space was a place where people were able to practice same sex relationships without being noticed by the cops.
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- Examples of situations where the classical term "safe space" still applies exist in areas where non-heteronormative behavior is outlawed or socially shamed.
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- The same idea applies to other groups, like women, and people of color.
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- One advocate for safe spaces states that they've found that being able to surround themselves with people of the same marginalized group makes it easier to be themselves
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- Some safe spaces are created explicitly, whereas others are created organically
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- Safe spaces create a place for marginalized groups to truly relax. The author makes the claim that stress caused by discrimination creates poor health outcomes among groups who experience systemic discrimination.
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- Opponents of safe spaces caution that safe spaces limit social change by preventing the "messy work" of fighting for social change from occurring.
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- Debate and conflict isn't always what people want or feel they need.
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- There's a fear that social justice issues are nearly impossible to effectively resolve
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- Groupthink is a real issue that can occur within safe spaces.
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- People in marginalized groups have to face the feeling that society wasn't really designed for them, whereas people in dominant groups don't face that experience.
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# How Safe Spaces Contribute to Mental Health
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- The term safe space is broadly used to describe designated areas or communities
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The author grew up in between American and Mexican cultures. In school, she got punished for speaking Spanish at recess, and in college, she had to attend classes that were taught on how to speak without an accent.
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She proposes the idea that languages are living. They constantly evolve, and different dialects can form as a means of expression or through localization. Languages can mix and merge to form new dialects that contain ideas from both.
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The author then goes on to explain that languages are often used as a means of discrimination, and segregation. However, the inverse is also true. Discriminated groups will often form a new dialect or culture as a result of that discrimination.
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- The idea was proposed that languages can form in a way that's predominantly a male discourse.
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- Languages are living, and dialects form as a means of expression.
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- Languages mix and merge.
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- Discrimination and segregation occur because of language, and vice versa.
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- The language someone speaks is a large part of their identity.
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- Art created with a culture specific dialect can hold immense significance for members of that culture, and can be a means of sharing that culture.
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- The culture you exist in becomes internalized in your identity.
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- Excluding groups from a culture can lead to new cultures forming.
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- First sentence should have author, article name, and main claim the article makes
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- Summary should be ordered in the same way the ideas in the article are
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- Use signal phrases ("argues", "makes the claim")
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- Writing is distinct from grammar and rhetoric, and most writing classes don't teach writing, they instead focus on grammar and rhetoric.
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- Core curriculums ensure essentials, but limit depth and advancement of thinking
|
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- Drilling students on grammar does not improve writing ability, students should instead be taught how to use grammar effectively
|
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- I thought the writing was meandering, rambly, and overly abstract. They never provide a clear definition of what good writing entails
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- Arguing is an essential part of what it means to be human
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- Humans are not naturally adept at arguments
|
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- Our beliefs guide and determine our behavior
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- Others care how we behave
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- If beliefs lead to behavior, then controlling beliefs means controlling behaviors
|
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- Argumentative skills are self defensive
|
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- Diverting attention away from reasons makes those reasons easier to accept
|
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- Making opponents of a belief "The Enemy" is another way to make a belief easier to accept
|
||||
- Manipulation of beliefs can generally be categorized as diverting manipulation and distorting manipulation
|
||||
- Everyone aims to be in possession of the truth
|
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- Knowing why you believe a certain way is important, perhaps more important than the beliefs themselves.
|
||||
- Cognitive success is being correct, cognitive command is understanding why
|
||||
- Cognitive command doesn't necessarily guarantee correctness, but it enables one to rationally correct themselves
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- Pushback helps develop more complete understanding
|
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- When you only interact with people that agree with you, your beliefs become more extreme.
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||||
- Deliberative democracy is healthy
|
||||
- Democracy relies on the ability to undo change, ala "we make changes and learn from them as we approach the ideal"
|
||||
- Everyone believes that they haven't been duped.
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# Aristotle
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Aristotle claimed:
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- Humans are naturally *political*.
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- Humans naturally seek to *know*.
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||||
He used the term *political* to describe *humanity's dependency and tendency towards social interaction*.
|
||||
# Society
|
||||
- Humans need to be needed by each other.
|
||||
- Interdependence introduces complexity in society.
|
||||
- A mark of civility is the objection to things that harm others.
|
||||
- People often fail to recognize when they're being exploited in relationships.
|
||||
- We rely on others to share and accumulate data
|
||||
|
||||
# Arguments
|
||||
- Humans don't like being wrong.
|
||||
- Behavior is frequently determined by an individual's beliefs.
|
||||
- People naturally object to info they believe is wrong, in the same way that people naturally object to things that harm others.
|
||||
- **An argument is a rational response to a disagreement**, through showing others *why* they should adopt your beliefs.
|
||||
- From an argument, you want others to rationally adopt your beliefs.
|
||||
- Humans are inherently uncomfortable with disagreement.
|
||||
- You can audit a personal belief while still holding it, and regular auditing of personal beliefs is healthy.
|
||||
- Non-hostile arguments are a good way to audit those beliefs, and as such are healthy.
|
||||
|
||||
# Definitions
|
||||
| Phrase | Definition |
|
||||
| ------------ | --------------------------------------- |
|
||||
| Epistemology | The philosophical analysis of knowledge |
|
||||
Reference in New Issue
Block a user