Recently I have begun watching ABC’s The Good Doctor, which is a medical drama based in the fictional, yet prestigious, San Jose St Bonaventure Hospital and follows the professional and personal journeys of a number of characters. The show is based on a South Korean tv medical drama called Good Doctor and is produced by Daniel Dae Kim and developed by David Shore (creator of House). The main character is Dr Shaun Murphy who has Autism. He is a surgical resident in the early seasons and the show focuses on how Dr Murphy navigates his professional and personal life, as well as how the hospital and other doctors, surgeons, nurses and patients navigate Dr Murphy’s style of communication and respond to him. As a medical drama, in my humble opinion, it is highly entertaining with the usual mix of interesting medical cases and personal drama required. The characters are also relatable in a number of different areas. As a springboard for a platform to talk about equality, equity and fairness, it is accessible and thought-provoking.
A key focus of the programme is the difficulty Dr Murphy has with communication. Well, I say difficulty in communicating, but in actuality I would say he communicates differently to what is recognised as an ‘accepted’ or ‘normal’ form of communication. Dr Murphy struggles to express emotions and becomes overwhelmed when things change and are not within his controlled environment. A number of his colleagues adapt their responses and ways of interacting with him in order to support and include him, whereas others do not and argue that despite his medical brilliance, and first-rate surgical skills, he should not be treated differently to the other surgical residents, as this is deemed unfair.
Whilst watching, the claims of treating all surgical residents equally, and ensuring the hospital higher-ups are being fair; notions of John Rawls’ writing scream out at me. Students who have studied Crime and Justice should be familiar with Rawls’ veil of ignorance, liberty principles and difference principle, in particular with its reference to ‘justice’. But the difference principle weighs heavily when looking at how Dr Murphy functions within the hospital institution with its rules, procedures and power dynamics which clearly benefit and align with some people more so than others. Under the veil of ignorance, maybe an empathetic doctor or surgeon is not required, but a competent and successful one is? Maybe being empathetic is a personal circumstance rather than an objective trait? For Rawls, it is important that the opportunity to prosper is equal for all: and this might mean the way this opportunity is presented is different for different individuals. Rawls asks us to consider a parallel universe and what could be (a popular stance to take within the philosophical realm): why can’t people with autism be given the chance to save lives and perform surgeries just because they cannot communicate in a way deemed ‘the norm’ when dealing with patients.
It is possible that I am over-thinking this. And when I ask my partner about it, they raise questions about why Dr Murphy should be given different opportunities to the other residents and the harm Dr Murphy’s communication barriers could and do cause within the series. But I feel they are missing the point: it is not about different opportunities, its about different methods to ensure they all have the same opportunity to succeed as surgeons. It is not about treating everyone the same, which might on the surface appear to be fair, it is about recognising that equal treatment involves taking account for the differences. Why should Dr Murphy be measured against norms and values from an institution which is historically white, non-disabled, male, and cis-gendered? This might appear to be a lot of thought for a fictional medical drama, but to reiterate it’s an excellent programme with plenty to think about…
Rawls, J. (1971) A Theory of Justice. Oxford: Oxford University Press.
Ryan, A. (1993) Justice. Oxford: Oxford University Press.
This week’s blog begins with a game: youth or adult, secure estate in England and Wales. Below are some statements, and you simply need to guess (educated guesses please), whether the statement is about the youth, or adult secure estate. So, are the statements about children in custody (those under the age of 18 years old) or adults in custody (18+). When you’re ready…
- 70% decrease in custody in comparison to 10 years ago
- Segregation, A.K.A Solitary Confinement, used as a way of managing the most difficult individuals and those who pose a risk to themselves or others
- Racial disproportionality in relation to experiencing custody and being remanded to custody
- Self-harm is alarmingly high
- 1/3 have a known mental health disability
- Homelessness after release is a reality for a high proportion of individuals
- Over half of individuals released from custody reoffend, this number increases when looking at those sentenced to 6months of less
How many did you answer youth secure estate, and how many adult secure estate? Tally up! Did you find a 50/50 split? Did you find it difficult to answer? Should it be difficult to spot the differences between how children and adults are treated/experience custody?
All of the above relate specifically to children in custody. The House of Commons Committee (2021) have argued that the secure estate for children in England and Wales is STILL a violent, dangerous set of environments which do little to address the needs of children sentenced to custody or on remand. Across the academic literature, there is agreement that the youth estate houses some of the most vulnerable children within our society, yet very little is done to address these vulnerabilities. Ultimately we are failing children in custody! The Government said they would create Secure Schools as a custody option, where education and support would be the focus for the children sent here. These were supposed to be ready for 2020, and in all fairness, we have had a global pandemic to contend with, so the date was pushed to 2022: and yet where are they? Where is the press coverage on the positive impact a Secure School will make to the Youth estate? Does anyone really care? A number of Secure Training Centres (STCs) have closed down across the past 10 years, with an alarmingly high number of the institutions which house children in custody failing Ofsted inspections and HM Inspectorate of Prisons (2021) found violence and safety within these institutions STILL a major concern. Children experience bullying from staff, could not shower daily, experience physical restraint, 66% of children in custody experienced segregation which was an increase from the year prior (HM Inspectorate of Prisons, 2021). These experiences are not new, they are re-occurring, year-on-year, inspection after inspection: when will we learn?
The sad, angry, disgusting truth is you could have answered ‘adult secure estate’ to most of the statements above and still have been accurate. And this rings further alarm bells. In England and Wales, we are supposed to treat children as ‘children first, offenders second’. Yet if we look to the similarities between the youth and adult secure estate, what evidence is there that children are treated as children first? We treat all offenders the same, and we treat them appallingly. This is not a new argument, many have raised the same points and concerns for years, but we appear to be doing very little about it.
We are kidding ourselves if we think we have a separate system for dealing with children who commit crime, especially in relation to custody! It pains me to continue seeing, year on year, report after report, the same failings within the secure estate, and the same points made in relation to children being seen as children first in England and Wales: I just can’t see it in relation to custody- feel free to show me otherwise!
House of Commons Committees (2021) Does the secure estate meet the needs of young people in custody? High levels of violence, use of force and self-harm suggest the youth secure estate is not fit for purpose [Online]. Available at: https://houseofcommons.shorthandstories.com/justice-youth-secure-estate/index.html. [Last accessed 4th April 2022].
HM Inspectorate of Prisons (2021) Children in Custody 2019-2020: An analysis of 12-18-year-old’s perceptions of their experiences in secure training centres and young offender institutions. London: Her Majesty’s Inspectorate of Prisons.
Whilst the current weather may not imply it, we are into the summer months! At this time of year staff and students begin to take a much needed and well-deserved rest after the challenging academic year we have all faced. With this time, holidays, day trips, meals out, picnics, walks and many more joyful pastimes begin to fill up the calendar, although many of us find ourselves quite restricted due to the ongoing pandemic. Nevertheless, we should all make the most of the time off to re-charge and spend time with our loved ones. For myself and my partner, this meant a day trip to Whipsnade Zoo!
Whilst the weather app assured us it would not rain, we spent a fairly windy and wet day walking around Whipsnade Zoo viewing the animals and all in all having a fabulous day. The schools are not out yet, therefore most visitors were adults on annual leave, individuals who I assume are retired, or parents with small children. We had plenty of space and time throughout the day to see the animals, read the information plaques and enjoy a wet but scrummy picnic. I dread to think what it would have been like in the height of the summer holidays!
But where am I going with this other than to brag about my fabulous day at the Zoo and what has this got to do with checking our privilege? Well, it begins with the cost to entire said Zoo. I have not been to a Zoo since I was in my school years. We used to visit Colchester Zoo most summer holidays with the Tesco Clubcard vouchers, which in a nutshell meant you could exchange Clubcard points for vouchers/tickets which included the Zoo. Therefore a trip to the Zoo when we were younger cost petrol money and a picnic (which was always done on the cheap). This is an affordable day out, but we were only a family of 3 (1 adult and 2 children), so not that many Clubcard points required, and quite a minimal picnic. Also we were fortunate enough to have a car which is not the case for all families. So even with the vouchers and picnic I cannot help but reflect and think how privileged we were to be able to visit the Zoo.
The Zoo trip this week cost just short of £50 for a student admission and an adult admission. I did think this was quite a lot. I think about what the cost would be for 2 adults and a child (or multiple children). Already this is gearing up to be an expensive day out. The Zoo has lots of interactive parts for children to engage with and learn from, and of course they have animals. But is the Zoo really aimed at educating all children or is it only those children whose families can afford it (E.I children belonging of a certain socio-economic status)? Once we arrived at the Zoo and looked around the carpark we couldn’t see a Bustop. What about the families who cannot afford a car? The food outlets were extortionate: £4 for a coffee!! Its cheaper in the West End! The same statement although different prices applies to ice-cream. I feel good that we have taken our makeshift picnic and flasks with us: but what about those who cannot?
The long-winded and verbose point I am trying to make is that even everyday things require us to check our privilege. I spoke to my partner on the drive home about the beauty and wonder of the Zoo and how we are fortunate to be able to go and how I was fortunate to go most summers as a child. But once the Clubcard vouchers stopped, so did the trips to the Zoo. There are many who are unable to enjoy the Zoo, to gain from the educational experience of learning about the animals, what they eat, where they live etc. And I can’t help but reflect and wonder is this establishment really inclusive to all? Is there something society can do to break down the class barriers which appear to be present when planning a trip to the Zoo?
When I think back to thinking about choosing a degree, way back when, I remember thinking Criminology would be a good choice because it is specific in terms of a field: mainly the Criminal Justice System (CJS). I remember, naively, thinking once I achieved my degree I could go into the Police (a view I quickly abandoned after my first year of studies), then I thought I could be involved in the Youth Justice System in some capacity (again a position abandoned but this time after year 2). And in third year I remember talking to my partner about the possibility of working in prisons: Crime and Punishment, and Violence: from domestic to institutional (both year 3 modules) kicked that idea to the curb! I remember originally thinking Criminology was quite narrow and specific in terms of its focus and range: and oh my was I wrong!
Whilst the skills acquired through any degree transcend to a number of career paths, what I find most satisfying about Criminology, is how it infiltrates everything! A recent example to prove my point which on the outside may have nothing to do with Criminology, when in actual fact it could be argued it has criminological concepts and ideas at its heart is the 2015 film: Jurassic World. It is no secret that I am a huge lover of Crichton novels but also dinosaurs. But what I hope to illustrate is how this film is excellent, not just in relation to dinosaur content: but also in relation to one of my interests in Criminology.
Jurassic World, for those of you who have not had the pleasure of viewing, focuses on the re-creation of a Jurassic Park, sporting new attractions, rides and dinosaurs in line with the 21st century. The Indominus Rex is a genetically modified hybrid which is ‘cooked-up’ in the lab, and is the focus of this film. Long story short, she escapes, hunts dinosaurs and people for sport, and is finally killed by a joint effort from the Tyrannosaurus, Blue the Velociraptor and the Mosasaurus: YAY! But what is particularly Criminological, in my humble opinion, is the focus and issues associated with the Indominus Rex being raised in isolation with no companionship in a steeled cage. Realistically, she lives her whole life in solitary confinement, and the rangers, scientists and management are then shocked that she has 0 social skills, and goes on a hunting spree. She is portrayed in the film as a villain of sorts, but is she really?
Recently in Violence: from domestic to institutional, we looked at the dangers and harms of placing individuals in solitary confinement or segregation. Jurassic World demonstrates this: albeit with a hybrid dinosaur which is fictitious. The dangers, and behaviours associated with the Indominus Rex are symbolic to the harms caused when we place individuals in prison. The space is too small, there is no interaction, empathy or relationships formed with the dinosaur apart from with the machine that feeds it. The same issues exist when we look at the prison system and it raises questions around why society is shocked when individuals re-offend. The Indominus Rex is a product of her surroundings and lack of relationships: there are some problematic genes thrown in there too but we shall leave that to one side for now.
There are a number of criminological issues evident in Jurassic World, (have a watch and see) and all of the Jurassic Park movies. Criminology is everywhere: in obvious forms and not so obvious forms. The issues with the prison system, segregation specifically, transcend to schools and hospitals, society in general and to dinosaurs in a fictional movie. Criminology, and with it critical thinking, is everywhere: even in the Lego Movie where everything is awesome! Conformity and deviance wrapped up in colourful bricks and catchy tunes: have a watch and see…
2020 was a year of many firsts for myself, and therefore in spite of the global pandemic (which brought with it the destruction of lives both figuratively and literally) it was actually quite an interesting personal year. I am exceptionally fortunate to be able to say I still have my health (physical, cannot claim with as much certainty about my mental health), a job, a roof over my head and have not suffered direct loss of loved ones due to COVID. Therefore, I feel a content warning is required: this blog does not look to boast or minimalize all the loss, hardship and destruction that was experienced in 2020. But taking a leaf out of my colleagues’ book, I would like to try and reflect upon 2020 positively where possible: and in all honesty I experienced some really beautiful firsts in 2020.
January 2020 saw the most magical ‘first’ I have experienced in my life: the first (and I am very hopeful my only) day as a bride! The day was filled with so much love, joy, food and laughter: where memories where created which cause me to smile on even my darkest days! And with this magical day came a wonderful honeymoon where my first experiences as a newly-wed were not too shabby at all! The Dominican Republic was beautiful in scenery, activities and people! Again, memories which fill me with warmth.
January also saw me graduate with my first masters, although I did not attend the graduation as was sunning it up with cocktails and novels in the DR!
During the first lockdown, my partner and I moved. This brought with it my first experience of living without a washing machine, along with my first experience of purchasing a washing machine (not that fun and quite expensive!). It was also my first experience of living in a house with my partner, with more than 3 rooms! Which, during a lockdown, proved to be essential in many ways: a luxury I know many could not afford.
The Criminology book club began in lockdown (not my first book club: sorry guys), but it was my first virtual book club which is something! Along with this came the delivery of workshops online, another first, and later in the year the delivery of lectures online, again another first! I also experienced my first online interview (panel, presentation the whole works) which was joyous. And received my first offer of full-time employment.
The holiday season brought with it the odd few firsts as well. It was the first holiday season my partner did not work in all the years I have known them (not through choice unfortunately), it was the first time we both drank on Christmas day (partner is usually driving or conscious of work on Boxing day). And it was the first time I did not feel the ‘lull’ in between Christmas and New Years, which was more scary than anything else.
2020 started out with such promise and hope, and threw some serious ‘end of the world’ vibes at us, and for some these were more than just vibes. It has been hard for all and catastrophic for many, but there have been glimmers throughout the year which have kept us going when it did not seem possible. For me 2020 will always be the year of destruction but also a year of firsts: some of which are currently up there as the best days, experiences and moments of my life 😊