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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.
I selected The Tiger’s Wife for us all to read for book club. On first impressions the book seemed to be very interesting. My understanding was that the book would be about a tiger, his wife, a grandad and The Jungle Book. I have very little knowledge of Disney, but I did enjoy the upbeat ‘Bare Necessities’ Jungle Book song as a child. As it turns out, both The Jungle Book and The Tiger’s Wife are both grim tales. In terms of The Tiger’s Wife, I enjoyed the elements of humour within the book. I also enjoyed reading about the smells, scenery and tastes of another country given that I have not been able to leave Britain for a while. The ‘deathless man’ character was also quite intriguing. I do feel unsure about this book though. At times I was puzzled about the plot. It is also an incredibly sad and heavy tale which covers themes like war, death, disease and domestic violence – perhaps not the most appropriate choice given that we are in a national lockdown! I think this is a book that I may return to in better times.@haleysread
What struck me about the book was that it centred around death but was largely devoid of emotion. The grandmother was described as being emotional about the death of her husband, but the book was narrated in such a way that this emotion was not felt by the reader because the grandmother was not wholly present. She was always at the other end of the phone and therefore removed from the reader. Instead, the book was lightened with humorous characters such as the Deathless Man and folk tales of superstition. These characters and tales transformed what could (and perhaps should) have been a depressing tale to a mildly sorrowful yet darkly comedic series of tragedies.@amycortvriend
This was quite possibly my favourite of all the book club reads so far, although it is a particularly tight call (4th instalment of inspector Chopra is a gem: but shhhh spoilers)! I am quite surprised by how much I enjoyed this book which appears much to the contrast of my esteemed friends in book club. It was beautifully written, depressing, full of escapism and challenging at the same time. I was truly lost in this book as a story: I am not sure I can tell you what the story is about or what the message or meaning behind it is. But I adored it. It made me think of Big Fish and The Bee Keeper of Aleppo all mixed together (another 2 gems if you have not read them). I can appreciate how perhaps it was not the most fitting for a global pandemic, but nevertheless it is a text that I will most certainly read again!@jesjames50
In a far away corner in Europe, people try to live with the aftermath of a war. The conflict has brought up in the community, wounds that take time to heal and the doctors who look after the physical wounds are trying to cope with the long-term effects of harm. In the backdrop of that, the story of a young doctor who is remembering her beloved grandfather takes central stage. The woman discovers a grandfather through the eyes of others. This is a post war society and many things do not make sense. The author, Téa Obreht, stitches together a story of reality with a lot of surrealism to underline the absurdness of war especially a civil conflict. Symbolism becomes intricate to the story and in the end you are left wondering who is The Tiger’s Wife?@manosdaskalou
I found the book to be hard going. That’s not to say that there weren’t some parts of it that I enjoyed but on the whole I didn’t find much in the book to excite me and at the end I was left with a feeling of …’and’. I found that too often I was unable to follow the plot getting bogged down in, what I must admit, were beautiful descriptions of countryside, villages, animals and people. For me, the story lacked purpose, describing old superstitions, combined with historical tales which seemed to have little purpose other than to provide perhaps a vivid description of the cruelty of war and its aftermath. On a more positive note, it has prompted me to research the wars in the Balkans and maybe, that will push me to return to the book@5teveh
The timing of The Tiger’s Wife as our book club read was impeccable. Leading up to the Christmas holidays, everything seemed to become overwhelming and I felt rather numb. Reading The Tiger’s Wife with its dreamlike qualities suited my mood extraordinarily well. The subject of war, and the damage it causes, is close to my heart. In this book, it is not tales of heroes and villains, but the quiet, pervasive harm which war leaves in its wake, touching everyone and everything, in small, often indiscernible ways. We may not be at war in the UK, but it made me consider what life will be like after the pandemic, when many of those harms are also prevalent. For instance, our NHS workers may not have been in battlefield hospitals, but treating severely ill Covid-19 patients, with a high death rate, on a daily basis will undoubtedly have a profound impact. Ultimately, The Tiger’s Wife is an anti-war book, with more questions than answers, but as the pandemic has shown us, uncertainty does not mean the end of hope.@paulaabowles
My love of poetry came in my sleep like a dream, a fever I could not escape and in little hours of the day I would read some poetry from different people who voice the volume of their emotions with words. In one of those poems by Elleni Vakalo How he became a bad man, she introduced me to a new understanding of criminological thinking. The idea of consequences, that lead a seemingly good person to become bad, without the usual motivational factors, other than fear. This was the main catalyst that became the source of this man’s turn to the bad.
This almost surrealistic description of criminal motivation has since fascinated me. It is incredibly focused, devoid of social motivations and personal blame. In fact, it demonstrates a social cognition that once activated is powerful enough to lead a seemingly decent person to behave in uncharacteristic moves of violence. This interesting perspective was forged during the war and the post war turmoil experienced. Like Camus, the act of evil is presented as a matter of fact and the product of thoughts that are originally innocent and even non-threatening.
The realisation in this way of thinking, is not the normalisation of violence, but the simplicity that violence in innate to everyone. The person who commits it, is not born for it, does not carry an elaborate personal story or trauma and has no personal compulsion to do it. In some ways, this violence is more terrifying, as criminality can be the product of any person without any significant predispositions, an everyday occurrence that can happen any time.
The couple that will meet, fall in love, cohabit, and get married, starting a family, follow all the normal everyday stages that millions of people follow or feel socially obliged to follow. In no part of this process do they discuss how he will control her, demean her, call her names, slap her, hit her or kick her. There is no plan or discussion of how terrified she will become, socially isolated and humiliated. At no point in the planning, will she be thinking of ways to exit their home, access helplines or spend a day in court. It happens, as a product of small thoughts and expressed emotions, that convert into micro aggressions, that become overt hostility, that leads to violence. No significant changes, just a series of events that lead to a prolonged suffering.
In some way, this matter of fact violence explains the confusion the victims feel, trapped in a relationship that they cannot recognise as abusive, because all other parts fall under the normality of everyday life. Of course, in these situations, emotion plays a key role and in a way that rearranges logic and reason. We are driven by emotion and if we are to leave criminological theory for a minute a series of decisions, we will make daily take a journey from logic to emotions and back.
This emotional change, the manifestation of thoughts is not always criminal nor destructive. The parents who are willing to fight an entire medical profession so that their newborn has a fighting chance are armed with emotion. Many stories come to mind of those who owe their lives to their determination of their parents who fought logic and against the odds, fought to keep them alive. Friends and partners of people who have been written off by the criminal justice system that assessed them as high risk for society and stuck with them, holding on to emotion as logic departs.
In Criminology, we talk about facts and figures, we consider theories and situations, but above all as a social science we recognise that we deal with people; people without emotions do not exist. So how do you/how do I become a bad man? Simple…the same way you are/I am a good man.
This is the poem by Eleni Vakalo, with my painful translation:
How He Became A Bad Man
I will tell you how it happened
In that order
A good little man met on his way
a battered man
the man was so close from him laying
he felt sad for him
He was so sad
That he became frightened
Before approaching him to bend down to
help him, he thought better
“What do you want, what are you looking for”
Someone else will be found by so many around here,
to assist this poor soul
I have never seen him
And because he was scared
So he thought
Would he not be guilty, after all no one is hit without being guilty?
And they did him good since he wanted to play with the nobles
So he started as well
To hit him
Beginning of the fairy tale
Written by @bethanyrdavies with contributions from @haleysread
Big Families are unique, the current average family size is 2.4 (Office for National Statistics, 2017) which has declined but remained as such for the past decade. Being 1 of 8 Children is unique, it’s an interesting fact both myself and Haley (also a former graduate and also 1 of 8) both fall back on when you have those awful ice breakers and you have to think of something ‘special’ about yourself.
There is criminological research which identifies ‘large families’ as a characteristic for deviance in individuals (Farrington & Juby, 2001; Wilson, 1975). It’s argued alongside other family factors, such as single-parent households, which maybe more people are familiar with in those discussions. In fact, when looking for criminological research around big families, I didn’t find a great deal. Most of what I found was not looking at deviance but how it affects the children, with suggestions of how children in big families suffer because they get less attention from their parents (Hewitt et al. 2011). Which may be the reality for some families, but I also think it’s somewhat subjective to determine an amount of time for ‘attention’ rather than the ‘quality’ of time parents need to spend with children in order to both help fulfil emotional and cognitive needs. This certainly was not the case from both Haley’s and experience.
When I first thought about writing this piece and talking to Haley about her experiences. I did question myself on how relevant this was to criminology. The answer to that I suppose depends on how you perceive the vastness of criminology as an academic field. The family unit is something we discuss within criminology all the time, but family size is not always the focus of that discussion. Deviance itself by definition and to deviate from the norms of society, well I suppose myself and Haley do both come from ‘deviant’ families.
However, from speaking with Haley and reflecting on my own experience, it feels that the most unique thing about being part of a large family, is how others treat you. I would never think to ask anyone or make comments such as; “How much do your parents earn to look after you all?” or “Did they want a family that big or was it lots of accidents?” or even just make comments, about how we must be on benefits, be ‘Scroungers’ or even comments about my parents sexual relationship. Questions and comments that both I and Haley have and occasionally still experience. Regardless of intent behind them, you can’t help but feel like you have to explain or defend yourself. Even as a child when others would ask me about my family, I had always made a point of the fact that we are all ‘full siblings’ as if that could protect me from additional shame , shame that I had already witnessed in conversations and on TV, with statements such as “She’s got 5 kids all different dads”. Haley mentioned how her view of large families was presented to her as “Those on daytime television would criticise large families” and “A couple of people on our street would say that my parents should stop having kids as there are enough of us as it is.”
Haley and I grew up in different parts of the UK. Haley grew up in the Midlands and describes the particular area as disadvantaged. Due to this Haley says that it wasn’t really a problem of image that the family struggled financially, as in her area everyone did, so therefore it was normal. I grew up in a quite affluent area, but similar to Haley, we were not well-off financially. My childhood home was a council house, but it didn’t look like one, my mum has always been house proud and has worked to make it not look like a council house, which in itself has its own connotations of the ‘shame’ felt on being poor, which Haley also referenced to me. It was hard to even think of labeling us as ‘poor’, as similar to Haley, we had loads of presents at Christmas, we still had nice clothes and did not feel like we were necessarily different. Though it appears me and Haley were also similar in that both our dads worked all the hours possible, I remember my dad worked 3 jobs at one point. I asked my dad about what it was like, he said it was very hard, and he remembers that they were working so hard because if they went bankrupt, it would be in the newspaper and the neighbors would see. Which I didn’t even know was something that happened and has its own name and shame the poor issues for another post. Haley spoke of similar issues and the stress of ‘childcare and the temporary loss of hot water, electric and gas.’
The main points that came from both mine and Haley’s discussions were actually about how fun it is to have a large family, especially as we were growing up. It may not seem like it from my earlier points around finance, but while it was a factor in our lives, it also didn’t feel as important as actually just being a part of that loving family unit. Haley put it perfectly as “I loved being part of a large family as a child. My brothers and sisters were my best friends”. We spoke of the hilarity of simple things such as the complexities of dinner times and having to sit across multiple tables to have dinners in the evening. I had brothers and sisters to help me with my homework, my eldest sister even helped me with my reading every night while I was in primary school. Haley and I both seemed to share a love for den making, which when your parents are big into DIY (almost a necessity when in a big family) you could take tools and wood to the forest and make a den for hours on end. There is so much good about having a large family that I almost feel sorry for those who only believe the negatives. This post was simply to share a snippet of my findings, as well as mine and Haley’s experience. At the very least I hope it will allow others to think of large families in an alternative way and to realise the problems both me and Haley experienced, weren’t necessarily solely linked to our family size, but rather attitudes around social norms and financial status.
Juby, H. and Farrington, D., 2001. Disentangling the Link between Disrupted Families and Delinquency: Sociodemography, Ethnicity and Risk Behaviours. The British Journal of Criminology, 41(1), pp.22-40.
Office for National Statistics. (2017). Families and households in the UK, Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/families/bulletins/familiesandhouseholds/2017 (Accessed: 5th June 2020).
Regoli, R., Hewitt, J. and DeLisi, M., 2011. Delinquency In Society. Boston: McGraw-Hill Higher Education.
Wilson, H., 1975. Juvenile Delinquency, Parental Criminality and Social Handicap. The British Journal of Criminology, 15(3), pp.241-250.
Outside of ecumenical discussions, far too little is said about the subject of happiness. This is a drawback of western secularism, as discussed below. In the world of work, Occupational Health and Leadership have taken up this mantle, yet still only manage to approximate happiness through measurable factors that contribute to increasing satisfaction and decreasing dissatisfaction (i.e. Herzberg’s 2-Factor Theory). Taking Maslow’s Hierarchy of Needs into greater account, that understanding eventually incorporated terms such as wellbeing. Yet, again, outside of ‘continuing professional development’ aimed at improving workplace efficiency and effectiveness, far too few resources seem devoted to higher needs such as belonging, esteem and self-actualisation.
Those management terms all circle back to mindfulness, to personal empathy and the ability of both the individual and environment to foster dialogue in order to transform conflict. Be it conflicts or differences in needs/wants between co-workers – or across the bargaining table – the ability to communicate and find common ground is increasingly the skill that distinguishes human talents from Artificial Intelligence (AI).
Now, at least, there is a greater focus on developing so-called ‘soft skills’. This trend responds to our failure to contend with an increasing reliance on, and addiction to technology. What’s more, still, as technology increasingly supplants entire portfolios of routine management duties, how will future workplaces valorise empathy within known matrices?
How do we teach students the value of happiness, the practice of compassion and the skills for effective communication, negotiation and conflict resolution? In so far as leading culturally diverse workforces, the research is as clear as a prayer bell: Innovation requires dialogue – actual talk between equals. Innovation is therefore built on collaboration. Collaboration requires cooperation. Cooperation requires commitment. Commitment cultivates inclusion. Inclusion fosters commitment. Commitment depends on trust-building. Trust-building requires dialogue. Cooperation must be practiced and rehearsed, in addition to celebrated and applauded. We are effectively teaching how to work within a community. Those tools must play the greater part of management toolkit, over and well-over more punitive means of enforcing compliance to rules.
“I’m not here to be your friend.”
Those are words I hope no one would ever hear neither in the classroom from educators, nor in the workplace from managers. It implies the speaker’s inability to distinguish friendliness from being friends. It is indeed a thin line. Social media interactions with colleagues have virtually erased that line – at least re-drawn it. Irregardless – as we say in Kentucky for emphasis – kindness matters! I genuinely pity those who have not learned kindness at home or school; it’s traumatic.
In order to collaborate, to genuinely work together, requires some level of friendliness, beyond cordiality. It is irrational to lead through control and project the image of being in control through distant, dispassionate unfriendliness. BTW, the notion of dispassionate rationality and objectivity have been historically valorized academia even when it was clear.
I would not be the first university student to observe (though lacking the skills to explain): “The professors who prided themselves on their capacity to be objective were most often those who were directly affirmed in their caste, class, or status position” (hooks, 2003: 128). Their inability to connect, acknowledge and come to peace with their own emotionality and spirituality. “At times objectivism in academic settings is a smokescreen, masking disassociation (ibid: 129). Objectivity is a crutch:
“Denying the emotional presence and wholeness of students may help professors who are unable to connect focus more on the task of sharing information, facts, data, their interpretations, with no regard for listening to and hearing from students. (ibid: 129).”
The smoke and mirrors masks a pain so cutting so deep that skilled educators carve it out of their work, and further discourage it in peers and students. Sadly, I believe that managers have been taught to operate under the same logic. Hurt people hurt people.
Hurt people hurt people.
Today, we’re better able to acknowledge the maturity needed to reveal both one’s strengths and weaknesses – including with subordinates. The key skill is emotional flexibility and consequentially, the ability to seek and offer support. Failing to do so reduces opportunities for team members’ whole-hearted contributions of knowledge and skills. While it is still professional to keep some amount of distance between one’s private and personal lives, social media is a typical example of how those norms no longer apply. Yeah, it’s weird if you’re not Facebook friends with at least some of your colleagues.
What are responsible ways to use one’s public image that aligns with our own personal ambitions and goals? This was simply NOT an area of thinking in the classroom prior to social media. Yet, ‘bullying’ is a relatively modern concept brought to light by the LGBTQ community response to the suicide of a university student as a result of cyber-bullying because he was gay.
In 2010, Tyler Clementi, a first-year university student in America, was secretly filmed being intimate with another man by his roommate and a mutual friend, (or so he believed). The two colluded to threaten to out Clementi in what they all knew as a homophobic (university) environment. This resulted in Clementi’s suicide. Imagine such blackmail, bullying and harassment at work! What skills should the educational environments have provided Tyler and his roommates?
The response from the queer community was clear: Hope. For example, activist/journalist Dan Savage launched an internet campaign that encouraged LGBTQ+ youth, which was picked up by mainstream media outlets and entertainment. The #ItGetsBetter campaign quickly amasses hundreds of posts by celebrities of all flavors to combat anti-gay bullying. Things did get better. We put bullying on the map! Be it work or school, bullying is no longer tolerated…at least formally.
Yet, what of genuine happiness, not just survival? While I can’t speak for every faith, the notion of happiness if central to Buddhist philosophy. “The gratification of desire is not happiness,” writes Buddhist teacher Daisaku Ikeda in his 2017 essay collection, Hope is a Decision. What’s more, individual happiness is tied to our interconnectivity. The Soka Gaikkai, a global Buddhist organisation mentored by Ikeda, operates under the slogan “World peace through individual happiness” to acknowledge the interconnectivity of both humanity as a whole, and the place of happiness with the broader objective of peace.
Seen one way, happiness is neatly balanced at the tip of the pyramid of needs, and its inverse: wants and desires. For clarity: While adults may scoff when a teenager says they “need” the latest iPhone or they’ll ‘die’ we responsibly know that those youthful aches and pains are as real to them as any physical trauma one might suffer. We know that showing up at school with the latest cool gadget has as much to do with the higher-order needs for them as we may wish them to perceive their basic needs such as food, shelter and security. Hence, the parenting task becomes one of teaching skills to contextualise such desires and value delayed gratification.
These lessons are too often relegated to parenting due to the secularisation of schooling and workplaces in the west. Western secularism often fails to distinguish religion from spirituality, to the detriment of the latter since we remain staunchly Christian societies, especially to the extent of chauvinism when faced with an ‘other’. Any non-Christian in the west can see the secularism is superficial – even Stevie Wonder can see that. Echoing her own call for greater attention to spirituality in secular education bell hooks quotes HH Dalai Lama’s thoughts in the need for the distinction in the second installment of her seminal teaching trilogy:
Spirituality I take to be concerned with those qualities of the human spirit—such as love and compassion, patience, tolerance, forgiveness, contentment, a sense of responsibility, a sense of harmony—which brings happiness to both self and others. … (hooks, ‘Spirituality in Education’ in Teaching Community: A Pedagogy of Hope, 2003 pg. 157-164)
Makes place in and around the classroom. As a lecturer, I am a coach, guide, mentor, leader and have even befriended students (particularly after their graduations). One primary aim and source of satisfaction in the classroom is facilitating values-based dialogue across differences in perspectives. My role is not just to dump selective parts of my knowledge into students’ heads, nor simply to train certain skills. Nay, we’re always teaching how to live in a diverse community.
To get more in-formation:
- hooks, bell. Teaching Community: A Pedagogy of Hope. New York: Routledge, 2003. Print.
- Ikeda, Daisaku (2017). Hope Is a Decision: Selected Essays. Middleway Press. ISBN 978-0-9779245-8-5.