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The Good Doctor has me thinking…

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…
Bibliography:
Rawls, J. (1971) A Theory of Justice. Oxford: Oxford University Press.
Ryan, A. (1993) Justice. Oxford: Oxford University Press.
“TW3” in Criminology

In the 1960s, or so I am told, there was a very popular weekly television programme called That Was The Week That Was, informally known as TW3. This satirical programme reflected on events of the week that had just gone, through commentary, comedy and music. Although the programme ended before I was born, it’s always struck me as a nice way to end the week and I plan to (very loosely) follow that idea here.
This week was particularly hectic in Criminology, here are just some of the highlights. On Monday, I was interviewed by a college student for their journalism project, a rather surreal experience, after all, ‘Who cares what I think?’
On Tuesday, @manosdaskalou and I, together with a group of enthusiastic third years, visited the Supreme Court in London. This trip enabled a discussion which sought to unpack the issue of diversity (or rather the lack of) within justice. Students and staff discussed a variety of ideas to work out why so many white men are at the heart of justice decisions. A difficult challenge at the best of times but given a new and urgent impetus when sat in a courtroom. It is difficult, if not impossible, to remain objective and impartial when confronted with the evidence of 12 Supreme Judges, only two of which are women, and all are white. Arguments around the supposed representativeness of justice, falter when the evidence is so very stark. Furthermore, with the educational information provided by our tour guide, it becomes obvious that there are many barriers for those who are neither white nor male to make their way through the legal ranks.

Wednesday saw the culmination of Beyond Justice, a module focused on social justice and taught entirely in prison. As in previous years, we have a small ceremony with certificate presentation for all students. This involves quite a cast, including various dignitaries, as well as all the students and their friends and family. This is always a bittersweet event, part celebration, part goodbye. Over the months, the prison classroom leaves its oppressive carceral environment behind, instead providing an intense and profound tight-knit learning community. No doubt @manosdaskalou and I will return to the prison, but that tight-knit community has now dissipated in time and space.

On Thursday, a similarly bitter-sweet experience was my last focused session this year on CRI3003 Violence: From Domestic to Institutional. Since October, the class has discussed many different topics relating to institutional violence focused on different cases including the deaths of Victoria Climbié, Blair Peach, Jean Charles de Menezes, as well as the horror of Grenfell. We have welcomed guest speakers from social work, policing and the fire service. Discussions have been mature, informed and extremely sensitive and again a real sense of a learning community has ensued. It’s also been my first experience of teaching an all-female cohort which has informed the discussion in a variety of meaningful ways. Although I haven’t abandoned the class, colleagues @manosdaskalou and @jesjames50 will take the reins for a while and focus on exploring interpersonal violence. I’ll be back before the end of the academic year so we can reflect together on our understanding of the complexity of violence.
Finally, Friday saw the second ever #BigCriminologyQuiz and the first of the new decade. At the end of the first one, the participants requested that the next one be based on criminology and music. Challenge completed with help from @manosdaskalou, @treventoursu, @svr2727, @5teveh and @jesjames50. This week’s teams have requested a film/tv theme for the next quiz so we’ll definitely have our work cut out! But it’s amazing to see how much criminological knowledge can be shared, even when you’re eating snacks and laughing. [i]

So, what can I take from my criminological week:
- Some of the best criminological discussions happen when people are relaxed
- Getting out of the classroom enables and empowers different voices to be heard
- Getting out of the classroom allows people to focus on each and share their knowledge, recognising that
- A classroom is not four walls within a university, but can be anywhere (a coach, a courtroom a prison, or even the pub!)
- A new environment and a new experience opens the way for discord and dissent, always a necessity for profound discussion within Criminology
- When you open your eyes and your mind you start to see the world very differently
- It is possible (if you try very hard) to ignore the reality of Friday 31 January 23:00 ☹
- It is possible to be an academic, tour guide, mistress of ceremonies and quiz mistress, all in the same week!
Here’s looking forward to next week….not least Thursday’s Changemaker Awards where I seem to have scored a nomination with my #PartnerinCriminology @manosdaskalou.
[i] The first quiz was won by a team made up of 1st and 2nd years. This week’s quiz was won by a group of third years. The next promises to be a battle royale 😊 These quizzes have exposed, just how competitive criminologists can be….
100% of the emotional labour, 0% of the emotional reward: #BlackenAsiawithLove

Last night over dinner and drinks, I spoke about race in the classroom with two white, upper-middle-class gay educators. Neither seemed (able) to make any discernable effort to understand any perspective outside their own. I had to do 100% of the emotional labour, and got 0% of the emotional reward. It was very sad how they went on the attack, using both passive and active aggression, yet had the nerve to dismiss my words as ‘victimhood discourse’. This is exactly why folks write books, articles, and blogs like ‘Why I’m No Longer Talking to White People About Race’.
Worse, they both had experienced homophobia in the classroom, at the hands of both students and parents. Nonetheless, they had no ability to contribute to the emotional labour taking place as we spoke about race. Even worse, the one in charge of other educators had only 24 hours earlier performed the classic micro-aggression against me: The brown blur. He walked right past me at our initial meeting as I extended my hand introducing myself while mentioning the mutual friend who’d connected us because, as he said, he was “expecting” to see a white face. He was the one to raise that incident, yet literally threw his hands in the air, nodding his head dismissively as he refused any responsibility for the potential harm caused.
“I’m an adult,” I pled, explaining the difference between me facing those sorts of aggressions, versus the young people we all educate. This all fell on deaf ears. Even worse still, he’d only moments earlier asked me to help him understand why the only Black kid in one of his classes called himself a “real nigger.” Before that, he had asked me to comment on removing the N-word from historical texts used in the classroom, similar to the 2011 debate about erasing the N-word and “injun” from Huckleberry Finn, first published in 1884. According to the Guardian, nigger is “surely the most inflammatory word in the English language,” and “appears 219 times in Twain’s book.”
Again, he rejected my explanations as “victimhood.” He even kept boasting about his own colorblindness – a true red flag! Why ask if you cannot be bothered to listen to the answer, I thought bafflingly? Even worse, rather than simply stay silent – which would have been bad enough – the other educator literally said to him “This is why I don’t get involved in such discussions with him.” They accused me of making race an issue with my students, insisting that their own learning environments were free of racism, sexism and homophobia.
They effectively closed ranks. They asserted the privilege of NOT doing any of the emotional labour of deep listening. Neither seemed capable of demonstrating understanding for the (potential) harm done when they dismiss the experiences of others, particularly given our differing corporealities. I thought of the “Get Out” scene in the eponymously named film.
“Do you have any Black teachers on your staff,” I asked knowing the answer. OK, I might have said that sarcastically. Yet, it was clear that there were no Black adults in his life with whom he could pose such questions; he was essentially calling upon me to answer his litany of ‘race’ questions.
Armed with mindfulness, I was able to get them both to express how their own corporeality impacts their classroom work. For example, one of the educators had come out to his middle-school students when confronted by their snickers when discussing a gay character in a textbook. “You have to come out,” I said, whereas I walk in the classroom Black.” Further still, they both fell silent when I pointed out that unlike either of them, my hips swing like a pendulum when I walk into the classroom. Many LGBTQ+ people are not ‘straight-acting’ i.e. appear heteronormative, as did these two. They lacked self-awareness of their own privilege and didn’t have any tools to comprehend intersectionality; this discussion clearly placed them on the defense.
I say, 100% of the emotional labour and none of the emotional reward, yet this is actually untrue. I bear the fruits of my own mindfulness readings. I see that I suffer less in those instances than previously. I rest in the comfort that though understanding didn’t come in that moment, future dialogue is still possible. As bell hooks says on the first page in the first chapter of her groundbreaking book Killing Rage: Ending Racism: “…the vast majority of black folks who are subjected daily to forms of racial harassment have accepted this as one of the social conditions of our life in white supremacist patriarchy that we cannot change. This acceptance is a form of complicity.” I accept that it was my decision to talk to these white people about race.
I reminded myself that I had foreseen the micro-aggression that he had committed the previous day when we first met. A mutual friend had hooked us up online upon his visit to this city in which we now live. I doubted that she’d mentioned my blackness. Nonetheless, I had taken the chance of being the first to greet our guest, realizing that I am in a much safer space both in terms of my own mindfulness, as well as the privilege I had asserted in coming to live here in Hanoi; I came here precisely because I face such aggression so irregularly in Vietnam that these incidents genuinely stand out.
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Works mentioned:
Eddo-Lodge, R. (2018). Why I’m No Longer Talking to White People About Race. London: Bloomsbury Publishing.
Hanh, T. (2013). The Art of Communicating. New York: HarperOne.
hooks, b. (1995). Killing rage: Ending racism. New York: Henry Holt and Company, Inc.