Thursday 23 February 2023

ONLINE SHAMING – NEW AGE PUBLIC FLOGGING

 



 

Online shaming, where individuals participate in social policing by shaming supposed wrongdoings on the internet, is a rapidly increasing and global phenomenon. Public shaming, one of the oldest ways to punish society’s transgressors, now has a 21st century makeover. The World Wide Web is the new global village. Social media platforms such as Facebook and Twitter are the new village squares. Smartphone users are the new social community. And hash tag wars, YouTube videos and Facebook likes are the new virtual stones that the world is mastering to pillory and shame people.

Internet shaming is an online version of vigilantism, in which people take the law into their own hands. As in the physical world, vigilantes often believe that their actions are a way to bring about justice that would not otherwise be served. In other cases, online shaming is used to attack someone out of spite or to discredit the victim. Worse still, when directed against the unknown ‘other’ online vigilantism fuels xenophobia and can lead to catastrophes like mob lynching and communal riots. So, online shaming can lead to harsh consequences for the poster, the person being shamed, and others. Some of the serious consequences associated with online shaming include:

  • Ruining reputations and careers;
  • Causing severe psychological damage;
  • Being targeted or shamed yourself
  • Civil and criminal lawsuits.

 

History

Public shaming is a medieval relic. Long before the internet, people who violated moral codes in a society was dragged through the crowded streets with citizens spitting on them, throwing mud, rotten eggs and dirt at them and abusing them and their families. They would get fastened to a pillar, stocks or pillory, a device in which the offender’s head and hands were locked in a wooden frame. The masses would gather to taunt and jeer them, hurling rotten food at their heads along with insulting words. This dual punishment and spectacle — aptly named pillorying — started more than 1,000 years ago in parts of Europe. And it lasted well into the 19th century, when, you could say, it got cancelled. It’s worth noting that this practice was eventually outlawed because it became regarded to be too cruel. Even if the victim survived the punishment did not end with the physical pain of flogging but had deep psychological impact on the person who would have to live with the contempt of the fellow citizens. England fully abolished the pillory by 1837, along with many nearby countries and most U.S. territories by that time. The state of Delaware was a last holdout in the Western world, outlawing it as recently as 1905. However, some countries in our neighbourhood still practice this as a punishment for blasphemy.

 

The Indian scenario

India is no heaven when it comes to public shaming. Historically nose and ears were chopped off as a punishment for adultery. In remote villages, shaming of the medieval variety persists. For example, in eastern Bihar, a 14-year-old Dalit girl had her face blackened and was paraded through her village as a punishment for talking to a boy. And, still in 2014, another woman in a village of Rajasthan, accused of killing her nephew, was paraded naked on a donkey on the orders of none less than the panchayat. Mob lynching of cattle smugglers is not rare either. Before the advent of social media, government watchdogs had their own ways of naming and shaming. For instance, the Income-Tax Department has revealed the names of 18 biggest tax defaulters in India on its website. It includes defaulters’ PAN card details and their last known addresses. So, we are not yet sure where to draw the line.

 

Not good for the victim

If you are angry with someone, you may think it will be worthwhile to humiliate them online. But it is important to remember that online shaming can cause long-term damage to the other person’s reputation. You could be responsible for someone losing their job and their income, especially if you shame an employee or business. Shanker Mishra of Peegate ignominy may not serve a long jail sentence but has already lost his overseas corporate job and he and his family will have to live with this humiliation, shame and disrepute because the internet doesn’t let you forget or be forgotten! Remaining the butt of scatological jokes is now his destiny!

And who can forget the White House intern Monica Lewinsky? The infamous 1998 incident with President Bill Clinton occurred at the dawn of the internet age — a fact not lost on Lewinsky, who says her name has appeared in “almost 40 rap songs.” Her actions as a 24-year-old intern went viral pre-social media. When she emerged in 2014 after a decade of quiet existence, she had a message to share. She also had a master's degree in social psychology, earned in London where she hunkered down for grad school. Vanity Fair printed her exclusive comeback story in 2014. Then she took the stage to tell of life after becoming “that woman” in one of history’s most widely broadcast sex scandals: “I went from being a completely private figure to a publicly humiliated one, worldwide,” Lewinsky says in her 2015 TED Talk, which now has more than 18 million views. In recent years, the rise of Facebook and Twitter, and the potential for public shaming on the internet, motivated Lewinsky to speak up. “A marketplace has emerged where public humiliation is a commodity, and shame is an industry,” she says in the video.

Justine Sacco in 2013 became a poster child for viral Twitter shaming when minutes before boarding an 11-hour flight to South Africa, she posted a tweet (to her 170 followers) that permanently changed her life: “Going to Africa. Hope I don’t get AIDS. Just kidding. I’m white!” By the time Sacco landed, tens of thousands of people had responded to and shared her tweet. The hashtag #HasJustineLandedYet went viral around the world, with a barrage of criticism calling her racist. The moment was fuelled in part by the fact that she was airborne and would remain oblivious to the fallout until she reconnected to the internet. She also worked as a senior communications director, which created the perfect storm of irony and internet memes. Sacco was immediately fired from her job, and became the subject of endless articles and a book.

One of the overwhelming questions in all these cases, and many similar instances, is to what degree any single blunder should define a person’s reputation. And when does Twitter shaming — or any pile-on of criticism toward someone — become bullying? The pile-on effect of online shaming can actually trigger sympathy toward an offender, even when their remark or misstep was grave. The more people who participate in collective shaming, the more this shaming can start to look like bullying.

Some argue shame can be a forceful tool for change when wielded against powerful figures and institutions. But when it’s weaponized against others in shared digital spaces, these same tactics can morph into insidious behaviours, like cyber bullying or online harassment. Any reasonable person would agree that, for a politically insensitive act or tasteless joke, permanently ruining someone's life is too harsh a penalty. But these days public shaming is increasingly frequent. They've become a new kind of grisly entertainment, like a national reality show.

 

Not good for the perpetrator

Most of us are socially nice and pleasant individuals and we do not intend to harm others. Once when our surge of anger subsides and we start thinking logically, we may come to realize that on the spur of the moment we were judgemental and harsh and we could have worded our tweet/post differently. While we may feel okay with those consequences when we were red with rage, it helps to think about the harm we could actually cause once we are sober and start thinking logically. Even if the other person had a bad attitude or did something wrong, was it so bad that their children or family deserve to suffer too?

Then again, there are two sides to every story. We all have bad days and make mistakes. In the past, we did not run the risk of eternal public humiliation for the world to see via online shaming. It behooves everyone to stop and think before pushing that “submit” button, “Have I ever made a mistake at work, been in a bad mood, or said something I should not have said?” Sometimes, when we put ourselves in the other person’s shoes, we are not so quick to rush to judgment.

Whether you like it or not the things posted to the internet can last forever. Even when shamers feel remorse and try to delete a post, it is often too late. Most of today’s internet users now know how to take screenshots of posts, making the post last forever even if it is later removed. The same is even truer for viral posts. Unfortunately, we never really know just how close someone might be to the brink – and an impulsive act of online shaming could be the very thing that pushes someone over the edge. A split-second decision to post something online could lead to a lifetime of pain and regret, for both the shamer and the victim.

Lastly, there are very strict laws against cyber-bullying and if the victim or his/her family takes the legal option to fight back things may turn distinctly uncomfortable for the shamer. Victims have committed suicide and shamers have been held accountable for abetment to suicide.

 

The problem of speaking out against trolls

For better or worse, the internet and social media have significantly amplified humanity’s means of public shaming, taking victims from the town square to a global network of connected screens. When you are a solitary voice speaking against the prevailing troll and asking to know the other half of the story you risk becoming victim number 2 as you are seen condoning the perpetrator. The shamers are sitting on high pedestals and passing judgment on others as if they themselves are paragon of public virtues!

 

Good at times

It is not that there is nothing good about trolls. Twitter and social media masses often rally against racism, sexism and other behaviour rooted in bigotry. If you examine cultural movements such as #BlackLivesMatter and #MeToo, you’ll find specific offenders being shamed like Harvey Weinstein along with challenges to broader organizations, like police departments or political parties. Some research shows that collective anger can also be a unifying and effective force for systemic change. The Arab Spring movement is a perfect example. A Hyderabad activist Sunitha Krishnan kicked off the #shametherapist campaign, uploading rape videos to help identify rapists and bring them to book. In the 21st century, the rise of megacorps and powerful nations has brought in concerns around human rights, environment etc. At a global level, often there are no laws or global courts that can force megacorps or governments to remain accountable. It is here that the fear of public naming and shaming works beautifully

Online shaming can become ever-more complex when the target is the culture at large. Issues like white supremacy like Klu Klux Clan models are often related to the history of racism and slavery in the U.S. Exposing these matters and their effects can spark an array of reactions in individuals.

 

Research

UK-based Tom Ewing, content director, BrainJuicer Labs, explains that anthropologists see the world as divided into three different cultures:

  • guilt (personal morality/conscience — think the West),
  • shame (judgement of others — think the East)
  • fear (threat — authoritarian regimes like North Korea).

“So public shaming in the internet age is frightening because it takes the tool of a shame culture and is being used in guilt cultures too. And because it puts consequences in the hands of the crowd you can be shamed even if you don’t feel you’ve done anything wrong,” says Ewing. In the 21st century shaming is far more dangerous because it is easier, faster and reaches further. Anybody can join the online mob. And unlike in the past, there is no control, protocol or code of conduct to regulate behaviour. Humans are the meanest race and we derive pleasure in other’s miseries. Otherwise how brands can  constantly used shame to sell their products for smelly armpits, darker skin, stunted growth, lackluster hair?

 

The cyber-mob phenomenon won't go away soon. Human nature and psychology is at play. When they can't see their victims, people tend to be far more vicious than they would be face-to-face (the online dis-inhibition effect). And even if some people might be inclined to defend the victim or add some context, they don't, because they don't want to get in the cross fire (the bystander effect).Yet in a twisted way, there's a certain kind of hope in the increasing regularity of such public shaming. As they become commonplace, maybe they'll lose their ability to shock.

Thursday 9 February 2023

DIABETES – MYTHS AND FACTS

 



Every Indian doctor sees patients with diabetes no matter what his/her speciality and field of interest are. India is the Diabetes capital of the world with almost 76 million diabetics!  A complex set of factors contribute to the development of diabetes including genes, environment and lifestyle. Most of our patients develop the disease in their adulthood and are so patients of Adult onset Diabetes or Type II Diabetes. Type I Diabetes or Juvenile onset Diabetes is an auto-immune disease where the body starts attacking its own cells called Beta cells of pancreas which manufacture Insulin.

 

As Western diet is becoming more popular, which means more refined carbohydrates, processed foods, and trans fats more and more Indians are becoming diabetic. As the urbanization of cities continues, more people are leading less active and sedentary lives and this again increases the risk of diabetes. So, the contributors that have been linked to increases in diabetes prevalence in India are:

  • lack of education about diabetes prevention strategies
  • vegetarian food choices that are high in carbohydrates, oils, and fats
  • increased consumption of processed meats
  • low consumption of fruits, nuts, seeds, and whole grains
  • less exercise
  • more screen time
  • tobacco use
  • alcohol use
  • environmental pollution
  • high blood pressure
  • high cholesterol levels

Other risk factors for diabetes among people in India include:

  • higher rates in married and separated people compared with single people
  • having obesity
  • having a higher waist circumference
  • a family history of diabetes

People of Asian descent may also have more visceral fat, which is abdominal fat around the organs, and can increase the risk of diabetes.

 

 

While most of our patients may not be well educated but the real problem is when they are not well informed. Even educated people believe in many misleading myths surrounding diabetes. Here are 12 diabetes-related myths which I have encountered in my practice and which I am trying to debunk:

 

Myth 1: Diabetes Isn't a Serious Disease Fact: Diabetes IS a serious, chronic disease. However, its effects can be controlled if managed properly. Nevertheless, it still kills more people annually than breast cancer and AIDS combined. Two out of three people with diabetes die from heart disease or stroke.

 

Myth 2: Diabetes Is a Death Sentence Fact: This isn't true. The better diabetics take care of themselves, the longer they will live. The doctor’s recommendations with regard to diet and exercise should be followed closely, ensuring that medication is taken correctly.

 

Myth 3: You Can't Do Too Much Exercise if You Have Diabetes Fact: While it’s true that diabetics who take insulin or other medications that increase insulin production in the body have to balance exercise, insulin levels, and diet, those who are taking oral medications such as metformin and sitagliptin can exercise as much as they like.

 

Myth 4: You'll get Diabetes if you’re Overweight or Obese  Fact: While weight is a risk factor for diabetes, there are other factors at play too, such as family history. Many overweight people never develop Type 2 diabetes. There are also many Type 2 diabetics with a normal weight.

 

Sir Fredrick Banting

Myth 5: Insulin Will Do You Harm Fact: Insulin is actually a lifesaver, but what makes it challenging is that many people find it difficult to manage. Taking insulin safely requires testing blood sugar levels many times a day to avoid harmful low blood sugar reactions. I always tell my patients that Sir Fredrick Banting and Dr. Best who discovered Insulin were awarded the Nobel Prize for their feat whereas we don’t even remember the guys who invented the oral hypoglycemic drugs.

 

Myth 6: Diabetes Means You Don't Produce Enough Insulin Fact: This is true for people with type 1 diabetes – their pancreas stops producing insulin completely. Those who have the more common type of diabetes, type 2, tend to have sufficient insulin when they’re first diagnosed. The main problem type 2 diabetics have is that their insulin doesn’t cause the cells in their bodies to absorb glucose from the food they eat. Their pancreases may also stop producing enough insulin with the passage of time, which means they’ll need injections.

 

Myth 7: Diabetes Means You Have to Inject Yourself Fact: All patients dread the idea of daily injections. Injections are only applicable to diabetics who inject their medications. These days, insulin pens that don’t require injections are available. Furthermore, drawing blood to measure blood sugar is painless thanks to the latest blood sugar meters. Many new diabetes medications can also be taken orally.

 

Myth 8. Eating Too Much Sugar Causes Diabetes Fact: The only shred of truth in this myth is that recent research has indicated those who were already at risk of developing diabetes increased their risk of developing it further by drinking lots of sugared drinks. Sugar in itself, doesn’t cause diabetes, however, it does contribute to obesity, which is a major cause of the disease.

 

Myth 9: "I Know Exactly When My Blood Sugar Level Is High or Low" Fact: This one is particularly dangerous because some diabetics tend to rely on how they’re feeling as a gauge for whether their blood sugar levels are low. While certain symptoms are indicative of low blood sugar levels, they tend to become less accurate over time. The only sure-fire way of knowing whether they’re low or not is to actually check.

 

Myth 10: Diabetics Can't Eat Sweets Fact: Diabetics can eat whatever they want, as long as they pay attention to portion sizes and how often they’re eating their favorite treat. What they cannot do is eat too much of what they like. An example of this is having a squeezed rasgulla instead of a syrup laden one and a smaller piece of cake instead of the usual dessert, and not having dessert often.

 

Myth 11: Diabetes makes you more prone to Colds or Flu Fact: While diabetics are no more vulnerable to contagious illnesses than anyone else, getting flu vaccine shots is important, because diabetics are a lot more likely to suffer serious complications from the flu than those who do not have the disease. The maximum number of mortalities in the Covid pandemic was among the uncontrolled diabetes population.

 

Myth 12: Diabetics on Insulin Haven't Taken Care of Themselves Fact: During the early stages of the disease, or just after diagnosis, insulin levels can be controlled adequately through eating a healthy diet, exercising and oral medications. As the disease progresses, your pancreas may begin to produce less insulin or stop producing insulin completely, which means that you’ll require insulin injections.

 


Diabetics are expected to lead a disciplined life and need not worry at all as their life expectancy is never compromised if they remain in control. Other prevention and treatment strategies for them include:

  • diabetes screening and education
  • early diagnosis and treatment
  • adequate blood glucose control with oral medications or insulin
  • target organ survey – heart, kidney, eyes and feet
  • access to diabetes care
  • cholesterol and blood pressure control
  • foot and eye care for people with diabetes
  • screening for kidney problems and other diabetes-related conditions