The misrepresentation of evidence

About a week ago I was involved in a heated twitter debate about this blog post. I felt, as I said on twitter and in my extensive comments about the blog, that it entirely misrepresented the evidence about Adverse Childhood Experiences by implying that because of risk multipliers within particular population groups, certain negative outcomes were almost inevitable for people with multiple ACEs. The author repeatedly asks rhetorical questions like “If 1 in 5 British adults said they were abused in childhood in the last CSEW (2017), why hasn’t our population literally collapsed under the weight of suicides, chronic illness, criminality and serious mental health issues?” Likewise, she asks how anyone can be successful after childhood abuse if the ACEs research is correct. I replied to explain that this simply isn’t what the data tells us or what risk multipliers mean, so the exceptions are expected rather than proof the finding is incorrect. For example the claim that a 1222% increase in the risk of suicide amongst people with 4 or more ACEs meant these people were doomed, in reality means that the odds increase from 1 in 10,000 to 1 in 92, meaning that 91 of every 92 people with 4+ ACEs do not die by suicide.

ACEs are a very useful population screening tool, and have provided incontrovertible evidence of the links between traumatic experiences in childhood and numerous social, psychological and medical outcomes that has been highly informative for those of us designing and delivering services. To me it seems like an example of how a simple piece of research can have a massive impact in the world that benefits hundreds of thousands of people. Yet that blog repeatedly implies ACEs are a harmful methodology that “targets” individuals and to is used to “pathologise and label children, arguing that those kids with the high ACE scores are destined for doom, drugs, prison, illness and early death”. It has been my experience that ACEs are used not to pathologise individuals, but to to highlight increased vulnerability, and to identify where there might be additional need for support. For example, I have used this data to argue for better mental health services for Looked After Children.

I felt that the repeated misrepresentation of the maths involved in interpreting risk multipliers undermined the entire message of the blog, to which I was otherwise sympathetic. (For the record, it is entirely appropriate to highlight bad practice in which it seems certain professionals are applying ACE scores to individuals inappropriately, and making people feel that their life chances are restricted or their parenting under scrutiny purely because of their childhood experiences of trauma). But unfortunately the author took my polite, professional rebuttal of elements of her blog as a personal attack on her – to the extent that she misgendered and blocked me on twitter, and refused to publish my response to her comments about my reply to her on the blog. That’s a shame, as the whole scientific method rests on us publishing our findings and observations, and then learning from the respectful challenge of our ideas by others with knowledge of the topic. But I guess we are all prone to defending opinions that fit with our personal experience, even if they don’t fit with the evidence.

Thinking about how uncomfortable it felt to see someone I considered to be a peer whose expertise I respected misrepresenting the evidence and being unwilling to correct their misconceptions when challenged, but instead trying to discredit or silence those making the challenge, it struck me that this was an example that highlighted a wider issue in the state of the world at the moment. Evidence is being constantly misrepresented all around us. Whether it is the President of the USA saying there is a migrant crisis to justify a wall (or any of the 7644 other false or misleading statements he has made in office) or the claims on the infamous big red bus that Brexit would give the NHS £350 million per week, or Yakult telling us their yoghurt drink is full of “science (not magic)” now that they can’t pretend live cultures are good for digestive health. There are false claims everywhere.

I stumbled into another example just before I started writing this blog, as I (foolishly) booked accommodation again through booking.com, despite the horrible experience I had last time I tried to use them (which remains unresolved despite the assurances from senior managers that they would reimburse all of my costs). The room was terrible*.

So I felt like I should be able to reflect my negative experience in my review. But oh no, Booking.com don’t let you do that. You see, despite seeing that properties appear to have scores out of ten on every page when booking, you can’t score the property out of ten. What you can do is to determine whether you give a smiley that ranges from unhappy to happy for each of their five ratings (which don’t, of course, include quality of sleep or feeling safe). So if you think the location was convenient, the property gets a score above five out of ten, no matter what other qualities mean you would never wish to sleep there again. But worse than that, the Booking.com website forces reviewers to give a minimum length of both positive and negative comments, but only displays the positive comments to potential bookers. So my “It was in a quiet, convenient location” gets shown to clients, but you have to work out how to hover in the section that brings up the review score, then click the score to bring up the averages, then click again to access the full reviews, and then shift them from being ranked by “recommended” to showing them in date order to actually get an objective picture. Then you suddenly see that at least half the guests had terrible experiences there. However, there is no regulator to cover brokers, and fire regulations and legal protections haven’t caught up with private residences being divided up and let out as pseudo-hotel rooms.

But just as Boris has faced no consequences for his bus claims (even though he stretched them further still after the ONS said he had misrepresented the truth), and Trump no consequences for his lies, and the consultants selling contracts worth hundreds of thousands of pounds of public funds to children’s social care departments proudly told me they didn’t care about evidencing their claims, so the world carries on with little more than a tut of disapproval towards people and businesses who intentionally mislead others. Maybe I’m in the minority to even care. But I do care. I feel like it is the responsibility of intelligent people and critical thinkers, people in positions of power, in the professions and particularly in the sciences, to ensure that we are genuinely led by the evidence, even if that makes the picture more complicated, or doesn’t confirm our pre-existing beliefs. To counteract this age of misinformation, we all need to be willing to play our part. That is why I have always placed such a focus on evaluations and research, and have developed my screening tools so slowly and thoroughly, despite the fact that potential customers probably don’t see this as necessary. I believe that as much as possible, we should be promoting the value of evidence, educating the public (including children) to be able to think critically and evaluate the evidence for claims, and stepping up to challenge misleading claims when we see them.

*I booked a room in a property in London which they have euphemistically called “Chancery Hub Rooms” to stay over whilst I delivered some training in Holburn. It wasn’t a hostel or a hotel, but just a small terraced house. This time it had keypad entry to the property and to the individual room, which is a system that I have used successfully several times in Cambridge. Unfortunately it didn’t work so well in London, as they changed the codes twice without informing me. Once this resulted in locking me out of the room on the night of my arrival (and meaning that the beeping on the door as I tried the various codes they sent me woke the lady in the neighbouring room, due to the total lack of sound insulation in the property) and then by locking me out of the property the following evening, when all my stuff was locked inside. It also had glass inserts above the room doors that meant your room lit up like Times Square when anyone turned the landing light on. I then discovered that the building (which I already recognised to be small, overcrowded and not complying with fire regulations) had walls like cardboard, when the couple in the next room had noisy sex, followed by noisy conversation and then a full blown argument that lasted from 3am to 4am – despite me eventually in desperation asking them quite loudly whether they could possibly save it for a time that wasn’t keeping everyone else in the building awake. Of course Booking.com didn’t see it as their problem, and the property management company just blamed the other guests for being inconsiderate.

Unwanted approaches: An example of everyday sexism in my social network

I was having a conversation with a man on social media the other day, when he said to me that women “don’t really experience unwanted approaches on the street”, and that if they do they are “mainly lighthearted and easily deterred”. He didn’t believe me when I said that for almost every woman, unwanted approaches are a common experience, not just in social settings like pubs and clubs, or even in the evening, but when going about our normal business in the daytime, like walking to the shop, catching a bus or train, in our workplace or educational establishment. I said I thought most women would be able to recall a recent unwanted approach, and an example in which the man became antagonistic when he was ignored or rebuffed. He was incredulous and felt this was an exceptionally rare event.

So I asked my network on twitter whether any women aged between 18 and 40 would answer a few quick questions on the topic. I phrased the questions as neutrally as possible:

  • Can you think of a time that a male stranger whistled at you, commented on your appearance or made another form of unsolicited approach to you in public?

  • If so, how long ago was this?
  • How did you respond?
  • What was the man’s reaction to your response?
  • How often have you experienced a negative response to rejecting or ignoring unwanted approaches or comments from strangers?

  • If you want to make any more comments, or state your age, or tells us any more about the situation feel free to do so here.

It wasn’t a research study, and I had been explicit about the topic when asking the question amongst my network, but none-the-less I felt that it might bring up some negative memories for people, so I tried to signpost people what to do with that at the end.

  • If this survey has brought up any bad feelings or memories, please seek appropriate support from your friends, family, GP or a listening and advice service such as supportline (who can be contacted by phone on 01708 765200 or by email at info@supportline.org.uk)

Before you read the results, if you want to add your responses to my survey, feel free: https://www.surveymonkey.co.uk/r/VWLKQS5

So, what were the responses?

To date I have received 97 responses from women aged 22 to 37, and the results were depressing if not surprising.

Fewer than 4% of respondents said they couldn’t immediately recall an example of an unwanted approach in public from a male stranger. 79% of the women said that they have experienced “numerous” examples of unwanted approaches, most of them overtly sexual.

Screen Shot 2017-03-14 at 22.27.21More than 42% can recall examples within the last month, and 72% within the last year.screen-shot-2017-03-04-at-01-11-3580% ignored the approach, 19% gave some kind of negative response. screen-shot-2017-03-04-at-01-11-49But here is the key part – whilst 59% of the time the guy then backed off and 10% of the time he was friendly or accepted the person was not interested, more than 31% of the time he was “negative, unpleasant or threatening”. screen-shot-2017-03-04-at-01-11-57Only 13% of women surveyed couldn’t remember a getting a negative response from a man after being ignored or told they were not interested. More than 50% had experienced negative, aggressive or unpleasant responses on several occasions with 9.5% of women saying this happened to them “often”.

Screen Shot 2017-03-14 at 22.31.53

Thirty six women gave examples of unpleasant responses they could remember from the past year. These included:

“When you ignore them, they’ll usually say something about the fact you’re ignoring them e.g. call you stuck up”
“Shouted something along the lines of me being miserable because I didn’t respond”.
Typical responses are along the lines of “fuck off then”, “stuck up bitch”, “you think you’re too nice” or “you’re not that nice anyway”
“When I ignored him he grabbed my arm and pulled me towards him.”
“Called me a whore”
“It was along time ago but I remember being called a stuck up bitch but then nothing else”
“In groups, men will continue to shout and on occasion follow me down the street.”
“Started swearing at me, said I was ugly anyway”
[in relation to men offering money for sex from their car] “when i ignored them they shouted that i was a stuck up rich bitch”.
“I was followed home by a man who started walking beside me. I stated he was making me uncomfortable and that he should leave me alone. He wouldn’t leave stating that he just “wanted a hug”. When i refused he became quite hostile and his body language was aggressive but he eventually left.”
[when I told him to go away] “he got very up close to my face and then finally left”

“Continually returned to talk to me, vaguely threatening, called me a lesbian”.

“Laughed in response to my negative reaction, saying that what he had done (touched my bottom) was what men do in his country (Ireland)”

“He scowled and they walked off without further comment”.

“Verbally abused and insulted. Groped.”

[Told me] “You’ve got a black heart” comments that I’m a “snob” or “stuck up”

“He kept trying to talk to me and come into my personal space (within arms length), even after I explicitly told him several times that I didn’t want to talk to him and that I just wanted to go home so please leave me alone, and physically backed away from him several times.”

“Yesterday walking home from work, when I ignored his first calls and whistles, he continued and followed behind a safe distance [I kept walking past my home] until he got bored of no response”.

“Yelled who do you think you are etc, then made negative comments about my physical appearance”

[I ignore them now] “In the past when I’ve said something back [the response has been negative] examples have included laughing at me”.

“He swore at me and said something aggressive”

“Derogatory comments”

“More comments about being rude or stuck up. Its just a joke. Even more comments”

“Male strangers often act offended or aggrieved if you do not react the way they would like you to. You are told that you are uptight/rude etc”

“Usually it’s mocking behaviour. Worse if they have been drinking alcohol”

“swearing, name calling- normally whenever I don’t just choose to ignore the behaviour”

“sometimes they might make themselves as big as possible (as if reminding you they can physically over power you), some might follow for a bit”

“Being touched anyway (occasionally), verbal abuse (occasionally), more generally just a refusal to go away meaning that I have to continue to deal with them.”

“when I said I had a boyfriend, he aggressively said I shouldn’t have wasted his time”

“when asking men to let go of my arm/ stop pulling me towards them in a night club or bar, the most common response is for them to laugh. Very often (about) 1-2 times a month): men instruct me to “smile” or “cheer up” when seeing me in the street. If I meet this instruction with a negative reaction, almost always the man tells me to lighten up or not be so serious (or something to that effect) as he was just being friendly (as though attempting to make me feel guilty about my response)”

“People being rude swearing, trying to touch you or calling you arrogant.”

“Being told I was a bitch, ugly, or worse (if I ignored them); being told to shut up or receiving more sexualised comments (if I confronted them).”

“start laughing at me”

“He carried on as before with the harassment”

“Called me something along the lines of an uptight bitch.”

“They have commented negatively or have laughed when I have ignored them or told them to leave me alone.”

“Insisting, pushing, coming in my personal space. Not often, but particularly when the man was drunk.”

“You’re ugly anyway, are you a lesbian, why are all women so up themselves I could go on…”

“It was along time ago but I remember being called a stuck up bitch but then nothing else”

“They’ve insulted me if I’ve ignored them or asked them to go away, usually the insult is about my appearance”

“I’ve been called a ‘fat slut’ when rejecting an advance, as well as ‘stuck up bitch’.”

“You must be f**king up yourself to turn this down!”

Sometimes misogynistic comments were coupled with racist ones:

A guy once asked for my number, when I said “sorry, I have a boyfriend” he proceeded to call me a nigger…which was particularly interesting considering he had JUST asked for my number but as I declined he quickly decided that actually my black self isn’t worthy… I still think about this often and as you can imagine it infuriated me and still does.

Remember, the majority of these incidents took place in the street or on public transport during the day, rather than during nights out socialising in pubs and clubs.

Other respondents recalled annoying but not as aggressive things like:

“A guy continuing to ask/plead to come into my home after I’d repeatedly, politely said no”
“Grinning and doing it again”
“He kept going with the analysis of my facial expressions until I left, and suggested that I get some more rest as I looked tired.”
“There was some kinda of “aw why not, love” type response”
Recoil/shocked [that I’d respond negatively]
“All right love I’m only joking, whatever.”
“Generally they look pissed off and then walk away”
“He moved on to another woman on the bus”
“It was a group in a car, they laughed and drive off”
Often males getting defensive or annoyed that I do not appreciate their approach.

Some gave specific examples or reflections:

I would estimate that I experience negative responses after ignoring unwanted approaches around 20% of the time. This can range from a particularly intense stare, the person making a clearly audible comment about me (but not directly to me), or being told directly that I’m ‘stuck up’, a ‘bitch’ or them retracting their ‘compliment’ to then tell me I am in fact ‘ugly’.
[I remember a] Group of teenagers (mostly male) blocking my path in park on way home. Several leered, one asked if he could “lick my pussy”. I blamed myself for walking that way at night and never repeated the journey.
I remember I was in a packed pub at age 22 said excuse me and went to make my way past a group of men. One rubbed his erect penis against me (through jeans) as I squeezed past.
I was wolf whistled at by a van driver last week then shouted abuse because I didn’t respond. My mother told me I should be flattered by the wolf whistling.
I remember a bad experience for me once when I was at college. I walked up the stairs at the train station and there was a group of lads from the college who were training to be footballers running down the stairs and one of them slapped my bum really hard on the way down. That was humiliating.
I’m 29, I feel that this kind of experience and way of approaching and interacting with women, viewing them as objects has been the norm and socially acceptable. It was only when I met my bf (now hubby) at 24 that I understood what acceptable behaviour (inc sexual) was and realised I’d been sexually assaulted by my previous 2 partners.
I was sitting on a train station bench, drinking from a straw, and three male passers-by asked me to give them a blow job. At first I ignored them, but they kept hassling me, and one said, “We’ll pay.” They were very persistent and only stopped to get on their train.
I get unwanted attention from men almost every day – it’s animalistic.
I am 24 and have experienced the above for several years. I can recall it happening since my early teens.

So that’s the reality of what women experience, and is probably familiar to most women reading this. Worse still it is normalised by the most powerful man in the world, who has attempted to brush off and justify repeated examples of sexual assault, walking in on women whilst they are changing, sexually harassing employees and those he deals with in business, and criticising the appearance of fellow politicians. He has even attempted to excuse “locker room talk” about women, such as discussing teenage girls and his own daughters in sexual terms and normalising sexual assault on women by saying that he can “grab them by the pussy”. We are in dark times indeed. A Polish MEP felt emboldened enough to say in a debate about the gender pay gap today that women deserve to earn less because they are smaller, weaker and less intelligent than men.

Most of the men I know are feminists and would be appalled to read the results of this survey, let alone by what the neanderthal MEP said. In the general population however, there is probably more diversity. I think some men are aware of the issue, but others are probably not. So feel free to share the evidence of what is happening, in 2017, to ordinary women going about their business in the daytime.

Of course many other groups experience harassment, and in some cases this is much worse than that women experience. For example, I am sure that the recent spike in xenophobia means that many people of colour, or whose religion is apparent from their dress or appearance are on the receiving end of much more aggressive and intrusive unwanted approaches, as the videos from public transport that have been shared on youtube over the last few months demonstrate. I am sure that gay people receive both harassment and unwanted sexual approaches, and I know that trans people are disproportionately targeted for harassment and sexual assault (in fact, I recently read figures that suggest that half to two thirds of transgender individuals have experienced a sexual assault). I am not saying that there are not some examples of men being targeted for unwanted sexual approaches by women. There are multiple factors which intersect, and multiple reasons for individuals being vulnerable to be targeted in this way. However, I simply surveyed the example with which I am most familiar and the example that was the topic of my conversation.

The incidence of sex crimes and is an embarrassment that we need to address, and too often blamed on the victim. We all need to be responsible for our own behaviour, and for gaining consent before we touch anybody else or engage anyone in any sexual activity – that is so basic that I shouldn’t even need to spell it out, and it should be taught to every primary school child as part of PSHE. No harassment is acceptable, and unsolicited sexual approaches to strangers in public outside of the context of a social setting should really be a thing of the past, no matter who they target.

Note: Minor edits to quotations have been made for clarity and anonymity, but never to change the nature or severity of the incident.

Why and what next?

Let me nail my colours to the mast. On balance, I am in favour of remaining in the EU, and in the USA I’d have voted for Hillary Clinton. I can see some problems with each of these positions, but I can see many many more problems with the option that has actually been chosen. In each case my pros and cons list strongly favoured the progressive choice, because of the potential negative consequences of the other option. But I was in the minority in both cases, and so were half of the electorate (maybe more in the case of Clinton). So rather than just be fed up about that, I want to understand it.

When it comes to Brexit I think it is wrong for the UK to leave the EU for a number of reasons. The unity of many nations ensures that we all maintain basic human rights and the fair rule of law. It prevents the rise of extremists and reduces the risk of international conflict. It was a large single market, and am important strategic alliance. I believe that calling the referendum was a foolish whim from a complacent leader who was too cowardly to face the consequences of his actions. It was supported by xenophobic self-serving politicians and by far-too-influential media moguls with a right wing agenda. I think it has been divisive and stoked xenophobia, as well as causing enormous economic fallout. However, I’m not saying that the EU doesn’t have excessive bureaucracy, or that it hasn’t been excessively harsh on southern European nations like Greece, Portugal and Italy, or that it doesn’t enshrine market capitalism in doctrine.

Likewise I think Donald Trump is a repugnant man whose attitudes to women and minorities are repulsive. He is a sex pest and a tax avoider. His business practices are dishonest, he is a blatant liar and his much touted business acumen is such that he would be three times as rich if he’d just stuck his inheritance into index funds. I find his racist rhetoric abhorrent, and I think he will foster international conflict and unhealthy alliances. So I could never vote for him, and would have voted strategically to avoid him reaching power. However, in choosing Clinton as the lesser of two evils I’m not saying that she doesn’t have vested interests, didn’t support arms sales to the middle east, isn’t associated with numerous scandals or wasn’t stupid to use a private server for her email. In fact I think Obama was right to sum her up in 2008 as someone who would “say anything and change nothing”. If she was running against a more palatable candidate who genuinely supported progressive ideals, I’d be advocating against her. I’m just saying that the idea that Trump could be president was even worse.

In both cases, it was a two horse race, and although I didn’t love either option I felt that one was clearly preferable to the other. That says something about modern politics – that we are voting for the least terrible option, rather than in favour of something we truly believe in. And I want to think a little more about why this is the case. I also want to think a little bit more here about why the results in both these votes went against the polls and against the incumbent business-as-usual candidate, and why the results have been so divisive and triggered such hateful behaviour from segments of the population.

So why did people vote for Brexit and for Trump? It seems that a number of factors contributed. Firstly there were demographic factors – these regressive options particularly appealed to white men and their wives, in areas that have been hit by economic recession. They tapped into a sense that the world is changing and they are being left behind. There was also a real desire for change, not just more of the same select few in the top one percent making all the decisions. The less people feel they have to lose, the more they are willing to gamble that any form of change will be an improvement. Trump carefully marketed himself as an outsider and a voice for change, but that is a carefully designed misrepresentation. It is also contradictory to his simultaneous positioning of himself as a tax-evader and shrewd businessman who is successful and super rich. In reality his businesses face a constant stream of lawsuits for not honouring contracts or dealing with people fairly and it is clear he is out for nobody’s interests but his own. He also has vested interests and hidden agendas all over the place, but this is something we now take as a given for politicians. So how can he connect with the man on the street more than other politicians? The answer seems to be by bucking convention, appealing to the desire for change and speaking in much more simple terms, as well as appealing to fear and self-preservation (some of which sadly overlapped with racism, sexism and homophobia).

Being wealthy and embedded in the establishment is something that also describes the majority of British politicians. Nigel Farage, for example, similarly markets himself as an everyman who always has a pint in his hand, but in reality is a privately educated millionaire ex-banker who claims every EU allowance possible for himself and his German wife, who he employs as his secretary. Cameron led a cabinet of millionaires, and May is herself a millionaire with a network of wealthy donors and has placed even richer men like Philip Hammond and Boris Johnson into her cabinet whilst claiming she will build a fairer Britain that “works for everyone”. They have no idea about the experiences of people who survive on minimum wages or benefits, but they have learnt to talk as if they care, whilst their actions clearly indicate the opposite. And so we have reached a position that everyone in politics is saying much the same things, and nobody appears to be sincere.

One of the big issues of the reaction to the American presidential election result, and to Brexit, is in how we think of ourselves and our fellow voters. It is all too easy to make sweeping brushstrokes about ignorant, selfish, racists. But I’m not convinced that there is as much difference between us as these dichotomous choices imply. Whilst there are some vocal and visible extremists who identify as Brexiteers or Trump supporters, the message clearly resonated with a lot of people in the middle ground who don’t identify with the racist or sexist undertones, but also don’t identify with the current power structure. I suspect a lot of people are fed up with the status quo, and feeling disenfranchised by the current political system. And maybe that has motivated a lot of people to vote for candidates who seem to be anti-establishment, straight-talking and authentic. This Jonathan Pie sketch, which is full of swearing and therefore NSFW, is worth watching.

I can’t say that a desire for change and for authenticity over spin is a bad thing. In fact having sincere politicians who mean what they say and are not motivated by self-interest or masking their true agenda is something that has been sorely lacking in the political arena over the last decade. Likewise a willingness to explore more radical change is something that I would want myself and a lot of more progressive people would support. But in the absence of such messages from the left and centre of the political spectrum, it has instead been harnessed by questionable individuals and causes. And voters have been sufficiently enticed by this message that they have been willing to disregard all of the bile it comes packaged with, a task made easier because it is addressed to groups outside of the main voting demographic. In response the progressive candidate is left to defend these minorities, and ends up looking like they care little for the main group. The regressive candidates and policies make more headlines, perhaps because of bias in the media and lies that have not been sufficiently challenged. Other parties and messages appear reactive, and end up fuelling that discussion rather than presenting their own position.

The more progressive candidates and causes need to work out how to tap into that feeling of disconnection with the establishment and the increasing desire for radical change. If they can do so with policies that will genuinely benefit those who are being left behind in the current austerity politics then they can avert the swing to the right. That will take the right mixture of passion and authenticity, a willingness to be plain spoken about who is to blame for problems, and a push for greater accountability for political claims.

So where now? First, I think we need to learn from our mistakes and not be complacent that progressive politics are now the default position. We need a return to politicians that mean what they say, and speak with authenticity and passion. We need people who get fired up about the issues and speak from the heart, rather than with spin and polish that hide vested interests.

Second, we need to explain that the same few people have all the power and are increasingly gathering the wealth away from everyone else, and to show the economic value of being kind to the more vulnerable sectors of the population. We need to demonstrate that the threat comes from above (the rich and powerful people who control the media and the corporate and private interests that have powerful lobbies that manipulate our political system) not below (immigrants, benefit claimants, people in minority groups). We need to name the organisations and individuals who are spreading hate and cheating the man on the street by avoiding paying their fair share of tax, and turn the rhetoric of blame to more appropriate targets.

Third, we need to show that the system is rigged to support the establishment, and needs to be overhauled. That may mean setting fair boundaries and catchments to prevent gerrymandering, preventing conflicts of interest and restricting lobbying, looking at the terms and roles for nominated unelected officials (eg striking out members of the house of Lords that are not actively involved in political debate) and/or changing the first-past-the-post system.

Fourth, we must hold people and organisations to account for their lies and false claims. We must give consequences for propaganda, misinformation and promises that are not fulfilled. We need to hold politicians to account for the claims that they make, and ensure that they cannot benefit from lies and deception.

Fifth, we must do much more work to engage those who are feeling disenfranchised, rather than excluding them because they have turned their resentment to the wrong place and are being selfish/xenophobic etc. We need to explain the issues, using short clear soundbites rather than long intellectual explanations whenever possible, so that these can be accessible to a wide audience and shared over social media. We need to be down to earth and not make assumptions about underlying knowledge or values. We need to understand that many people are feeling excluded and shamed for not sharing progressive values, and reach out to them starting with empathy for their current situation, their hopes and fears.

But finally, and most importantly, we need to continue to educate our children to be better than the generations that came before them. We can teach kids to care about each other, the environment and social issues and to not discriminate by gender, race, sexuality etc. We need to help them to become critical thinkers who can evaluate what people say and don’t just accept a lie as the truth. Then over time, the population will change, and progress will continue beyond what seems possible in the present.

I can see that right now it seems overwhelmingly sad and frustrating and many people don’t know what to do with those feelings. This negative focus and tendency to turn towards anger and fear is not surprising. We are sensitive to threat, and fear impedes our ability to use empathy and rational analysis. Our brains are programmed to look at immediate risk and the local picture. We are sensitive to potential threats and we easily catastrophise and generate worst case scenarios. We find it hard to conceptualise the bigger picture as this involves timescales outside our own lifetimes, and populations we have never met and can hardly imagine. But my real hope is in the inexorable march towards progress that is happening over the last century around the world. So whilst we seem to have taken a depressing step backwards it is good to remember that progress is often two steps forward one step back.

There has always been a pattern of economic booms and busts, political cycles including changes that seem awful, and international conflicts that kill hundreds of thousands and displace millions. When we focus on these negatives, it feels pessimistic and makes us worry it is all downhill from here. Like a panic attack, we see worst case scenarios and look for escape, rather than realising we can work through it. But over human history we have rebounded from all of these things before, and the same problems have been around before only bigger. For all his hateful rhetoric, Trump isn’t Hitler. Although he is set to enact policies that are homophobic and xenophobic, he has already backed away from some of his more extreme claims, and even in a worst case scenario he won’t kill millions of people. And like with May as Prime Minister here, things will continue much like normal for most people. I’m not dismissing the horrible impact of the rise in prejudice against various minority groups, or the risk of repealing some rights, but in the bigger picture they are temporary and against the overall direction of travel.

When we look at the wider view, the future seems much more optimistic. Science continues to make new discoveries that enhance our health, reduce energy consumption, deal with environmental issues and better understand our place in the universe. Technology and access to information and media are allowing people all round the world to access information and different perspectives. Life expectancy has increased remarkably (even in the face of increasing obesity bringing a rise in diabetes and heart disease, and austerity politics increasing mental health problems and suicides). Smoking is declining. Cancer treatment is more effective. Deaths from road traffic accidents are steadily falling. Even HIV is now treatable and prophylactic medication is available. Despite the constant headlines that make us feel otherwise, deaths from homicides have fallen over time in Europe and wavered and then fallen in the USA. Deaths from wars have massively decreased over time, and even the horrible events in Syria, Afghanistan and Iraq are of a smaller scale than previous international conflicts. More and more nations have democracy, women’s rights, gay rights, access to justice and protection of human rights. I believe that the future for humanity is one of steady progress with temporary set-backs. And we should never forget that from enough distance we are just a pale blue dot.

Exploiting the ignorant: From quack cures to the rise of Trump

I was reading today about a man called Braco (pronounced Bratzoh) who is the centre of a personality cult that believes his “gaze” (looking out into a crowd and not speaking for 5-7 minutes) can heal health problems and have a positive impact on people’s lives and the lives of their loved ones. He does free online gaze sessions, and cheap or free local events all around the world in order to market books, DVDs and items of jewellery containing his golden “sun symbol” (many for $500+ each). I see nothing more than a man who learnt how profitable it was to be a fake healer from a mentor in a similar line of work, and took on his audience and methodologies (but without the stress of having to give any advice, or the risks of making any claims about himself that could be proven false).

Yet, nonetheless he has a plentiful audience of believers. People claim remarkably diverse experiences and attribute all kinds of random positive events in their lives to his gaze. One contributor believes that Braco cured the hearing loss of a newborn whose parent and grandparents went and gazed (and bought the $500+ trinket). Unknown to them, 13% of children identified with newborn hearing loss spontaneously recover, without any superstitious interventions. It reminds me of Tim Minchin’s fantastic song Thank You God [link contains swearing] that describes alternative explanations for a “miracle” in which a lady’s cataracts are “cured by prayer”. These include spontaneous remission, misdiagnosis, a record-keeping glitch, a lie or misunderstanding. He mentions the power of confirmation bias, groupthink, and simplistic ideas of causality based on temporal correlation (as was the case with autism and MMR). On the internet there is also the significant possibility that the review is fabricated.

The same story repeats all over the world. People are paying something for nothing more than woo in numerous seances, palm readings, psychics, mediums, crystal therapies, quack nutritionists, chiropractors, reiki, all energy therapies, coffee enemas, homeopathy, reflexology, magical weight loss products, Bach flower remedies, most vitamin supplements, magnetic items making health claims and anything that promises to “detox”. In fact, any one of us could invent our own snake-oil or novel form of quackery. And then we could invent some titles and qualifications and go on TV as an “expert” to promote them. The trade is worth in excess of £500 million per year in the UK alone. Quackwatch is a good reference point – I check doubtful health claims there, just as I check doubtful internet stories on Snopes.

We are 250 years past the enlightenment in which the ideas of reason and science supposedly gained supremacy over superstition and liberty progress and tolerance gained traction over dogma. Yet here we are in so many ways believing in magic and witch hunts. The public doesn’t understand science, is wedded to superstition, or simply has overwhelming credulity and a lack of critical thinking. This is the same culture that created plausibility for Andrew Wakefield’s weird “measles immunisation” recipe that contained his own blood and goat colostrum and that pushed an appropriately skeptical professor of complimentary and alternative medicine into early retirement because he wouldn’t endorse homeopathy and reflexology on the NHS.

No wonder in the Brexit campaign and in Trump’s electoral campaign there has been such wide deviation from the facts. The public have been told to disregard experts and go with their gut feelings, or with the guy who they could imagine meeting in the pub. That is a very poor way to judge the evidence base, and (as we have discovered with Brexit) a very easy way to be sold a pup. I can’t understand why it is not a crime, or even a disgrace, to lie to the public. Why were there not enquiries and reprimands for people who knowingly lied about the £350 million pounds a week extra that was supposed to go to the NHS if we left Europe? The answer is because we have better protections against a drink being sold with false weight loss claims than we do over vote-changing political claims.

It is interesting to explore why people don’t trust experts, and here it seems that there are a few dimensions that are important. Knowledge is only trusted if it is coupled with a perception of benevolence, and presented in words that people understand and don’t feel patronised by. It is all too easy for people with expertise to use jargon or technical terminology that makes sense in their field, for readers of the journals they publish in or in conversation with their peers, but that makes the content inaccessible to lay people, who then think of the expert as being part of an intellectual elite who are sneering down at them from a position of superiority.

And some people seem to deliberately manipulate any show of expertise to make it seem that particular commentators are not connected with the experience of ‘the man on the street’. Michael Gove (linked above) was probably the pinnacle of this, but Trump also directly appeals to this distrust of experts, and seems to bank on his audience not caring about his content being proved to be factually incorrect later down the line. Tim Minchin captured my feelings and frustrations about this rising anti-intellectualism (and Brexit and even Donald Trump in passing) here [contains swearing, I’d recommend watching from 24 to 35 mins in].

But it is becoming more and more common. I was listening to the radio earlier this week and flicked over from Radio 4 to Radio 2 to hear the host Vanessa Feltz tell a labour party spokesman that the word “narrative” when used in context, with four repetitions of the word “story”, was jargon that was beyond her and her listeners and proudly proclaimed that it was similar to the teaching that went over her head at university (listen at 15:00 for just over a minute). She seemed to want him to pitch his vocabulary lower, whilst showing her own insecurity about wanting to be clever by using the word “elucidate” herself in her instruction to him to do so! It was particularly notable in contrast to Radio 4, where the words that she criticised, such as “managerial”, “technocratic” and “narrative” would not stand out in the discussion or require definition. Maybe it is just a mark of my age and changing listening preferences, but I would always prefer to have conversation pitched at the level that I learn from, than patronisingly dumbed down.

It is also a reminder that, despite a natural tendency to consider ourselves pretty much average at everything, very often we fail to recognise our own levels of skew within the population. My politics are left of average, my income and intellect above average, just as my physical fitness is below average. But this deviation from the norm does not stand out to me as I have sought out a peer group of other professional, intellectual lefties. In my peer group, the remain preference was so strong that the vote to leave the EU was quite a shock!

Similarly, despite having written a book to try to make the scientific knowledge around attachment and developmental trauma accessible to care givers and professionals from other fields, and working hard to make psychological knowledge available through this blog and various forum posts, not everyone finds my writing accessible. For every ten positive views of the book there is one person who feels I pitched it too high. I’m sure I’m as guilty as the next person of knowing the meaning I intend to convey, and therefore not always recognising when I have not communicated this effectively. So please do point it out to me!