We'll be hearing from @kgelber next on hate speech and its consequences. A problem she says is increasing in prominence and scope #RANZCP2021
Gelber talks about the mainstreaming in modern politics of hate speech and its threat to democracy #RANZCP2021. Political leaders including Trump engaging directly in these discourses. Australia not immune. Scale of problem is huge
Hate or the presence of hate or dislike is not the key determinant of hate speech - discrimination is, says @kgelber. Hate speech is an act of discrimination that you carry out with your words. Doesn't have to be vituperative or epithet-laden #RANZCP2021
Important here says @kgelber is that hate speech is rooted in the experience of the recipient. It is not an objective assessment - if someone receives something as hate speech it is hate speech #RANZCP2021
We can do things with our words. Words can enact harm causally - leading to an act of discrimination, fear, loss of liberty, violence. We see this in Gaza, the dehumanisation of Palestinians says @kgelber#RANZCP2021
Words can also harm constitutively, more subtle but can harm just by being said. Not just having your feelings hurt, but an act of discrimination in and of itself in context of stigmatised populations says @kgelber#RANZCP2021
@kgelber on empirical evidence of hate speech harms. 100% reported being targeted or knowing someone who had. Doesn't matter if they are directly targeted, they experience it the same. At school, uni, sports, supermarkets, at work, at home via phone & internet #RANZCP2021
Scares & disempowers, says @KGelber. Parallels w women experiencing violence. Laws are toothless, do not address all the offenders - the media perpetrates these tropes without remedy. Leads to withdrawal. Long, slow cumulative effect on ability to express & be heard #RANZCP2021
Hate speech leads to exclusion and a loss of core liberties says @KGelber. Can be debilitating in the same way as agoraphobia. Media has a huge role, planting seeds, fueling stereotypes. The psychological sequelae are obvious #RANZCP2021
Hate speech is experienced as a violation of human rights, & is a trap for those who experience it - they cannot respond without consequences; repressing it also has consequences, in the home, for families. Alienates people from their culture, language, says @kgelber#RANZCP2021
These are non-trivial harms, these are really significant harms experienced by the targets of hate speech says @KGelber. Normalises and drives discrimination, subordination, silencing, victimisation, restricting freedom & harming dignity. These are difficult to shake #RANZCP2021
Hate speech harms individuals and communities but there are also broader harms - it harms our democracy, prevents participation of whole groups. It resets the implied rules by which public discourse happens - the more there is hate speech, the more it is accepted #RANZCP2021
Gelber says public norms, what is acceptable to say, have been markedly eroded in the past 5 years - but this shows we can also reset them in the other direction #RANZCP2021
How do we tackle the idea that hate speech does not equal having your feelings hurt? Gelber says it is important to focus on the harms and on the notion of discrimination/legally protected groups. Threshold of incitement of hatred, serious contempt or ridicule #RANZCP2021
Question on trans rights and LGBTQI discrimination. Gelber says lots of research on this. Misgendering is existentially felt pain and discrimination, increasingly accepted as a form of hate speech, part of a global movement to denigrate and degrade #RANZCP2021
Effect of hate speech by politicians as social role models? Gelber says free speech is a fundamental human right and carries the responsibility not to harm others - more powerful your voice the heavier this burden is. Unfortunately very significant number eschew this #RANZCP2021
Politicians prioritise short term electoral gain, says Gelber. Many have decided that hate speech is acceptable because it gives them good electoral fortunes, to the detriment of our public discourse. Costs disproportionately borne by minorities #RANZCP2021
How do we counter hate speech without fueling it further? Gelber says social platforms have a huge responsibility here, business model premised on clickbait - content likely to arouse negative emotions. Increasingly legal regulation has a role. Statutory duty of care #RANZCP2021
As individuals we have to start at the ground level. Humanising targets. When somebody tells a joke, speaking up against it. Gently, carefully, in a way not putting yourself at risk. Organisations, institutions must advocate. Target advertisers #RANZCP2021
What role does govt have w pro-social campaigns? Gelber says speech-based counter-remedies are really important. Campaigns matter. Reminder of what the agreed standards of community conduct are. Education matters #RANZCP2021
Social media & incitement of hate speech - greater scope for targets to feel repercussions. Anonymity, speed. No doubt whatsoever that online environment facilitates, allows networks and communities to form, echo chambers says Gelber #RANZCP2021
While platforms are nominally taking action to moderate hate speech one of the main problems is it is driven by algorithms, overlooks local context which is 100% of whether something is hate speech. Algorithms doomed to fail, says Gelber #RANZCP2021
Facebook has just 30,000 moderators globally, using a manual to adjudicate. Only way this problem can be addressed is to break down into locally responsive entities says Gelber #RANZCP2021
What about hate speech directed against mental health consumers, esp by other health professionals? Gelber says it's a very significant problem. Destigmatisation matters #RANZCP2021
Greatly looking forward to the next two sessions at #RANZCP2021 on Maori and Aboriginal and Torres Strait Islander mental health, feat Helen Milroy (WA Australian of the Year and Australia's first-ever Indigenous MD), Allister Bush, Mark Lawrence & Wiremu NiaNia
First up Palyku woman Helen Milroy, paying respects to elders. Will be speaking about complexities in Aboriginal MH #RANZCP2021
How do cultural perspectives cross over with illness experiences? Milroy sharing some examples #RANZCP2021
Our first keynote at #RANZCP2021 today will be from Carole Warshaw, director of the US National Center on Domestic Violence, Trauma & Mental Health
Warshaw talking emergence of trauma theory and how powerful it was for survivors - DV not a psychiatric condition but has many MH and substance use related effects. Reframing #RANZCP2021
Coercive control at the heart of DV, physical violence may be a threat to enforce but not always most prominent aspect, says Warshaw. Like being in a hostage situation, aided and abetted by systems - legal, migration and medical #RANZCP2021
Final session today is on the interplay of DV, substance use, trauma & MH. Chaired by @DrWilliams, with @ManjulaOConnor, Sathya Rao & Carole Warshaw; @croakeynews is at the veterans and first responders MH stream #RANZCP2021
First up is @ManjulaOConnor, on gender, social power & restrictive norms, leading to disparities and inequities #RANZCP2021
Gender is a system defining men and women in opposition and distributing power accordingly, privileging masculinity says O'Connor #RANZCP2021
This afternoon I will be tweeting from #RANZCP2021 sessions on mental health workforce, and DV, trauma & substance use. John Allan getting us underway now. @croakeynews will be covering sessions on ADHD, and the MH of veterans and first responders
The psychiatry workforce is ageing, and about 50:50 public vs private says Allan. Stressors include too much work to do with not enough time to do it #ranzcp2021
Just 6 psychiatrists in Australia service very remote regions. SIX! Versus 2,671 in the cities. Significant rural maldistribution #RANZCP2021
Back on deck at #RANZCP2021, tweeting from a session on the @ozprodcom inquiry into mental health. Discussions chaired by Harvey Whiteford from @QCMHR, who was associate commissioner. @CroakeyNews will be covering the session on aged care
Intros to Whiteford. First psychiatrist ever appointed to the @WorldBank, first advisory psychiatrist to the federal government. Will be talking to us about the @ozprodcom inquiry and last week's federal budget #RANZCP2021
Inquiry spanned 18 months from Oct 2018 to June last year, with report released in Nov. Was the biggest @ozprodcom inquiry ever, 1300 submissions from a spectrum of stakeholders, says Whiteford #RANZCP2021