Friday, May 22, 2020

Френк Фуреди: КУЛТУРА НА СТРАВ


RISK TAKING AND THE MORALITY OF LOW EXPECTATION

Preface

A day after the destruction of the World trade Center, a commentator predicted in the Los Angeles Times that the ‘next big thing’ would not be ‘some new technological innovation or medical breakthrough’ but ‘is like to be fear’. No doubt the tragic events of 11 September 2001 will make millions of people, American and others, fearful of the world around them. But unfortunately, fear has been a big thing long before this terrible episode. Outwardly, the USA has presented a picture of confidence and optimism about the future. The image of massive skyscrapers, big cars, a dynamic popular culture and energetic people has dominated the global imagination. However, under the surface, Americans – like their British cousins – have for some time been enveloped in a culture of fear.
As individuals, fear often helps us to concentrate the mind when we engage with unexpected and unpredictable circumstances. There are many experiences that we should rightly fear. My mother’s fear of war and violent conflicts is based on her experience of living through Second World War and having to deal with the death and suffering of friends and family members. Our personal experience, shape the imagination and our fears. However, today, many of our fears are often not based on personal experience. Compared with the past, people living in Western societies have less familiarity with pain, suffering, debilitating disease and death than ever before. And yet, despite an unprecedented level of personal security, fear has become an ever-expanding part of our life. Western societies are increasingly dominated by a culture of fear. The defining future of this culture is the belief that humanity is confronted by powerful destructive forces that threaten our everyday existence. The line that used to delineate reality from science fiction has become increasingly blurred. In recent times, government officials have looked into the risk that killer asteroids pose to human survival. Some scientist have warned that a global influenza is around the corner. We are continually warned that, for the human race, ‘time is running out’, unless we do something about global worming. ‘The end is high’ is no longer a warning issued by religious fanatics. Scaremongering is increasingly represent as the act of concerned and responsible citizen. At the time of writing this preface, scholars at the British association of Science festival in Glasgow were discussing how a bizarre subatomic particle created through an atom-smashing experiment could in theory fall on the center of the Earth and star eating the planet from inside out. Experts no longer simply dwell on risk – they are also busy evaluating theoretical risks. And, since theoretically anything can happen, there is an infinite variety of theoretical risks.
The scary stories that we continually transmit to one another indicate that society feels uncomfortable with itself. Many of these stories have the character of a health warning. ‘Be careful’ dominates our cultural imagination. This book is about the society’s fear of taking risk. The original aim of the text was to try to explain why society was continually in the throes of panic about some food or drug or some technological process. In the course of trying to answer this question, it became clear that the many panics about the environment and technology had very similar structure to society’s fear about many mundane matters, such a risky relations among people. Concern with safety is just as intense in the area of personal relations as it is in that of environmental issues. This book argues that our paranoia regarding the safety of children is driven by cultural forces that are very similar to the ones that make us apprehensive about climate change or about the food that we eat. Culture of fear tries to explain what is about society today that encouraged such obsessive preoccupation about safety.
Since the publication of the first edition of this book in 1997, most of the trends discussed have become more prevalent. Take the first two months of 2001. During this period, there were warnings issued about ‘the perils of long-haul fights’, hormone-led beef and pork, mobile phones, genetically modified crops and the measles, mumps and rubella (MMR) vaccine. In all these cases, there were no direct causal links established with death or an adverse outcome. Nevertheless, the mere hint that an adverse outcome was a theoretical possibility transformed an unproven hypothesis into a scare story. The health scare over ‘economy-class syndrome’ – based on the claim that long hours spent in a cramped aeroplane seat resulted in deep vein thrombosis (DVT) causing blood clots to travel to the lungs, - is paradigmatic in this respect. It was the death from DVT of a young British woman minutes after getting off a 20-hour flight from Sidney to London that let to the claim that there was a link between her condition and long-distance flying. Despite the lack of any clinical proof that long-distance flying increases risk of death from blood clots, economy-class syndrome was presented as a real danger to the people’s health. Some newspapers even suggested that there could be as many as 2000 casualties of this newly discovered syndrome. Such alarming headlines were based on the comment of a doctor based at Ashford Hospital in Middlesex, the closest hospital to Heathrow Airport. Dr John Belstead claimed that his hospital had dealt with 30 DVT deaths of people coming straight from the airport during the previous three years. From this, Dr Belstead estimated a national figure of 2000 deaths from flying-related DVT. This conclusion and the alarmist media reports of the newly discovered syndrome were founded on an intuitive link between long-haul flying and DVT. According to this logic, the cause of any illness contracted by a passenger after a long-haul flight was the travel itself. However, this linking of DVT to travelling is a matter of speculation rather than of science. When one considers that something like 12 million people pass through Heathrow Airport, the small number of travelers suffering from DVT could be explained as a chance result. How do we know that these people would not have collapsed had they not travelled?
Attempts to scientifically validate the risk of economy-class syndrome indicated the speculative character of this threat. A major study by scientist from the University of Amsterdam found that there was no association between DVT and the air travel. Although this study was published in the prestigious UK medical journal The Lancet, it was give barely a few column inches by the press. Despite the absence of any clinical proof, scare stories about air travel continued to run. The British House of Lords endowed the ill-informed speculation about long-haul flying with the legitimacy in a report that criticized the airline for ‘woefully neglecting’ the health of passengers. Members of the Lords took exception to the lack of space available on cheap flights. ‘It may well be that flying too cheaply is potentially too risky’, argued Lord Winston. Although the select committee found that there was a ‘paucity’ of data, nevertheless it decided to press the panic button.
Scare stories about new dangers do not simply make people more anxious or fearful. The stories reinforce already existing apprehensions and help to shape and even alter the way the people conduct their lives.
In the case of economy-class syndrome, people’s lives are changed only minimally. Many travelers on long distance flights now stretch their legs, exercise and walk up and down the aisle. Those who are particularly risk-averse may wear support stockings and drink only water or caffeine-free soft drinks. It can be argued “Why take a chance?”: taking these measures is a sensible precaution that does not concern about the effect of long-distance flying feeds into other worries about the risks we face. It reinforces pre-existing preoccupations about our health and our sense of vulnerability. The new ritual of exercising on a long-haul flight reflects a new ambivalence about travelling. Instead of celebrating the benefits of cheap air travel, we end up treating us as yet another health problem.
In some cases, scare stories do not simply result in harmless rituals, but led to practices with seriously damaging consequences. Take the controversy that surrounds MMR immunization. In 1998, a paper published in The Lancet by gastroenterologist Andrew Wakefield claimed that the MMR vaccine could cause inflammatory bowel disease and autism among children. Although Wakefield’s study involved a tiny sample of 12 cases, his speculation was treated as a proven fact by sections of media. Although some media commentators stated that the link between the MMR vaccine and autism remained unproven, many parents only heard the word ‘autism’. Fearing the worst, many parents decided not to immunize their children with the MMR vaccine. This panic did not subside even when the world’s biggest study of some 1,8 million children in Finland could find no link between the vaccination and autism. The outcome of this panic was that the use of an effective vaccine against measles, mumps and rubella fell – only 85 % of British children are now immunized – creating the possibility of revival of these diseases.
In January 2001, the UK Government launched a 3.000.000 ponds campaign to reassure parents that that MMR immunization program was safe. Unfortunately, advocates of the MMR vaccine blame one man- Andrew Wakefiled – for reducing the rate of immunization below the required to provide community protection against further epidemics. What health officials fail to realize is that the MMR panic is not the work of one individual. These days, even an unsubstantiated claim about a health risk is liable to be taken seriously by an apprehensive public. In contrast, those who dispute such scares – even when backed up by clinical proof – are often accused of misleading the public and covering up the truth. Wakefiled’s paper resonates with public suspicion about drugs and vaccination.
Contemporary culture encourages people to confuse an association (autism appearing around the time of immunization) with causation (MMR cause autism). For desperate parents with an autistic child, Wakefield’s claims make perfect sense. The culture of suspicion that prevails makes it very difficult for parents to believe government’s reassurance. As one mother told the BBC, ‘after BSE, who can blame anybody for not believing the government’.
Mistrust towards government and official-dome also extends towards other members of the public. And it is not just food and health that invite a panic-like response. The News of the World’s ‘name and shame’ campaign against pedophiles in July 2000 showed how rapidly members of the public could be incited to behave in a hysterical fashion. Preying on the public’s fear of predatory pedophiles, the campaign succeeded in provoking groups of anxious parents into organizing vigilante groups. Like the pedophile panic of April 1998, the ‘name and shame’ campaign indicated how fear could turn into mob rule. It showed how fear itself is a destructive factor, and one that is eroding communities and families.
The frenzied atmosphere that surrounded the name and shame campaign appalled most sensible people. But what observers overlooked was that this witch-hunt was not simply creation of a group of mendacious tabloid journalists. For many years previously, stories of child abduction, predators and adult abusers had gripped the public imagination. This normalization of pedophilia helped strengthen the conviction that every child faces the imminent treat of ‘stranger-danger’. One consequence of this atmosphere of fear is that many parents are no longer prepared to trust other adults to look after their children.
Once the mindset of fear prevails, it created a world where problems and difficulties are inflated and where potential solutions are overlooked. Fear and panic are driven by a self-fulfilling dynamics so that, for example, people who worry about their food are likely to conclude that they are ill. That is why we are confronted with a paradox that the healthier we are the more likely we are to define ourselves as ill. According to the General Household Survey, as many as four in ten people in some parts of the UK now consider that they have a long-standing illness – reflecting a 66 % rise in self-reported long-term illness since 1972.
Even the rise in the number of people who consider that they have a long-term illness pales into significance compared to the massive increase in the portion of young people who define themselves as disabled. A recent survey showed that between 1985 and 1996, the number of people in the UK who consider themselves disabled increased by 40 %. The greatest increased was among young – self-definition of disability increased by 155 % for those aged 16 to 19. The authors of the survey conclude that the differences between the 1985 and 1996 figures ‘appear too large to be explained by a real increase in the prevalence of disability’, but they are at a loss to explain why more people are embracing this label. Although there is no simple explanation of why people are increasingly disposed to define themselves as ill or disabled, it is evident that this sense of diseased self expresses profound anxieties about a world that seems so threatening. In such circumstances, illness becomes a norm – to be alive is to be ill. The contemporary culture of fear encourages this depressing style of self-definition.
The world of killer asteroids and global warming appears to be a million miles away from the sex deviant lurking in the background. Yet, they are all the construction of a culture that continually inflates the dangers and risk facing people. Characteristically, exceptional events such the abduction of a child are turned into a normal risk. The outbreak of a disease is immediately transformed into an epidemic. The language we use reflects this trend. Terms like ‘risk’ or ‘at risk’ are used in association with just about any routine event. The language we use reflects our unprecedented preoccupation with risk. Take the term ‘at risk’. A search of UK newspapers indicates that that term was used 2037 times in 1994. Six years later, in 2000, the usage of this term had increased almost nine-fold.

THE USE OF TERM ‘AT RISK’ AT UK NEWSPAPERS
1994 – 2037 mentions
1995 – 4288
1996 – 6442
1997 – 7955
1998 – 11234
1999 – 14327
2000 – 18003

(“The Culture of Fear – Risk taking an the Morality of Low Expectation”, revised edition – FRANK FUREDI; Continuum, 2002, London & New York)


No comments:

Post a Comment