Tag: Neoliberalism

Poor working and social conditions are being propped up by the mass provision of CBT

freedom

According to the Counsellor’s Guide to Working with EAP, by 2013, almost 50% of the UK workforce was supported by an Employee Assistance Programme (EAP), representing 13.79 million people. The EAP industry began in the UK during the mid-1980s and has since become firmly established, with a rapid expansion in schemes following the recommendations made by Carol Black and David Frost in their report on sickness absence (Black & Frost, 2011). A high percentage of the larger public and private sector organisations and an increasing number of small to medium sized enterprises provide their employees with access to some form of short-term EAP service.  

The EAP association say, in their 2013 Market Watch report: “The difficult economic climate of the past five years may also be a driver, as employers look to support staff with non-work related issues to prevent these from intruding on the workplace.”

The Conservative’s austerity programme in the UK has presented the wellbeing industry with many lucrative business opportunities, and there are many profits being made on the growing poverty, inequality, social injustices and inevitable subsequent psychological distress of the population.

The relentless political drive towards the privatisation of government functions has turned traditional public services, social security and other safety net provision into profit-making enterprises as well. 

A major cause of economic inequality within market economies such as the UK is the determination of wages by the market. The systematic (and partisan) undermining of trade unions over recent years via Conservative legislation has seen the collapse of collectivism as the main way of regulating employment, and a substantial loss of space for bargaining for working rights, conditions and pay. The substantial cuts to social security support over the past few years have also served to drive wages down further

Neoliberalism, which was adopted as an overarching socioeconomic policy during the Thatcher and Reagan era onward, is premised on an idea that tight monetary control will contain inflation, and that labour market deregulation combined with regressive tax and benefit reform will somehow secure full employment. The expectation is that the more unequal redistribution of income and the freeing up of markets will dramatically improve competitive economic performance, and that the benefits of this higher rate of growth will trickle down the income distribution, benefiting everyone. Of course, that hasn’t happened.

The CBT technocratic sticking plaster

EAPs commonly use Cognitive Behavioural Therapy – usually in digital form – online or by phone – and it’s a “workplace-focused programme” to assist in the identifying and resolving of employee concerns, which affect, or may affect, performance. Such employee concerns typically include, but are not limited to:

Personal matters – health, relationship, family, financial, emotional, legal, anxiety, alcohol, drugs and other related issues.

Work matters – work demands, fairness at work, working relationships, harassment and bullying, personal and interpersonal skills and work/life balance.

According to NHS Choices, Cognitive behavioural therapy (CBT) is a talking therapy that can help you manage your problems by changing the way you think and behave.

CBT is a talking therapy that can help you manage YOUR problems by changing the way YOU think and behave. It doesn’t address your circumstances as such, nor does it address the socioeconomic and political context that imposes constraints and increasingly untenable living conditions on people.

In fact, the briefing document for counsellors working with EAP says:

“When working with an EAP referral it is important to remember that the organisation is your client as well as the individual concerned, therefore there will be two people who will be ‘in the room’ with you. It is, after all, the employer that is indirectly funding the sessions. Developing your understanding of the organisation will help you work with both ‘clients’ since an insight into the type of business and the pressures of this work can help you build up a rapport with the client.

[…] The employer is often keen to know whether the support offered by the EAP is having a business benefit. This will be part of the implicit or explicit requirements of the employer and they may need to have evidence of any return on investment. For instance, is there evidence that the employee/client has returned to work more quickly as a result of the counselling? Has the counselling prevented the client from taking time off work for sickness?”

This presents a constraining framework of conflicted interests for counsellors with favourable “outcomes” invariably weighted towards employers and not employees. How, for example, does a counsellor support someone in a decision to leave their job and find another with better conditions, more security and pay? In this context, the mass provision of CBT may be regarded as a technocratic “fix” for poor employment and social conditions, and is rather more about policing critical thinking and dissenting behaviours in the workplace than providing support for employees. Treating each individual as if the problems lie “within” their thoughts and behaviours also serves to discourage collective bargaining to improve workplace (and social) conditions.  

Although the briefing paper doesn’t tell us if 50% of the UK workforce have actually accessed the EAP services, the perceived need for this service provision and the growth of the industry tells us a lot about employment and social conditions in the UK.

And what does the mass provision of CBT tell us about how this is being addressed?

CBT has become a means of re-socialising those who have become casualities of neoliberalism to accept and internalise the normative “logic” of neoliberalism. It’s a repressive state “therapy” for micromanaging dissent and critical thinking. It inhibits progressive social change, by locating all of our socioeconomic and political problems within the thoughts and behaviours of individuals.

Meanwhile private providers are making lots of profit on something that can never work in the long term. By coercing individuals to accept the terrible burdens and ravages of neoliberalism, the state and coopted agencies are propping up a socioeconomic system that is collapsing and in the process, it is profoundly harming people.

 
 

My work is unfunded and I don’t make any money from it. But you can support Politics and Insights by making a donation which will help me continue to research and write informative, insightful and independent articles, and to continue to provide support to others.

DonatenowButton

Generous welfare benefits increase the work ethic. The government is wrong about ‘perverse incentives’

Picture-of-newspaper-headlines-NW10

The UK establishment have intentionally created a scapegoating project. A dominant political and cultural narrative has targeted people needing social security support, constructing welfare folk devils and generating moral panic. This is to justify the dismantling of the welfare state, and to de-empathise the public to the plight of the poorest citizens. The government have misled the public, claiming social security provision leads to a “culture of dependency”. International research shows this is untrue.

Comparative research at an international level has undermined the government claim that the UK welfare state encourages “widespread cultures of dependency” and presents unemployed people with “perverse incentives”. 

study, which links welfare generosity and active labour market policies with increased employment commitment, was published in 2015. It has demonstrated that people are more likely to look for work if they live in a country where welfare provision is generous and relatively unconditional. Empirically, the research includes more recent data, from a larger number of European countries than previous studies.

The research also compared employment motivation in specific sub-sections of communities across countries: ethnic minorities, people in poor health, non-employed people and women, and adds depth to previous studies. It has been concluded that comprehensive welfare provision is increasingly seen as a productive force in society (Bonoli, 2012), that stimulates employment commitment (Esser, 2005) and supports individual inclusion and participation in society and the labour market, particularly among disadvantaged groups

Sociologists Dr Kjetil van der Wel and Dr Knut Halvorsen, from Oslo and Akershus University College, Norway, examined responses to the statement “I would enjoy having a paid job even if I did not need the money” presented to the interviewees for the European Social Survey in 2010.

In a paper published in the journal Work, employment and society, (published by the British Sociological Association and SAGE) titled The bigger the worse? A comparative study of the welfare state and employment commitment, sociologists compare the responses with the amount the country spent on welfare benefits and employment schemes, whilst taking into account the population differences between states.

The researchers found that the more a country paid to unemployed and disabled people, and invested in employment schemes, the more its population were likely to agree with the statement, whether employed or not.

They found that almost 80% of people in Norway, which pays the highest benefits of the 18 countries, agreed with the statement. By contrast in Estonia, one of least generous, only around 40% did. It’s also the case that the countries with the highest levels of financial support for those in need also have the highest employment rates, which challenges neoliberal antiwelfare narratives regarding so-called “perverse incentives” and their highly controversial and stigmatising “scrounger” rhetoric.

The UK was then considered average in terms of our generosity of benefit levels, and the percentage of subjects agreeing with the statement was almost 60%.  However, this research was carried out in 2010, prior to the radical changes to the UK social security system that happened with the Coalition Welfare Reform Act in 2012 and subsequent Conservative policies.

The researchers also found that government programmes which intervene in the labour market to support unemployed people in finding work made it more likely that those people agree that they wanted to work even if they didn’t need the money. In the countries with the most interventionist states, around 80% agreed with the statement and in the least around 45%. The UK’s response, though one of the least interventionist then (and is even less positively interventionist now), was around 60%.

In the article, the researchers say: “Many scholars and commentators fear that generous social benefits threaten the sustainability of the welfare state due to work norm erosion, disincentives to work and dependency cultures. 

A basic assumption is that if individuals can obtain sufficient levels of well-being – economic, social and psychological – from living off public benefits, compared to being employed, they would prefer the former. When a ‘critical mass’ of individuals receive public benefits rather than engaging in paid work, the norms regulating work and benefit behaviour will weaken, setting off a self-reinforcing process towards the ‘self-destruction’ of the welfare state. The more people are recipients of benefits, the less stigmatizing and costly in terms of social sanctions it is to apply for benefits.

However, other commentators suggested that because employment rates are higher in countries with generous welfare states, more people will have positive experience of work. People who receive generous benefits when out of work may feel more inclined to give something back to the state by striving hard to find work.

This article concludes that there are few signs that groups with traditionally weaker bonds to the labour market are less motivated to work if they live in generous and activating welfare states.

The notion that big welfare states are associated with widespread cultures of dependency, or other adverse consequences of poor short term incentives to work, receives little support.”

On the contrary, employment commitment was much higher in all the studied groups in bigger welfare states. Hence, this study’s findings support the welfare resources perspective over the welfare scepticism perspective.”

The UK government launched an unprecedented range of cuts on public services which happened between 2010 to 2015. However, the UK’s millionaires were awarded substantial tax cuts over that time period. George Osborne handed out a cut in tax that rewarded millionaires with £107, 000 each per year at the same time the welfare “reform” bill became policy.

The biggest percentage of cuts affected social security benefits and local government, which has adversely impacted on housing, local authority services and ultimately, on ordinary people in local communities. The cuts in social care and welfare fall disproportionately on two groups that overlap: people in poverty and disabled people. They fall hardest of all on people with the most severe disabilities, who need both benefits and social care.

Using an extremely divisive justification narrative peppered with words such as “workshy” and “scrounger”, and redefining what is “fair”, the government made out that UK tax payers were a discrete group from people needing welfare support, and that the latter group were a kind of economic free rider, sharing a “something for nothing culture”.  The government intentionally fostered resentment in employed people “paying taxes to carry the burden of those who won’t work”.

The Conservatives have persistently claimed that there are moral hazards and adverse behavioural consequences attached to providing poverty relief. This is a view shared by other neoliberal nation states, such as the US.

Policies represent perceptions and establish state instructions regarding how various social groups ought to be perceived and treated. They reflect how a government thinks society should be organised. They encode messages about how people ought to behave and how our individual degree of freedoms are defined, extended or restricted. Policies are always intentional acts that shape socioeconomic organisation.

The government have colonised left wing rhetoric, and conflated social justice and inclusion with work, making citizenship and human rights conditional, and contingent on a person’s economic productivity. They claimed to be “the party of workers”, yet the Conservatives have legislated more than once to undermine collective bargaining and trade unionism more generally. There has been a marked downward shift in wage levels and working conditions over the past six years, as well as drastic reductions in welfare support.

The word “reforms” is now a euphemism for cuts. Words like “support” and “help” are used as techniques of neutralisation, to divert people from the coercive, punitive and targeted elements of the “reforms”. These are semantic shifts of Orwellian proportions. 

The majority of unemployed people move in and out of work, indicating that policy, the economy and labour market conditions, rather than personal failings and dubious “cultures”, are the reason why people become unemployed. The tax payer/benefit claimant dichotomy is a false one. Everyone contributes to welfare, that is why national insurance was introduced: to pay for support provision that you may need in the future.

Furthermore, unemployed people pay taxes, and stealth taxes such as VAT contribute a significant amount to the Treasury. When social security benefits were originally calculated, they covered only the costs of food and fuel. It was assumed that people claiming support were exempt from council tax and paying rent. That is no longer the case, but benefit levels have not risen to adjust for this. 

The highest welfare spending has actually been on pensions, followed by in-work benefits. The latter subsidises employers paying low wages that don’t support families in meeting the costs of living. However, under the new Universal Credit, in-work support will be conditional and significantly reduced, especially for those families on low pay with children. 

The Conservative’s austerity cuts have disproportionally targeted the very people that a fair and civilised society should protect. This was justified partly by the global economic recession, though not everyone was expected to “live within their means” and contribute to reducing the national deficit. Remarkably, those that caused the recession appear to have got off free from obligation to contribute to the reduction of the debt, in a “low tax, low welfare society.”

The Conservative cuts were also justified by the perpetuation of a dominant neoliberal discourse based on small state ideology, antiwelfare myths and the purposeful creation of welfare folk devils and moral panic.

One consequence of the Conservative’s “reforms” has been the return of absolute poverty in the UK – some people cannot meet their basic needs and are going without adequate food and fuel. Many people have suffered distress, harm and some have died as a result of the government’s welfare regime. 

The Samaritan’s recent study – Dying from Inequality – links suicidal behaviours with socioeconomic deprivation. Their report says: “Suicide risk increases during periods of economic recession, particularly when recessions are associated with a steep rise in unemployment, and this risk remains high when crises end, especially for individuals whose economic circumstances do not improve. Countries with higher levels of per capita spending on active labour market programmes, and which have more generous unemployment benefits, experience lower recession-related rises in suicides.”

There is also a further extensive cost to human potential. As Abraham Maslow indicated, if people cannot meet their basic physical needs, they are not likely to fulfil psychosocial ones.

 christianity-and-social-justice-exploring-the-meaning-of-welfare-reform-29-638

Graphic courtesy of Dr Simon Duffy,  The Centre for Welfare Reform.

Related

A bad job is worse for your mental health than unemployment, say UK’s top psychologists

Dying from inequality: socioeconomic disadvantage and suicidal behaviour – report from Samaritans

The Minnesota Starvation Experiment provided empirical evidence that demonstrates clearly why welfare sanctions can’t possibly work as an “incentive” to “make work pay”


 

I don’t make any money from my work. I am disabled because of illness and have a very limited income. But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you. 

DonatenowButton cards

A bad job is worse for your mental health than unemployment, say UK’s top psychologists

PAA-550x369

Last month, the following letter was sent to the Independent, titled The DWP must see that a bad job is worse for your mental health than unemployment:

“We, the UK’s leading bodies representing psychologists, psychotherapists, psychoanalysts, and counsellors, call on the Government to immediately suspend the benefits sanctions system. It fails to get people back to work and damages their mental health.

Findings from the National Audit Office (NAO) show limited evidence that the sanctions system actually works, or is cost effective.

But, even more worrying, we see evidence from NHS Health Scotland, the Centre for Welfare Conditionality hosted by the University of York, and others, which links sanctions to destitution, disempowerment, and increased rates of mental health problems. This is also emphasised in the recent Public Accounts Committee report, which states that the unexplained variations in the use of benefits sanctions are unacceptable and must be addressed.

Vulnerable people with multiple and complex needs, in particular, are disproportionately affected by the increased use of sanctions.

Therefore, we call on the Government to suspend the benefits sanctions regime and undertake an independent review of its impact on people’s mental health and wellbeing.

But suspending the sanctions system alone is not enough. We believe the Government also has to change its focus from making unemployment less attractive, to making employment more attractive – which means a wholesale review of the back to work system.

We want to see a range of policy changes to promote mental health and wellbeing. These include increased mental health awareness training for Jobcentre staff – and reform of the work capability assessment (WCA), which may be psychologically damaging, and lacks clear evidence of reliability or effectiveness.

We urge the Government to rethink the Jobcentre’s role from not only increasing employment, but also ensuring the quality of that employment, given that bad jobs can be more damaging to mental health than unemployment.

This should be backed up with the development of statutory support for creating psychologically healthy workplaces.

These policies would begin to take us towards a welfare and employment system that promotes mental health and wellbeing, rather than one that undermines and damages it.

Professor Peter Kinderman, President, British Psychological Society (BPS)

Martin Pollecoff, Chair, UK Council for Psychotherapy (UKCP)

Dr Andrew Reeves, Chair, British Association for Counselling and Psychotherapy (BACP)

Helen Morgan, Chair, British Psychoanalytic Council (BPC)

Steve Flatt, Trustee, British Association of Behavioural and Cognitive Psychotherapies (BABCP)”

“Making work pay” for whom?

pie wealth

It’s a draconian, crude behaviourist and armchair technocratic government that would claim to “make work pay” by decreasing social security support for the poorest members of society, rather than raising wages to meet the rising costs of living. This approach was justified by claims that poor people became “dependent” on benefits because the welfare state provides “perverse incentives” for people seeking employment. However, there is no empirical evidence of these claims. Keith Joseph, a leading New Right advocate of the welfare dependency theories, set out to try and establish evidence dependency during the Thatcher era, and failed. Both Thatcher and Joseph wanted to extend Victorian bourgeois values of thrift, self-reliance and charity among all classes.

Such an approach has benefitted no-one but wealthy employers motivated by a profit incentive, as people who are out of work or claiming disability related benefits have become increasingly desperate. These imposed conditions have created a reserve army of labour, which has subsequently served to devalue labour, and drive wages down. We now witness high levels of in-work poverty, too. The Victorian Poor Law principle of less eligibility had the same consequences, and also “made work pay.” It’s shameful that in 2017, the government still believe that it is somehow effective and appropriate to punish people into not being poor. Especially when the government’s own policies are constructing inequality and poverty.

Last week I wrote about the Samaritans report: Dying from inequality: socioeconomic disadvantage and suicidal behaviour, which strongly links socioeconomic disadvantage and inequality with psychological distress and suicidal behaviours. The report reiterates that countries with higher levels of per capita spending on active labour market programmes, and which have more generous unemployment benefits, experience lower recession-related rises in suicides.

Research has consistently found that in countries with a generous social safety net, poor employment (low pay, poor conditions, job insecurity short-term contracts), rather than unemployment, has the biggest detrimental impact on mental health. This is particularly true of neoliberal states with minimal and means tested welfare regimes. It seems health and wellbeing are contingent on the degree to which individuals, or families, can uphold a socially acceptable standard of living independently of market participation, and on the kind of social stratification  (socioeconomic hierarchies indicating levels of inequality) is fostered by social policies.

Furthermore, despite the government’s rhetoric on welfare “dependency”, and the alleged need for removing the “perverse incentives” from the social security system by imposing a harsh conditionality framework and a compliance regime – using punitive sanctions – and work capability assessments designed to preclude eligibility to disability benefits, research shows that generous social security regimes make people more likely to want to work, not less.

The government’s welfare “reforms” have already invited scathing international criticism because they have disproportionately targeted cuts at those with the least income. Furthermore, the government have systematically violated the human rights of those with mental and physical disabilities. In a highly critical UN report last year, following a lengthy inquiry, it says: “States parties should find an adequate balance between providing an adequate level of income security for persons with disabilities through social security schemes and supporting their labour inclusion. The two sets of measures should be seen as complementary rather than contradictory.”

However, the UK government have continued to conflate social justice and inclusion with punitive policies and cuts, aimed at coercing disabled people towards narrow employment outcomes that preferably bypass any form of genuine support and the social security system completely. 

See – UN’s highly critical report confirms UK government has systematically violated the human rights of disabled people.

430835_148211001996623_1337599952_n (1)

Kitty.

 


 

I don’t make any money from my work. I am disabled because of illness and have a very limited income. The budget didn’t do me any favours at all.

But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

DonatenowButton cards


Protest at the 10th annual New Savoy conference – Mental Wealth Alliance

 

image-04-02-2017-at-15-15

        Map of venue here 

Find out more about the Mental Wealth Alliance and the background to this New Savoy action here

Source: the free psychotherapy network

“As the links between mental health and DWP benefits policies have developed (see this Government catalogue of Work and Health reports between 2005 and 2014 – https://www.gov.uk/government/collections/health-work-and-wellbeing-evidence-and-research ) so has the link between Psy Professional bodies and the DWP.

New Savoy has welcomed this marriage of workfare and IAPT/psychological well-being support. See their statement on welfare reform here – http://www.newsavoypartnership.org/joint-pledge-on-welfare.htm 

For several years New Savoy invited DWP and DoH ministers to open their conferences (e.g. Lord Freud and Norman Lamb).

The Kitty Jones blog is very informative on the developing use of psychological coercion within the workfare system (e.g. https://kittysjones.wordpress.com/2015/10/28/the-government-plan-to-nudge-sick-and-disabled-people-into-work/) as is the Friedli and Stearn paper – http://mh.bmj.com/content/41/1/40.full

It was in the spring of 2015, when Osborne’s budget proposed co-locating IAPT workers in Jobcentres, that a number of Alliance and PCSR therapists contacted MH activist groups like the Mental Health Resistance Network and DPAC to see if we could work together to oppose the use of psychological therapy to get people off benefits and back to work.

The issue for us, of course, was the abuse of therapeutic ethics and practice through its application to support the goals and culture of DWP workfare – a policy direction based on political ideology, not clinical need.

We see a shared cause between MH claimants on the receiving end of these policies and the unethical and demeaning working conditions of practitioners/workers providing the services. On the latter, see for example – https://www.theguardian.com/healthcare-network/2016/feb/17/were-not-surprised-half-our-psychologist-colleagues-are-depressed

The Mental Wealth Alliance (formerly MW Foundation) was born out of subsequent meetings between MH activists, professionals and welfare campaigners. It is an umbrella for 18 organisations concerned with MH, therapy and welfare:

Mental Health Resistance Network; Disabled People Against Cuts; Recovery in the Bin; Boycott Workfare; The Survivors Trust; Alliance for Counselling and Psychotherapy; College of Psychoanalysts; Psychotherapists and Counsellors for Social Responsibility; Psychologists Against Austerity; Free Psychotherapy Network; Psychotherapists and Counsellors Union; Critical Mental Health Nurses’ Network; Social Work Action Network (Mental Health Charter); National Unemployed Workers Combine; Merseyside County Association of Trades Union Councils; Scottish Unemployed Workers’ Network; National Health Action Party; Making Waves

In April 2015 the Alliance for Counselling and Psychotherapy organised a Guardian letter signed by over 400 psy professionals on the consequences for people’s mental health of the Governments austerity cuts, and in particular the plans to expand the use of therapists to ‘encourage’ MH benefits claimants into work – https://freepsychotherapynetwork.com/mwa-response-to-the-psy-professional-bodies-statement-on-benefit-sanctions-and-mental-health-301116/

https://www.theguardian.com/society/2015/apr/17/austerity-and-a-malign-benefits-regime-are-profoundly-damaging-mental-health

At the same time, the MWA began an exchange of letters with the five main psy professional organisations, expressing  our outrage at their support for and participation in DWP workfare programmes. The latest contribution from MWA to this exchange is the response to their statement on sanctions which can be found here – https://freepsychotherapynetwork.com/mwa-response-to-the-psy-professional-bodies-statement-on-benefit-sanctions-and-mental-health-301116/.    

The earlier exchanges can be found here – https://allianceblogs.wordpress.com/2016/04/28/mwf_letters_2/ 

The only organisation that has responded to our request to meet and talk about the issues is BABCP who we met in November last year, shortly before the recent statement on sanctions.

Members of the MWA have campaigned together against the co-location of IAPT, psychological support services in Jobcentres in June 2015 – https://www.theguardian.com/society/2015/jun/26/mental-health-protest-clinic-jobcentre-streatham 

The locating of DWP work counsellors in GP practices in March 2016 – http://islingtonnow.co.uk/2016/03/07/putting-job-advisers-in-doctors-surgeries-will-harm-patients-say-protesters/

New Savoy partnership July 2016 – http://dpac.uk.net/2016/06/protest-against-work-cure-therapy-5th-july-london/ and video here –  https://www.youtube.com/watch?v=VBbXK1Ac7W0 

Here is the double sided leaflet we gave out to attendees of the conference. Very relevant to the March protest – https://freepsychotherapynetwork.files.wordpress.com/2016/07/notinournamenothingaboutus-final.pdf

Associates of MWA helped organise a lobby at the BPS annual conference this January – https://freepsychotherapynetwork.com/united-against-welfare-cuts-against-reform-report-from-the-lobby-of-the-british-psychological-society-conference-18th-january-2017/

We have held two major conferences – in Bermondsey and Liverpool – on welfare reform and psycho-compulsion. Reports here – https://allianceblogs.wordpress.com/2016/04/15/welfare-coercion-conference-report-part-1/  and here – http://socialworkfuture.org/campaigns-events/529-mh-and-welfare-reform-conference-report

We have participated in the Free Psychotherapy Network’s conference and the Psychologists and the Benefits System conference in Manchester – http://www.walkthetalk2015.org/news/psychologists-and-benefits-system.”

My contribution to the latter is here – https://kittysjones.wordpress.com/2016/10/11/welfare-conditional-citizenship-and-the-neuroliberal-state-conference-presentation/

Read more here – Some background to the MWA and the New Savoy demo and lobby Wednesday 15th March 2017

 

Urgent: UK-US trade inquiry and consultation quietly launched by select committee, deadline for submissions this Monday

923022_488684277867772_33457858_n

A Commons Select Committee launched a public inquiry on 2 February. The International Trade Committee invited the public to send their views regarding the upcoming UK-US trade deal. The Committee will use those ideas to form recommendations for the government’s approach to the deal. 

However, in addition to the fact that the inquiry wasn’t widely publicised, the time scale given for responding is less than a month. The deadline for written submissions is (unbelievably) Monday 27 February 2017

The Conservatives wholly endorsed the Trans Pacific Partnership (TPP) and the Transatlantic Trade and Investment Partnership (TTIP), which would have enshrined the rights of corporations under International Law, and restrict future governments in overturning the changes through the threat of expensive legal action. These are the largest trade agreements in history, and yet they are NOT open for review, debate or amendment by Parliaments or the public.

The agreements would have shifted the balance of power between corporations and the state – effectively creating a corporatocracy. It would have NO democratic foundation or restraint whatsoever. The main thrust of the agreement was that corporations will be able to actively exploit their increased rights through the TPP and TTIP to extend the interests of the corporation, which is mostly to maximise their profits.

Human rights and public interests certainly would not have been a government priority. Six hundred US corporate advisors have had input into the TTIP. The draft text was not made available to the public, press or policy makers. The level of secrecy around the trade agreement was unparalleled. The majority of US Congress were also kept in the dark while representatives of US corporations were consulted and privy to the details.

A major concern for many of us was that many of the regulations likely to be affected under TTIP are designed to protect our health and the environment by setting safe levels of pesticides in food and chemicals in our toiletries and household cleaning products for example. These safeguards will be eroded or eliminated, potentially exposing people to greater risks of unsafe, unregulated commercial goods to support the interests of multinationals.

The infamous TTIP (and the EU-Canada trade deal CETA) provide likely blueprints for future trade deals. So we also have a good idea of what kind of potential dangers for our public services, such as the NHS, lie ahead. Trump, like the Conservative government here in the UK, is a strong advocate of deregulation and “free market competition” – which effectively means that (even more) of our public services are at risk of being sold off to big multinational companies.

The Conservative privatisation programme has been an unmitigated failure. We have witnessed scandalous price rigging, massive job losses and job insecurity, decreased wages and poorer working conditions, profoundly decreased standards in service delivery, disempowerment of our unions, and above all, at terrible cost to many citizens. But then the Conservatives will always swing policy towards benefiting private companies and not the public, as we know. In Britain, privatisation is primarily driven by the neoliberal New Right’s ideological motives, to “roll back the frontiers of the State” and to “increase efficiency”. 

SumOfUs – a global campaign that fights for people over profits, and is committed to curbing the growing power of corporations – have drafted six key demands for a better, more just trade deal with the aim of “letting Theresa May know right from the start that we won’t let her turn Brexit into a corporate takeover.” 

The SumOfUs community has urged the UK government to uphold the following principles in negotiating a trade agreement with the US: 

1. Labour, climate and human rights agreements and how they’re implemented in UK law should take precedence over the trade agreement.

2. Violations of human rights, workers’ rights and environmental protection should be sanctionable, and those sanctions meaningful and effective. 

3. Negotiations need to happen transparently and inclusively. Text proposals as well as consolidated treaty texts need to be published to allow for public scrutiny and robust debate. Corporations must not be granted privileged access.

4. No special rights for investors. The deal should not enable US corporations to sue the UK over policy in the public interest that threatens their profits.

5. All public services must be exempt and protected from corporate takeover. 

6. No race to the bottom on regulation – all laws should be harmonised to the highest standard and should always allow a party to go beyond the levels of protections agreed upon.

You can visit SumOfUs site to add your name to their message to the International Trade Committee, and endorse the six outlined principles. 

The inquiry is to examine the potential for a UK-US trade agreement, the opportunities and challenges any agreement might present and the implications for the production and sale of goods and services on both sides of the Atlantic. It will make recommendations to the Government on how it should approach trade relations with the US.

Interested organisations or individuals are invited to submit written evidence to the Committee. (Quickly.)

Terms of reference

The Committee is particularly interested in the following:

  • what the UK’s priorities and objectives should be in negotiating any such agreement;
  • the possible impacts (positive and negative) on specific sectors of the UK economy from such an agreement;
  • the extent to which any agreement could and should open up markets in services, including public services; 
  • the extent to which any agreement could and should open up markets in public procurement;
  • how any agreement should approach regulation, including regulatory harmonisation;
  • what dispute-resolution mechanism should form part of any such agreement; and
  • what involvement, if any, the UK should seek to have in the North American Free Trade Area or any future regional free trade agreement involving the USA.

Send a written submission to the International Trade Committee

Don’t forget that the closing date is Monday 27 February, so you will have to act quickly to have your say.

Chair’s comments

On launching the inquiry, Committee Chair Angus MacNeil MP commented:

“It seems highly likely that a trade deal with the US will be this Government’s first step in their attempts to reshape the UK’s economic relationship with the rest of the world. This will be a tough test. The UK will be entering negotiations led by a newly formed department. They may feel the need for a deal to show the rest of the world, and domestic audience, that the UK is open for business. And any outline agreement could impact on how our negotiations progress with the EU. 

The US might not be expected to offer many concessions, either. In his first days in office, President Trump has not shied away from implementing his campaign pledges, no matter how radical. How will his pledge to buy American and hire American sit with his aim to negotiate a deal “very quickly” with the UK? Is the President’s desire to prove his reputation for winning in deals bad news for a UK wanting some form of equal partnership?

Most importantly, this is a necessary inquiry as we must move beyond the showmanship and controversy that will no doubt be a feature of this process, and drill down to the detail of what is proposed. What should be the UK’s red lines? What sectors could win and lose? Will access to public services be on the table? 

Crucially, we want to explore how far Ministers should be prepared to go to get the marquee deal they are after.”

Related

A UK trade deal with Trump? Be careful what you wish for

imgres


 

I don’t make any money from my work. I am disabled because of illness  and have a very limited income. But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

DonatenowButton cards

The still face paradigm, the just world fallacy, inequality and the decline of empathy

r-wilkinson-spirit-level-lecture-november-2010-10-638

UNICEF’s reports have consistently put the UK at the bottom of the child well-being league table. See also: UNICEF criticises UK’s failure to tackle child inequality as gap grows.

pie-wealthSource: The Equality Trust 

The still face paradigm and inequality

Before Christmas I read an excellent and insightful article by Michael Bader called The Decline of Empathy and the Appeal of Right-Wing Politics, which was about Edward Tronick’s Still Face experiment in part. Tronick is an American developmental psychologist at the University of Massachusetts, Boston. His studies illuminate the importance of trusting relationships and consistent human responses in children’s development and learning.

Tronick’s experimental design was very simple: mothers were asked to play as they usually would with their six-month-old infants. The mothers were then instructed to suddenly blank their face: to make their facial expression flat and neutral – completely “still”  – and to do so for three minutes, regardless of her baby’s activity.  Mothers were then told to resume normal play. The design came to be called the “still face paradigm.

The study demonstrated that when the connection between an infant and caregiver is broken, the infant tries to re-engage the caregiver, and then, if there is no response, the infant withdraws – first physically and then emotionally. Recent studies have found that four-month-old infants, when re-exposed to the “Still Face” two weeks after the first time, show rapid physiological changes that were not present when they were exposed to it the first time.

Tronick said: “It speaks to the incredible emotional capacities [of] the infant — to pick up on the fact that the mother’s not reacting emotionally the way she normally does. The baby has not only this ability to process what’s [happening], but [also] the capacity to respond in a really appropriate way — that is, they try to get the mother’s attention, and then when they fail, they give up, with a sense of their own helplessness. They may be angry and then they become sad.”

Tronick also emphasised the impact of parenting practices embedded in the sociocultural and ecological environment of the infant.

Bader’s inspiring article draws on Tronick’s experimental findings, which he then applies to citizen’s life experiences in the US, in the face of dehumanising encounters with bureacracy, increasingly depopulated policies and a profoundly alienating sociopolitical system. He goes on to discuss how “the pain of the “still face” in American society is present all around us.”

He says: “People feel it while waiting for hours on the phone for technical support, or dealing with endless menus while on hold with the phone or cable company, or waiting to get through to their own personal physician. They feel it in schools with large class sizes and rote teaching aimed only at helping students pass tests.  They feel it when crumbling infrastructure makes commuting to work an endless claustrophobic nightmare.  And, too often, they feel it when interacting with government agencies that hold sway over important areas of their lives, such as social services […] and city planning departments, or a Department of Motor Vehicles.  Like Tronick’s babies, citizens who look to corporations and government for help, for a feeling of being recognized and important, are too often on a fool’s errand, seeking recognition and a reciprocity that is largely absent. 

This problem is greatly exaggerated by the profoundly corrosive effects of social and economic inequality. Under condition of inequality, the vulnerability of those seeking empathy is dramatically ramped up, leading to various forms of physical and psychological breakdowns. In a classic epidemiological study [The Spirit Level] by Richard Wilkinson and Kate Pickett, researchers found a strong correlation between the degree of inequality in a country (or a state, for that matter) and such problems as rates of imprisonment, violence, teenage pregnancies, obesity rates, mental health problems such as anxiety, depression, and addiction, lower literacy scores, and a wide range of poor health outcomes, including reduced life expectancy.  Wilkinson and Pickett’s key finding is that it is the inequality itself, and not the overall wealth of a society that is the key factor in creating these various pathologies.  Poorer places with more equality do better than wealthy ones marked by gross inequality.

Inequality makes people feel insecure, preoccupied with their relative status and standing, and vulnerable to the judgment of others, and it creates a greater degree of social distance between people that deprives them of opportunities for intimate and healing experiences of recognition and empathy.”

The still face of the neoliberal state

It’s impossible to fail to recognise the parallels with citizen’s experiences here in Britain. We have ideological and socioeconomic commonality with the US, especially as both the UK and US are neoliberal states. Neoliberalism is an ongoing, totalising ideological and political-economic project of a resurgent political right that gained ascendancy in the US under Ronald Reagan and in the UK under Margaret Thatcher in the 1980s.   

Bader says: “As a metaphor for adult life in contemporary society, the “still face” paradigm—the helplessness intrinsic to it and the breakdown of empathy that lies at its foundation—aptly describes the experience of many people as they interact with the most important institutions in their lives, including government. And, as with Tronick’s babies and their mothers, when our social milieu is indifferent to our needs and inattentive to our suffering, widespread damage is done to our psyches, causing distress, anger, and hopelessness.  Such inattention and neglect lead to anxiety about our status and value, and a breakdown of trust in others.”

1percent700

I agree that the growing inequalities we are witnessing in western neoliberal “democracies” create psychological trauma and profound material and ontological insecurity. Humans are fundamentally social beings. We thrive best when we have a social rationale which tends towards the promotion of cooperative and collective creativity. This was perhaps expressed best in our civilised, progressive institutions and civilising practices, facilitated by the social gains and economic organisation that arose from the post-war settlement.  

Those gains are now being systematically dismantled. Our culture has been saturated with conceptual schema that demand we remain committed to an economic Darwinism: a neoliberal competitive individualist obsession with our private, inner experiences, the pursuit of economic self-interest, and ultimately, this embellishes our separability from other human beings. It alienates us. 

Neoliberalism scripts social interactions that are founded on indifference to others, tending to be dehumanising, adversarial and hierarchical in nature, rather than social and cooperative. Neoliberalism is the antithesis of the responsive, animated human face; of collectivism, mutual support, universalism, cooperation and democracy. Neoliberalism has transformed our former liberal democracy into an authoritarian “still faced” state that values production, competition and profit above all else; including citizens’ lives, experiences, wellbeing and social conditions.  

However, citizens are seen and are being politically defined in isolation from the broader political, economic, sociocultural and reciprocal contexts that invariably influence and shape individual experiences, meanings, motivations, behaviours and attitudes, causing a problematic duality between context and cognition. This also places responsibility on citizens for circumstances which lie outside of their control, such as the socioeconomic consequences of political decision-making, whilst at the same time, the state is steadily abdicating responsibility for the welfare of ordinary citizens. 

Geographer David Harvey describes neoliberalism as a process of accumulation by dispossession: predatory policies are used to centralise wealth and power in the hands of a few by dispossessing the public of their wealth and assets.  

Neoliberals see the state as a means to reshape social institutions and social relationships based on the model of a competitive market place. This requires a highly invasive power and mechanisms of persuasion, manifested in an authoritarian turn. Public interests are conflated with narrow economic outcomes. Public behaviours are politically micromanaged. Social groups that don’t conform to ideologically defined outcomes are stigmatised and outgrouped.  

Stigma is a political and cultural attack on people’s identities. It’s used to discredit, and as justification for excluding some groups from economic and political consideration, refusing them full democratic citizenship. 

Stigma is being used politically to justify the systematic withdrawal of support and public services for the poorest – the casualties of a system founded on competition for allegedly scarce wealth and resources. Competition inevitably means there are winners and losers. Stigma is profoundly oppressive. It is used as a propaganda mechanism to draw the public into collaboration with the state, to justify punitive and discriminatory policies and to align citizen “interests” with rigid neoliberal outcomes. Inclusion, human rights, equality and democracy are not compatible with neoliberalism. 

Othering and outgrouping have become common political practices. 

This serves to desensitise the public to the circumstances of marginalised social groups. Outgroups serve to de-empathise society and dehumanise stigmatised others.

This political and cultural process legitimises neoliberal “small state” policies, such as the systematic withdrawal of state support for those adversely affected by neoliberalism, and it also justifies inequality. By stigmatising the poorest citizens, a “default setting” is established regarding how the public ought to perceive and behave towards politically demarcated outgroups. That default setting is indifference to the plight of others.

Authors of The Spirit Level, Richard Wilkinson and Kate Pickett, say “The truth is that human beings have deep-seated psychological responses to inequality and social hierarchy. The tendency to equate outward wealth with inner worth means that inequality colours our social perceptions. It invokes feelings of superiority and inferiority, dominance and subordination – which affect the way we relate to and treat each other.”

Neoliberalism and the myth of meritocracy

How does inequality and social injustice become acceptable?  And why do we, as a society, permit the political construction of scapegoats and outgroups?

Neoliberalism is premised on the assumption that the market place can somehow replace the state as the ultimate arbiter of cultural logic and value. Relationships between people are mediated by the depersonalising market place.

It is fundamentally Hobbesian in character, neoliberalism  privatises citizen’s experiences, who are valued for economic productivity and are therefore only responsible for themselves. 

Bader says: “The failure of our institutions to empathize with the plight of the middle and working classes, to recognize their sacrifice and reward their hard work is traumatic. It is the same type of trauma that children experience when their caretakers are preoccupied or rejecting. The trauma erodes trust. It overwhelms systems that people have developed to deal with stress and creates psychological suffering and illness.” 

He goes on to tell us how our social brains seek a collective experience – of “we” rather than “I” – and often do so by creating a fantasy of an “us” versus “them” that we can devalue and fight.

Tribalism draws on our need for sociability and interconnectedness but it can also be used to pervert it. Rejected by government, employers and wider society, some citizens then go on to reject and demean others. It’s a coping strategy: they are trying to cope with the pain, powerlessness, and lack of empathy that they experience in their social lives. And we must we also recognise the play of hidden ideologies and the influence of dog whistle politicking. This is a state tactic which manipulates our fundamental human need for a sense of belonging. It’s also about the creation of scapegoats and diversion from the real problem: neoliberalism and the inequality and increasing precarity that it extends and perpetuates. 

Neoliberalism also extends a myth that citizens are autonomous and free to make choices, however, this ignores the well-researched reality that those without resources have few or no choices. Neoliberalism is an ideology that manufactures consent to inequalities by offering the myth of meritocracy: the false promise that everyone will eventually benefit by working hard to earn merit, status and wealth. However, it isn’t logically possible for equal opportunities to exist in a highly unequal society. 

This myth undermines the principles of social and economic rights and discredits solidarity, collective responsibility and contravenes our human need for belonging. Success, according to the meritocrats, is shaped by your IQ and individual talents, hard work and personal effort. Yet at least a third of those touting this myth are millionaires who simply inherited their wealth.   

The ideology of meritocracy conceals the fact that class privileges are institutionalised, and are reinforced through the education system, for example. The UNICEF report, Fairness for Children, emphasised the importance of a strong welfare system in reducing inequality – and carried a strong suggestion that the UK Government should reconsider its cuts to benefits. In June last year, following its investigation, the United Nations committee on the rights of the child called on ministers to act regarding austerity, the benefit cap and tax credit cuts, which are undermining children’s rights to an adequate standard of living. The government were also urged to do more to ensure children’s rights to adequate health, housing and education are met, too. 

The government, however, have claimed that welfare cuts reduce poverty by “incentivising” people to work. Meanwhile, over half of those families queuing at food banks are in work, and nearly two thirds of children in poverty live in working families. “Making work pay” is nothing more than a Conservative euphemism for the incremental dismantling of the welfare state, which they intend to continue regardless of the social consequences. 

Neoliberalism is sustained by ideologues employed by governments, in think tanks, PR companies and as individual consultants, that invent technical justifications for small state neoliberal policies on the grounds of: “efficiencies”, savings, democracy, economic growth, and more recently “fairness” and “social justice.” The latter two especially are founded on the myth of meritocracy, in this context. 

The Nudge Unit is one example of a technocratic think tank, which is embedded in the Cabinet Office. The neoliberal Reform think tank and the Adam Smith Institution are others. There is a raft of contemporary academics who are also fueling ideological justifications of neoliberal policies – the likes of Adam Perkins, Richard Layard, Mansel Aylward and Simon Wessley, for example, each in their respective academic fields have each presented “studies” that endorse “small state” antiwelfarism and enforce notions of personal responsibility and competitive individualism. Public interests are steadily being aligned with economic outcomes, driven by private interests. 

Status and rewards in society do not go “naturally” to those who are best “performers” or those who “earn” their privilege: the hierarchy of wealth and power is being purposefully shaped by the state.

Stigma and the just world fallacy

Sociologist Imogen Tyler at Lancaster University, says “[…] the centrality of stigma in producing economic and social inequalities has been obscured ‘because bodies of research pertaining to specific stigmatized statuses have generally developed in separate domains’ (Hatzenbuehler, 2013). In short, stigma is widely accepted to be a major factor in determining life chances, yet research on stigma is fragmented across academic disciplines.”

Tyler’s ongoing work – The Stigma Doctrine, is focused on policy design and implementation, ‘The Stigma Doctrine’ aims to develop a new theoretical account of the ways in which neoliberal modes of government operate not only by capitalizing upon ‘shocks’ but through the production and mediation of stigma.” 

Her explicit focus is on “stigmatization as a central dimension of neoliberal state-crafting.” The project is focussing in particular on welfare “reform”, the neoliberal de/recomposition of class, poverty, work and dis/abilities.

At a basic level, stigma is seen as a mark of disgrace associated with particular circumstances, qualities, or persons. However, it has a fundamental normative dimension, which is culturally and historically specific. 

We tend to make assumptions about people, based on what their circumstances or characteristics are. Central to these assumptions lies a basic moral dichotomy founded on the binary notions of “deserving” and “undeserving”. 

Everyone has heard “what goes around comes around” before, or maybe you’ve seen a person “get what was coming to them” and thought, “that’s karma for you.” These are all shades of the just world fallacy. But in reality, we don’t always “reap what we sow.”

In social psychology, just world hypothesis is the tendency to attribute consequences to – or expect consequences as the result of – a universal force that restores moral balance. This belief generally implies the existence of destiny, cosmic justice, or divine providence. 

It is very common in fiction for the villains to lose and the virtuous folk to win. It is a reflection of how we would like to see the world – just and fair. In psychology the tendency to believe that this is how the real world actually works is a known cognitive error: the just world is a fallacy. 

Many people have a strong desire or need to believe that the world is an orderly, predictable, and fair place, where people simply get what they deserve. Such a belief plays an important role in our lives – in order to plan our lives or achieve our goals we need to assume that our actions will have predictable consequences.

Moreover, when we encounter evidence suggesting that the world is not just, we act to restore justice by helping victims or we persuade ourselves that no injustice has occurred.  We comfort ourselves with the idea that the person without a job is simply lazy, the homeless person is irresponsible, and the ill person made the “wrong” lifestyle choices. These attitudes are continually reinforced in the ubiquitous fairy tales, fables, popular fiction, comics, TV, the mainstream media, current political rhetoric and other morality tales of our culture, including the great myth of meritocracy, embedded in neoliberal narrative, in which “good” is always rewarded and “evil” punished.

Deep down, we all would probably like to believe hard work and virtue will lead to success, and laziness, evil and manipulation will lead to ruin, quite often we simply edit the world to match those expectations. 

Social psychologist, Melvin Lerner documents people’s eagerness to convince themselves that beneficiaries deserve their benefits and victims their suffering. In a 1965 study, Lerner reported that subjects who were told that a fellow student had won a cash prize in a lottery tended to believe that the student worked harder than another student who lost the lottery. Lerner observed that when one of two men was chosen at random to receive a reward for a task, that somehow caused him to be more favourably evaluated by observers, even when the observers had been informed that the recipient of the reward was chosen at random. (Lerner, M. J., & Miller, D. T. (1978). Just world research and the attribution process: Looking back and ahead. Psychological Bulletin, 85(5), 1030–1051).

Existing social psychological theories, including cognitive dissonance, do not fully explain these phenomena. In another study a year later, Lerner and a colleague recorded a simulated “learning” experiment in which it appeared that the “participants” were subjected to electric shocks. Lerner found that subjects who observed the videotapes tended to form much lower opinions of these “victimised” participants when there was no possibility of the victim finding relief from the ordeal, or when the victim took on the role of “martyr” by voluntarily remaining in the experiment despite the apparent unpleasantness of the experience.

Lerner concluded that “the sight of an innocent person suffering without possibility of reward or compensation motivated people to devalue the attractiveness of the victim in order to bring about a more appropriate fit between her fate and her character.”

If the belief in a just world simply resulted in humans feeling more comfortable with the universe, its uncertainties and our own precarity, it would not be a matter of great concern for human rights activists, ethicists or social scientists. But Lerner’s just world hypothesis, if correct, has significant social implications. The belief in a just world may well seriously undermine a commitment to social justice.

So, the just world fallacy is founded on a massive misconception: that we always get what we “deserve”. We like to think that people who are not doing well in their lives must have done something to deserve it. Yet we also know that the beneficiaries of good fortune often do nothing to earn it, and people doing harmful deeds often get away with their actions without consequences.

Lerner’s research extended, to some extent, on Stanley Milgram‘s research on social conformity and obedience. Lerner was curious as to how regimes that cause cruelty and suffering manage to maintain popular support, and how people come to accept social norms and laws that produce misery and suffering.

Lerner’s direction of inquiry was influenced by his frequent witnessing of the tendency of observers to blame victims for their suffering, particularly during his clinical training as a psychologist, when he observed treatment of mentally ill persons by the health care practitioners with whom he worked. Though he knew them to be basically kind, educated people, they often blamed patients for the patients’ own suffering. Lerner also describes his surprise at hearing his students derogate disadvantaged people, believing that poor people somehow caused their own poverty, whilst being seemingly oblivious to the social, political and economic (structural) forces that contribute significantly to poverty. 

Zick Rubin of Harvard University and Letitia Anne Peplau of the UCLA conducted surveys to examine the characteristics of people with strong beliefs in a just world. They found that people who have a strong tendency to believe in a just world also tend to be more religious, more authoritarian, more Conservative, more likely to admire political leaders and existing social institutions, and more likely to have negative attitudes and and hold prejudices toward underprivileged groups. To a lesser but nonetheless significant degree, the believers in a just world tend to “feel less of a need to engage in activities to change society or to alleviate plight of social victims.”

It’s ironic that the belief in a just world may take the place of a genuine commitment to justice. For some people, it is simply easier to assume that forces beyond their control mete out justice. When that occurs, the result may be the abdication of personal responsibility, acquiescence in the face of suffering and misfortune, and indifference towards injustice

In the murky waters of real life, evil people often prosper whilst harming others, and quite often never face justice and retribution.

Social reality isn’t founded on some intrinsic and fair principle or quality of the universe. Social justice is something that we must construct and re-construct our selves. 

As a society, we make our own “karma”. We participate in, shape and distribute social justice. That affects those around us. We do need to think about what kind of world we live in, how we ought to live and how that affects our families, friends, neighbours and strangers. A measure of civilisation may be observed in how we behave towards those people we don’t know.

In our society, over the past 6 years, some (previously protected) social groups have become politically defined strangers and economic exiles. If you think that’s okay, it’s worth bearing in mind that sooner or later, someone you know well, perhaps one of your loved ones, will be affected by this ongoing process.

When one group are targeted with injustice and inequality, it affects everyone, and other groups soon follow. Historically, we learned that tyrants don’t stick with targeting and persecuting the group you don’t like. You don’t get a choice ultimately. Prejudice tends to multitask very well, and tyrants remain tyrants no matter who you are.

Wilkinson and Pickett’s research on the harmful effects of economic inequality is a challenge for us to ensure that redistribution is the main focus of our political programme. Their research very clearly shows us that if we work towards greater equality, we can ameliorate a wide range of human suffering. Because neoliberal ideology ultimately disconnects us from each other, we really must work hard to seek common ground with the people on the other side of what American sociologist, Arlie Hochschild, calls the “empathy wall” to reach out, communicate to them that “we not only feel their pain, but we share it, and that, in the end, we are all in this together.”

 Hochschild’s work has often described the various ways in which we each  becomes a “shock absorber” of larger social, economic and political forces.  She explores the “deep story” of American citizens – a metaphorical expression of the emotions they live by. She recognised that the people she studied may not vote in favour their economic self-interest,  but they often voted for what they felt was their emotional self-interest as members of a group which feels marginalised, scorned  and betrayed by the establishment. This sense of betrayal was utilised by the right, who readily draw on and manipulate the role of emotion in politics.

How much more of the current political-economic just world narrative will people permit to remain largely unchallenged before we all say “enough”?

In democracies, Government’s are elected to represent and serve the needs of the population. Democracy is not only about elections. It is also about distributive and social justice. The quality of the democratic process, including transparent and accountable Government and equality before the law, is crucial to social organisation, yet it seems the moment we become distracted, less attentive and permit inequality to fundamentally divide our society, the essential details and defining features of democracy seem to melt into air. 

Government policies are expressed political intentions regarding how our society is organised and governed. They have calculated social and economic aims and consequences. In democratic societies, all citizen’s accounts of the impacts of policies ought to matter.

However, in the UK, the way that policies are justified is being increasingly detached from their aims and consequences, partly because democratic processes and basic human rights are being disassembled or side-stepped, and partly because the government employs the widespread use of linguistic strategies and techniques of persuasion to intentionally divert us from their aims and the consequences of their ideologically (rather than rationally) driven policies. Furthermore, policies have become increasingly depopulated; detached from public interests and needs.

Democracy is not something we have: it’s something we have to DO.

My hope for 2017 is that enough of us will recognise that democratic participation is essential, and that injustice directed against one is injustice ultimately directed against all. 

569ca48248b8d566d6e61bd65571e0ad

All the best for the new year. 

In solidarity.

Related  

The Decline of Empathy and the Appeal of Right-Wing Politics – Michael Bader

Who Believes in a Just World? –  Zick Rubin and Letitia Anne Peplau 

The Stigma Project – Imogen Tyler

The Spirit Level authors: why society is more unequal than ever – Richard Wilkinson and Kate Pickett


I don’t make any money from my work. But you can make a donation if you wish and help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

DonatenowButton cards

Jobcentre tells GP to stop issuing sick notes to patient assessed as ‘fit for work’ and he died.

pizapcom14829621211221

Abbie and her late father, James Harrison.

Julia Savage is a manager at Birkenhead Benefit Centre in Liverpool. She wrote a letter addressed to a GP regarding a seriously ill patient. It said:

“We have decided your patient is capable of work from and including January 10, 2016.

“This means you do not have to give your patient more medical certificates for employment and support allowance purposes unless they appeal against this decision.

“You may need to again if their condition worsens significantly, or they have a new medical condition.” 

The patient, James Harrison, had been declared “fit for work” and the letter stated that he should not get further medical certificates. 

However, 10 months after the Department for Work and Pensions (DWP) contacted his doctor without telling him, James died, aged 55, the Daily Record has reported.

He was clearly not fit for work.

His grieving daughter, Abbie, said: “It’s a disgrace that managers at the Jobcentre, who know nothing about medicine, should interfere in any way in the relationship between a doctor and a patient.

“They have no place at all telling a doctor what they should or shouldn’t give a patient. It has nothing to do with them.

“When the Jobcentre starts to get involved in telling doctors about the health of their patients, that’s a really slippery slope.”

Abbie said James had worked since leaving school at a community centre near his home. But his already poor health went downhill after the centre was shut down because of austerity cuts.

James had a serious lung condition and a hernia before the centre closed, and also developed depression and anxiety afterwards.

Abbie said: “He’d worked all his life. He wasn’t the kind of guy who knew anything about benefits.

“But as his health deteriorated, there wasn’t any chance he could do a job. He applied for employment and support allowance.”

James received Employment and Support Allowance (ESA), but only at the low rate of £70 a week, the same amount as jobseekers’ allowance. He was then sent to attend one of the DWP’s controversial Work Capability Assessments – and declared fit for work.

Despite that decision, Abbie said James remained in constant need of medical help and had to visit his doctor regularly.

However, the GP concerned repeatedly refused to give him a sick note, and James began to suspect the Jobcentre were to blame for this.

Abbie said: “He really needed a note. He was too ill to go to the constant appointments at the Jobcentre and he didn’t want to be sanctioned.

“He became convinced the DWP had been talking to his doctor behind his back.”

Although Abbie felt her father was confused, and didn’t think his explanation was right at the time, she later asked to see her father’s medical records. She found the letter in his file from Julia Savage, the manager at Birkenhead Benefit Centre, in James’s home city of Liverpool.

The letter was addressed to James’s GP.

Context: Government claims that work is a “health outcome”

James Harrison was very worried that his ill health interfered with his obligation to comply with the inflexible and constant conditions attached to his eligibility for welfare support, and that this would lead to sanctions – the withdrawal of his lifeline support, which was calculated to meet basic survival needs only.

The GP should have provided evidence that this was the case. The doctor was advised not to provide further fit notes by the DWP, however, unless James appealed. Yet the circumstances warranted that the GP provide a fit note. 

fit-note-guidance

Last year, the Department for Work and Pensions issued an ideologically directed new guidance to GPs regarding when they should issue a Fit Note. This was updated in December 2016.

In the document, doctors are warned of the dangers of “worklessness” and told they must consider “the vital role that work can play in your patient’s health”.  According to the department, “the evidence is clear that patients benefit from being in some kind of regular work”.

The biopsychosocial model, with a current political emphasis on the psychological element, has become a disingenuous euphemism for psychosomatic illness, which has been exploited by successive governments (and rogue insurance companies) to limit or deny access to social security, medical and social care.

Nobody would deny that illness has biological, psychological and social dimensions, however, the model has been adapted to fit a neoliberal “small state” ideology – one that rests almost entirely on Conservative individualist notions of citizen responsibility, as opposed to a rights-based approach and provision of publicly funded state support.

This approach to disability and ill health has been used by the government to purposefully question the extent to which people claiming social security bear personal responsibility for their own health status, rehabilitation and prompt return to work. It also leads to the alleged concern that a welfare system which was originally designed to provide a livable income to those with disabling health problems, may provide “perverse incentives” for perverse behaviours, entrenching “worklessness” and a “culture of dependency”. It’s worth pointing out at this point that there has never been any empirical evidence to support the Conservative notion of welfare “dependency”. 

Instead of being viewed as a way of diversifying risk and supporting those who have suffered misfortune and ill health, social and private insurance systems are to be understood as perverse incentives that pay people, absurdly, to remain ill and keep them from being economically productive.

The idea that people remain ill deliberately to avoid returning to work  – what Iain Duncan Smith and David Cameron have termed “the sickness benefit culture” – is not only absurd, it’s very offensive. This is a government that not only disregards the professional judgements of doctors, it also disregards the judgements of sick and disabled people. However, we have learned over the last decade that political “management” of people’s medical conditions does not make people healthier or suddenly able to work. Government policies, designed to “change behaviours” of sick and disabled people have resulted in harm, distress and sometimes, in premature deaths

The government have made it clear that there are plans to merge health and employment services. In a move that is both unethical and likely to present significant risk of harm to many patients, health professionals are being tasked to deliver benefit cuts for the DWP. This involves measures to support the imposition of work cures, including setting employment as a clinical outcome and allowing medically unqualified job coaches to directly update a patient’s medical record.

The Conservatives (and the Reform think tank) have also proposed mandatory treatment for people with long term conditions (which was first flagged up in the Conservative Party Manifesto) and this is currently under review, including whether benefit entitlements should be linked to “accepting appropriate treatments or support/taking reasonable steps towards “rehabilitation”.  The work, health and disability green paper and consultation suggests that people with the most severe illnesses in the support group may be subjected to welfare conditionality and sanctions.

Many campaigners have raised concerns about the DWP interfering with people’s medical care and accessing their medical files. I wrote an article last year about how the government plans to merge health and employment services and are now attempting to redefine work as a clinical outcome. I raised concerns about the fact that unemployment has been stigmatised and politically redefined as a psychological disorder, and that the government claims, somewhat incoherently, that the “cure” for unemployment due to illness and disability, and sickness absence from work, is work.

In a critical analysis of the recent work, health and disability green paper, I said: 

“And apparently qualified doctors, the public and our entire health and welfare systems have ingrained “wrong” ideas about sickness and disability, especially doctors, who the government feels should not be responsible for issuing the Conservatives recent Orwellian “fit notes” any more, since they haven’t “worked” as intended and made every single citizen economically productive from their sick beds.

It seems likely, then, that a new “independent” assessment and some multinational private company will most likely very soon have a lucrative role to ensure the government get the “right” results.”

The medical specialists are to be replaced by another profiteering corporate giant who will enforce a political agenda in return for big bucks from the public purse. Health care specialists are seeing their roles being incrementally and systematically  de-professionalised. That means more atrocious and highly irrational attempts from an increasingly authoritarian government at imposing an ideological “cure” – entailing the withdrawal of any support and imposing punitive “behavioural incentives” – on people with medical conditions and disabilities. Doctors, who are clever enough to recognise, diagnose and treat illness, are suddenly deemed by this government to be insufficiently clever to judge if patients are fit for work.

The political de-professionalisation of medicine, medical science and specialisms (consider, for example, the implications of permitting job coaches to update patient medical files), the merging of health and employment services and the recent absurd declaration that work is a clinical “health” outcome, are all carefully calculated strategies that serve as an ideological prop and add to the justification rhetoric regarding the intentional political process of dismantling publicly funded state provision, and the subsequent stealthy privatisation of Social Security and the National Health Service. 

“De-medicalising” illness is also a part of that process:

“Behavioural approaches try to extinguish observed illness behaviour by withdrawal of negative reinforcements such as medication, sympathetic attention, rest, and release from duties, and to encourage healthy behaviour by positive reinforcement: ‘operant-conditioning’ using strong feedback on progress.” Gordon Waddell and Kim Burton in Concepts of rehabilitation for the management of common health problems. The Corporate Medical Group, Department for Work and Pensions, UK. 

Waddell and Burton are cited frequently by the DWP as providing “evidence” that their policies are “evidence based.” Yet the DWP have selectively funded their research, which unfortunately frames and constrains the theoretical starting point, research processes and the outcomes with a heavy ideological bias. 

This framing simply shifts the focus from the medical conditions that cause illness and disability to the “incentives”, behaviours and perceptions of patients and ultimately, to neoliberal notions of personal responsibility and self-sufficient citizenship in a context of a night watchman, non-welfare state. 

Medication, rest, release from duties, sympathetic understanding – the remedies to illness – are being appallingly redefined as “perverse incentives” for ill health, yet the symptoms necessarily precede the prescription of medication, the Orwellian renamed (and political rather than medical) “fit note” and exemption from work duties. Notions of “rehabilitation” and medicine are being redefined as behaviour modification: here it is proposed that operant conditioning in the form of negative reinforcement – which the authors seem to have confused with punishment – will “cure” ill health. 

People cannot simply be “incentivised” into not being ill. 

The political use of the biopsychosocial model to cut costs at the expense of people who are ill will undoubtedly have further extremely serious implications. Such an approach, which draws on behaviourism and punishment (such as the threat and implementation of sanctions) is extremely unethical and makes the issue of consent to medical treatment very problematic if it is linked to the loss of lifeline support or the fear of loss of benefits.

This is clearly the direction that government policy is moving in and this represents a serious threat to the health, welfare, wellbeing and human rights of patients and the political independence of health professionals.

75629_107145729354964_2536493_n

 


 

I don’t make any money from my work. But you can contribute by making a donation and help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

DonatenowButton cards