Thread by @ePatientDave

This is a perfect illustration of what "tokenism" looks like in a "patient advisory council."

Folks, it's tokenism if it looks fascinating but you have no power to influence decisions that you think are important. NOT FREAKING SHOE COLOR. Or lobby waterfalls. #MedX

https://twitter.com/Britta34/status/1175111179867320320

#MedX Here's a great tweet with a classic image of Arnstein's Ladder of Citizen Participation (1960s). On rungs 6-8, the citizen has actual power to decide what gets discussed and what decisions get made. Below that is defined as token participation. Tokenism.

#MedX AND here's the URL to that tweet with the classic image.

https://twitter.com/tinypatron/status/1171247879643697153

#MedX The context in the 1960s was the Dept of HUD (Housing & Urban Developmt) in the LBJ administration. Urban planners were deciding what neighborhoods to tear down & put highways through. /thread

#MedX Residents got miffed about their homes being destroyed(!) Early attempts to listen to them turned out to be tokenism, no power. Sociologist Sherry Arnstein in HUD created this ladder showing degrees of participation, from manipulation ("make them go away") to power. /more

#MedX I spoke about this, and tied it to a useful definition of "empowerment," in this 9 minute "slidecast." dave.pt/empoweredengag…

Another way to express it: if your advice has no power to change what you think is important, you ain't an "advisor," you're a pet. :-) /end

#MedX @threadreaderapp rollup SVP

#MedX @Threadreaderapp unroll please

#MedX Speaking of tokenism, check out the banner art on
@MatthewZachary's LinkedIn page :-) linkedin.com/pulse/rip-heal…