The standard you accept is the standard you live by.

How much do we 'accept' in healthcare that is inhumane and harmful? How often do we shrug our shoulders and sit idly and silent while friends and family experience dehumanization and discrimination? a THREAD
Many organizations learn from negative experiences of others and invite critique to improve. Yet, too many silence critics, and smile in public while rolling their eyes in private. They look out for their own power and have a vested interest in maintaining the status quo. /1
The ways in which we treat people suffering with mental illness and addiction is a perfect example. I have researched stigma in acute healthcare organizations for years. Despite some positive counter examples, these patients are consistently treated in undignified ways. /2
The entire frame in which we discuss these horrible experiences triggers denial/defense. Our instinct is to rationalize; to dismiss. Rarely if ever do we elevate and dignify the patient/family and their experience. Especially if they have a history of psychiatric illness. /3
So what will we continue to accept?

Will we let them silence us or will we be the truth tellers?

Will we resign ourselves to helplessness or will we be fearless?

Thanks for reading. Have a great day.

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More from @javeedsukhera

13 Sep
Now that #wspd has passed, I would like for all of us to ask ourselves: how do we treat those suffering with mental illness, addiction, or contemplating suicide?
We encourage people to speak up and ask for help, yet we continue to implicitly shame, blame, and roll our eyes when it comes to the topic of mental health unless it affects us personally.
We design systems where people have to be in their worst possible state before they can access help, and when they tell us they’re thinking about it suicide we use coercive approaches to detain them and lock them in wards that dehumanize them.
Read 6 tweets
9 Aug
This article by ⁦@DrIvanJoseph⁩ is 🔥🔥🔥 it provides mic drop after mic drop of truth bombs that most people in academia simply don’t want to admit. Read. Reflect. Revolutionize. #BlackintheIvory #racism #MedEd #MedTwitter theglobeandmail.com/business/comme…
“Racism in an institution isn’t restricted to race-laced insults...It’s often more subtle and nuanced, yet pernicious. Based on my experiences in the ivory tower of academia, here is what institutional racism can look like.”
“Institutional racism is white leaders within the prevailing power structure arranging “a meeting before the meeting” to align the majority around their position.“
Read 8 tweets
11 Jul
During my second year of University, one of my friends encouraged me to go to a writing lab. I booked an appointment and met a courteous and friendly writing instructor who started off with going through a series of questions...
He asked me why my ‘first language’ was. I said English. He looked at me quizzically with raised eyebrows. “English? No. That can’t be your first language. Where were you born?”
“Canada. I was born in Canada.”

“C’mon, like where are you really from?”

“My parents immigrated from Pakistan.”

“And what language do they speak”

“Urdu”

“So I’m going to put down Urdu as your first language.”
Read 10 tweets
17 Jun
How can we move beyond bias recognition towards anti racist transformation in #meded and #healthcare? ... a thread
Bias trainings have mixed results and have evoked critique and controversy. In a recent piece with #meded thought leaders @ChrisWatling3 and @CristinaMDNYC we argue that there is a lack of sound theory-informed educational strategies regarding bias recognition and management. /1
Transformative Learning Theory proposed by Jack Mezirow may provide some guidance. Mezirow Mezirow argued that reflection and dialogue synergistically influence one another to foster transformation of an individual’s personal paradigm. /2
Read 13 tweets
4 Apr
If you have to leave home

Take a deep breath

and take a look around

(a thread)
Every single one of us is carrying an invisible burden on our shoulders.

Every single one of us is human.

We can be easily triggered into anger or fear because our brains are in a highly aroused state. /1
The person waiting in line for groceries could look ok, but they might be worried if they have enough money to feed their family or pay their rent. /2
Read 7 tweets
26 Mar
Struck by a few things #mentalhealth related in the midst of #COVID19 that should be reason for reflection and introspection in our society: (a thread)
There is a proliferation of online information, self-help resources, apps, and virtual supports. This is awesome. But it is not enough. We had online information and self-help available before COVID-19. We still had a mental health crisis. /1
A big reason for this is that people who are struggling, isolated, alone, and having difficulty coping needed to CONNECT to fellow human beings. To trained mental health professionals who functioned according with the best available evidence and standard of practice. /2
Read 7 tweets

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