I am perhaps the only person to have paid the consequences for breaking “the Goldwater rule.” No member of the APA has been disciplined for breaking it, as far as we know, and no state licensing board is allowed to take it on, as it conflicts with the First Amendment.
Perhaps the most disturbing aspect of the APA was the way it handled debate—or blocked it altogether. When protest letters flooded its ethics committee after its March 2017 opinion, committee members assumed they would be reconvening; no such thing happened.
When its most distinguished life fellows wrote a letter asking for a discussion, the APA refused, stating that a discussion had already been had and there was nothing more to discuss!
Yet resignations continued, including of high-ranking officers, and members withheld their dues, but the APA did not seem concerned (of course, we later learned of unprecedented windfalls from the government).
Demands for a vote were refused, even as an informal poll by the American College of Psychiatrists showed that an overwhelming majority of psychiatrists disagreed with the current “rule”.
A veteran of ethics committees chaired his own committee to devise a thoughtful Goldwater rule revision proposal, hailed by many peers, but the APA did not even acknowledge receipt. Several APA administrative members drafted action papers over the years that met the same fate.
Finally, a foremost scholar on “the Goldwater rule” offered to chair a commission to reexamine the “rule”, which an APA president-elect enthusiastically accepted but rescinded after taking office; for the next 3 years to end of his life, he kept hoping the APA would turn around.
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We invited Jason Stanley to our major interdisciplinary conferences in 2019 and 2020. Here is a good thread on fascism (combined with the psychological concepts, below, you can have a complete summary of what is happening):
Psychological underpinnings of these political observations: 1. Regression (return to childhood) 2. Delusion (self-deception) 3. Anti-knowledge (denial of reality) 4. Psychotic spiral (further detachment from reality) 5. Domination-submission as the only path to stability
6. Paranoia 7. Projection 8. Lack of insight/self-awareness 9. Envy 10. Idealization of self
When a doctor tells you a large mass is benign, or a small sore is part of metastatic cancer, you feel correspondingly relieved or worried. A doctor’s word has a lot of weight.
If “speak responsibly” were the true goal of “the Goldwater rule,” then it would make a lot of sense. But it was changed nonsensically to suit Donald Trump. t contradicted science. It gagged responsible voices, while elevating irresponsible ones because of the confusion.
How egregious, then, if a psychiatrist not only diagnoses but does so irresponsibly:
Substance Abuse in Donald Trump was eliminated because he “is a teetotaler in reaction to his older brother’s alcoholism.” (Really??) vice.com/en/article/wjj…
How did the APA force us to violate ethics? 1. In a case of danger, we are supposed to act, not stay silent (in ordinary situations, we could be held legally liable for this). 2. If in any doubt, a mandatory examination was warranted (no exceptions).
What medical ethics support this? 1. The AMA Code tells us we cannot choose to walk away from an emergency. The APA Code tells us we have a responsibility to the public. The Declaration of Geneva prohibits assisting dangerous regimes. 2. A president does not have immunity.
Of note: 1. These are actual laws (and the Declaration of Geneva a worldwide pledge), unlike “the Goldwater rule,” which is an “annotation” and not even policy for the small private association that created it. 2. No immunity holds for both mental health law and natural law.
A friend in Boston said recently: “If [Hillary Clinton] had turned to the fat pig and commanded him to ‘back off, you creep,’ she would have won.”
She is right. When Donald Trump got away with it, it imbued his defects with special powers....
Every time he “got away with it,” his powers grew: his fixation over crowd size, his firing of James Comey, his giving away intelligence to Russian spies, and his “my button is bigger than your button… (to cover only some of the first year).
His deficiencies continued to turn into magical powers, to the point where much of the nation literally came to adore a naked emperor.
“To their advantage, [politicians] have designed the political system for them to be the sole decision makers on the laws and on the constitution and, by the way, on whether their mental or physical health condition should allow them to serve in office, or not.” - Dr. J. Chaoulli
“In 1965,... a Representative from Pennsylvania, Curtin, suggested that, under some circumstances, a doctor has to go in and forcefully examine the President, and that a Commission should have the power to compel an examination....
... Whitener, a Representative from North Carolina, challenged Rep. Curtin on what would happen then if a President, as Commander in Chief, would order to put the army in front of the White House and stop any doctor trying to step in....
Knowledge empowers. It reduces fear, as you realize things are not as mysterious as they seem. It gives hope, as you recognize there are solutions. It puts the People in charge, as an enlightened populace cannot easily be fooled. All this strengthens democracy.
Do not give into those who would render the People ignorant so as to rule. Facts, expertise, and knowledge belong to you. Health professionals make a pledge to their patients and to society—not to any powerful public figure, special interest group, or self-interest.
Intellectuals are not “the elite.” There is a reason why they (along with journalists) are the first to be targeted under an authoritarianism regime. The less people are educated, the more they will reject education and worship the actual “elite” (oppressors).