I am trying to understand this response. Yes, #mentalhealth access is very limited & victims of abuse or domestic violence are at risk: ~3 women are killed daily by domestic violence.

Generational trauma can create perpetrators in subsequent generations. #GhislaineMaxwell
As a #pediatrician I have one signed papers & worked with authorities to evaluate a family situation, even remove children from a home.

Working in #emergencymedicine we also had children boarding for days due to lack of access.

Access *is* limited.

wbur.org/news/2021/02/0…
As I learned more about disparities & social justice & bias, I began to understand that *the system* is the source of “broken” Black & brown families, criminalizing certain parenting while much worse is *not* identified in privileged families.

time.com/5946929/child-…
In #GhislaineMaxwell, her status, privilege, charm did not fit our mental models of “abuser.”

“Gender stereotypes have kept us from developing a clear picture of female abusers. Today, female predation remains under-reported to authorities”

slate.com/news-and-polit…
Abuse is not as clear cut as our mental models of it nor is anyone’s role static. It is classic for abusers to be both victim & abuser - either victims as children who become abusers or concurrently victim & abuser.

That’s why accountability is hard.

news.northeastern.edu/2021/12/21/ghi…
Yes, we need much more access & funding for #mentalhealth. We remove Black & brown children from homes…

…but the wealthiest families are allowed to traumatize their children, groomed to become abusers & to become CEO & heads of boards for philanthropy

nj.com/somerset/2013/…
Anger at abusers is a very human response…but if only respond with anger, won’t break the cycle of #trauma & abuse

We keep letting the people in #leadership mischaracterize their pathology as “grit” & “strength” & “personal excellence”
Really? narcissism gsb.stanford.edu/insights/how-n…

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More from @usnehal

1 Jan
This is what targeted racial harassment looks like: nitpicking things like “smiled” or “wore clothes like a celebrity, as a celebrity” or “bought cookware.” It is part of the “gold digger” narrative.
This is common in #healthcare#professionalism” where there is hazing & bullying by racist &/or classist made up non-rules lacking standards…yet people are called “breaking the rules.”

It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
In the U.K., “BAME” includes the formerly colonized, thus making race constructs or power different from U.S. as latter had race-based chattel slavery.

Thing is, those formerly colonized have many who have internalized self hate & racism.

psycnet.apa.org/record/2021-69…
Read 76 tweets
30 Dec 21
When you identify your own abuser as the source of power, strength, status…you become them, seek similar control. This is the cycle of abuse generation to generation.

#Trauma-informed therapy allows you to see abusive need for control =inner emptiness

Choose humanism instead.
Removing a child from an abusive situation is one way to break this cycle *if* also coupled with appropriate therapy.

law.marquette.edu/facultyblog/20…
That said, availability of that needed #trauma therapy is minimal to nil. We have a dearth of #mentalhealth clinicians. The pandemic has worsened that. There are disparities by insurance, state, country, socioeconomic factors, race, gender, etc.

socialsolutions.com/blog/barriers-…
Read 4 tweets
30 Dec 21
This makes me so 🤢

The idea that women are automatically “safe” is exactly what creates this “opportunity” for some women to exploit children & monetize their “optics” of “trustworthy” on behalf of predators.

Gender does not predict ethics, integrity, safety.
Why does #GhislaineMaxwellTrial matter to #womeninSTEM?
⬇️federal funding
➡️private donors (Epstein)

“Socialites” open doors to elite spaces, including #academia #science #STEM
Women=“optics” & “reputation management” for these wealthy predator men

theverge.com/2019/9/19/2087…
These same connected women, often daughters of powerful businessmen

are on boards of #WomeninSTEM “empowerment” organizations or on #MeToo (TimesUp scandal)

the very women who are predators of young women are given access to women’s “safe spaces”? (!!!)

bustle.com/entertainment/…
Read 33 tweets
25 Dec 21
#antivaxx efforts now even use #deepfake

to target #refugee, Black, religious minority communities

like measles outbreak in Minnesota in 2019: Wakefield was flown in TO spread #misinformation & #disinformation

Now: online fake accounts/fake identities vs #VaccinesWork
What has #healthcare been doing meanwhile?

#Medbikini: Teach (male Asian) med students to make fake accounts to cyberstalk trainees’ personal Facebook for: bikini
or “being political” or “religious” (#BLM)

➡️“model minority” pipeline for “shadow faculty” vs Blck @ayshakhoury
#Medbikini #research got flak for men vs women

BUT was ALSO fake acct #surveillance vs #BLM like drove out @ayshakhoury @uche_blackstock @nhannahjones

While academia has ignored #vaccineequity
➡️ongoing #pandemic & deaths in marginalized targeted by #antivaxx

@womanistpsych
Read 23 tweets
24 Dec 21
He spent his life as a first responder when others needed him. When he had a heart attack on the job, system overwhelm meant no resources available for him.

This is betrayal.

We’ve been asking, pleading, negotiating, screaming for this not to happen.
Those #HCW who spoke up early on #safety? Fired.

bloomberg.com/news/articles/…
Maybe listen to the ones who care enough to speak up on REAL #safety issues rather then fire them.

The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.

npr.org/2021/10/24/104…
Read 16 tweets
23 Dec 21
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills

Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system

Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:

https://t.co/VZ26WWNxRP
Read 45 tweets

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