{"id":785,"date":"2013-09-29T00:41:22","date_gmt":"2013-09-29T07:41:22","guid":{"rendered":"http:\/\/blog.stevenreidbordmd.com\/?p=785"},"modified":"2013-09-29T02:45:31","modified_gmt":"2013-09-29T09:45:31","slug":"online-commentary-marketplace-of-ideas-or-shouting-match","status":"publish","type":"post","link":"http:\/\/blog.stevenreidbordmd.com\/?p=785","title":{"rendered":"Online commentary: marketplace of ideas or shouting match?"},"content":{"rendered":"<p><a href=\"http:\/\/blog.stevenreidbordmd.com\/?attachment_id=789\" rel=\"attachment wp-att-789\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-789\" alt=\"Franklins_printing_press\" src=\"http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2013\/09\/Franklins_printing_press.jpg\" width=\"225\" height=\"275\" srcset=\"http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2013\/09\/Franklins_printing_press.jpg 225w, http:\/\/blog.stevenreidbordmd.com\/wp-content\/uploads\/2013\/09\/Franklins_printing_press-122x150.jpg 122w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a>A central <a href=\"http:\/\/whatis.techtarget.com\/definition\/disruptive-technology\">disruptive technology<\/a> of our online world is the breaking down of unidirectional communication. \u00a0In years past, newspapers and other media published articles\u00a0without immediate feedback from readers. \u00a0True, a few readers might telephone the editor&#8217;s desk, and the paper might print a select handful of &#8220;letters to the editor&#8221; in the next issue. \u00a0But by and large: &#8220;Freedom of the press is guaranteed only to those who own one&#8221; (<a href=\"http:\/\/en.wikiquote.org\/wiki\/A._J._Liebling\">A.J. Liebling<\/a>,\u00a0<i>The New Yorker<\/i>,\u00a0May 14,\u00a01960). \u00a0The average person didn&#8217;t own a printing press.<\/p>\n<p>Now, thanks to blogs, online forums, e-books and the like, anyone can publish. \u00a0There is freedom of the press for the masses, but not necessarily an audience. \u00a0The ubiquitous comments section in online media thus has a special place in the publishing ecosystem. \u00a0Eyeballs are attracted to the professional publication, meanwhile public commentary hangs on its coattails, gaining readership it would not otherwise enjoy.<\/p>\n<p>My local newspaper, the <em>San Francisco Chronicle<\/em>, has a free\u00a0<a href=\"http:\/\/www.sfgate.com\">online version<\/a>. \u00a0The prolific public commentary is loosely moderated: some comments are deleted for personal attacks, obscenity, and the like. \u00a0Nonetheless, an air of bravado, vigilantism, and snap judgment weaves through page after page of commentary. \u00a0For example, an unfolding <a href=\"http:\/\/www.sfgate.com\/giants\/article\/S-F-stabbing-death-suspect-released-from-jail-4850910.php\">story<\/a> about a fatal knifing following a baseball game attracts scores of comments with each new revelation. \u00a0Readers decide the young men are &#8220;thugs,&#8221; argue over who likely started the fight, declare sports fans crazy and San Francisco as way too soft on crime. \u00a0Some proclaim with certainty that self-defense justifies wielding a knife, others just as adamantly that it never does. \u00a0There are 145 such comments today, adding to those from yesterday.<\/p>\n<p>Does freedom to express an offhand opinion, and the privilege of having it seen by thousands of others, contribute to public discourse? \u00a0On the one hand, a freewheeling <a href=\"http:\/\/en.wikipedia.org\/wiki\/Marketplace_of_ideas\">marketplace of ideas<\/a>\u00a0arguably allows the best to prevail. \u00a0Unfettered competition among different ideas, like competing products in a marketplace (or competing species in biological evolution) leads to survival of the fittest. \u00a0Neighbors discussing issues of mutual concern over the proverbial backyard fence \u2014 isn&#8217;t this a cornerstone of democracy?<\/p>\n<p><em>Popular Science<\/em> takes a different view. \u00a0The 141 year old publication this week announced it is <a href=\"http:\/\/www.popsci.com\/science\/article\/2013-09\/why-were-shutting-our-comments?dom=PSC&amp;loc=topstories&amp;con=why-were-shutting-off-our-comments-\">ending<\/a> online comments on its articles. \u00a0They say a barrage of commentary that rejects well-established science, e.g., evolution and global climate change, creates <a href=\"http:\/\/www.nytimes.com\/2013\/08\/22\/opinion\/welcome-to-the-age-of-denial.html?smid=pl-share\">controversy<\/a> where none legitimately exists. \u00a0They claim this serves neither science nor the society that depends on it. \u00a0The announcement cites a <em>Mother Jones<\/em> <a href=\"http:\/\/www.motherjones.com\/environment\/2013\/05\/video-meet-climate-trolls\">piece<\/a> that profiles and interviews a climate-change denying &#8220;troll&#8221;; notably, the 370 comments following <em>that<\/em> article run the gamut from thoughtful points about climate change to a heated debate about &#8220;mens&#8217; rights activists&#8221; and &#8220;femi-nazis&#8221; that has nothing to do with the original post.<\/p>\n<p>Meanwhile, back at the\u00a0<em>San Francisco Chronicle<\/em> website, a\u00a0<a href=\"http:\/\/www.sfgate.com\/bayarea\/matier-ross\/article\/S-F-naked-felon-in-and-out-of-psych-ward-4840455.php\">column<\/a> appeared last week about a young man with apparent psychiatric issues who &#8220;is proof that something isn&#8217;t working with the mental health care\u00a0system.&#8221; \u00a0He was picked up five times in recent months for bizarre, minor crimes \u2014 punching cars, climbing street signs, stripping naked in public, etc. \u00a0Each time he was\u00a0detained\u00a0on a 72-hour psychiatric hold, after which he was\u00a0released. \u00a0Most recently he was atop a 40 foot ledge for nine hours,\u00a0screaming and threatening passersby and\u00a0police, all of which tied up dozens of first-responders, snarled traffic, and cost the city a lot of money. \u00a0As a result he is now\u00a0in the County Jail medical ward, booked on an array of felony and misdemeanor charges.<\/p>\n<p>The 97 comments that follow this column largely decry this man&#8217;s repeated, rapid release from psychiatric custody. \u00a0Here are a few excerpts:<\/p>\n<blockquote><p>\u2022 We need to get the laws in this country changed to make it possible to put people like this in longer-term hospitalization.<br \/>\n\u2022 Seriously what about some sanity, if your getting picked up repeatedly by the cops you need to be on long term hold.<br \/>\n\u2022 So basically some lucky person has to be injured or killed by this guy before anything will be done.<br \/>\n\u2022 Bring back psych hospitals. The pendulum has swung too far to an extreme in allowing the mentally ill to put themselves, and society, at risk on the streets. The social experiment has failed.<\/p><\/blockquote>\n<p>A few ideas quickly occurred to me.\u00a0 We don&#8217;t apply psychiatric holds based on how much &#8220;trouble&#8221; people stir up. \u00a0He&#8217;s apparently not holdable \u2014 if he were, he would have been held. \u00a0Maybe he clears quickly, as would be the case with a medical cause of bizarre behavior, or drug intoxication. \u00a0He&#8217;s detained on criminal charges now, so he won&#8217;t be released in 72 hours this time unless he posts bail. \u00a0But the main thing that occurred to me is how this commentary so glaringly contrasts with that on the <a href=\"http:\/\/psychiatrist-blog.blogspot.com\">psychiatry<\/a> <a href=\"http:\/\/1boringoldman.com\">blogs<\/a> I read. \u00a0In these latter, narrow-focus forums, the predominant tone of the commentary is anti-psychiatric. \u00a0No one argues for longer-term hospitalization or says the pendulum has swung too far in favor of patients&#8217; rights.<\/p>\n<p>Obviously, this is a matter of readership.\u00a0\u00a0For better or worse,\u00a0<em>Chronicle<\/em>\u00a0readers feel safer with psychiatrists than they do with the man in the news story, and they aren&#8217;t terribly sensitive about protecting the latter&#8217;s liberty. \u00a0Anti-psychiatrists, in contrast, are a small but vocal minority who disproportionately flock to psychiatry blogs, just as those who reject science flock to the comment boards at\u00a0<em>Popular Science<\/em>.\u00a0 Some of the blogs at <a href=\"http:\/\/www.psychologytoday.com\"><em>Psychology Today<\/em><\/a> also attract devoted critics, some of whom hotly object to the tone with which a sensitive topic has been discussed. \u00a0(My <a href=\"http:\/\/www.psychologytoday.com\/blog\/sacramento-street-psychiatry\">blog<\/a> is apparently not controversial enough to attract such vitriol.) \u00a0Should psychiatrist bloggers and those at\u00a0<em>Psychology Today<\/em> follow the lead of <em>Popular Science<\/em>? \u00a0Should we disallow commentary, claiming that it\u00a0creates\u00a0controversy\u00a0where none legitimately exists, and that this false controversy serves neither our professional work nor the society that depends on it?<\/p>\n<p>In my view, the answer is captured by a variation of the <a href=\"http:\/\/wikiofscience.wikidot.com\/quasiscience:yerkes-dodson-law\">Yerkes-Dodson law<\/a>. \u00a0That is, too little agreement is just as bad as too much. \u00a0An echo chamber of unanimity brings conversation to a halt, as does a cage fight where everything offered is criticized in a hostile way. \u00a0Discourse proceeds best when all parties and views are treated with respect, and when a substantial shared basis for discussion exists. \u00a0In my opinion, commentary should be permitted on online forums. \u00a0However, comments that reject the basic tenets of the discussion \u2014 the legitimacy of science in a science forum, mental health treatment in a psychiatry or psychology forum \u2014 should be disallowed. \u00a0Speakers have a right to express such views, of course, just not by usurping the forums and readership of their opponents. \u00a0Likewise, off-topic comments, whether commercial spam, political diatribes, or pet peeves, do not add to thoughtful discourse. \u00a0Nor does overt contempt or name-calling. \u00a0This means comment moderation is needed, which adds effort and expense to operating an online media outlet. \u00a0But the situation as it is now does not serve public discourse very well. \u00a0Freedom of speech is not the freedom to grab the microphone from the speaker&#8217;s hand and use it to shout to a crowd who came to hear someone else.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A central disruptive technology of our online world is the breaking down of unidirectional communication. In years past, newspapers and other media published articles without immediate feedback from readers. True, a few readers might telephone the editor&#8217;s desk, and the paper might print a select handful of &#8220;letters to the editor&#8221; in the next issue. [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,51],"tags":[12,32],"class_list":["post-785","post","type-post","status-publish","format-standard","hentry","category-current-events","category-psychiatry-in-general","tag-computers","tag-psychology-today","odd"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=785"}],"version-history":[{"count":6,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/785\/revisions"}],"predecessor-version":[{"id":793,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=\/wp\/v2\/posts\/785\/revisions\/793"}],"wp:attachment":[{"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=785"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.stevenreidbordmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}