Tag: social inequality

Studies find higher premature mortality rates are correlated with Conservative governments

November 23, 2018November 23, 2018 · 10 Comments ·

In 2014, public health experts from Durham University denounced the impact of Margaret Thatcher’s policies on the health and wellbeing of the British public in research which examined social inequality and injustice in the 1980s.

The study, which looked at over 70 existing research papers, concludes that as a result of unnecessary unemployment, welfare cuts and damaging housing policies, the former prime minister’s legacy includes the unnecessary and unjust premature death of many British citizens, together with a substantial and continuing burden of suffering and loss of well-being.

The research shows that there was a massive increase in income inequality under the Thatcher government – the richest 0.01 per cent of society had 28 times the mean national average income in 1978 but 70 times the average in 1990, and UK poverty rates went up from 6.7 per cent in 1975 to 12 per cent in 1985.

Thatcher’s governments wilfully engineered an economic catastrophe across large parts of Britain by dismantling traditional industries such as coal and steel in order to undermine the power of working class organisations, say the researchers. They suggest this ultimately fed through into growing regional disparities in health standards and life expectancy, as well as greatly increased inequalities between the richest and poorest in society.

Co-author Professor Clare Bambra from the Wolfson Research Institute for Health and Wellbeing at Durham University, commented: “Our paper shows the importance of politics and of the decisions of governments and politicians in driving health inequalities and population health. Advancements in public health will be limited if governments continue to pursue neoliberal economic policies – such as the current welfare state cuts being carried out under the guise of austerity.”

Housing and welfare changes are also highlighted in the paper, with policies to sell off council housing such as Right to Buy and to reduce welfare payments resulting in further inequalities and causing “a mushrooming of homelessness due to a chronic shortage of affordable social housing.” Homeless households in England tripled during the 1980s from around 55,000 in 1980 to 165,000 in 1990.

And while the NHS was relatively untouched, the authors point to policy changes in healthcare such as outsourcing hospital cleaners, which removed “a friendly, reassuring presence” from hospital wards and has ultimately led to increases in hospital acquired infections.

Co-author Professor David Hunter, from Durham University’s Centre for Public Policy and Health, said: “Taking its inspiration from Thatcher’s legacy, the coalition government has managed to achieve what Thatcher felt unable to, which is to open up the NHS to markets and competition.”

The study, carried out by the Universities of Liverpool, Durham, West of Scotland, Glasgow and Edinburgh, is published in the International Journal of Health Services.

The backwards future

An increase in UK infant mortality over the past two years, after more than a century of a decline, is the starkest indicator of how, as a society, we are regressing, failing to support the physical and mental wellbeing of children and young people. In October, the frightening implications for individual families and the long-term pressures on the public sector were highlighted by the Royal College of Paediatrics and Child Health, which had published its projections of likely outcomes for child health up to 2030.

The study compares the UK with the EU15+, comprising 15 long-standing EU members plus Australia, Canada and Norway. It shows that by 2030 the UK infant mortality rate will be 80% higher than the EU15+, even if the country resumes its previous downward path. If we carry on as we are, the rate will be 140% higher. As always, the impact is greatest among the poorest citizens. To put this into persepctive, the United Nations’ estimates of infant mortality indicate that only around six other countries have had increases over the past two or three years. We are now comparable with countries such as Dominica, Grenada and Venezuela.

The brutal cuts to local government have increased the risks facing the most vulnerable. Child protection services are increasingly being driven to wait until a child is in crisis before intervening. This puts children in danger, increases family break-ups and drives up the long-term costs to public services as people struggle to cope in later life with the aftermath of avoidable trauma.

Problems associated with poverty are compounded as children grow. As many as 1,000 Sure Start children’s centres may have closed since 2010, stripping away early years support for children from the poorest homes. Remaining centres struggle to cope.

Cuts in services addressing domestic violence and addiction put more children in danger. The repeal of child protection policies that the last Labour government brought in – Every Child Matters – has hardly helped, too. Michael Gove repealed the policy the day after he took office in 2010.

A more recent study, published in the medical journal Lancet Public Health, has revealed that people living in the most deprived regions of the country die up to ten years earlier than their wealthier counterparts.

According to the study, the life expectancy between rich and poor citizens has increased from six years in 2001 to eight years in 2016 for women, and from nine to ten years for men. The research was carried out by the Imperial College London.

The researchers say that stagnant wages and cuts to social security are among the main causes for the growing life expectancy gap, they warn that the their findings are a “deeply worrying indicator of the state of our nation’s health”.

The study also reveals that child mortality rates are higher among deprived communities, with the poorest children more than twice as likely to die before they reach adulthood, compared to children born into well-off families.

The researchers said people from the most deprived sections of society are at a far greater risk of developing diseases like heart disease, lung and digestive cancers, and respiratory conditions – despite the fact that most of these conditions are avoidable and treatable.

Professor Majid Ezzati, senior author of the research from Imperial’s School of Public Health, said: “Falling life expectancy in the poorest communities is a deeply worrying indicator of the state of our nation’s health, and shows that we are leaving the most vulnerable out of the collective gain.

“We currently have a perfect storm of factors that can impact on health, and that are leading to poor people dying younger.

“Working income has stagnated and benefits have been cut, forcing many working families to use foodbanks.

“The price of healthy foods like fresh fruit and vegetables has increased relative to unhealthy, processed food, putting them out of the reach of the poorest.

“The funding squeeze for health and cuts to local government services since 2010 have also had a significant impact on the most deprived communities, leading to treatable diseases such as cancer being diagnosed too late, or people dying sooner from conditions like dementia.”

Jonathan Ashworth MP, the Labour party’s Shadow Health and Social Care Secretary, said: “This is latest evidence of stark differences in life expectancy, which should act as an urgent wake up call for ministers ahead of the long term NHS plan.

“The shameful truth is women living in poorer areas die sooner and get sick quicker than women in more affluent areas.

“It’s why as well as ending austerity, Labour recently announced we’d target growing health inequalities and implement a specific women’s strategy in government to ensure the health and wellbeing needs of women are met.”

The ideologically prompted and systematic dismantling of public services has stalled our progress as a society, transforming it into a social Darwninist dystopia. The inequalities in mortality between haves and have nots is proof that the government has abandoned and intentionally economically excluded growing numbers of citizens, causing harm, premature death, and leaving them in profound in distress and deprivation, while inequalities in wealth, inclusion, wellbeing and opportunity are being pushed even higher.

If a parents neglect children child, intentionally leaving them without food, warmth and shelter, punishing them because of some unevidenced theory about ‘incentives’ and their attitude, behaviour and motivation, we would say that is abuse. When the state neglects children and treats them this way, we call it welfare ‘reform’.

The public have paid into social security funds and other public services. It is citizen-funded provision FOR citizens when or if they need it. It is not the government’s moeny to take from ordinary people and hand out to millionaires.

Dying prematurely because you are poor is the most unfair outcome of all. As a society, we should all be concerned about the growing divergence in rich-poor life expectancy and the fact that this divergence is damaging citizens. It should also be a cause for substantial public concern that inequalities are being wilfully engineered and fuelled by the UK government.

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IAPT is value-laden, non-prefigurative, non-dialogic, antidemocratic and reflects a political agenda

March 7, 2017April 30, 2019 · 30 Comments ·

Arnstein’s ladder of citizen participation and inclusion. It represents the redistribution of power that enables marginalised citizens, presently excluded from the political and economic processes, to be purposefully included in the future.

The government’s Work and Health Programme, due to be rolled out this autumn, involves a plan to integrate health and employment services, aligning the outcome frameworks of health services, Improving Access to Psychological Therapies (IAPT), Jobcentre Plus and the Work Programme.

But the government’s aim to prompt public services and commissioned providers to “speak with one voice” is founded on traditional Conservative prejudices about people who need support. This proposed multi-agency approach is reductive, rather than being about formulating expansive, coherent, comprehensive and importantly, responsive mental health provision.

What’s on offer is psychopolitics, not therapy. It’s about (re)defining the experience and reality of a marginalised social group to justify dismantling public services (especially welfare). In linking receipt of welfare with health services and state therapy, with the single politically intended outcome of employment, the government is purposefully conflating citizens’ widely varied needs with economic outcomes and diktats, which will isolate people from traditionally non-partisan networks of unconditional support, such as the health service, social services, community services and mental health services.

Services “speaking with one voice” will invariably make accessing support conditional, and further isolate marginalised social groups. It will damage trust between people needing support and professionals who are meant to deliver essential public services, rather than simply extending government dogma, prejudices and discrimination. And meeting ideologically designed targets.

As neoliberals, the Conservatives see the state as a means to reshape social institutions and social relationships hierarchically, based on a model of a competitive market place. This requires a highly invasive power and mechanisms of persuasion, manifested in an authoritarian turn. Public interests are conflated with narrow economic outcomes. Public behaviours are politically micromanaged and modified. Social groups that don’t conform to ideologically defined economic outcomes and politically defined norms are stigmatised and outgrouped.

Othering and outgrouping have become common political practices, it seems.

The Work and Health Programme is a welfare-to-work programme for people with disabilities, mental health problems and for long-term unemployed people, due to be rolled out in the autumn. In the recent Work, Health and Disability green paper, the government mentioned new mandatory “health and work conversations” in which work coaches will use “specially designed techniques” to “help” those people in the ESA Support Group – those assessed by their own doctors and the state as being unlikely to work in the near future – “identify their health and work goals, draw out their strengths, make realistic plans, and build resilience and motivation.”

Apparently these “conversations” were “co-designed” by the Behavioural Insights Team.

Democracy is based on a process of dialogue between the public and government, ensuring that the public are represented: that governments are responsive, shaping policies that address identified social needs.

However, policies increasingly reflect a behaviourist turn. They are no longer about reflecting citizens’ needs: they are increasingly about telling some citizens how to be. This has some profound implications for democracy.

Neoliberal policies increasingly extend behaviour modification techniques that aim to quantifiably change the perceptions and behaviours of citizens, aligning them with narrow neoliberal outcomes through rewards or “consequences.” Rewards, such as tax cuts, are aimed at the wealthiest, whereas the most vulnerable citizens who are the poorest are simply presented with imposed cuts to their lifeline support as an “incentive” to not be poor. Taking money from the poorest is apparently “for their own good”.

Defining human agency and rationality in terms of economic outcomes is extremely problematic. And dehumanising. Despite the alleged value-neutrality of behavioural economic theory and CBT, both have become invariably biased towards the status quo rather than progressive change and social justice.

Behavoural economics theory has permited policy-makers to indulge ideological impulses whilst presenting them as “objective science.” From a libertarian paternalist perspective, the problems of neoliberalism don’t lie in the market, or in growing inequality and poverty: neoliberalism isn’t flawed, nor are governments – we are. Governments and behavioural economists don’t make mistakes – only citizens do. No-one is nudging the nudgers. It’s assumed that their decision-making is infallible and they have no whopping cognitive biases of their own.

“There’s no reason to think that markets always drive people to what’s good for them.” Richard Thaler.

There’s no reason whatsoever to think that markets are good for people at all. Let’s not confuse economics with psychology, or competitive individualism and economic Darwinism with collectivism and mutual aid. Behavioural economics may offer us titbit theories explaining individual consumer’s decision making, but it’s been rather unreliable in explaining socioeconomic and political contexts and complex systems such as financial crises, and of course behavioual economists don’t feel the same pressing need to explore the decision making and “cognitive bias” of the handful of people who cause those.

It wasn’t those with mental health problems currently claiming social security. They do much less damage to the economy, in fact IAPT means vulture capitalist private companies like G4S and trusts like Southern Care can turn a profit offering “support”.

The current emphasis on quantitative methodology and standardisation has led to an overwhelming focus on measurement in IAPT settings. Mental health services are now dominated by IAPT, which focuses exclusively on “evidence-based” and short-term interventions for clients with particular diagnoses – mostly anxiety disorders and depression. Most workers in IAPT services offer CBT, often by minimally trained psychological wellbeing practitioners offering “low-intensity” interventions over few sessions.

Verificationism and standardisation leads to a focus on measurement in IAPT settings. CBT mutes the causes of distress, which do not reside “within” the individual: they are intersubjectively constructed, with cultural, socioeconomic and political dimensions. Furthermore, there is little room left for authentic dialogue – qualitative accounts of client’s experiences are not accommodated. In this context, CBT is authoritarian, rather than being prefigurative and genuinely dialogic.

Under the government’s plans, therapists from the IAPT programme are to support jobcentre staff to assess and treat claimants, who may be referred to online cognitive behavioural therapy (CBT) courses.

We must question the ethics of linking receipt of welfare with “state therapy,” which, upon closer scrutiny, is not therapy at all. Linked to such a narrow outcome – getting a job – it amounts to little more than a blunt behaviour modification programme. The fact that the Conservatives have planned to make receipt of benefits contingent on participation in “treatment” also worryingly takes away the fundamental right of consent.

CBT facilitates the identification of “negative thinking patterns” and associated “problematic behaviours” and “challenges” them. This approach is at first glance a problem-solving approach, however, it’s of course premised on the assumption that interpreting situations “negatively” is a bad thing, and that thinking positively about bad events is beneficial.

The onus is on the individual to adapt by perceiving their circumstances in a stoical and purely “rational” way.

So we need to ask what are the circumstances that we expect people to accept stoically. Socioeconomic inequality? Precarity? Absolute poverty? Sanctions? Work fare? Being forced to accept very poorly paid work, abysmal working conditions and no security? The loss of social support, public services and essential safety nets? Starvation and destitution?

It’s all very well challenging people’s thoughts but for whom is CBT being used. For what purpose? It seems to me that this is about coercing those people on the wrong side of draconian government policy to accommodate that; to mute negative responses to negative situations. CBT in this context is not based on a genuinely liberational approach, nor is it based on democratic dialogue. It’s about modifying and controlling behaviour, particularly when it’s aimed at such narrow, politically defined and specific economic outcomes, which extend and perpetuate inequality. In this context, CBT becomes state “therapy” used only as an ideological prop for neoliberalism.

CBT tends to generate oversimplifications of the causes human distress. It’s not about helping people make better choices, it’s about coercing people to make the choices that policymakers want them to make. Those “choices” are based on enforced conformity to the ideological commitments of policymakers.

It’s assumed that the causes of unemployment are personal and attitudinal rather than sociopolitical or because of health barriers, and that particular assumption authorises intrusive state interventions that encode a Conservative moral framework, which places responsibility on the individual, who is characterised as “faulty” in some way. The deeply flawed political/economic system that entrenches inequality isn’t challenged at all: its victims are discredited and stigmatised instead.

Yet historically (and empirically), it has been widely accepted that poverty significantly increases the risk of mental health problems and can be both a causal factor and a consequence of mental ill health. Mental health is shaped by the wide-ranging characteristics and circumstances (including inequalities) of the social, economic and physical environments in which people live. Successfully supporting the mental health and wellbeing of people living in poverty, and reducing the number of people with mental health problems experiencing poverty, requires engagement with this complexity.

There is also widely held assumption that working is good for mental health, and that being in employment indicates mental wellbeing. It’s well-established that poverty is strongly linked with a higher likelihood of being diagnosed with a mental illness. That does not mean working is therefore somehow “good” for mental health. Encouraging people to work should entail genuine support, it shouldn’t entail taking away their lifeline income as ~~punishment~~ “incentive” if they can’t work.

An adequate level of social security to meet people’s basic survival needs is not mutually exclusive from encouraging people to find a suitable job.

It’s worth noting that research indicates in countries with an adequate social safety net, poor employment (low pay, short-term contracts), rather than “worklessness”, has the biggest detrimental impact on mental health.

CBT does not address the socioeconomic and political context. It permits society to look the other way, whilst the government continue to present mental illness as an individual weakness or vulnerability, and a consequence of “worklessness” rather than a fairly predictable result of living a distressing, stigmatised, excluded existence and material deprivation in an increasingly unequal society.

Inequality and poverty arise because of ideology and policy-formulated socioeconomic circumstances, but the government have transformed established explanations into a project of constructing behavioural and cognitive problems as “medical diagnoses” for politically created socioeconomic problems. Austerity targets the poorest disproportionately for cuts to income and essential services, it’s one ideologically-driven political decision taken amongst alternative, effective and more humane choices.

Both nudge and CBT are being used to prop up austerity and reflect neoliberal managementspeak at its very worst. Neoliberal policies are causing profound damage, harm and distress to those they were never actually designed to “help”. Let’s not permit techniques of neutralisation: the use of rhetoric to obscure the real intention behind policies. It’s nothing less than political gaslighting.

The government’s profound antiwelfarist rhetoric indicates that there’s no genuine intention to support those people with mental health problems and others in need, despite their semantic thrifts and diversions.

Policies are expressed political intentions regarding how our society is organised and governed. They have calculated social and economic aims and consequences. In democratic societies, all citizen’s accounts of the impacts of policies ought to matter.

However, in the UK, the way that policies are justified is being increasingly detached from their aims and consequences, partly because democratic processes and basic human rights are being disassembled or side-stepped, partly because the government employs the widespread use of linguistic strategies and techniques of persuasion to intentionally divert us from the aims and consequences of their ideologically driven and increasingly dehumanising policies. Furthermore, policies have become increasingly detached from public interests and needs.

For people with mental health problems, policies are being formulated to act upon them as if they are objects, rather than autonomous human subjects. Such a dehumanising approach has contributed significantly to a wider process of social outgrouping, increasing stigmatisation and ultimately, to further socioeconomic and mental health inequalities.

It’s the government that need to change their behaviour.

It’s us that need to make a stand against hegemonic neoliberal discourse and injustice.

—

This article was written for a zine to mark the protest at the 10th annual New Savoy conference on 15 March in London #newsavoy2017. You can read the zine, with other people’s excellent contributions, here.

Also, see: New Savoy Protest against psycho-compulsion of MH claimants – 15th March 2017.

You can read about the background to the Mental Wealth Alliance and the New Savoy demo and lobby here.

You can watch the video here from Let Me Look TV: Protest at the 10th Annual New Savoy Conference 15 March 2017.

Please share.

The importance of citizen’s qualitative accounts in democratic inclusion and political participation

A critique of the ‘Origins of Happiness’ study

A critique of Conservative notions of social research

Research finds damaging mental health discrimination ‘built into’ Work Capability Assessment. Again.

The Conservative approach to social research – that way madness lies

I don’t make any money from my work. I am disabled because of illness and have a very limited income. The budget didn’t do me any favours at all.

But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

Tory MP says PIP should only go to ‘really disabled’ people, not those with anxiety ‘taking pills at home’

February 26, 2017March 14, 2017 · 17 Comments ·

George Freeman, MP for Norfolk and chair of the Prime Minister’s Policy Board, has defended the government’s decision to subvert the judicial system, by disregarding the rulings of two independent tribunals concerning Personal Independence Payment (PIP) for disabled people.

In an interview on Pienaar’s Politics, on BBC 5 Live, Freeman said:

“These tweaks [new regulations to cut PIP eligibility] are actually about rolling back some bizarre decisions by tribunals that now mean benefits are being given to people who are taking pills at home, who suffer from anxiety”.

He claimed that the “bizarre” upper tribunal rulings meant that “claimants with psychological problems, who are unable to travel without help, should be treated in a similar way to those who are blind.”

He said: “We want to make sure we get the money to the really disabled people who need it.”

He added that both he and the Prime Minister “totally” understood anxiety, and went on to say: “We’ve set out in the mental health strategy how seriously we take it.”

He said: “Personal Independence Payments reforms were needed to roll back the bizarre decisions of tribunals.”

Freeman’s controversial comments about people with anxiety “at home taking pills” implies that those with mental health problems are faking their disability. He trivialises the often wide-ranging disabling consequences of mental ill health, and clearly implies that he regards mental illnesses as somehow not “real” disabilities.

His comments contradict the government’s pledge to ensure that mental health and physical health are given a parity of esteem, just months after the Prime Minister pledged to take action to tackle the stigma around mental health problems.

Yet people with the following mental health conditions are likely to be affected by the reversal of the Independent Tribunal’s ruling on PIP mobility awards – those in particular who suffer “overwhelming psychological distress” when travelling alone:

Mood disorders – Other / type not known, Psychotic disorders – Other / type not known, Schizophrenia, Schizoaffective disorder, Phobia – Social Panic disorder, Learning disability – Other / type not known, Generalized anxiety disorder, Agoraphobia, Alcohol misuse, Anxiety and depressive disorders – mixed Anxiety disorders – Other / type not known, Autism, Bipolar affective disorder (Hypomania / Mania), Cognitive disorder due to stroke, Cognitive disorders – Other / type not known, Dementia, Depressive disorder, Drug misuse, Stress reaction disorders – Other / type not known, Post-traumatic stress disorder (PTSD), Phobia – Specific Personality disorder, Obsessive compulsive disorder (OCD).

Note that some of the listed conditions have known physiological causes, too, such as “Cognitive disorder due to stroke”, whereas Agoraphobia, “Stress reaction disorders”, PTDS, some anxiety and depressive disorders, substance use and PTDS, for example, most often arise because of context, circumstances, events and experiences, whilst the aetiology of some of the other listed conditions is not yet clearly understood by medical experts.

Regardless of the cause of an illness, it is not possible or appropriate to use constructed and arbitrary taxonomies and hierarchical ranks of disability to decide in advance of an assessment how those conditions negatively impact on disabled people’s capacity to live their lives, to perform tasks, their dignity, social inclusion and independence. Freeman’s generalisation was therefore completely inappropriate.

Freeman’s comments signposted the Conservative’s “deserving” and “undeserving” narrative, implying that some disabled people are faking their illnesses. However, disabled people do not “cheat” the social security system: the system has been redesigned by the government to cheat disabled people.

Criticism

Despite some scathing comments and challenges from the opposition, Freeman maintains: “My point was that these PIP reforms are partly about rolling back some frankly bizarre decisions in tribunals which have seen money that should go to the most disabled spent on people with really much less urgent conditions.”

The chief executive of Scope, Mark Atkinson. said: “It is unhelpful to make crude distinctions between those with physical impairments and mental health issues because the kind of impairment someone has is not a good indicator of the costs they will face.

Many disabled people will be now be anxiously waiting to hear as to whether or not these tighter rules will affect their current PIP award.

The government must offer clarity and reassurance that these new measures will not negatively affect the financial support that disabled people receive now or in the future, and that they stand by their commitment to making no further changes to disability benefits in this Parliament.”

Debbie Abrahams MP, Shadow Work and Pensions Secretary has also responded to the comments by Freeman. She said:

“Mr Freeman must immediately apologise for the comments he made regarding sick and disabled people.

Freeman dismissed the needs of people with mental health conditions saying support should go to “really disabled people” rather than those who are “taking pills at home, who suffer from anxiety.

Not only does this fly in the face of the commitment to ‘parity of esteem’ for people with mental health conditions, but it directly contradicts Theresa May’s comments on mental health and two recent tribunal judgements.”

The Shadow Chancellor, John McDonnell, has called on Philip Hammond not to go ahead with the £3.7bn worth of cuts to PIP which will hit 160,000 disabled people.

The announcement about the two controversial regulations to be imposed without any parliamentary scrutiny and debate, and without any democratic dialogue with disabled people, was sneaked out last week by the government. It will mean 160,000 disabled people are likely to see a loss in their income as a direct effect of the changes made by the government to how PIP is awarded.

McDonnell said:

“Theresa May has used the cover of the by-elections to sneak out this announcement hurting so many vulnerable disabled people.

His is a return to the worst politics of spin that so tarnished our politics for so long. It is an act of immense bad faith. She is degrading politics and demeaning the role of Prime Minister.

Next week the Tories will make out that the economy and the public finances are doing better, however, they are planning to go ahead with a £3.7 billion cut to the disabled.

This time last year when the economy and public finances were not doing as well, and the then Chancellor George Osborne tried to cut PIP, Labour stopped him. And in his u-turn he claimed that he could “absorb” the cost of reversing this cut.

Hammond can’t hide from these PIP cuts in his Budget. He needs to explain why he can’t absorb them like his predecessor while he is still going ahead with tax giveaways to the very wealthiest in our country.”

But cutting PIP may cost more than it will save.

PIP is an in-work benefit as well as being accessible to disabled people out of work. Cutting PIP will invariably mean that some disabled people can no longer remain sufficiently independent to work. Many have lost their higher mobility rate component when they were reassessed for PIP after claiming Disability Living Allowance (DLA), and as a consequence, have lost their motability vehicles – which includes wheelchairs as well as specially adapted cars – leaving many completely housebound and unable to work.

The Conservative claim that “the government is committed to supporting the most vulnerable” doesn’t stand up to scrutiny, given the Conservative’s policy record, including cruelly scrapping the Independent Living Fund, which has had a hugely negative impact on those trying their best to lead independent and dignified lives, and the Access To Work funding has been severely cut, this is also a fund that helps people and employers to cover the extra living costs arising due to disabilities that might present barriers to work.

The mental-physical illness distinction is a false dichotomy

It’s not appropriate to dichotomise mental and physical illness, as they are not clearly distinct. Most people would probably recognise that trauma, anxiety and stress can exacerbate illnesses that have a clear physiological basis. However, illnesses that have clearly defined “physical” symptoms can often also cause mental illness. Depression resulting from dealing with chronic pain and adapting to progressive illness and increasing disability is one example of the overlap between the physical and mental dimensions of illness.

I have lupus, which is an autoimmune illness that potentially progressively damages the joints, tendons, muscles, nerves, skin, eyes, blood cells, capacity to fight infections, heart, lungs, kidneys, stomach and liver. And the brain.

Most people with lupus complain of severe headaches, cognitive dysfunction, short-term memory loss and often, coordination difficulties. However, some suffer from depression and anxiety as a direct consequence of inflammatory changes in the brain, and some people also experience mood disorders. Other forms of neuropsychiatric lupus include psychosis, seizures, stroke and vascular dementia, chorea and cerebrovascular disease. There is often no clear boundary between the mental and physical symptoms of illness.

Health and wellbeing have socioeconomic determinants

Another important consideration is the context in which people live, this also has a significant impact on health and wellbeing. There is an extremely unequal distribution of power and wealth in the UK. There are also corresponding unequal distributions of opportunity, health and psychological wellbeing, inclusion, human rights and citizen freedoms more generally, such as freedom of choice and participation in democracy.

Precarity and anxiety directed by the state through targeted and discriminatory policies at the poorest citizens mediates and maintains a repressive state–citizen power relationship.

There is also an emerging and clear “cognitive” hierarchy: those in positions of power are formulating policies that are premised on a fundamental assumption that poverty happens because of something that poor people don’t do, or that they do “wrong”, and this happens because of cognitive errors and “wrong” behaviours and attitudes. The assumption, of course, is that the policy decision-makers are more cognitively and behaviourally competent than those they are “nudging” to change their thinking and behaviour.

However, we know that an economic system founded on mythical “market forces, an even more mythical meritocracy – amongst other just-world fallacies – and competitive individualism, which sets citizen groups fighting for increasingly scarce resources, creates just a few “winners”(around 1%) and many more who are dispossessed (99%).

Policies controversially aimed at “correcting behaviours” are increasingly punitive (benefit sanctions, increased welfare conditionality generally and restrictions on child tax credits are examples of the government’s behaviourist approach) that draw on psychosocial dynamics – imported from techniques of persuasion at the low end of the advertising industry – build and reproduce socioeconomic hierarchies, not only materially, but through dominant discursive practices, and also through inflicting precarity and perpetual anxiety on those people who have the least share of national wealth.

It’s remarkable that a government that claims “work is beneficial to health” also fail to recognise the impact of neoliberal socioeconomic organisation, prejudiced political narratives and draconian policies, the relationship between growing inequality and increasing poverty, and how this toxic context has a detrimental effect on people’s physical health and psychological wellbeing.

The Conservatives are so busy diverting public attention, and pointing out what they think those people who need mitigation from the worst ravages of neoliberalism are “doing wrong”, they fail to recognise and acknowledge what it is that the government is doing wrong.

When people are attacked, oppressed and controlled psychologically by a so-called democratic government that embeds punishment at the heart of public policies to target the poorest citizens, it’s hardly surprising they become increasingly ill.

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I wrote a longer article about this for Scisco Media, which can be read here: Social security has been redesigned to cheat disabled people

I don’t make any money from my work. I am disabled because of illness and often struggle as have a very limited income. But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

A brief history of social security and the reintroduction of eugenics by stealth

July 18, 2015April 15, 2016 · 33 Comments ·

Introduction

Our welfare state arose as a social security safety net – founded on an assurance that as a civilised and democratic society we value the well-being and health of every citizen.

There was a cross-party political consensus that such provision was in the best interests of the nation as a whole at a time when we were collectively spirited enough to ensure that no one should be homeless or starving in modern Britain.

As such, welfare is a fundamental part of the UK’s development – our progress – the basic idea of improving people’s lives was at the heart of the welfare state and more broadly, it reflects the evolution of European democratic and rights-based societies.

Now the UK “social security” system is anything but. It has regressed to reflect the philosophy underpinning the 1834 Poor Law, to become a system of punishments aimed at the poorest and most marginalised social groups. The Poor Law principle of less eligibility – which served as a deterrence to poor people claiming poor relief is embodied in the Conservative claim of Making work pay: benefits have been reduced to make the lowest paid, insecure employment a more appealing option than claiming benefits.

Unemployed people have absolutely no bargaining power or choice regarding their work conditions and pay. They are coerced by the state to apply for any work available. This also negatively impacts on collective bargaining more widely, the creation of a desperate reserve army of labor serves to drive wages down further. (See: Conservatism in a nutshell.)

The draconian benefit sanctions are about depriving people of their lifeline benefits because they have allegedly failed to comply in some way with increasingly stringent welfare conditionality – which is aimed at enforcing compliance, “behaviour change” and achieving reductions in welfare expenditure rather than supporting people claiming benefits and helping them to find work.

Removing a person’s means of meeting basic survival needs presents significant barriers to that person finding work. If we can’t meet our basic needs, we cannot be motivated or “incentivised” to do anything but struggle for survival.

Abraham Maslow’s hierarchy of needs.

Such a political aim of “behaviour change” is founded entirely on assumptions and moral judgements about why people are unemployed or underpaid. And of course serious concerns have arisen because sanctions have tended to be extremely discriminatory. Young people, women with childcare responsibilities, people with learning disabilities, people with mental illnesses and disabled people are particularly vulnerable as a consequence of the rigid conditionality criteria.

Frankly, such an approach to welfare seems to be cruelly designed to exclude those people who need support the most. Not only does the current government fail to recognise socio-economic causes of poverty, poor wages, underemployment and unemployment because of political decision-making – preferring to blame individuals for economic misfortune – it also fails to recognise the detrimental wider social and economic implications of penalising poor people for the conservative engineering of a steeply hierarchical society.

As a government that values social inequality, and regards it as necessary for economic growth, insolvency and poverty for some is intrinsic to the Conservative ideological script and drives policy decisions, yet the Tories insist that individuals shape their own economic misfortunes.

Worse, the Conservatives are prepared to leave people without a basic means of support – one that the public have paid for themselves.

Austerity – which is aimed at the poorest members of society – has served to increase inequality, and since the Tory welfare “reforms,” we have seen a re-emergence of absolute poverty. Up until recently, our welfare system ensured that everyone could meet their basic survival needs. That no longer is the case.

A brief history of welfare

A welfare state is founded on the idea that government plays a key role in ensuring the protection and promotion of the economic and social well-being of its citizens. It is based on the principles of equality of opportunity, equitable distribution of wealth, and both political and social responsibility for those unable to avail themselves of the minimal provisions for well-being.

It was recognised that people experienced periods of economic difficulty because of structural constraints such as unemployment and recession, through no fault of their own. It was also recognised that poor health and disability may happen to anyone through no fault of their own.

The welfare state arose in the UK during the post-war period, and following the Great Depression, for numerous reasons, most of these were informed by research carried out into the causes of poverty, its effects on individuals and more broadly, on the UK economy. There were also political reasons for the Conservatives and Liberals supporting the poorer citizens – the newly enfranchised working class.

Charles Booth in London and Sebohm Rowntree in York carried out the first serious studies of poverty and its causes. They both discovered that the causes were casual labour, low pay, unemployment, illness and old age – not laziness, fecklessness, drunkenness and gambling, as previously assumed. The poverty studies raised awareness of the extent of poverty in Britain and the myriad social problems it caused.

The Boer war of 1899-1902 highlighted the general poor state of health of the nation. One out of every three volunteers failed the army medical due to malnutrition, other illnesses due to poor diet and very poor living conditions. The military informed the government at the time of the shockingly poor physical condition of many of those conscripted.

It was realised that the effects of poverty were potentially damaging to the whole of society. Health problems and infectious disease – rife in the overcrowded slums – could affect rich and poor alike. It was recognised that the economy suffered if large numbers of people were too poor to buy goods and social problems such as exploitation, debt, crime, prostitution and drunkenness were a direct result of poverty, and not the cause of it.

The discovery of widespread poor health as a consequence of poverty raised concerns about Britain’s future ability to compete with new industrial nations such as Germany and the USA. National efficiency would only increase if the health and welfare of the population improved.

The growth of the Labour Party and Trade Unionism presented a threat to the Liberals and the Conservatives. The new working class voters were turning to these organizations to improve their lives. The traditionally laissez-faire Liberals recognised this and supported the idea of government help for the working class.

Back to the present: welfare is no longer about welfare

The current Conservative government has taken a distinctly behaviourist turn – a form of psychopolitics which essentially reduces explanations of poverty to the personal – blaming poor people for poverty and unemployed people for unemployment, formulating policies that are about making people change their behaviour, based on a simplistic “cause and effect” approach. The government nudges and we are expected to comply. Increasing the use of benefit sanctions is one policy consequence of this psychopolitical approach.

Of course this brand of psychopolitics is all about the government assuming the fallibility of the population and the infallibility of the government when it comes to decision-making and behaviours.

Although Cameron claims that “Nudge” draws on a “paternalistic libertarian” philosophy, any government that acts upon a population, by reducing liberties, choices and by imposing behavioural modification without public consent – expecting people to change their behaviours and choices unwittingly to fit with what the state deems “right,” rather than reflecting public needs via democratic engagement and a genuine dialogue, is actually authoritarian.

As I’ve said elsewhere, welfare has been redefined: it is pre-occupied with assumptions about and modification and monitoring of the behaviour and character of recipients, rather than with the alleviation of poverty and ensuring economic and social well-being.

Eugenics by stealth

Further intention of directing behavioural change is at the heart of policies that restrict welfare support such as tax credits to two children. The Conservatives have recently announced plans to cut welfare payments for larger families. Whilst this might not go as far as imposing limits on the birth of children for poor people, it does effectively amount to a two-child policy.

A two-child policy is defined as a government-imposed limit of two children allowed per family or the payment of government subsidies only to the first two children.

Of course this is justified using a Conservative ideologically driven scapegoating narrative of the feckless family, misbehaving and caught up in a self-imposed culture of dependence on welfare.

This restriction in support for children of larger families, however, significantly impacts on the autonomy of families, and their freedom to make decisions about their family life. Benefit rules purposefully aimed at reducing family size rarely come without repercussions.

It’s worth remembering that David Cameron ruled out cuts to tax credits before the election when asked during interviews. Tax credit rates weren’t actually cut in the recent Budget—although they were frozen and so will likely lose some of their value over the next four years because of inflation.

Some elements were scrapped, and of course some entitlements were restricted. But either way a pre-election promise not to cut child tax credits sits very uneasily with what was announced in the budget.

Iain Duncan Smith said last year that limiting child benefit to the first two children in a family is “well worth considering” and “could save a significant amount of money.” The idea was being examined by the Conservatives, despite previously being vetoed by Downing Street because of fears that it could alienate parents. Asked about the idea on the BBC’s Sunday Politics programme, Duncan Smith said:

“I think it’s well worth looking at,” he said. “It’s something if we decide to do it we’ll announce out. But it does save significant money and also it helps behavioural change.”

Firstly, this is a clear indication of the Tories’ underpinning eugenicist designs – exercising control over the reproduction of the poor, albeit by stealth. It also reflects the underpinning belief that poverty somehow arises because of faulty individual choices, rather than faulty political decision-making and ideologically driven socio-economic policies.

Such policies are not only very regressive, they are offensive, undermining human dignity by treating children as a commodity – something that people can be incentivised to do without.

Moreover, a policy aimed at restricting support available for families where parents are either unemployed or in low paid work is effectively a class contingent policy.

The tax child credit policy of restricting support to two children seems to be premised on the assumption that it’s the same “faulty” families claiming benefits year in and year out. However, extensive research indicates that people move in and out of poverty – indicating that the causes of poverty are structural rather than arising because of individual psychological or cognitive deficits.

The Joseph Rowntree Foundation published a study that debunked the notion of a “culture of worklessness” in 2012. I’ve argued with others more recently that there are methodological weaknesses underlying the Conservative’s regressive positivist/behaviourist theories, especially a failure to scientifically test the permanence or otherwise of an underclass status, and a failure to distinguish between the impact of “personal inadequacy” and socio-economic misfortune.

Back in the 1970s, following his remarks on the cycle of deprivation, Keith Joseph established a large-scale research programme devoted to testing its validity. One of the main findings of the research was that there is no simple continuity of social problems between generations of the sort required for his thesis. At least half of the children born into disadvantaged homes do not repeat the pattern of disadvantage in the next generation.

Despite the fact that continuity of deprivation across generations is by no means inevitable – the theory is not supported by empirical research – the idea of the cycle of “worklessness” has become “common sense.” Clearly, common perceptions of the causes of poverty are (being) misinformed. The individual behaviourist theory of poverty predicts that the same group of people remain in poverty. This doesn’t happen.

However, the structural theory predicts that different people are in poverty over time (and further, that we need to alter the economic structure to make things better). Longitudinal surveys show that impoverished people are not the same people every year. In other words, people move in and out of poverty: it’s a revolving door, as predicted by structural explanations of poverty.

Many families are in work when they plan their children. Job loss, an accident or illness causing disability, can happen to anyone at any time. It’s hardly fair to stigmatise and penalise larger families for events that are outside of their control.

Limiting financial support to two children may also have consequences regarding the number of abortions. Abortion should never be an outcome of reductive state policy. By limiting choices available to people already in situations of limited choice – either an increase of poverty for existing children or an abortion, then women may feel they have no choice but to opt for the latter. That is not a free choice, because the state is inflicting a punishment by withdrawing support for those choosing to have more than two children, which will have negative repercussions for all family members.

Many households now consist of step-parents, forming reconstituted or blended families. The welfare system recognises this as assessment of household income rather than people’s marital status is used to inform benefit decisions. The imposition of a two child policy has implications for the future of such types of reconstituted family arrangements.

If one or both adults have two children already, how can it be decided which two children would be eligible for child tax credits? It’s unfair and cruel to punish families and children by withholding support just because those children have been born or because of when they were born.

And how will residency be decided in the event of parental separation or divorce – by financial considerations rather than the best interests of the child? That flies in the face of our legal framework which is founded on the principle of paramountcy of the needs of the child. I have a background in social work, and I know from experience that it’s often the case that children are not better off residing with the wealthier parent, nor do they always wish to.

Restriction on welfare support for children will directly or indirectly restrict women’s autonomy over their reproduction. It allows the wealthiest minority to continue having babies as they wish, whilst aiming to curtail the poor by disincentivising “breeding” of the “underclass.” It also imposes a particular model of family life on the rest of the population. Ultimately, this will distort the structure and composition of the population, and it openly discriminates against the children of large families.

People who are in favour of eugenics believe that the quality of a race can be improved by reducing the fertility of “undesirable” groups, or by discouraging reproduction and encouraging the birth rate of “desirable” groups.

Eugenics arose from the social Darwinism and laissez-faire economics of the late 19th century, which emphasised competitive individualism, a “survival of the wealthiest” philosophy and sociopolitical rationalisations of inequality.

Eugenics is now considered to be extremely unethical and it was criticised and condemned widely when its role in justification narratives of the Holocaust was revealed.

But that doesn’t mean it has gone away. It’s hardly likely that a government of a so-called first world liberal democracy – and fully signed up member of the European Convention on Human Rights and a signatory also to the United Nations Universal Declaration – will publicly declare their support of eugenics, or their totalitarian tendencies, for that matter, any time soon.

But any government that regards some social groups as “undesirable” and formulates policies to undermine or restrict that group’s reproduction rights is expressing eugenicist values, whether those values are overtly expressed as “eugenics” or not.

Conservatives are not known for valuing diversity, it has to be said.

Implications of the welfare “reforms”: Human rights

Article 25 of the Universal Declaration of Human Rights, of which the UK is a signatory, reads:

Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.

A recent assessment report by the four children’s commissioners of the UK called on the government to reconsider its deep welfare cuts, voiced “serious concerns” about children being denied access to justice in the courts, and called on ministers to rethink plans to repeal the Human Rights Act.

The commissioners, representing each of the constituent nations of the UK, conducted their review of the state of children’s policies as part of evidence they will present to the United Nations.

Many of the government’s policy decisions are questioned in the report as being in breach of the convention, which has been ratified by the UK.

England’s children’s commissioner, Anne Longfield, said:

“We are finding and highlighting that much of the country’s laws and policies defaults away from the view of the child. That’s in breach of the treaty. What we found again and again was that the best interest of the child is not taken into account.”

Another worry is the impact of changes to welfare, and ministers’ plan to cut £12bn more from the benefits budget. There are now 4.1m children living in absolute poverty – 500,000 more than there were when David Cameron came to power.

It’s noted in the report that ministers ignored the UK supreme court when it found the “benefit cap” – the £25,000 limit on welfare that disproportionately affects families with children, and particularly those with a larger number of children – to be in breach of Article 3 of the convention – the best interests of the child are paramount:

“In all actions concerning children, whether undertaken by public or private social welfare institutions, courts of law, administrative authorities or legislative bodies, the best interests of the child shall be a primary consideration.”

The United Nation’s Convention on the Rights of the Child (UNCRC) applies to all children and young people aged 17 and under. The convention is separated into 54 articles: most give children social, economic, cultural or civil and political rights, while others set out how governments must publicise or implement the convention.

The UK ratified the Convention on the Rights of the Child (UNCRC) on 16 December 1991. That means the State Party (England, Scotland, Wales and Northern Ireland) now has to make sure that every child benefits from all of the rights in the treaty. The treaty means that every child in the UK has been entitled to over 40 specific rights. These include:

Article 1

For the purposes of the present Convention, a child means every human being below the age of eighteen years unless under the law applicable to the child, majority is attained earlier.

Article 2

1. States Parties shall respect and ensure the rights set forth in the present Convention to each child within their jurisdiction without discrimination of any kind, irrespective of the child’s or his or her parent’s or legal guardian’s race, colour, sex, language, religion, political or other opinion, national, ethnic or social origin, property, disability, birth or other status.

2. States Parties shall take all appropriate measures to ensure that the child is protected against all forms of discrimination or punishment on the basis of the status, activities, expressed opinions, or beliefs of the child’s parents, legal guardians, or family members.

Article 3

1. In all actions concerning children, whether undertaken by public or private social welfare institutions, courts of law, administrative authorities or legislative bodies, the best interests of the child shall be a primary consideration.

2. States Parties undertake to ensure the child such protection and care as is necessary for his or her well-being, taking into account the rights and duties of his or her parents, legal guardians, or other individuals legally responsible for him or her, and, to this end, shall take all appropriate legislative and administrative measures.

3. States Parties shall ensure that the institutions, services and facilities responsible for the care or protection of children shall conform with the standards established by competent authorities, particularly in the areas of safety, health, in the number and suitability of their staff, as well as competent supervision.

Article 4

States Parties shall undertake all appropriate legislative, administrative, and other measures for the implementation of the rights recognized in the present Convention. With regard to economic, social and cultural rights, States Parties shall undertake such measures to the maximum extent of their available resources and, where needed, within the framework of international co-operation.

Article 5

States Parties shall respect the responsibilities, rights and duties of parents or, where applicable, the members of the extended family or community as provided for by local custom, legal guardians or other persons legally responsible for the child, to provide, in a manner consistent with the evolving capacities of the child, appropriate direction and guidance in the exercise by the child of the rights recognized in the present Convention.

Article 6

1. States Parties recognize that every child has the inherent right to life.

2. States Parties shall ensure to the maximum extent possible the survival and development of the child.

Article 26

1. States Parties shall recognize for every child the right to benefit from social security, including social insurance, and shall take the necessary measures to achieve the full realization of this right in accordance with their national law.

2. The benefits should, where appropriate, be granted, taking into account the resources and the circumstances of the child and persons having responsibility for the maintenance of the child, as well as any other consideration relevant to an application for benefits made by or on behalf of the child.

Here are the rest of the Convention Articles

The Nordic social democratic model of welfare

Finally, it’s worth noting, as sociologist Lane Kenworthy has pointed out, that the Nordic welfare experience of the modern social democratic model can:

“promote economic security, expand opportunity, and ensure rising living standards for all . . . while facilitating freedom, flexibility and market dynamism.”

Nordic welfare models include support for a universalist welfare state which is aimed specifically at enhancing individual autonomy, promoting social mobility and ensuring the universal provision of basic human rights, as well as for stabilizing the economy, alongside a commitment to free trade.

The Nordic model is distinguished from other types of welfare states by its emphasis on maximizing labor force participation, promoting gender equality, egalitarian and extensive benefit levels and the large magnitude of income redistribution.

Nobel Prize-winning economist Joseph Stiglitz has noted that there is higher social mobility in the Scandinavian countries than in the United States, and argues that Scandinavia is now the land of opportunity that the United States once was. The Nordics cluster at the top of league tables of everything from economic competitiveness to social health to happiness.

They have avoided both southern Europe’s economic sclerosis and America’s extreme inequality. Development theorists have taken to calling successful modernisation “getting to Denmark”.

The Nordics demonstrate very well that it is possible to combine competitive capitalism with a large state: they employ 30% of their workforce in the public sector, compared with an OECD average of 15%. The main lesson to learn from the Nordics is not ideological but practical.

The state is popular not because it is big but because it works. A Norwegian pays tax more willingly than a Californian because he or she has access to decent schools, support when times are difficult and free health care as a result.

Norway ranks among the richest countries in the world. GDP per capita is among the highest in the world.

Norway regards welfare services not as social costs but as fundamental social investment for open innovation and growth.

Innovation should not be an opportunity for a few only. It should be democratised and distributed in order to tackle the causes of growing inequality.

Inequality hampers economic growth.

We can’t afford not to have a welfare state.

Human rights are the bedrock of democracy, which the Tories have imperiled.

Welfare reforms break UN convention

Welfare reforms, food banks, malnutrition and the return of Victorian diseases are not coincidental, Mr Cameron

The government refuse to carry out a cumulative impact assessment of welfare “reforms”. Again.

Suicides reach a ten year high and are linked with welfare “reforms”

The poverty of responsibility and the politics of blame. Part 3 – the Tories want to repeal the 2010 Child Poverty Act

Pictures courtesy of Robert Livingstone

The just world fallacy

December 17, 2013November 3, 2017 · 29 Comments ·

The Tories now deem anything that criticises them as “abusive”. Ordinary campaigners are labelled “extremists” and pointing out flaws, errors and consequences of Tory policy is called “scaremongering”.

Language and psychology are a powerful tool, because this kind of use “pre-programs” and sets the terms of any discussion or debate. It also informs you what you may think, or at least what you need to circumnavigate first in order to state your own account or present your case. This isn’t simply name-calling or propaganda: it’s a deplorable and tyrannical silencing technique.

The government have gathered together a Behavioural Insights Team (BIT) – it is a part of the Cabinet Office – which is comprised of both behavioural psychologists and economists, who apply positivist (pseudo) psychological techniques to social policy. The approach is not much different to the techniques of persuasion used in the shady end of the advertising industry. They produce positive psychology courses which the Department for Work and Pensions (DWP) are using to ensure participants find satisfaction with their lot; the DWP are also using psychological referral with claims being reconsidered on a mandatory basis by civil servant “decision makers”, as punishment for non-compliance with the new regimes of welfare conditionality for which people claiming out of work benefits are subject.

Positive psychology courses, and the use of psychological referral as punishment for non-compliance with the new regimes of welfare conditionality applied to people claiming out of work benefits are example of the (mis)application of Cognitive Behavioural Therapy (CBT).

CBT is all about making a person responsible for their own thoughts and how they perceive events and experiences and can sometimes be used to empower people. But used in this context, it’s a political means to push an ideological agenda, entailing the “responsibilisation” of poverty, with claimants being blamed for not having a job or for being ill and/or disabled.

However, responding with anger, sadness and despair is normal to many events and circumstances, and to deny that in any way is actually grotesque, cruel and horrendously abusive – it’s a technique called gaslighting – a method of psychological abuse that is usually associated with psychopathic perpetrators.

Gaslighting techniques may range from a simple denial by abusers that abusive incidents have occurred, to events and accounts staged by the abusers with the intention of disorienting the targets (or “victims”.)

The government is preempting any reflection on widening social inequality and injustice by using these types of behavioural modification techniques on the poor, holding them entirely responsible for the government’s economic failures and the consequences of class contingent policies.

Sanctions are applied to “remedy” various “defects” of individual behaviour, character and attitude. Poor people are being coerced into workfare and complicity using bogus psychology and bluntly applied behavioural modification techniques.

Poor people are punished for being poor, whilst wealthy people are rewarded for being wealthy. Not only on a material level, but on a level of socially and politically attributed esteem, worth and value.

We know from research undertaken by sociologists, psychologists and economists over the past century that being poor is bad for mental wellbeing and health. The government is choosing to ignore this and adding to that problem substantially by stripping people of their basic dignity and autonomy.

The application of behavioural science is even more damaging than the hateful propaganda and media portrayals, although both despicable methods of control work together to inflict psychological damage on more than one level. “Positive psychology” and propaganda serve to invalidate individual experiences, distress and pain and to appropriate blame for circumstances that lie entirely outside of an individual’s control and responsibility.

Social psychologists such as Melvin Lerner followed on from Milgam’s work in exploring social conformity and obedience, seeking to answer the questions of how regimes that cause cruelty and suffering maintain popular support, and how people come to accept social norms and laws that produce misery and suffering.

The “just-world” fallacy is the cognitive bias (assumption) that a person’s actions always bring morally fair and fitting consequences to that person, so that all honourable actions are eventually rewarded and all evil actions are eventually punished.

The fallacy is that this implies (often unintentionally) the existence of cosmic justice, stability, or order, and also serves to rationalise people’s misfortune on the grounds that they deserve it. It is an unfounded, persistent and comforting belief that the world is somehow fundamentally fair, without the need for our own moral agency and responsibility.

The fallacy appears in the English language in various figures of speech that imply guaranteed negative reprisal, such as: “You got what was coming to you,” “What goes around comes around,” and “You reap what you sow.” This tacit assumption is rarely scrutinised, and goes some way to explain why innocent victims are blamed for their misfortune.

The Government divides people into deserving and undeserving categories – the “strivers” and “scroungers” rhetoric is an example of how the government are drawing on such fallacious tacit assumptions – that utilises an inbuilt bias of some observers to blame victims for their suffering – to justify social oppression and inequality that they have engineered via policy.

The poorest are expected to be endlessly resilient and resourceful, people claiming social security are having their lifeline benefits stripped away and are being forced into a struggle to meet their basic survival needs. This punitive approach can never work to “incentivise” or motivate in such circumstances, because we know that when people struggle to meet basic survival needs they are too pre-occupied to be motivated to meet other less pressing needs.

Maslow identifies this in his account of the human hierarchy of needs, and many motivational studies bear this out. This makes the phrase trotted out by the Tories: “helping people into work” to justify sanctions and workfare not only utterly terrifying, but also inane.

Unemployment is NOT caused by “psychological barriers” or “character flaws”. It is caused by feckless and reckless governments failing to invest in growth projects. It’s not about personal “employability”, it’s about neoliberal economics, labour market conditions, political policies and subsequent socio-structural problems.

Public policy is not a playground for the amateur and potentially dangerous application of brainwashing techniques via the UK government’s Behavioural Insights Team (BIT) or “nudge unit”. This is NOT being nasty in a nice way: it is being nasty in a nasty way; it’s utterly callous.

The rise of psychological coercion, “positive affect as coercive strategy”, and the recruitment of economic psychologists for designing the purpose of monitoring, modifying and punishing people who claim social security benefits raises important ethical questions about psychological authority. Psychology is being used as a prop for neoliberal ideology.

We ought to be very concerned about the professional silence so far regarding this adoption of a such a psychocratic, neo-behavourist approach to social control and an imposed conformity by this government.

Pictures courtesy of Robert Livingstone

From Psycho-Linguistics to the Politics of Psychopathy. Part 1: Propaganda.

The Poverty of Responsibility and the Politics of Blame

Whistle While You Work (For Nothing): Positive Affect as Coercive Strategy – The Case of Workfare by Lynne Friedli and Robert Stearn (A must read)

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The backwards future

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Criticism

The mental-physical illness distinction is a false dichotomy

Health and wellbeing have socioeconomic determinants

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