The Humanitarian Crisis of Deaths of Despair

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Image by cocoparisienne from Pixabay

David V. Johnson | Blog of the APA

Last April, Princeton University economists and married partners Anne Case and  Sir Angus Deaton delivered the Tanner Lectures on Human Values at Stanford University. The title of their talks, “Deaths of Despair and the Future of Capitalism,” is also the provisional name of their forthcoming book, to be published in 2020.

The couple’s research has focused on disturbing mortality data for a specific demographic: white non-Hispanic Americans without college degrees. This century, they have been dying at alarming rates from what Case and Deaton call “deaths of despair,” which cover suicide, alcohol-related disease, and drug overdoses (primarily driven by opioids). These deaths have, along with US obesity, heart disease, and cancer rates, contributed to a shocking recent decline in US life expectancy for three straight years—something which hasn’t happened since World War I and the 1918 Spanish flu pandemic. The rates for “deaths of despair” are not as high for college-educated whites or for other racial minorities, and there are many potential economic and sociological reasons for this.

Case and Deaton’s research raises important questions for the US political economy and the legacy of neoliberalism. But I am more interested in the framing of the mortality statistics as “deaths of despair.” Assume for the sake of argument that a large segment of the US population—non-Hispanic white Americans without college degrees—are suffering despair. What does it mean to say this?

We can gain some insight by contrasting its opposite, hope, which has received a lot of philosophical attention for the puzzles it raises about rationality and agency. Hope is a forward-looking emotion with cognitive and desiderative elements. We hope for things that are possible in the future (we don’t hope for the impossible or the certain), which means we make a judgement about their possibility. And when we hope for them, we desire for them to come about, and this desire can motivate our action if we think our acting can help bring it about. Is it rational to hope for something that has a miniscule chance of happening, and if so, under what circumstances? And when is it rational to act based on hope? Much ink has been spilt on these questions.

Philosophers have also thought about hopefulness—about hope as an emotional tendency or character trait that undergirds agency. People who are hopeful or optimistic are generally better able to pursue their plans and succeed, which gives the adoption of a hopeful outlook a pragmatic justification. One could argue that some minimal level of hopefulness is requisite for anyone to plan, act, and live one’s life, insofar as these involve forward-looking judgments and desires that are characteristic of hope.

We can see why despair, as a condition opposed to hope and hopefulness, can be such a debilitating state of mind. Despair undermines agency. The despairing person may conceive of plans and goals but feel that he is so unlikely to achieve them that they are not worth the investment of time and energy, or that even if he does achieve them, it won’t make a substantive difference to his life. So despair undermines the requisite motivation to pursue our plans and goals. A despairing person tends to passivity, to go along with the flow of life and focus on getting by, making due, and assuaging pain and foreboding however she can at the moment.

But despair—or at least the sort of despair I identify in Case and Deaton’s analysis—has a very different structure from hope. If despair were structurally like hope, then it would also be a forward-looking emotion with the appropriate cognitive and desiderative elements. We would be in a state of despair if we believed there was something that could possibly happen in the future that we do not want to have happen, so much so that its possibility gives us anguish and depresses us, to the point that we have difficulty summoning the motivation to avoid it or to go about our lives generally. To be sure, there are forms of despair that are like this. If my boss gives me a poor performance review and warns that I may be subject to termination, and the livelihood of my family depends upon my employment, this may send me into despair. I see my future firing as possible and something I desperately want to avoid, to the point of anxiety and depression. My despondent feelings may undermine my ability to perform better, making my firing even more likely. I may also have trouble living my life in general due to my negative feelings. I may struggle to talk to my spouse about her day or plan my daughter’s after-school activities.

But there is another form of despair that is not like this. This kind of despair is not forward looking, per se, but rather focused narrowly on the present. It sees the present as dark, dreary, painful, and uninteresting, and anticipates this state of consciousness to extend indefinitely into the future. It’s the feeling of unrelenting misery and ennui. No one wants to feel like this, but the person who despairs in this way does not form the desire to avoid it, or is not motivated by such a desire, because he does not see a means of escape or because the present sense of pain and dreariness is so overwhelming that it disrupts his ability to imagine such means. This form of despair is what Case and Deaton have in mind: people who have not only lost the will to live—i.e. to direct their lives, make plans, pursue them—but are so miserable and distressed that they either die by suicide or self-medicate with drugs and binge drinking to lessen their immediate pain, and do so as a way of slowly dying by suicide. It is the constant feeling associated with present consciousness that life is bad, and that it will continue to be bad indefinitely into the future. A sizable portion of the American public feels this way.

Case and Deaton’s appeal to despair, if we understand it correctly, should shock us. The prevalence of despair represents a horrific communal collapse. It goes well beyond statistics of poor welfare outcomes that alarm economists. It is about the obliteration of human lives—the undermining of the very basis of living a life, the ability to enjoy experience moment to moment, have enough peace of mind and stability to anticipate the future, make plans, and pursue them. It is nothing less than a humanitarian crisis.


David V. Johnson is the public philosophy editor of the APA Blog and deputy editor of Stanford Social Innovation Review. He is a former philosophy professor turned journalist with more than a decade of experience as an editor and writer. Previously, he was senior opinion editor at Al Jazeera America, where he edited the op-ed section of the news channel’s website. Earlier in his career, he served as online editor at Boston Review and research editor at San Francisco magazine the year it won a National Magazine Award for general excellence. He has written for The New York Times, USA Today, The New Republic, Bookforum, Aeon, Dissent, and The Baffler, among other publications.

This article was republished with the permission of the APA Blog and the author. View the original article here.

How do we Pry Apart the True and Compelling from the False and Toxic?

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Stack of CPU’s. Shawn Stutzman, Pexels

David V Johnson | Aeon Ideas

When false and malicious speech roils the body politic, when racism and violence surge, the right and role of freedom of speech in society comes into crisis. People rightly begin to wonder what are the limits, what should be the rules. It is a complicated issue, and resolving it requires care about the exact problems targeted and solutions proposed. Otherwise the risk to free speech is real.

Propaganda from Russian-funded troll farms (boosted by Facebook data breaches) might have contributed to the United Kingdom’s vote to exit the European Union and aided the United States’ election of Donald Trump as president. Conspiracy theories spread by alternative news outlets or over social media sometimes lead to outbreaks of violence. Politicians exploit the mainstream news media’s commitment to balance, to covering newsworthy public statements and their need for viewers or readers by making baseless, sensational claims.

In On Liberty (1859), John Stuart Mill offers the most compelling defence of freedom of speech, conscience and autonomy ever written. Mill argues that the only reason to restrict speech is to prevent harm to others, such as with hate speech and incitement to violence. Otherwise, all speech must be protected. Even if we know a view is false, Mill says, it is wrong to suppress it. We avoid prejudice and dogmatism, and achieve understanding, through freely discussing and defending what we believe against contrary claims.

Today, a growing number of people see these views as naive. Mill’s arguments are better suited to those who still believe in the open marketplace of ideas, where free and rational debate is the best way to settle all disputes about truth and falsity. Who could possibly believe we live in such a world anymore? Instead, what we have is a Wild West of partisanship and manipulation, where social media gurus exploit research in behavioural psychology to compel users to affirm and echo absurd claims. We have a world where people live in cognitive bubbles of the like-minded and share one another’s biases and prejudices. According to this savvy view, our brave new world is too prone to propaganda and conspiracy-mongering to rely on Mill’s optimism about free speech. To do so is to risk abetting the rise of fascist and absolutist tendencies.

In his book How Fascism Works (2018), the American philosopher Jason Stanley cites the Russian television network RT, which presents all sorts of misleading and slanted views. If Mill is right, claims Stanley, then RT and such propaganda outfits ‘should be the paradigm of knowledge production’ because they force us to scrutinise their claims. But this is a reductio ad absurdum of Mill’s argument. Similarly, Alexis Papazoglou in The New Republic questions whether Nick Clegg, the former British deputy prime minister turned Facebook’s new vice president of global affairs and communication, will be led astray by his appreciation of Mill’s On Liberty. ‘Mill seemed to believe that an open, free debate meant the truth would usually prevail, whereas under censorship, truth could end up being accidentally suppressed, along with falsehood,’ writes Papazoglou. ‘It’s a view that seems a bit archaic in the age of an online marketplace of memes and clickbait, where false stories tend to spread faster and wider than their true counterpoints.’

When important and false beliefs and theories gain traction in public conversation, Mill’s protection of speech can be frustrating. But there is nothing new about ‘fake news’, whether in Mill’s age of sensationalist newspapers or in our age of digital media. Nonetheless to seek a solution in restricting speech is foolish and counterproductive – it lends credibility to the illiberal forces you, paradoxically, seek to silence. It also betrays an elitism about engaging with those of different opinions and a cynicism about affording your fellow citizens the freedom to muddle through the morass on their own. If we want to live in a liberal democratic society, rational engagement is the only solution on offer. Rather than restricting speech, we should look to supplement Mill’s view with effective tools for dealing with bad actors and with beliefs that, although false, seem compelling to some.

Fake news and propaganda are certainly problems, as they were in Mill’s day, but the problems they raise are more serious than the falsity of their claims. After all, they are not unique in saying false things, as the latest newspaper corrections will tell you. More importantly, they involve bad actors: people and organisations who intentionally pass off false views as the truth, and hide their nature and motives. (Think Russian troll farms.) Anyone who knows that they are dealing with bad actors – people trying to mislead – ignores them, and justifiably so. It’s not worth your time to consider the claim of someone you know is trying to deceive you.

There is nothing in Mill that demands that we engage any and all false views. After all, there are too many out there and so people have to be selective. Transparency is key, helping people know with whom, or what, they are dealing. Transparency helps filter out noise and fosters accountability, so that bad actors – those who hide their identity for the purpose of misleading others – are eliminated.

Mill’s critics fail to see the truth that is mixed in with the false views that they wish to restrict, and that makes those views compelling. RT, for instance, has covered many issues, such as the US financial crisis, economic inequality and imperialism more accurately than mainstream news channels. RT also includes informed sources who are ignored by other outlets. The channel might be biased toward demeaning the US and fomenting division, but it often pursues this agenda by speaking truths that are not covered in mainstream US media. Informed news-watchers know to view RT and all news sources with skepticism, and there is no reason not to extend the same respect to the entire viewing public, unless you presume you are a better judge of what to believe than your fellow citizens.

Mill rightly thought that the typical case wasn’t one of views that are false, but views that have a mixture of true and false. It would be far more effective to try to engage with the truth in views we despise than to try to ban them for their alleged falsity. The Canadian psychologist and YouTube sensation Jordan Peterson, for example, says things that are false, misogynistic and illiberal, but one possible reason for his following is that he recognises and speaks to a deficit of meaning and values in many young men’s lives. Here, the right approach is to pry apart the true and compelling from the false and toxic, through reasoned consideration. This way, following Mill’s path, presents a better chance of winning over those who are lost to views we despise. It also helps us improve our own understanding, as Mill wisely suggests.Aeon counter – do not remove

David V Johnson

This article was originally published at Aeon and has been republished under Creative Commons. Read the original article here.