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Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Dissatisfaction. Show all posts
Showing posts with label Dissatisfaction. Show all posts

Tuesday, January 21, 2025

The meaning crisis, and how we rescue young men from reactionary politics

Aaron Rabinowitz
The Skeptic
22nd November 2024

We need to talk about men. As of the most recent vote counts, 60% of white American men voted for Trump, compared with 53% of white women. While those are not particularly surprising results, 25% of the Black men and 48% of Latino men also voted for Trump, compared to just 10% of the Black women and 39% of Latino women. Trump has doubled his share of Black male voters, and across all racial demographics his gains were highest among younger men. As always, problems like this are intersectional and multifaceted, but one of the crucial facets we need to discuss is clearly the persistent problem of disaffected men.

One likely reason for these gains is that the GOP offers narratives for meaning-making that appeal to young men who feel that modern society is depriving them of a meaningful life. Researchers have tied the ongoing crisis of meaning for men to harmful personal and political choices that result in worse outcomes for men and everyone around them. If we are looking for things that the left can do to address this problem, we can start by adopting a restorative approach towards men in general and the crisis of meaning many of them are experiencing. 

This conversation is made far more difficult by the fact that conservatives like Jordan Peterson have dominated discourse around this topic – that conservative domination, combined with entirely understandable resentment and compassion fatigue towards men, leads many on the left to reject it as a problem worth considering. The common refrain is that men should just “suck it up”, and that “loss of privilege feels like oppression” – which is essentially a fancy way of saying men aren’t actually experiencing real problems, just bad vibes.

Vibes do matter though, and for an unfortunately large number of men, loss of privilege also feels like loss of meaning and purpose. Folks on the left have no trouble mocking Ben Shapiro for his thought-terminating cliché “facts don’t care about your feelings”, but whenever the issue of men’s feelings come up it is often tamped back down with facts about how things are actually perfectly fine for men right now, so people need to shut up about men’s feelings. But men’s feelings do matter, not just because men are people too, but also because having their feelings derided is driving a disturbing proportion of young men to find meaning in the worst possible places.

Here are some thoughts:

The article discusses the growing issue of disaffected men, particularly in the context of the recent US election, where 60% of white American men voted for Trump. This phenomenon is not limited to white men, as 25% of Black men and 48% of Latino men also voted for Trump.

The article suggests that one reason for this trend is that the GOP offers narratives that appeal to young men who feel deprived of a meaningful life. These narratives provide a sense of purpose and meaning, which is lacking in modern society. The article argues that the left needs to present alternative narratives that appeal to these men, rather than simply dismissing their concerns.

The article also highlights the issue of toxic masculinity and the need to dismantle patriarchal culture. It argues that men are socialized to conform to traditional masculine norms, which can lead to feelings of despair and disaffection. The article suggests that the left needs to adopt a more restorative approach, recognizing that men's feelings and needs matter, and that they deserve respect and compassion.

Ultimately, the article argues that the issue of disaffected men is a complex and deeply ingrained problem that requires a fundamental shift in our cultural and societal norms. It requires a move away from toxic masculinity and towards a more inclusive and compassionate understanding of masculinity.

Tuesday, March 26, 2013

Familiarity breeds doctor contempt with EHRs

Experts say meaningful use is contributing to the growth of electronic health record systems, but it also has a negative effect on EHR user-friendliness.

By Pamela Lewis Dolan
amednews.com
Originally published March 18, 2013

The meaningful use incentive program has resulted in more physicians implementing electronic health record systems and using them in advanced ways. Yet doctors' dissatisfaction with the systems has increased.

Theories for what is driving the dissatisfaction include rushed implementations, too little training and physicians doing too much too soon as they struggle to meet meaningful use requirements, other federal mandates and changes to the health care landscape. EHR vendors also are thought to be taking on too much in too little time. As they rush to deliver products certified for meaningful use, usability may have suffered.

A survey by AmericanEHR Partners of 4,279 clinicians, including primary care physicians, specialists and diagnostic professionals, found that user satisfaction declined from 39% in 2010 to 27% in 2012. The rate of those “very dissatisfied” increased from 11% to 21% during the same period. The findings were presented in March at the Healthcare Information and Management Systems Society annual conference in New Orleans.

Saturday, September 24, 2011

Burnout, Dissatisfaction Seem Rampant Among Medical Residents

By Kathleen Doheny
HealthDay Reporter
MedicineNet.com

TUESDAY, Sept. 6 (HealthDay News) -- The medical resident of today -- possibly your doctor in the future -- is exhausted, emotionally spent and likely stressed out about debt, a new study indicates.

"About 50% of our trainees are burned out," said study leader Dr. Colin P. West, an associate professor of medicine and biostatistics at the Mayo Clinic in Rochester, Minn.

Higher levels of stress translated into lower scores on tests that gauge medical knowledge and more emotional detachment, among other fallout.

The study is published in the Sept. 7 issue of the Journal of the American Medical Association, a themed issue devoted to doctors' training.

West and his team evaluated results of surveys and exams given to nearly 17,000 internal medicine residents, who were said to represent about 75% of all U.S. internal medicine residents in the 2008-9 academic year. The participants included 7,743 graduates of U.S. medical schools. They were asked about quality of life, work-life balance, burnout and their educational debt.

Among the findings:
  • Nearly 15% said their overall quality of life was "somewhat bad" or "as bad as it can be."
  • One-third said they were somewhat or very dissatisfied with work-life balance.
  • Forty-six percent said they were feeling emotionally exhausted at least once a week.
  • Nearly 29% said they felt detached or unable to feel emotion at least once a week.
  • More than half said they had at least one symptom of burnout.

 The more educational debt the residents had incurred, the greater their emotional distress, the researchers found. Those with more than $200,000 of debt had a 59% higher chance of reporting emotional exhaustion, 72% greater likelihood of suffering burnout, and an 80% higher chance of feeling depersonalization.

Perhaps more alarming is the finding that greater stress was associated with lower test scores, and those students who were academically hurt by stress never caught up with their peers.

West said he can't explain why those more laden with debt are more stressed out. One possibility is that they may be more prone to stress to begin with.

Medical residents' stress has made news for years, and efforts are under way to improve their working conditions. However, West said, "to our knowledge, this is the first national study of residents' distress issues. And it's also the first national study to connect those issues to other important outcomes like medical knowledge."

As for solutions, he said "we have not yet identified the best ways to reduce burnout and promote well-being for residents, or for physicians in general."

He hopes that this new data, now gathered nationally, will help lead to solutions.
The findings come as no surprise to Dr. Peter Cronholm, an assistant professor of family medicine and community health and also a senior fellow at the Center for Public Health Initiatives of the University of Pennsylvania.

Cronholm, who published a study on resident burnout in 2008, said the residents of today may put more emphasis on work-life balance than previous generations.
One disturbing finding, he said, is that a stressed-out resident has less empathy over time. Already, close to one-third said they felt detached emotionally at least weekly.

However, he said, it's difficult to balance obligations to patients and get sufficient sleep and personal time. "Those two things sort of continue to compete with each other," he said.

Solutions aren't available yet, as "the problem is not yet totally understood. This is part of the conversation about health care reform," he said.