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Author Topic: Removal of personal support forum  (Read 5600 times)  Share 

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ninwa

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Removal of personal support forum
« on: May 05, 2014, 02:52:01 pm »
+27
It is with deep regret that I am announcing the removal of the anonymous posting board.

Please know that this decision was not made lightly. It is a decision I personally do not like, but the arguments for it are just too strong. I am always open to comments and criticism, and if you can think of a solution to these issues, I would love to hear them.

These are some of the main reasons:

1. Inappropriate topics

The board was initially intended to be for mental health issues/awareness only. I changed it to "general support" after receiving some legal advice to that effect.

This meant that we (moderation team) were stuck between a rock (making subjective judgment calls about what is "appropriate") and a hard place (letting more lighthearted topics like partying/drinking etc. drown out the more serious threads about depression, suicidal thoughts etc.).

2. Unqualified advice is dangerous, especially in relation to mental health

Recent events have made it clear that having people with no mental health qualifications respond to people who are depressed and potentially suicidal is dangerous. In particular (and I didn't want to point fingers, but I'm still pissed off about this), the recent thread posted by someone who said they were suicidal and which received two incredibly rude and vitriolic replies, which resulted in the OP deleting their blog.

It was irresponsible of me to have let it happen in the first place. I have realised that I cannot guarantee that the board will remain a safe and supportive environment where people can air serious personal problems anonymously and without fear of ridicule. And without that guarantee, I honestly don't see the point of maintaining the board.

3. Supporting mental health issues is out of our domain

AN is an education service. We are not qualified to provide help on serious issues like mental illness. It was an "ambitious" (read: idiotic) experiment on my part, and I have to concede that it has failed.

The resources board will still be up, and I hope that it will continue to be updated with upcoming events and support agencies. You can find the board here. In particular, it lists some some general services, like Beyond Blue, Headspace, Lifeline and Kids Help Line, and some some more specialised services that you can approach.

If you are having any problems in your life, there are many professional organisations out there who will listen. Please do not hesitate to reach out for help. I'm sorry that AN cannot do that for you, but you would be much better off getting assistance from trained professionals.

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brenden

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Re: Removal of personal support forum
« Reply #1 on: May 06, 2014, 08:08:18 pm »
+10
I raised objections on the moderator forums and I was asked to post them here (and I'll take this opportunity to remind people that Nina has made it up for debate, as per the first lines of her vote. AN has always welcome contributions regarding the running of the site). Looking at the upvotes of Nina's post, it seems people tend to agree, but  this is a modified version of my argument against it. I have really only removed things that are inappropriate for wider reading. The way I've written this post was a bit ranty, and it's not as well-written as it normally would be if I were mounting a serious argument. Nina just asked me why I disagreed and this was essentially my reply:


1. Inappropriate topics
Spoiler
The board was initially intended to be for mental health issues/awareness only. I changed it to "general support" after receiving some legal advice to that effect.

This meant that we (moderation team) were stuck between a rock (making subjective judgment calls about what is "appropriate") and a hard place (letting more lighthearted topics like partying/drinking etc. drown out the more serious threads about depression, suicidal thoughts etc.).
This is a nothing point. This is similar to saying that we should scrap welfare payments because some people use it inappropriately. They take drugs, or quit their jobs just to get payments, blah blah blah, but there are still legitimate people in requirement of welfare payments. I fail to see the point in this at all - is this reason powerful because us poor mods are stuck with difficult decisions, which really are pretty trivial? Drowning out more serious threads - fair enough - but the threads are still there, and people can still talk to people anonymously about serious issues. Moreover, "threads are inappropriate so we should remove the anon boards" is a big jump in logic from "threads are inappropriate and this could be bad so maybe we should find a way to nullify inappropriate threads?". I don't see how it would be complex for us to introduce some standards into the boards without it rendering us legally viable. Moreover, I don't see that much of an issue with our current standard of "let everything be there". So what if people want to ask about their tax file number? So what if people are asking about schoolwork?  And then the occasional "how do I bake a cake?" thread, which is probably a result of having HELP in the title and people thinking "oh yeah I need help with my cake". So yeah anyway, I think this point is not great.
2. Unqualified advice is dangerous, especially in relation to mental health

Spoiler
Recent events have made it clear that having people with no mental health qualifications respond to people who are depressed and potentially suicidal is dangerous. In particular (and I didn't want to point fingers, but I'm still pissed off about this), the recent thread posted by someone who said they were suicidal and which received two incredibly rude and vitriolic replies, which resulted in the OP deleting their blog.

It was irresponsible of me to have let it happen in the first place. I have realised that I cannot guarantee that the board will remain a safe and supportive environment where people can air serious personal problems anonymously and without fear of ridicule. And without that guarantee, I honestly don't see the point of maintaining the board.
Spoiler
This is the only decent point here. Firstly, the idea that because people are unqualified, they're accidentally going to say things in a genuine attempt to help and have it turn out horrible is silly.  If anyone could please explain to me exactly how the posts in the most recent thread were a GENUINE attempt to help, I would appreciate that. Not having mental health qualifications doesn't mean you can't help people. This point has been raised and I would like for anyone to elaborate on how "nice/supportive" doesn't translate to help in a mental health scenario? Why are people who have a support network at far less risk of depression/anxiety? Are we saying this correlation is totally void? Because I can't think of any one of my friends who has a support network full of only qualified psychologists. In fact, I can think of very many friends who have support networks made up of totally unqualified people. I've talked a friend down from killing themselves. They didn't say "your advice is unqualified I'm doing it anyway". They said "shit, thanks for being there" and I said "go see a doctor" and that's what they did. There is a difference between having poor mental health and having a psychiatric problem. The people with poor mental health - that's what they need - NICENESS AND SUPPORT! How many people have posted shit up that just need someone to talk to, so they come to AN and have people empathise with them? We don't need to fix people's problems, we need to give them at outlet to bitch about their parents and have other people be like "ah yeah, fucking sucks, mine are the same". Even for more serious issues - I've had at least three people that I can think of off the top of my head message me about long-term and significant problems, then message me later saying "thanks heaps, doing so much better, that helped me get back on track". What's wrong with empathising with people then encouraging them to see a psychologist? In many, many scenarios on the health board, that's what's been done.
It's only dangerous because of people aforementioned - who were not genuinely trying to help, who were using an anonymous opportunity to be snarky - made a bad decision. Ban them from the anon boards. Establish some rules for that forum. VERY RARELY on the math boards or Vic Ed boards, do we get people saying "nah you can't get an ATAR of 70, you're a fucking idiot". If ever. Any forum could be dangerous. Obviously less so than this one, but the point being is - almost never (if not never), do we have deliberate attempts at making people feel bad. The only totally unhelpful, ridiculous replies are the ones like mine in the party thread. Other than this incident, when's the last time someone was stupid enough to go onto a suicidal person's thread and be silly about it? I think this is less of a huge issue. Cutting the boards because of this incident is knee-jerk and not well considered. We will never be able to fully guarantee anything. Why let your mother outside? No guarantee she won't be hit by a car, or stabbed by a robber. I'm not brushing aside what's happened. I seem facetious, but I'm just making the point that "not being able to guarantee" does not mean "will happen often" or even "has happened before this". If you literally wanted to guarantee it, you could make all posts in the anon forum subject to approval by moderators, the same as the tutoring ads. Better alternative than scrapping it. The obvious reaction to this is "too much work". However, if there was an "approve all" message for all replies people have made, we'd only have to read them and click that button. Rarely, if ever, would we have to do anything else. The next objection would be similar to the first point in Nina's "Reasons" thread - subjective judgment calls. Well, there's a difference between something being not that helpful and something needing to be removed. I'm sure "Don't let threads in where people are saying things similar to: get over it, you're silly, you're [insult]" etc etc etc would be a sufficient standard for us.

TL;DR (probably best to read here because what's in my spoiler is more of a rant than providing a collection of substantive points):

1. Poor mental health and psychological issues are two different domains. Majority of things in that board come under the former category. Niceness and support is sufficient help for stressed people or people that don't have serious psychological issues. Even if it isn't sufficient, that doesn't mean it shouldn't be there anyway.

2. The people with serious psychological issues, at the very worst case scenario we could listen empathetically (google empathetic listening Here you go: http://www.beyondintractability.org/essay/empathic-listening) and then urge them to see a doctor. Are we not qualified to say "That's so harsh, I really feel for you. It's so great you're ready to seek help, but I think it's time to seek it from someone more qualified". It's not hard. I'll write you twenty templates and people can fill in the blanks. "It's so harsh [that your mum is a bitch]. [I really feel for you, it sucks that [you've had to deal with anxiety for five years]. etc etc...

3. Supporting mental health issues is out of our domain
Spoiler
AN is an education service. We are not qualified to provide help on serious issues like mental illness. It was an "ambitious" (read: idiotic) experiment on my part, and I have to concede that it has failed.
See above.
Also, one person taking advantage of their anonymous status does not make a failure. The threads have been removed already, otherwise I would simply bombard this reply with links to "successes".
« Last Edit: May 06, 2014, 08:23:15 pm by cyclops »
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Professor Polonsky

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Re: Removal of personal support forum
« Reply #2 on: May 06, 2014, 08:42:48 pm »
+14
If the anon board is to stay - and I'm not expressing an opinion on that, at least not just yet - I think requiring moderator approval of all anon posts is a must. It would resolve many of the more serious issues. Of course, it would be a further burden on our mod team, and whether it's feasible at all is up to them.

vox nihili

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Re: Removal of personal support forum
« Reply #3 on: May 06, 2014, 08:47:55 pm »
0
If the anon board is to stay - and I'm not expressing an opinion on that, at least not just yet - I think requiring moderator approval of all anon posts is a must. It would resolve many of the more serious issues. Of course, it would be a further burden on our mod team, and whether it's feasible at all is up to them.

I quite like this idea.
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thushan

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Re: Removal of personal support forum
« Reply #4 on: May 06, 2014, 08:48:33 pm »
0
If the anon board is to stay - and I'm not expressing an opinion on that, at least not just yet - I think requiring moderator approval of all anon posts is a must. It would resolve many of the more serious issues. Of course, it would be a further burden on our mod team, and whether it's feasible at all is up to them.

I like this idea very muchly.
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brenden

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Re: Removal of personal support forum
« Reply #5 on: May 06, 2014, 09:06:12 pm »
+1
Ty, ty, I'll be here all week. I'm sure some mods would be like "fuck that". We could even make people aware of what's going on and tell them not to be expecting posts to appear until 8pm or something. Then we could get three Mods and allocate Monday(Mod1), Tuesday(Mod2), Wed(M3), Thurs(M1) and so on... or something of the sort.
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pi

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Re: Removal of personal support forum
« Reply #6 on: May 06, 2014, 10:54:14 pm »
+1
If the anon board is to stay - and I'm not expressing an opinion on that, at least not just yet - I think requiring moderator approval of all anon posts is a must. It would resolve many of the more serious issues. Of course, it would be a further burden on our mod team, and whether it's feasible at all is up to them.

If only you knew how mods were with approving uploaded notes... :P

I honestly think the anon boards have caused more problems than solutions. If there are already BETTER services out there which are anon, I don't see the need to post here where you will be given "advice" by someone with no formal training in mental health.

Also some of the threads posted anon are really bewildering and many mods agree with me that they really don't need to be anon. If the mods are going to have a discussion for every singe thread it's not worth it. Deleting them is a good move for all.

brenden

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Re: Removal of personal support forum
« Reply #7 on: May 06, 2014, 11:25:14 pm »
+1
If only you knew how mods were with approving uploaded notes... :P

I honestly think the anon boards have caused more problems than solutions. If there are already BETTER services out there which are anon, I don't see the need to post here where you will be given "advice" by someone with no formal training in mental health.

Also some of the threads posted anon are really bewildering and many mods agree with me that they really don't need to be anon. If the mods are going to have a discussion for every singe thread it's not worth it. Deleting them is a good move for all.
I think it would be better than the notes, particularly if we had an alert function similar to when people report posts.

What if people don't need advice, but empathy? Or a place to "vent" (which is a very common theme).

Indeed, many threads don't need to be anon. We also don't need to discuss things. We don't discuss moving threads or approving tutoring ads. They're basic things.
Tutoring ad procedure:
Is legitimate: approve
Is a troll: disapprove.

Proposed support forum procedure:
Is legitimate: approve
Is snarky comment, question about making out, question about algebra: disapprove.
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excal

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Re: Removal of personal support forum
« Reply #8 on: May 07, 2014, 01:20:39 am »
0
<snip>
1. Poor mental health and psychological issues are two different domains. Majority of things in that board come under the former category. Niceness and support is sufficient help for stressed people or people that don't have serious psychological issues. Even if it isn't sufficient, that doesn't mean it shouldn't be there anyway.
<snip>

Wait, what? I'm thoroughly confused by this (emphasis mine). Niceness and support is not always sufficient for someone having an episode of acute mental illness - particularly if it delays effective and potentially life-saving treatment.

And why do you think (poor) mental health and psychological issues are different?

---

Fundamentally, I can see the benefit of having an avenue where someone can talk about issues anonymously - however, this is contingent on having appropriately qualified listeners particularly when it comes to issues around mental health. Allow me to present a counter-example: would you be happy in having an anonymous forum to allow people to vent about their general health concerns and having anonymous forum members essentially dispense advice beyond 'go see your doctor'? My view is that mental health should be treated like any other (physical) health issue - we can practice first aid (when appropriately trained) but we must know when to refer to health professionals.

I saw things like "oh, it'll pass", and many other permutations of the same, posted when in reality it may very well not. I didn't see very much 'please see your GP / a counselor'. This concerns me greatly.

The problem is that we have no way of gauging someone's competency with these issues at first instance. There are online sites dedicated to this purpose; we can either try and find a way to ensure this the case, or refer onto services that are better suited. Having the moderator team approve posts sounds like a good idea; and perhaps allowing select people to post without approval to reduce the moderator workload may also help.

As for non-mental health stuff...go nuts.
« Last Edit: May 07, 2014, 01:27:49 am by excal »
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brenden

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Re: Removal of personal support forum
« Reply #9 on: May 07, 2014, 01:55:53 am »
+1

Quote
Poor mental health and psychological issues are two different domains. Majority of things in that board come under the former category. Niceness and support is sufficient help for stressed people or people that don't have serious psychological issues. Even if it isn't sufficient, that doesn't mean it shouldn't be there anyway.

Wait, what? I'm thoroughly confused by this (emphasis mine). Niceness and support is not always sufficient for someone having an episode of acute mental illness - particularly if it delays effective and potentially life-saving treatment.

And why do you think (poor) mental health and psychological issues are different?
Hey excal :)

Well, mental health must exist on a continuum - not all people without a mental illness are perfectly mentally healthy, and not all people that aren't perfectly mentally healthy have a mental illness.

Where I use "poor mental health" I am not referring to people with clinical conditions. When I say "psychological issues", I mean people who are clinically diagnosed with mental illnesses. My use of the latter phrase is not well thought out.

Now to clear up the second issue: I am saying that niceness and support IS sufficient for people going through a phase of poor mental health, however, it is explicitly insufficient for people with clinical conditions. You'll notice the last of your emphasised phrases says "Niceness and support is sufficient help for people... that don't have serious [psychological issues/clinical conditions]". My last sentence is saying that, whilst niceness and support is entirely insufficient for people with a clinical condition, that doesn't mean that niceness and support is something negative, or something that can't be useful in the slightest.

I think I may have explained your final question, but I'll be thorough and answer it anyway.

I think clinical conditions are removed from poor mental health through the differences in severity, duration, and other factors. I would consider depression as a clinical condition. Now, recently, I've been very angsty about the direction of my life. There are a collection of minor issues that I've been thinking about frequently and I have started to fall back into horrible sleeping patterns (eg, prior to two weeks ago my sleeping pattern was about 11pm sleep and an easy wake-up whenever my alarm was set, but here I am at 1.40am), started feeling needlessly resentful/hateful, declined my standard of dress because I couldn't be bothered, but I am unequivocally not clinically depressed (I'm also super okay - someone pm'd me to ask, and I realised my description sounds worse than it is :p). I'm going through a phase of poorer mental health than usual. Like, if we define mental health as emotional wellbeing - well, people can lack emotional wellbeing and be emotionally distressed without having a clinical condition.


Fundamentally, I can see the benefit of having an avenue where someone can talk about issues anonymously - however, this is contingent on having appropriately qualified listeners particularly when it comes to issues around mental health. Allow me to present a counter-example: would you be happy in having an anonymous forum to allow people to vent about their general health concerns and having anonymous forum members essentially dispense advice beyond 'go see your doctor'? My view is that mental health should be treated like any other (physical) health issue - we can practice first aid (when appropriately trained) but we must know when to refer to health professionals.
Great example. I think if people are suffering from frequent runny noses, it would be fine for us to recommend them more water, more sleep, perhaps even a roll-on deodorant. If people are suffering from a very sore neck, it would be fine for us to suggest they examine their posture and see if it is kyphotic. If they are suffering from what they believe to be a severe concussion, it would be fine for us to recommend they see a doctor immediately (why they haven't already is beyond me), but in the meantime avoid sleeping for more than small fractions of time. If someone believes they have pancreatic cancer, I would be fine with them being recommended a doctor. Moreover, once we get into this area the analogy starts to fail in select ways. If someone says "I think I have pancreatic cancer", we can't say "Oh, that sucks, my dad had pancreatic cancer. You should see a doctor" - that's absurdly unhelpful. If someone is suicidal, saying "I had a suicidal friend once in a very similar situation to you. She saw a psychologist who taught her good coping mechanisms to deal with the pain. I really think you should try getting some professional help". Once more, it's obvious to everyone that if you have severe pains in your upper abdomen and are vomiting that you should see a doctor. It is not obvious to everyone that if they are crying incessantly they should go and see a doctor. 
I saw things like "oh, it'll pass", and many other permutations of the same, posted when in reality it may very well not. I didn't see very much 'please see your GP / a counselor'. This concerns me greatly.
I'm not sure how many threads you saw but I can anecdotally suggest something to the contrary. I saw much of the latter and some of the former. I definitely agree with you that things of the former nature should not be on there, which has in part lead to this discussion, as I've made suggestions that we need an objective standard excluding posts of these nature. (I also think my suggestion of a moderator-approved system is good for this).
The problem is that we have no way of gauging someone's competency with these issues at first instance. There are online sites dedicated to this purpose; we can either try and find a way to ensure this the case, or refer onto services that are better suited. Having the moderator team approve posts sounds like a good idea; and perhaps allowing select people to post without approval to reduce the moderator workload may also help.
These are good suggestions.
As for non-mental health stuff...go nuts.
« Last Edit: May 07, 2014, 12:04:51 pm by cyclops »
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excal

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Re: Removal of personal support forum
« Reply #10 on: May 07, 2014, 02:11:41 am »
0
Well, mental health must exist on a continuum - not all people without a mental illness are perfectly mentally healthy, and not all people that aren't perfectly mentally healthy have a mental illness.

Where I use "poor mental health" I am not referring to people with clinical conditions. When I say "psychological issues", I mean people who are clinically diagnosed with mental illnesses. My use of the latter phrase is not well thought out.

I'm being picky with terminology, but I think it's important.

You are right, mental health is a continuum - as is health. However, people with poor health may have a clinical condition of some description related to their poor health - so I think using "poor mental health" to strictly describe people without mental illness is not appropriate. That is, a person may have poor mental health because of their mental illness.

I think we're largely in agreement, however, terminology aside.
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Re: Removal of personal support forum
« Reply #11 on: May 07, 2014, 08:42:38 am »
0
Important to note, stress can be a mental health issue. Someone who isn't very open about their feelings may simply post one of those "Stressed about school, life is monotonous etc" threads even though they may be quite depressed because that's all they are comfortable with disclosing. I'm not comfortable with those threads being answered by people who haven't even done a mental health first aid course, let alone formal qualifications. It's dangerous and the worrying part is we don't know which threads are dangerous because mental health problems have such a large variety of "presentations" (for lack of a better word).

If someone wants advice, they should do two things:
1) search the forum, there are years of threads pre-anon and school kids then had the same problems as school kids now (minus asking which pen to use for an exam...)
2) the way I see it, unless you're a high profile member who shares all the scores and whatnot, you're actually anonymous anyway and free to ask a q in vic ed discussion or OGD, if this is a problem then PM a mod