This is what online harassment looks like

Obscene images, hate sites and a game where people are invited to beat you up have been inflicted on Anita Sarkeesian.

When I first wrote about the sexist abuse of women online, collating the experiences of nearly a dozen writers, the response was largely positive. Many hadn't been aware there was a problem; they were shocked. Others had assumed that they were the only ones whose every word on the web was greeted with a torrent of abusive, threatening comments.

But a few reactions stood out, among them that of Brendan O'Neill, the Telegraph blogs section's resident contrarian. He wrote that feminist campaigners pointing this out was a "hilarious echo of the 19th-century notion that women need protecting from vulgar and foul speech". We were, he said, "a tiny number of peculiarly sensitive female bloggers" trying to close down freedom of speech.

The best response to that argument, incidentally, comes from Ally Fogg, who wrote recently:

What you fail to understand is that the use of hate speech, threats and bullying to terrify and intimidate people into silence or away from certain topics is a far bigger threat to free speech than any legal sanction.

Imagine this is not the internet but a public square. One woman stands on a soapbox and expresses an idea. She is instantly surrounded by an army of 5,000 angry people yelling the worst kind of abuse at her in an attempt to shut her up. Yes, there's a free speech issue there. But not the one you think.

I couldn't have put it better myself. As the months have gone on, and more "trolls" (or "online bullies", if you're a semantic stickler) have been exposed, the perception that what we're talking about when we talk about online harrassment is "a few mean comments" or an insult or two has grown.

On 12 June, I wrote about American blogger Anita Sarkeesian, who launched a Kickstarter programme to raise $6,000 to research "tropes vs women in videogames". Donating was - and I really can't stress this enough - completely voluntary. There are Kickstarters for all kinds of things: for example,  a "dance narrative featuring some of NYC's most compelling performers that celebrates the pursuit of love and the joys of imperfection" doesn't sound like my kind of thing, but God Bless Them, they are 89% funded towards their $12,000 goal. 

But a big swath of the internet wasn't prepared to live and let live in Sarkeesian's case, and began spamming her YouTube video comments with a pot-pourri of misogynist, racist and generally vile abuse. Each one individually was grim; together they constituted harassment. (You can read the full story in my blog here).

Since then, Anita Sarkeesian has been subjected to a good deal more harassment. Let's run through the list for anyone who still thinks this issue is about a few mean words.

Image-based harassment

 

This is the kind of stuff people have been sending to Sarkeesian's inbox, repeatedly, and posting on the internet in an attempt to game her Google Image search results. There have also been drawings of her in sexually degrading situations:

Both these sets of images are taken from Sarkeesian's blog post documenting the harassment (and are reproduced with her permission). They have been posted on the web generally, and also sent specifically to her Facebook page, Twitter account and YouTube channel. The second set show, in her words:

The first image depicts a woman drawn to resemble me who is tied up with a wii controller shoved in her mouth while being raped by Mario from behind. The second image is another drawing (clearly sketched to resemble me) featuring a chained nude figure on her knees with 5 penises ejaculating on her face with the words “fuck toy” written on her torso.

Hate sites

These take a couple of forms: either the creation of specific sites dedicated to trashing you (and again, to come up in Google searches of your name) or posting your details on established forums where haters like to hang out. In Sarkeesian's case, that has involved posting her phone number and address. It's hard to see that as anything other than an attempt to intimidate her: "We know where you live".

The interactive "Beat Up Anita Sarkeesian" game

This one is so incredible I had trouble believing it existed. 

It's an interactive game, inviting players to "beat up Anita Sarkeesian".

As you click the screen, bruises and welts appear on her face.

I find this fairly disturbing - the idea that somewhere out there is a man - a 25-year-old from Sault Ste Marie, a city in Ontario, Canada, who was offended enough by Sarkeesian's Kickstarter project that he made this.

In the description accompanying the games, he adds:

Anita Sarkeesian has not only scammed thousands of people out of over $160,000, but also uses the excuse that she is a woman to get away with whatever she damn well pleases. Any form of constructive criticism, even from fellow women, is either ignored or labelled to be sexist against her.

She claims to want gender equality in video games, but in reality, she just wants to use the fact that she was born with a vagina to get free money and sympathy from everyone who crosses her path.

Some of the commenters on the game have expressed disgust, but not all of them. One wrote:

You are so right, sir. It's the execution which lets this game down.

Wikipedia Vandalism

I wrote about this in the initial post, so I'll be brief here: Sarkeesian's Wikipedia page was repeatedly hacked with crude messages and porn images, until it was locked. This went hand in hand with...

Hacking/DDOSing

Hacking is gaining entrance to someone's private data or website, while DDOSing - using "denial of service" attacks - involves sending a website's server so many requests to load the page that it crashes.

That's what happened to Sarkeesian's site as her story got shared around the world. This image was posted as a way of bragging about taking it down:

 

Personal Life

Sarkeesian is rare in sharing so much of the harassment that she has been subjected to -- and it's a brave choice for her to make. Every time I write about this subject, I get a few emails from women who've been through the same thing (and I'm sure there are men, too). They tell me much the same story: this happened to them, but they don't want to talk publicly about it, because they don't want to goad the bullies further. 

If you were Anita Sarkeesian, how would you feel right now? She's somebody with a big online presence through her website, YouTube channel and social media use. All of that has been targeted by people who - and I can't say this enough - didn't like her asking for money to make feminist videos. 

I think Sarkeesian has been incredibly courageous in sharing what's happened to her. Those obscene pictures are intended to shame her, to reduce her to her genitals, and to intimidate her. 

I'm sure there's plenty here which breaks the law - both in the UK and the US. But the solution here probably isn't a legal one: it's for everyone involved to have some basic human decency. This isn't just a few rude words, and it isn't OK. 

An online game invites players to "beat up Anita Sarkeesian".

Helen Lewis is deputy editor of the New Statesman. She has presented BBC Radio 4’s Week in Westminster and is a regular panellist on BBC1’s Sunday Politics.

Flickr/Michael Coghlan
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Why does the medical establishment fail to take women in pain seriously?

Women with mesh implants have been suffering for years. And it's not the only time they have been ignored. 

Claire Cooper’s voice wavered as she told the BBC interviewer that she had thought of suicide, after her mesh implant left her in life-long debilitating pain. “I lost my womb for no reason”, she said, describing the hysterectomy to which she resorted in a desperate attempt to end her pain. She is not alone, but for years she was denied the knowledge that she was just one in a large group of patients whose mesh implants had terribly malfunctioned.

Trans-vaginal mesh is a kind of permanent “tape” inserted into the body to treat stress urinary incontinence and to prevent pelvic organ prolapse, both of which can occur following childbirth. But for some patients, this is a solution in name only. For years now, these patients – predominantly women – have been experiencing intense pain due to the implant shifting, and scraping their insides. But they struggled to be taken seriously.

The mesh implants has become this month's surgical scandal, after affected women decided to sue. But it should really have been the focus of so much attention three years ago, when former Scottish Health Secretary Alex Neil called for a suspension of mesh procedures by NHS Scotland and an inquiry into their risks and benefits. Or six years ago, in 2011, when the US Food and Drug Administration revealed that the mesh was unsafe. Or at any point when it became public knowledge that people were becoming disabled and dying as a result of their surgery.

When Cooper complained about the pain, a GP told her she was imagining it. Likewise, the interim report requested by the Scottish government found the medical establishment had not believed some of the recipients who experienced adverse effects. 

This is not a rare phenomenon when it comes to women's health. Their health problems are repeatedly deprioritised, until they are labelled “hysterical” for calling for them to be addressed. As Joe Fassler documented for The Atlantic, when his wife's medical problem was undiagnosed for hours, he began to detect a certain sexism in the way she was treated:

“Why”, I kept asking myself, when reading his piece, “are they assuming that she doesn’t know how much pain she’s feeling? Why is the expectation that she’s frenzied for no real reason? Does this happen to a lot of women?”

This is not just a journalist's account. The legal study The Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain found that women report more severe levels of pain, more frequent incidences of pain, and pain of longer duration than men, but are nonetheless treated for pain less aggressively. 

An extreme example is “Yentl Syndrome”. This is the fact that half of US women are likely to experience cardiovascular disease and exhibit different symptoms to men, because male symptoms are taught as ungendered, many women die following misdiagnosis. More often than should be acceptable, female pain is treated as irrelevant or counterfeit.

In another significant case, when the news broke that the most common hormonal birth control pill is heavily linked to a lower quality of life, many uterus-owning users were unsurprised. After all, they had been observing these symptoms for years. Social media movements, such as #MyPillStory, had long been born of the frustration that medical experts weren’t doing enough to examine or counter the negative side effects. Even after randomised trials were conducted and statements were released, nothing was officially changed.

Men could of course shoulder the burden of birth control pills - there has been research over the years into one. But too many men are unwilling to swallow the side effects. A Cosmopolitan survey found that 63 per cent of men would not consider using a form of birth control that could result in acne or weight gain. That’s 2 per cent more than the number who said that they would reject the option of having an annual testicular injection. So if we’re taking men who are afraid of much lesser symptoms than those experienced by women seriously, why is it that women are continually overlooked by health professionals? 

These double standards mean that while men are treated with kid gloves, women’s reactions to drugs are used to alter recommended dosages post-hoc. Medical trials are intended to unearth any potential issues prior to prescription, before the dangers arise. But the disproportionate lack of focus on women’s health issues has historically extended to medical testing.

In the US, from 1977 to 1993, there was a ban on “premenopausal female[s] capable of becoming pregnant” participating in medical trials. This was only overturned when Congress passed the National Institutes of Health (NIH) Revitalisation Act, which required all government funded gender-neutral clinical trials to feature female test subjects. However, it was not until 2014 that the National Institutes of Health decreed that both male and female animals must be used in preclinical studies.

Women’s exclusion from clinical studies has traditionally occurred for a number of reasons. A major problem has been the wrongful assumption that biologically women aren’t all that different from men, except for menstruation. Yet this does not take into account different hormone cycles, and recent studies have revealed that this is demonstrably untrue. In reality, sex is a factor in one’s biological response to both illness and treatment, but this is not as dependent on the menstrual cycle as previously imagined.

Even with evidence of their suffering, women are often ignored. The UK Medicines and Healthcare Regulatory Agency (MHRA) released data for 2012-2017 that shows that 1,049 incidents had occurred as a result of mesh surgery, but said that this did not necessarily provide evidence that any device should be discontinued.

Yes, this may be true. Utilitarian thinking dictates that we look at the overall picture to decide whether the implants do more harm than good. However, when so many people are negatively impacted by the mesh, it prompts the question: Why are alternatives not being looked into more urgently?

The inquiry into the mesh scandal is two years past its deadline, and its chairperson recently stepped down. If this isn’t evidence that the massive medical negligence case is being neglected then what is?

Once again, the biggest maker of the problematic implants is Johnson&Johnson, who have previously been in trouble for their faulty artificial hips and – along with the NHS – are currently being sued by over 800 mesh implant recipients. A leaked email from the company suggested that the company was already aware of the damage that the implants were causing (Johnson&Johnson said the email was taken out of context).

In the case of the mesh implants slicing through vaginas “like a cheese-wire”, whether or not the manufacturers were aware of the dangers posed by their product seems almost irrelevant. Individual doctors have been dealing with complaints of chronic or debilitating pain following mesh insertions for some time. Many of them just have not reported the issues that they have seen to the MHRA’s Yellow Card scheme for identifying flawed medical devices.

Shona Robison, the Scottish Cabinet Secretary for Health and Sport, asked why the mesh recipients had been forced to campaign for their distress to be acknowledged and investigated. I would like to second her question. The mesh problem seems to be symptomatic of a larger issue in medical care – the assumption that women should be able to handle unnecessary amounts of pain without kicking up a fuss. It's time that the medical establishment started listening instead. 

 

Anjuli R. K. Shere is a 2016/17 Wellcome Scholar and science intern at the New Statesman

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