Why I don’t agree with trigger warnings

When I was suffering from PTSD, I didn't want to be wrapped in cotton wool.

Twitter is no longer a "safe space". It has become a vehicle for outrage, to the point where many no longer choose to express themselves at all, or do so skittishly through a network of private messages. Following the furores of the last couple of weeks, Suzanne Moore has put a trigger warning on her Twitter bio, a disclaimer as if to say "will cause offence". That, and her joking about the terminology with Julie Bindel, caused yet more disapproval from some corners of the social network. A trigger warning is not something to joke about. Trauma is not something to joke about. Trigger warning: this next tweet contains a flippant remark about trigger warnings.

For those not au fait with the terminology of the small corner of the internet that makes up feminist websites and message boards, a "trigger warning" initially existed to warn survivors of violence and rape, or those suffering from eating disorders, that an article or blog post may contain language that might "trigger" traumatic memories, thus causing flashbacks, panic attacks, or distress. A worthy goal, although also of limited use, as I’ll go on to explain. However, in recent years the phrase seems to have become shorthand for "anything you may not like", and to many has taken on the unpleasant connotation of providing a means for the oversensitive internet language police to vet content – some would argue.

As Moore was. I have PTSD, but I did not find her or Bindel’s jokes particularly upsetting. I would rather inhabit a Twitter where people feel able to have a laugh, thereby taking the risk that it may upset me, than a strangely sanitised social network where people check their "privilege" at the door like a fur coat (no knickers), with no dance floor, no booze and no fun awaiting them- just a vast, pompous expanse of skittish hacks dealing in whispered platitudes. No, thanks, that’s not for me. In the aftermath of the traumatic experience I suffered, I avoided internet feminism completely. Not because of "triggering" content, but because I wanted to go it alone. I did not want their "safe spaces" and their trigger warnings and their "calling out" of sexism. I did not want any of them as an "ally". It seemed, to me, so very American. I’d take the NHS. Good old Nye Bevan and an hour a week in a room with a stranger and a box of tissues. Reliving it all. Over and over, again and again.

Before I continue; a disclaimer. In explaining my choices, I am not condemning those of others. This is important. I have no doubt that internet support groups and feminist websites have helped many women suffering from PTSD, that the ability to share stories and testimonies and to weep has helped many to heal. But, in the aftermath, it is not what I wanted. Trauma is a strange beast. It binds people together, like twine. And especially women. You see it online all the time. The lifelong friendships formed across the ether, the complicity, the shared lingo, and yes: the anger at men. I felt it too, which is partly why I didn’t want their anger. My own was toxic enough.

It is rarely said, but post-traumatic stress disorder can turn you into a horrible person. I found its old name "shell shock", strangely fitting. Not because I had ever seen action – the poems of Wilfred Owen do not count – but because that was how I felt. Like a soft, gelatinous, wobbly little thing surrounded by a hard shell of fury. And instead of seeking out others in the same position, I stayed crouched inside, pink and seething.

I’ll admit something else that will perhaps be unpopular: those message-boards, those websites, smacked to me of victimhood. I didn’t want to be a delicate little flower who could be brought to tears by a paragraph. I already felt a keen sense of injustice, not helped by the terminology: "Camden & Islington Victim Support", "if you have been a victim of crime…" and so I never heeded trigger warnings on the internet. Not once. The contrary: I forced potentially upsetting scenarios down my throat.

Triggers can spring from anywhere. Revisiting a place, or even getting a sense of it. The odd gait of a stranger in the street; a passing resemblance; a certain time of night. For me it was depictions of hanging or strangulation. You never realise how common they are until they become so laden with horror. The frequency that they appear in works of literature (at one point it felt like every novel I read had a hanging in it), in films, in television programmes. Should they have had a trigger warning? Impossible. I had to - must - inhabit the real world. There was only so many times that I could take the long way round, that I could not go out at night. My therapist used the analogy of a factory conveyor belt to describe traumatic memory. There I was, pushing all the boxes off- toppling them one by one, before they could even hope to be processed. I blinkered myself from the reality of events. I ran from them.

All of us, at one point or another, make a choice regarding what we will and will not expose ourselves to. For that reason, while studying Primo Levi and the literature of the Second World War at university, I chose not to google "medical experiments of Dr Josef Mengele". It’s the same reason for which television news broadcasts are often preceded with the words "this contains scenes some viewers may find upsetting" – so that you can make the choice to switch off. Equally, one makes the choice to be outraged. Some viewers may find this offensive. Some. Not all. Most will be unfazed. But not all.

With triggers, one does not make the choice to have a flashback, or a panic attack, or to collapse in tears at work and have your day ruined by a random reference in an internet post. Equally, as Suzanne Moore pointed out, a soldier can have a flashback because of a curtain moving in the breeze. To have text alerting you to the possibility of a trigger is a privilege unknown to most PTSD sufferers. The world is full of triggers. You could, I suppose, try to liken a trigger warning to informing epileptics that there is some strobe lighting coming up. Except it’s not that simple. I remember my grandfather telling me how one man’s seizure had been set off by the light flickering between the trees as he drove. Similarly, that specific depiction of violence on the internet might be your light between the trees, but it isn’t mine.

Of course no one is suggesting that we stop reporting the news. I don’t think, like some, that trigger warnings hinder freedom of speech. But they do display an increasingly nannying approach to language that is being used to shut down discourse and to silence. Often, it is coupled with a sense of passive aggressive glee ("um. You should have put a trigger warning on that"). I do not doubt that they are of enormous service to survivors with specific triggers likely to reoccur on feminist websites, but it has got to a point now where I feel women I have never met are trying to wrap me in cotton wool, and I detest that. PTSD can make you hypersensitive and hyper-aware – not qualities I see as desirable in a writer or an editor whose job is to produce words for the general population. Whether a survivor personally feels ready to stop toppling the boxes is their choice and only their choice. Some never will; the trauma is too profound to ever process. But there are some survivors who are trying to open their boxes, and a trigger warning can serve as an admonition to stay in our shells. I wanted out of mine.

A trigger can be anything - one man’s seizure was set off by the light flickering between the trees as he drove. Photograph: Getty Images

Rhiannon Lucy Cosslett is a writer for the New Statesman and the Guardian. She co-founded The Vagenda blog and is co-author of The Vagenda: A Zero Tolerance Guide to the Media.

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Apple-cervix ears and spinach-vein hearts: Will humans soon be “biohacked”?

Leafy greens could save your life – and not just if you eat them.

You are what you eat, and now bioengineers are repurposing culinary staples as “ghost bodies” – scaffolding on which human tissues can be grown. Nicknamed “biohacking”, this manipulation of vegetation has potentially meaty consequences for both regenerative medicine and cosmetic body modification.

A recent study, published in Biomaterials journal, details the innovative use of spinach leaves as vascular scaffolds. The branching network of plant vasculature is similar to our human system for transporting blood, and now this resemblance has been put to likely life-saving use. Prior to this, there have been no ways of reproducing the smallest veins in the human body, which are less than 10 micrometres in diameter.

The team of researchers responsible for desecrating Popeye’s favourite food is led by bioengineering professor Glenn Gaudette and PhD student Joshua Gershlak at the Worcester Polytechnic Institute (WPI). They were discussing the dearth of organ donors over lunch when they were inspired to use their lunch to help solve the problem.

In 2015 the NHS released figures showing that in the last decade over 6000 people, including 270 children, had died while waiting for an organ transplant. Hearts, in particular, are in short supply as it is so far impossible to perfectly recreate a human heart. After a heart attack, often there is a portion of tissue that no longer beats, and so cannot push blood around the body. A major obstacle to resolving this is the inability to engineer dense heart muscle, peppered with enough capillaries. There must be adequate flow of oxygenated blood to every cell in order to avoid tissue death.

However, the scientists had an ingenious thought – each thin, flat spinach leaf already came equipped with its own microscopic system of channels. If these leaves were stacked together, the resulting hunk of human muscle would be dense and veiny. Cautiously, the team lined the cellulose matrix with cardiac muscle cells and monitored their progress. After five days they were amazed to note that the cells had begun to contract – like a beating heart. Microbeads, roughly the same size as blood cells, were pumped through the veins successfully.

Although the leafy engineering was a success, scientists are currently unaware of how to proceed with grafting their artificial channels into a real vasculatory system, not least because of the potential for rejection. Additionally, there is the worry that the detergents used to strip the rigid protein matrix from the rest of the leaf (in order for human endothelial cells to be seeded onto this “cellulose scaffolding”) may ruin the viability of the cells. Luckily, cellulose is known to be “biocompatible”, meaning your body is unlikely to reject it if it is properly buried under your skin.

Elsa Sotiriadis, Programme Director at RebelBio & SOSventures, told me: “cellulose is a promising, widely abundant scaffolding material, as it is renewable, inexpensive and biodegradable”, adding that “once major hurdles - like heat-induced decomposition and undesirable consistency at high concentrations - are overcome, it could rapidly transform 3D-bioprinting”. 

This is only the most recent instance of “bio-hacking”, the attempt to fuse plant and human biology. Last year scientists at the Pelling Laboratory for Biophysical Manipulation at the University of Ottawa used the same “scrubbing” process to separate the cellulose from a slice of Macintosh red apple and repopulate it with “HeLa” cervix cells. The human ear made from a garden variety piece of fruit and some cervix was intended as a powerful artistic statement, playing on the 1997 story of the human ear successfully grafted onto the back of a live mouse. In contrast to the WPI researchers, whose focus is on advancing regenerative medicine – the idea that artificial body parts may replace malfunctioning organic ones – Andrew Pelling, head of the Pelling Laboratory, is more interested in possible cosmetic applications and the idea of biohacking as simply an extension of existing methods of modification such as tattooing.

Speaking to WIRED, Pelling said: “If you need an implant - an ear, a nose - why should that aesthetic be dictated by the company that's created it? Why shouldn't you control the appearance, by doing it yourself or commissioning someone to make an organ?

The public health agency in Canada, which is unusually open to Pelling’s “augmented biology”, has supported his company selling modified body parts. Most significantly, the resources needed for this kind of biohacking – primarily physical, rather than pharmacological or genetic – are abundant and cheap. There are countless different forms of plant life to bend to our body ideals – parsley, wormwood, and peanut hairy roots have already been trialled, and the WPI team are already considering the similarities between broccoli and human lungs. As Pelling demonstrated by obtaining his equipment via dumpster-diving and then open-sourcing the instructions on how to assemble everything correctly, the hardware and recipes are also freely available.

Biohacking is gaining popularity among bioengineers, especially because of the possibility for even wackier uses. In his interview with WIRED, Pelling was excited about the possibility of using plants to make us sexier, wondering whether we could “build an erogenous interaction using materials that have textures you find pleasing [to change how our skin feels]? We're looking at asparagus, fennel, mushroom...” If he has his way, one day soon the saying “you are what you eat” could have an entirely different meaning.

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

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