ethical writing

theeldritchwitch  asked:

I have a question. A character of mine is afraid of going to a psychologist but needs one. Because they dont want other people to know they have a mental illness because if they get diagnosed this goes on their medical record. how private is one's mental illness when somebody isnt a private person but a celebrity?

It’s theoretically just as private as it would be for any non-celebrity. Confidentiality is an integral part of the therapeutic relationship - and it’s actually protected by law.

Unless the (adult) character has signed a release that says otherwise, a therapist cannot even confirm or deny someone is their client to other people.

However. That being said. Paparazzi or crazed fans could theoretically follow the celebrity to the therapist’s office. But no good therapist will ever reveal (short of a court order) anything to the public about their adult client without the client’s consent.

This is the policy in the US, at any rate! The Shrink is unsure of confidentiality laws in other countries.

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10 Ways to Find Inspiration:

1.  Walk down to your favorite cafe.  Look and listen to the world around you, and let your mind wander.  You’ll be surprised at the ideas that start to flow.

2.  Go to a quiet coffee place, restaurant, or library, and read a chapter of a really good book.  Not necessarily a “classic” or something pretentiously intellectual, but something you enjoy reading and like something you’d want to produce.  

For example:  when I was working on my urban fantasy novel, I read a lot of Good Omens and American Gods.

3.  Be sure to listen to music – it doesn’t matter what – that makes you feel passionate or emotional, particularly in regards to something you want to write.  When I’m writing a scene that’s fast or angry, like a fight scene or a confrontation, I’ll listen to a lot of punk rock and heavy metal, like Disturbed or Metallica, or if I’m writing something upbeat I’ll channel my inner Star Lord and listen to some upbeat 80s music.  Basically, listen to music that matches the mood of what you’re trying to write.

4.  This is going to sound painfully cliche, but keep a notebook.  I would frequently write down ideas during boring lectures (though for the sake of your GPA, you may not want to follow my example), as well as jot down the oddly specific sentences that popped into my head.  Sure enough, some of them strung together to create coherent stories.  They’re also lots of fun for doodling.

5.  Try to keep a clean working environment.  Personally, my brain is easily sidetracked by clutter, and will procrastinate what I actually need to do by cleaning off my desk or re-organizing my pencil drawer.  Try to get this done ahead of time.   

6.  If possible, don’t work at home.  My house is full of distractions, and I just feel fresher once I’m outside.  

7.  Seriously, cafes are the best.  You won’t feel isolated, but there’s usually not too many people you know to provide a distraction.  Couple this with a pleasant atmosphere and caffeinated beverages, and you’ve got an ideal writing environment.

Find a cute, cozy cafe and make it your sanctuary.

8.  Don’t edit until you’re completely done.  Writers are infamously hard on themselves, nothing is as discouraging as seeing how clumsy and disjointed your first draft appears.  Rewrite and revise afterwards, but in the meantime, keep moving forwards. 

9.  Write every day, even if you aren’t necessarily feeling it.  It might not seem like it helps, but it does, and your skills will improve exponentially.  

As Barbara Kingsolver wrote, “Don’t wait for the muse.  She has a lousy work ethic.  Writers just write.”   

10.  Conversely, if nothing’s working for you and you’re feeling frustrated, just give yourself a break.  It could just mean your creativity is in hibernation mode, which is 100% normal and okay.  Inspiration will strike again, so go about your business and be kind to yourself.
Chilton 2.0 - BirchBow (chaoticTenebrism), LaughingStones - Motorcity [Archive of Our Own]
An Archive of Our Own, a project of the Organization for Transformative Works
By Organization for Transformative Works

Mike blinks once, startled, and then bursts out laughing. “Me?!” he says, and shakes his head as Chuck gives him a slightly hurt look. “Chuckles, come on. I’m a cadet, what am I gonna do in a lab?”

“That’s what I’m trying to tell you,” Chuck persists. “It’s a program–a cyborg enhancement program. Uh…a super-soldier. Program.”

Or: the story of how Mike became more than human, and then less, and then found a happy medium somewhere new.

((always love collab-fic with @rollerskatinglizard. :D  HERE’S SOME CYBORGS Y’ALL))  (Coupla bros bein’ bots)) ((Coupla bots bein’ dude))

The Integrity of Medical School

I’ve been in medical school for a little over a semester and I have become very disillusioned with medical school as an institution. I’m glad I’m in medical school and I know how lucky I am to be in medical school, however, I’m struggling with the ethics of medical school as an institution.

It took me six years to get into medical school. In that time I got a bachelor’s degree, a graduate degree, I worked full-time and volunteered nearly 20 hours a week. I took the MCAT and went on interviews and paid for my applications. In that time, I also probably spent well over 30 thousand dollars trying to get into medical school, not including the student loans I had to take out to pay for my pre-med and graduate classes. The cost of my applications, alone, was 5 thousand dollars. And that was the second time I applied. The cost of my interviews were also easily 5 thousand dollars as well. 

When I got into medical school I was excited to become a doctor. I was proud of myself and felt vindicated that all of my hard work paid off. I was ready to start learning how to be a doctor. My first semester was absolutely miserable. The morale of my class was extremely low. We go to a school that heavily emphasizes wellness but a slew of new changes based on feedback from students ahead of us created a schedule that was unsustainable and didn’t leave time for any self-care practice or wellness at all. The idea of wellness became a running inside joke in our class where people would proudly state that they participated in self-care by taking a shower for the first time in two days or by sleeping in past 7am on a Saturday.

But we got through that first semester, propelled by second year students telling us that it would be all downhill after that and that once we started organ systems second semester, we’d be so much happier and have so much time to take care of ourselves and study (because our schedule was so jam-packed that it left very little time to study and our attendance in class is required). We had third year medical students telling us how they would rather repeat their entire third year of medical school and all the crazy rotations that go with it than repeat their first semester. And so we took all of our finals and set off for winter break looking forward to next semester.

Our second semester started a little over three weeks ago. News that we lost six of our classmates spread through the class. They chose to leave or weren’t allowed to come back by the administration. It was an elephant in the room that none of us can talk about because of privacy rules. Still, morale is higher when we start up our organs systems classes.

And that is when I realized what a money scam medical school is. I am required to go to class if I want my class rank to be high not because our classes actually teach us information but because your grade is connected to your attendance, so poor attendance = a poor grade = a lower class rank. I sit in class for up to 9 hours a day and have clinicians read powerpoint slides word-for-word to me, none of which are interesting or helpful to my actual learning and all of which I could have read to myself at home. I am told by our academic administrators to buy resources like First Aid to study for Step 1, they bought us a Q bank but we have to pay for everything else. $900 later, I have subscriptions to Pathoma, RX, Sketchy, and Firecracker. I wanted to buy a set of clinical case books recommended to us but the price on Amazon was $653. By the time I take Step 1 I will have taken out 150 THOUSAND dollars in student loans ON TOP OF the student loans I already have from two bachelor degrees and a master’s degree. 

I will need to pay the fees for the Step exams on my own. I am expected to join various professional societies and pay their yearly fees because it will make my residency application look better even though joining those professional societies has no impact on what kind of physician I will be, how much I care about others, or my Step 1 score. And, of course, those professional societies are so generous and give you a discount because you’re a medical student, so instead of paying $500 you’re asked to only pay $150. But isn’t it worth it to add some fake prestige to your residency application by saying you went to the AMA conference one year? The AMA that endorsed Tom Price for HHS secretary? The AMA that endorsed someone who wants to remove the ACA and condemn 43,000 additional people to death due to lack of insurance every year. Sign me the fuck up, right?

I am disgusted with the cost of medical school. I knew it would be expensive but I feel it is unethical to ask students to spend so much money applying to medical school and taking the MCAT and then asking them to pay EVEN MORE. Especially when there was so much hand-wringing from the AAMC and NBME about how to make medical school more affordable and how to increase the diversity among students and increase the number of first generation physicians (since studies show that children of doctors tend to be worse doctors than their first generation peers). I have an idea:

Get rid of the first two years of medical school. Make Step 1 the admissions exam for students. Get rid of application fees and the MCAT altogether. Start students up in January, give them a ten week course in gross anatomy, followed by a two week intensive clinical skills course and a first aid/CPR certification, and start them up on wards in April, a full 2 to 3 months earlier than most schools. This gives students 5 to 6 months to explore specialties after their required rotations instead of 2 to 3 which aren’t even really used for students to explore since those are the rotations they need to do in order to get the letters of rec they need for their residency applications (may be the lack of time to explore specialty options is why 60-90% of physicians hate their fucking jobs). 

And then, of course, you have to spend thousands of dollars on your residency applications and travel for interviews, which are not factored in to your student loan awards. 

This will never happen, though, because the AAMC makes billions of dollars in application fees, MCAT fees, and official test prep materials. The NBME makes billions of dollars off the backs of students paying for their exams and the LCME makes just as much. None of the organizations that could change the system have the incentive to do so because they are too busy milking medical students for all the money they have.

I know it sounds like I’m too money focused. The truth is, I’m not. I gave up hope of ever paying off my student loans years ago. I will never pay them back and I didn’t want to be a doctor because of the salary. My disillusionment with medical school as an institution is due to the ethics of it all. When I was applying to medical school there was a huge push to improve medical class diversity and encourage more minority and lower class students to apply. You can get fee waivers and financial assistance to cover the cost of your MCAT fees. But that doesn’t go far enough. Those application fee waivers don’t make booking flights for interviews any cheaper, they don’t lower the cost of having to rent a car or buy a suit for an interview. 

How can we expect students living in poverty to drop 5 grand on interview costs just to get in to medical school? How can we expect students living in underserved communities to afford the cost of Step 2 and the price of travel to and from the 6 locations in the country you can take it? Underserved communities NEED students who understand what living in those communities is like to go back and be their doctors. And, yes, there are scholarships and small-scale help, but I’m arguing that the entire system, right now, is designed to keep students who can’t afford to pay for medical school admittance out. Is a student whose family is on food stamps really going to have $150 to pay for the MCAT? No. 

I look around at the people in my class, which to my school’s credit is exceedingly diverse in race and religious background, however almost everyone in my class comes from a family that was middle class or above. Half of my classmates have parents who can afford to pay for their tuition and living expenses. I am part of the other class that has to take out loans. But when I was applying to medical school and there was a mix up with my teaching assistant stipend that lead to it being delayed, my dad was able to loan me the $2500 I needed to submit my AMCAS application on time. If I had not had a full-time job as a graduate student, though, I would not have been able to afford the cost of interviewing, and a third of the interviews I went on were local. 

In class, we are asked to think about treatment plans for patients and discuss them with each other. The girl sitting next to me says she thinks this ethics class is a waste of our time. The patient is an overweight child who we need to counsel, she lives in a run down part of a large city. We work together on her treatment plan and my partner comes up with a list of groceries to buy. I point out that the patient in question is a minor and likely not in charge of her food and that the education needs to be directed towards the parent and the patient. I also point out that due to the income level of the area they live in, the patient’s mother is likely relying on food stamps. I go over the grocery list and not a single thing is realistic. I point out that food stamps cannot be used to buy milk. My partner is shocked, her eyes widen; when I tell her how food stamps in my state can’t be used to buy rice, her entire world is turned upside down. I voice this in class when we are invited to share. A male classmate who is openly gay and voted for Trump comes up to me and asks me to explain why food stamps can’t be used to buy milk. I do and he doesn’t know what to say.

I look at my classmates who do not understand what poverty looks like in reality and I think about the people I know in rural towns who blew their entire savings trying to get into medical school only to be told when they didn’t get in that they needed to go take the MCAT again because the 29 they got wasn’t good enough, they needed a 30. The people suggesting this to my friend recommend taking an MCAT course not realizing the closest one would be two hours away and that the nearly 3 grand the course costs makes that impossible, not to mention the cost of taking the test again. It doesn’t matter, though, because she wouldn’t be able to afford all of the resources for Step 1 let alone the cost of THAT exam once she got into medical school. She works as a CNA in a nursing home.

How can we put such a financial burden on students applying to medical school? How can we ask medical students to pay so much money for residency applications, licensing exams, and tuition? How can we do that and then ask them to enter a profession that requires them to get permission from insurance providers and hospital administrators to order a damn chest CT? How can we ask them to pay so much money and then ignore the fact that there aren’t enough residency spots available for all of them to train in? How can we ask pre-med and medical students to pay so much money when the health care system is in shambles and the only people making money are hospital CEOs and insurance companies? How can we expect medical students to pay back their massive student loans in a system like that? Why are institutions like the AAMC so comfortable setting so many medical students up for failure?

Because my school emphasizes wellness, we have mandatory wellness classes we have to attend. Because, in medical school, giving students time to practice self-care isn’t as important as requiring them to attend a four hour class telling them they need to practice self-care and get lots of sleep, all while requiring them to be at school by 8am and making us sit in class until 5pm, giving us five hours of the day to study before we do it all again. And, of course, in those five hours of study time we also need to fit in time to exercise, feed ourselves, and maybe speak with our loved ones for five minutes to make sure they are still alive. Because self-care!

I wouldn’t say I’m jaded about medical school this early on but I am questioning why this system is in place. Why pay for two years of medical school when everyone just uses First Aid and Step resources to get a good score? I think medicine, as an institution, is really stuck in this idea of “well, I had to do it so you do, too” which I think is a really dangerous way of thinking. I think if medical students have extremely high rates of depression and anxiety (myself included, however mine was with me long before medical school) and it just gets worse through residency and becoming an attending there’s something wrong with the system. And if something isn’t working, why shouldn’t it be fixed? “Because I went through it and you should, too” isn’t a good enough answer for me. It’s also not accurate, right? The doctors who are saying that bullshit excuse went to medical school in a different time, where they could actually make decisions about patient care without having to call an insurance company for permission first. They went through medical school when it was actually affordable. They went through medical school when the idea of a woman being a doctor was either not allowed, unheard of, or looked down on, because who would take care of their kids at home while they went through residency if their wife was in medical school? 

So, yeah, they went through medical school and worked all of these hours and paid for medical school but the context was different, so I still want to know why such an archaic system that is already financially unattainable for people we NEED to be doctors and is quickly becoming financially unattainable for anyone who doesn’t have a trust fund is allowed to exist. I want to know why a 60-90% dissatisfaction rate is considered acceptable among physicians without any examination of the system that makes them into physicians.

I don’t know if anyone uses my tags, but just in case :

  • Cheap = Less than 30€ for a bra
  • Luxury = Over 70€ for a bra
  • Full Bust = 32 bands and under and FF cups and over
  • Plus Size = Over 38 bands
  • Small bust = Little support and/or small bands and cups combos

I try to include at least one of each in my selections, but sometimes it’s hard to balance with trying to promote ethical brands as much as possible.

How Do You Write Like You're Running Out of Time?
  • *Non-Stop*
  • Burr: How do you write like you're running out of time?
  • Burr: Write day and night like you're running out of time?
  • Full Company: How do you write like tomorrow won't arrive? How do you write how you need it to survive? How do you write every second you're alive?
  • *Me, trying to write an essay*
  • Me: Yes! Teach me your ways! I need to write like that!

Attention all writers, photographers, fashionistas, and artists! We are now calling for submissions to be featured in our Summer Issue. 💻 Topics include feminism, social justice, fashion, ethical fashion, sustainability, activism, mental health, lgbtqia rights and stories, human rights, fashion, beauty, politics, travel, cooking, lifestyle, and women empowerment.



So I was just sitting writing my essay for ethics when my mum brought in the post and I found I have an UNCONDITIONAL OFFER TO STUDY LAW. That literally never happens.

anonymous asked:

do you have any "working as a doctor" promts? xx

Themed Prompts: Working as a Doctor 

1. Is there a doctor on this plane? 

2. Family and friends are always asking for help and advice. 

3. Patients keep arguing with the suggested diagnoses. 

4. Patients keeps askings for medication the doctor can’t prescribe. 

5. Doctors are the worst patients. 

6. The doctor witnesses strange symptoms. 

7. The doctor misdiagnoses someone. 

8. A patient’s family blames the doctor for everything that goes wrong. 

9. A holiday at work. 

10. The doctor really doesn’t want to hear about blood and stuff when they get home. 

11. A grateful patient brings the doctor a strange gift. 

12. A patient is an extremely irritating person. 

13. The doctor notices medication keeps going missing. 

14. The doctor knows they didn’t make a mistake but everyone else is saying they did. 

15. The doctor seriously pisses off the ethics board. 

Just a reminder to myself and others that food is a moral issue only in so far as hurting living beings is concerned. Causing animals to suffer is “bad,” and becoming a vegan to remove yourself from that system is “good,” but after that, food has no moral value. “Healthy” doesn’t mean “good” and eating “clean” does not make you a morally superior person. Health and wellbeing are vital and need to be attended to, but please don’t conflate eating with sinning. If you’re vegan, you’ve already chosen the right path: the road doesn’t fork again after that.

Football RPF Survey -  Reading section

This section features responses to the Reading Football Fanfiction part of the Football Fandom survey. To remind everyone, it follows the Demographic section that was posted yesterday. The first question had 202 responders, while the rest of the section had 187 responders. A big thank you to everyone that participated and we hope you’ll find the results interesting.

Do you read football fanfic?

The vast majority of responses (187 of a total 202 participants, or 92.6%) told us that they read football fanfiction. Responders mentioned that it’s fun, interesting, that it makes them happy to read about their favorite people falling in love. Several people also said that reading fanfiction allowed them to get a different perspective of the players, and that while they realized that it’s a guess at their personalities, they still liked to think about the fullness of their lives beyond the ninety minutes on the pitch. They also mentioned that reading fanfic helped them improve their English and vocabulary.

For some, fanfiction was a way for them to see themselves represented in a way they would never get from traditional media, particularly in terms of gender identity and sexuality. Most of the responses we got said that they read fanfic because it was well written, and that reading and commenting on fanfic was their way of interacting with fandom.

There were a few people who said no to reading football fanfiction, because they had ethical reservations about writing about real people, or because they felt that a lot of fanfic was sexual and they didn’t see the players like that.

Keep reading

Anonymous asked:

I am writing a fantasy book set in the midst of a genocide. As I continue to write and build my world, I find that the genocide strongly parallels the holocaust. I’m not sure if this is ethical to write about; the genocide may resemble the holocaust a lot, but since it’s fantasy there is no reference to real-world stuff. Moreover, the society is inspired by Asian civilizations, not Germany or Europe. Is that okay?

There’s a reason you’re seeing parallels there: the holocaust was genocide. In fact, it was one of the biggest and most well known genocides in history. If you didn’t know that, you haven’t done enough research on genocides to be writing about one–even a fictional one. I strongly suggest you take some time to learn about the known genocides that have occurred in human history. There is a lot of information about them available online. This well help you to understand what you’re writing about so that you can handle this subject with the necessary understanding and respect. Writing about this topic without understanding it would be the unethical approach.


ambiguouspuzuma said: What part of this suggests they don’t know what the holocaust was?

WQA responded: Uhhh… the part where they were surprised to find parallels between the holocaust and genocide??? And, to be fair, I didn’t say they didn’t know what the holocaust was. I said if they didn’t know that was a genocide, they probably need to do more research about genocides. Obviously.

Have a writing question? I’d love to hear from you! Please be sure to read my ask rules and master list first or your question will not be answered. :)

anonymous asked:

What would happen when there's an autistic kid in the hospital (broken arm, multiple deep lacerations, mild concussion) who went nonverbal and physically cannot talk at the time? The kid knows sign language, and so do their parents. Would hospital staff let the parents translate, or would they go get their own translator?

Hey there! So this is one of those special cases where how people respond is going to depend a lot on their institution etc. Typically, providers will rely on those familiar with ASD patients to help get compliance. Nobody knows the kid better than their parents and teachers.

If ASL is how the kid communicates, at this time and in this place, then that’s how they communicate. Ideally if a member on staff understands ASL they might get involved in the kid’s care, but if not, they’re unlikely to go to the trouble of FaceTime-ing a translator and will likely just rely on the parents….

….with one major assumption. If the injury pattern looks at all like it could even remotely have been abuse, whether it’s injuries that don’t match the story or whatever, the hospital can’t just inherently trust the parents’ word. (They’re also mandated reporters of abuse, so they have to tread very carefully in these cases). In those cases a translator would either physically be brought to the bedside or consulted by video link.

I hope this was helpful! xoxo, Aunt Scripty


The Smell Of Work

Jesus was a Carpenter, he knew well the Smell of Work. The intoxicating smell of pine and pitch, of shavings and chips made by planes, saws, augers and chisels. To a carpenter these scents are ambrosial. However the carpenter is not alone in anointing the atmosphere with aromatic splendors.

The Baker makes, as she bakes, breads and cakes, the captivating lure of loaves of golden bread, which swims within our amplified appetite, lungs and head.

The shoemaker knows well the smell of well tanned leather, of sole-full glue, which mounts the heel to the map of the ever meandering shoe.

The Painter knows by heart the smell of his colours, turps and linseed oil, all those ground of rare metals, made of minerals or rich hues of the soil.

The welder knows the aroma of molten metal, be he joining a rail, a great steel gate or re-handling an old broken kettle.

The Mason knows by heart the aroma of stone, mortar, brick and block, which stand earnestly locked in defiance of all scentless Earthly clocks.

The Chef anoints the general atmosphere with a thousand scents, complexly woven of vegetable, fish, deserts and rare spice, or simply a bowl, of sweet steaming rice.

The Sculptor knows the smell of jade, marble, and granite, his great blocks of fortune, lay hidden beneath the dust and mud of this great drifting planet.

The Artful Florist arranges perfumed bouquets, and sends scented messages out to the world, via triumphant colourfully crafted displays and botanic arrays.

Both Doctor and Nurse know the smell of blood, birth and decay, as they resurrect us, so that we may rejoin the friction of the fray, or the delight of a fictional play.

The Grave Digger lifting the soil like spoons from the Earth, knows the smell of toil and damp ground, by the pebble, boulder, ounce and the pound.

It is the Banker who knows the faint unsavory scent of money lent or spent, used to buy bread or pay the rent, but it is a hollow aroma, as it is I think, at a loss in its travels, for the pungency of evaporated ink.

No labor of love lies at the bankers hands, and so no accompanying aroma, born of hempen bundles or cheques, save the unwelcome scent of old rubber bands.

The Poet and Writer are given the scented gift of fresh reams of linen, joined with the honest aroma of pots of jet black ink, all that is left to be done, is to record, report and inscribe, inspired thought as she thus thinks.

Our life’s sweet labors are imbued with the savory scent of blood, sweat and tears, and all we create, manufacturer or fashion, within the fabric of our working days, and throughout our arduous productive years.

We bless the very sky with the honest perfume, of our dishes, designs and creations, a pleasing direct effect of our work, and the heady aromatic residue, of labors myriad exudations, the swirling airborne gift, of resultant ambrosial olfactory inhalations.

© April 27th, 2017 • D.L. Nelson & Incredible Love Publishing