Comment by cthalupa
3 hours ago
The problem is they are explicitly arguing that all of our best science is that trigger warnings are counter productive for getting better. Just a quick google search of 'scientific support for trigger warnings' will get you all sorts of meta analysis, RCT results, etc. on this. At best they don't seem to actually do anything, and at worst, they actively impede your ability to get better.
That doesn't mean it's a matter of willpower, but it does suggest that avoiding your triggers or trying to use trigger warnings to prepare you for dealing with them provides no benefit. Your use of the word avoid pretty much sums up the core problem here - on a personal enjoyment of day to day life level, avoiding your triggers makes perfect sense. On the long term healing and not being traumatized by them level, you don't want to do that. (Edit: This isn't to say try taking exposure therapy into your own hands and just surround yourself with the stuff. None of this is a replacement for guided therapy. But specifically going out of your way to avoid these things is 'avoidant behavior' and is pretty much universally recognized as being a bad thing when it comes to dealing with PTSD etc.)
That being said, I believe everyone should be able to disclaim what they want and that people can choose how they approach their own self-care, even if it isn't supported by the science.
They are a tool like anything else.
Exposure and Response Prevention therapy works. You will never get fully well without exposure. However, it requires that you find stimulus of a magnitude that makes you uncomfortable, but doesn't send you outright spiraling. You need to keep steady while experiencing it for a while.
Content warnings give you the ability to estimate what intensity of negative stimulus you will experience, and this is important when dealing with actual triggers.
Not everyone is yet at the phase where they can handle a certain level of exposure. For some unfortunate cases it takes a long time to be well enough to start being able to handle exposure.
That being said, I do think content warnings need to be specific, not generic. The most useful ones are spoilers, not generic messages to put you on guard. Careful Ao3 authors do a better job at this than most games. There are technical solutions that allow interested parties to get this information without having to spoil the default audience, but we live in a busy world that has a lot of things to care about other than this.
"it does suggest that avoiding your triggers [...] provides no benefit"
This is the part I'm sceptical of. When I look this up, I mostly find articles like https://theconversation.com/proceed-with-caution-the-trouble... (and the underlying studies), which mainly address the question of whether reading a trigger warning and then consuming the potentially triggering content is better than just consuming the potentially triggering content without a warning.
(The article also mentions a finding that trigger warnings have "no meaningful effect on an individual's [...] avoidance of this content"; but I think that's entirely compatible with a world where most people consume the content regardless of the warning, some are more drawn to it because of the warning, and some (including the few who are truly vulnerable) avoid it because of the warning. The effect on those vulnerable few is what's most relevant here. The article does briefly mention "unhealthy avoidance behaviours", but in the context of one university's opinion and without supporting evidence.)
What's the best evidence against trigger warnings as a means of enabling traumatised people to make an informed decision on when (and whether) to confront their triggers?
> At best they don't seem to actually do anything, and at worst, they actively impede your ability to get better.
No, trigger warnings do not actively impede your ability to get better. That argument rests on random trigger being framed as "exposure therapy like" event. The exposure therapy is not done by random unprepared exposure to the triggering material with no follow up. Nor by random exposure in public setting.
Except we have some studies that show they lead to and reinforce avoidant behavior, e.g. https://www.sciencedirect.com/science/article/abs/pii/S00221...
Some also showed no evidence of this, but avoidant behavior is pretty much universally considered to be a specific maladaptive behavior when it comes to treating PTSD in the long run. It has nothing to do with the idea that it is the same as exposure therapy.