What do you do when you’re lying awake at night, close to 80, thinking about the harmful repercussions of one of the more despicable acts of your career? If you’re Doctor Robert Spitzer, apparently you decide it’s time to do the right thing and write an apology to the people you harmed. Which is a great credit to Spitzer, who apparently didn’t want to die with this hanging over him.
In recent years, we’ve seen a number of deaths of prominent people with troubled pasts who, from all evidence, died unrepentant to the end. Adrienne Rich, for example, contributed to trans-exclusionary radical feminism and said or directly supported a number of truly hateful things about trans women. She didn’t write an apology letter later in her life; because she didn’t feel the need? Because she felt she’d reformed and didn’t need to provide proof? Because she still believed those things? Because she didn’t know the harm she caused? We’ll never know, because she died without telling us, and that knowledge soured the commemoration of her death for many people.
Spitzer built a towering career in the field of psychiatry, becoming a key member of the establishment. Critically, he was also involved in the reclassification of homosexuality, arguing that it was not a psychiatric disorder after he met with gay activists. This capacity for change, and demonstrated interest in constantly evolving, proved to be his undoing later when he encountered the ‘ex-gay’ community, which does consider homosexuality a psychiatric condition. He ended up supporting reparative therapy, also known as conversion therapy, over the protests of his colleagues, who expressed grave concerns about the study methodology he used and the repercussions of his endorsement.
Published 11 years ago, the study didn’t even meet the standards he himself set and enforced over the course of his career. It was an embarrassment, and it was heavily criticised by advocates all over the world. Meanwhile, proponents of conversion therapy used it to bolster their argument, even in the face of studies showing that such ‘therapy’ can be deeply harmful and contributes to serious psychiatric risks for LGBQT people, especially youth.
In May, he couldn’t take it any more.
I believe I owe the gay community an apology for my study making unproven claims of the efficacy of reparative therapy.
It can take tremendous courage to apologise, even when it is unequivocally the right thing to do. When you occupy a position of tremendous power and clout like Spitzer did, it is easy to attempt to sweep your past under the carpet and pretend you don’t need to be accountable for it, to close your ears to the criticisms of your work and focus on moving forward. He was clearly haunted by the study, but it still took him time to work up the nerve to apologise so clearly and crisply, to take full responsibility not just for faulty study methodology, but also for the direct harm he caused to the gay community.
It was an acknowledgement that psychiatric malfeasance can have real, serious consequences, especially when it comes from a heavily weighted authority. Spitzer was trusted as a source of information because he was known for his rigor, attention, and focus. The fact that he published his flawed study in the first place is truly bizarre, and it’s tragic that it took him 11 years to recant it and express his clear opinion on the matter.
In this media landscape, there’s tremendous pressure to repent immediately and issue apologies for any identified wrongdoing, whether or not someone has really internalised the nature of the problem. Spitzer undoubtedly endured considerable public pressure, but didn’t give in, even though he knew his work was continuing to harm people, and that the misinformation he supported was being used in very dangerous ways. It’s hard not to be angry about that—furious, actually, at the thought that he was willing to let people suffer and in some cases die because of the study.
But it’s also hard not to respect him on some level for seriously weighing, thinking about, and internalising the discussion about his work so he could issue an apology that actually meant something because he genuinely felt that way. At 79, he was at an age where many people would have assumed they weren’t going to hear from him on the matter, whether he’d repented or not. He could have gone to his grave without saying a word, both perpetuating the study and tainting his legacy as a trailblazer in the field.
But he chose not to. Instead he woke up one night, finally compelled to speak, and spoke. Clearly, articulately, and without weasel words or slipperiness. He didn’t attempt to evade responsibility and he didn’t couch his statement in qualifiers. He said what he had done was wrong, and articulated why, and expressed regret. He modeled the kind of apology I admire most: One that’s genuine and rooted in an actual understanding of the issues, rather than a desperate attempt to backpedal and distance from something without really comprehending what the problem was.
Spitzer demonstrated flexibility and the ability to learn new things when he met with the gay community and decided that homosexuality was clearly not a mental health condition. That took time too, and was ultimately widely heralded as a significant social advance for the gay community. He demonstrated flexibility again with this study when he took the time to really consider it and the criticisms brought against it, and decided to eat his words. It shows that even someone who appears entrenched can change.

Enough With the Infographics Already!
Everywhere I look, there are suddenly infographics for everything. I think they started becoming especially trendy in 2011, but 2012 is shaping up as The Year of the Infographic. Why say it in text when you can say it with an infographic? The meme has spread like wildfire across the Internet, to the point that it seems like half the time when I click on an article expecting a discussion and thoughtful analysis of information, instead it’s just an infographic with two lines of text about the source of the information. No commentary, and no attempt to contextualise the information in the infographic for the viewer.
There are a lot of reasons I really dislike this trend, and one of them was embedded right in the last sentence of the last paragraph: the viewer. Infographics are a visual presentation of information, which makes them inaccessible to people who can’t access or process information visually. That might be because of blindness or low vision, but also a result of cognitive impairments. Others may not be able to load infographics on slow connections or phones.
Very, very rarely, I see the information in an infographic presented textually as well, but at this point such sightings have become unicorns. There’s not even a token attempt at including blind and low vision readers. Usually there’s no alt text at all, or utterly unhelpful text like ‘graph12.jpg’ or ‘solitaryconfinementchart.’ Which means that a chunk of the potential audience is just cut out from the start: They can’t access the information, and therefore can’t process it, think about it, and participate in the conversation. They certainly can’t take the information away with them and apply it in new settings; for example, when they sit around the dinner table that night, they can’t say ‘I got some very interesting information on unemployment statistics today,’ because they didn’t get that information.
Furthermore, the visual presentation of data can be very susceptible to manipulation, both intentional and unintentional. Designers of infographics can put a great deal of thought into information handling to advance a specific agenda, and that may not be identified by viewers, even those who are alert to the way visual data can be manipulated. Pie charts are particularly prone to this problem, and they pop up in infographics a lot. When you present data visually and do so dishonestly, the viewer can come away with inaccurate information and not be aware of it. Viewers may also have trouble understanding some of the information presented, and when no contextual text is provided, the information isn’t clarified for their benefit.
When an infographic is done badly, it can do an equally poor job of conveying the information. The designer may end up making a point opposite of the one intended, or may confuse viewers so much that they’re not clear what the point of the information is. Especially when only a few points of data are presented, people might reasonably wonder why it wasn’t a text article, or wasn’t presented as a single (described) chart with information to accompany text. People shouldn’t be doing graphical presentations just because they think they look neat, but rather because they are the best way to depict information, and because they add value.
Viewed on its own with no context, a infographic can be of varying uses. I’ve seen a few good ones, but even those limit the information to visual access only, with no attempt to put the data in text form, let alone add some context for thought and discussion. This is great for people who prefer visual information, or settings when visuals are the best option, but it’s critical to offer two options: visual, and text, for the benefit of anyone who might be reading1. An infographic can be a fantastic tool if used responsibly, but they usually aren’t, and I’m tired of seeing them everywhere.
Memes like this tend to catch on, sweep the Internet, and then quietly vanish again. While the infographic has a long history and will always be a part of information presentation on some level, right now, it’s big. That means that people need to start thinking more closely about whether an infographic is appropriate, and how to present it effectively. Yeah, that requires more work to go through the data, come up with text and image versions, and make sure it’s presented logically. But ultimately, it’s a better service to readers and viewers.
If the genuine goal is to give people information and provide them with a jumping-off point to more data and critical discussion, the onus is on the creator to serve the data effectively through its presentation, rather than clouding, manipulating, or muddling it so badly that it’s less an infographic and more a falseographic. Ample scholarship has been produced on the visual presentation of information, so there’s really no excuse for doing infographics badly at this point, especially with the interconnected nature of resources online.
At all these conferences where people discuss media and information, a few workshops on proper infographic use and presentation would not go amiss, because many media outlets have apparently eschewed all responsibility when it comes to handling visual information. And that’s a crying shame, because often the information embedded in infographics is fascinating, important, and critical for the audience.