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Medical black holes
GRAFFITI – in many overseas countries this phenomenon has become a tolerated
if not approved aspect of modern society.
Those who have travelled to Australia, for example, will be familiar with
the many kilometres of highway and railway walls that have become exhibition
space for graffitists.
Councils set aside walls in parks for these people to express themselves and
some have even organised graffiti exhibitions.
Skating arenas in parks are a favourite graffiti display area, as are the
walls of the many abandoned buildings to be found in inner city industrial
and commercial areas.
Widely respected chief PNG psychiatrist Dr Goiba Tienang has made it clear
that those addicted to the production of graffiti have behavioural and
conduct disorders.
The doctor linked graffiti with troubled minds and unstable families.
Graffiti has come into prominence following comments by Justice Minister Dr
Allan Marat. He is intent on bringing forward a new Act to provide for
stronger action against people who damage public property, including
vandalism through graffiti.
He added offenders might be sent straight to jail rather than have the
chance to appear in court, saying that this “could save time and resources”.
The two statements mirror differing approaches to the problem.
It seems that Dr Marat, who has a reputation for advocating a strict
application of our laws, wants to stamp out graffiti by strengthening the
applicable laws.
There appears to be little evidence to support the often repeated theory
that stronger laws act as a stronger deterrent.
On the contrary, some would argue that the stronger the penalties for
creating graffiti, for example, the stronger the challenge to our youngsters
to accept the dare and break the law.
And we do not see graffiti as such a major threat to society to warrant the
removal of the rights of any PNG citizen to be regarded as innocent until
and unless he or she has been found guilty by a properly constituted court
of law.
Dr Tienang, on the other hand, is using the psychiatric background to
graffiti as a platform to urge the Government to address his medical area,
mental health.
Successive health department administrations have created a number of black
holes in the health system.
Most notably these include dentistry, only now recovering from decades of
inattention; ophthalmology, covering the fields of eye surgery and the
healthy maintenance of healthy vision and mental health.
The latter field, as we wrote this week in our defence of Laloki Hospital as
PNG’s sole mental health specialist facility, has been and continues to be
one of the most neglected fields of all.
The points of view put forward by the psychiatrist and the politician mirror
the views of our society.
Dr Tienang makes it clear that those who vandalise through graffiti are
suffering from a psychiatric disorder. The normal corollary of such a
diagnosis is to devise or access appropriate treatment; psychiatric
disorders and physical illnesses both require medical interventions of one
kind or another.
He is pleading on behalf of the hidden thousands who suffer from a greater
or lesser degree of medical illness. He is seeking recognition from the
Government that mental disorders require as much, if not more attention than
most other medical conditions in our country.
To condemn graffitists to jail without trail is not acceptable.
Nor in our opinion does it
sit well with the role of a ministry supposedly committed to the
dispensation of “justice”.
The great fear is that incarceration of graffitists without trial may lead
to the jailing of a whole range of alleged criminals denied their day in
court.
Our courts are choked with cases but we do not believe changing the basic
precepts of justice will solve that situation.
There has been mounting pressure from a variety of sources for our society
to view all arrested and charged persons as guilty until and unless they can
prove their innocence.
To institute such a reversal in PNG would, in our opinion, spell the end of
democracy and the destruction of true justice for ordinary people.
What is needed is a greatly expanded mental health service and a recognition
that specialist psychiatrists like Dr Tienang cannot battle on
single-handedly against odds that are becoming insurmountable.
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