My "anon account" tweet seems to be really setting things off. I& #39;m going to mute that thread and dive in. Feel free dive in too if you& #39;re interested.

First, let& #39;s talk about what "problematic" means and doesn& #39;t mean. It means that it has problems within.../1
Problematic doesn& #39;t mean "all problem" or even "mostly problem". It means that the issue itself has problems.

I actually find that some of the most perplexing, problematic issues occupy a lot of my thinking. Diving into nuance is what i do, generally.

/2
Example from my expertise:

Suicide media messages. (positive messages good, but constructing them is hard without doing some harm).

Respecting autonomy within suicidality (autonomy of moment vs global).

Predicting risk is problematic. (>99% at ultra-high risk survive)

/3
Problematic means that the issue itself has problems. Some solvable, some perhaps not.

So this is how I see internet anonymity.

/4
What are the benefits to anonymity:
* Freedoms (persecution, threat, repercussion, expression)
* Ability to create/project an identity
* Social liberation
* Many others!

Because of these, for the person who selects anonymity, they could be doing so for *excellent* reasons.

/5
However, anonymity also brings problems:
* Freedom from repercussion / persecution can be a problem here!
* Fabrication
* Impersonation
* Lack of responsibility/accountability

Because of this, people could choose anonymity for **very bad reasons**.
/6
I& #39;ve been on the https://abs.twimg.com/emoji/v2/... draggable="false" alt="🥅" title="Tornetz" aria-label="Emoji: Tornetz"> for 30 years.

People have both been using for benefit and abusing for harm anonymity for the entire duration.

Due to the nature of anonymity, it& #39;s impossible for anyone else judge the reason for anonymity. Because we have no verifiable information.

/7
So, absolutely, people in power dynamics in which they are in threat have a substantial reasons to be anonymous. People who are marginalized. People who wish to share personal details that they couldn& #39;t otherwise. Countless other scenarios. Racism. Transphobia. Stalkers.

/8
If you are an anonymous account and felt my tweet was judging you, first, I& #39;m sorry. I shouldn& #39;t have generalized something so nuanced in a small tweet. Second, I& #39;m not. I can& #39;t. I have many friends follows and followers who are anon on the nets.

/9
On the other hand, I struggle very much with the *problems* (the problematic nature) of medtwitter anonymity. I have personal knowledge of significant abuses of anonymity. Some that I will never share or go further detail into, that are currently ongoing, and I witness harm. /10
(quick aside, my "anon tweet" was scheduled weeks before it was published, after I found out information that was horrific and frustrating. I didn& #39;t want to draw attention to it, so I scheduled it for a random # of days away from the incident.)

/10.5
I appreciate nuanced views, not simplistic ones, so my tweet was a mistake. I felt followers who have seen my pvs threads on the topic would understand. But it went further and a whole bunch of people see one tweet and think that I& #39;m saying "anon accounts suck"

/11
For me, it& #39;s "beyond problematic" because I feel it& #39;s unsolvable. I can& #39;t come to terms with it, nor comprehend the solutions.

So yes, anonymous medtwitter accounts are nuanced and beyond problematic. They are both necessary and can cause benefit and harm.

/12
My advice:
* Never assume a person on the internet is who they say they are (named or not)
* Be careful befriending anon users, there are many bad actors currently in our space
* If you& #39;re anon, and you use your anonymity to attack others, you& #39;re part of the problem.

/Fin
You can follow @tylerblack32.
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