Shadow World

Not long after his diagnosis with Parkinson’s disease, Steve starts chatting to camgirls online. But soon he’s going on the sites every night, even logging on while his wife’s asleep next to him in bed. How long can he keep it a secret?

Steve’s one of more than 200 people who contacted BBC Investigations correspondent Noel Titheradge about their experiences of side effects caused by dopamine agonist drugs.

When medications turn out to have life-changing side effects, how do we balance the benefits with the risks?

Details of organisations offering help and support with some of the issues raised are available at bbc.co.uk/actionline.

If you have any concerns about medication you’re taking, speak to your doctor.

Presenter: Noel Titheradge

When Freddie’s dad Bill is diagnosed with Parkinson’s, his medication gives him a new lease of life. He starts ticking things off his retiree bucket list - travelling, skydiving, golf.

But then Freddie notices that his previously sensible father has started behaving unusually.

BBC Investigations correspondent Noel Titheradge has spent more than a year speaking to people whose behaviour changed radically after taking a category of prescription drugs called dopamine agonists.

These drugs boost dopamine activity in the brain - they were prescribed more than 1.5 million times in the UK last year to treat Parkinson’s disease and other movement disorders.

But they have well established side effects - around 1 in 6 people who take them develop impulse control disorders, which can include hypersexuality, binge eating, compulsive gambling and shopping.

If these side effects have been known about for decades, why weren’t some patients and their families properly warned or monitored?

Details of organisations offering help and support with some of the issues raised are available at bbc.co.uk/actionline.

If you have any concerns about medication you’re taking, speak to your doctor.

Presenter: Noel Titheradge

Early in 2025, BBC Investigations Correspondent Noel Titheradge published his first story about a category of prescription drug with unusual side effects.

People who take dopamine agonist drugs for conditions like Parkinson’s disease or Restless Legs Syndrome often report impulse control disorders - problems with gambling, compulsive eating or shopping, or hypersexuality.

He wasn’t expecting the response. After that first article was published more than 200 people got in touch - that’s me, they said, that’s my partner, that’s my dad.

So Noel started digging.

Details of organisations offering help and support with some of the issues raised are available at bbc.co.uk/actionline.

If you have any concerns about medication you’re taking, speak to your doctor.

Katie Razzall considers the fallout from the controversy surrounding Kate Clanchy’s award-winning memoir Some Kids I Taught and What They Taught Me.

She explores the deep divisions the case exposed: in publishing, on social media, and among writers.

Has the industry changed? What is the cost of this controversy, and who gets to tell their story?

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

Presenter: Katie Razzall

A sensitivity reader Helen Gould speaks publicly for the first time, revealing the emotional and professional complexities of revising a book already in print.

Katie Razzall interrogates the role of sensitivity readers, and asks: who gets to decide what’s acceptable in literature—and what happens when those boundaries shift?

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

Presenter: Katie Razzall

It was a BBC Long Form Audio production for Radio 4.

Although Kate Clanchy faces a torrent of criticism in the summer of 2021, many people supported her — fellow writers, journalists, and some of her own students. They say she has been misunderstood.

Katie Razzall speaks to those who stood by her—including a former student who credits Kate Clanchy with empowering him and others through poetry and mentorship.

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

Presenter: Katie Razzall

It was a BBC Long Form Audio production for Radio 4.

Katie Razzall considers the internal reaction at publishing house Pan Macmillan during the storm surrounding Kate Clanchy’s memoir Some Kids I Taught and What They Taught Me.

As online criticism of the book intensifies, Kate Clanchy’s publisher faces mounting pressure from readers, authors, and its own staff. Drawing on a trove of redacted internal emails, the episode offers a rare behind-the-scenes look at how a major publisher grapples with a moment of reputational crisis.

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

Presenter: Katie Razzall

It was a BBC Long Form Audio production for Radio 4.

Katie Razzall hears from critics who called out Kate Clanchy’s memoir ‘Some Kids I Taught and What They Taught Me’. The book, initially celebrated for its warmth and insight into multicultural classrooms, then comes under fire for what some call racialised and dehumanising language.

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

Presenter: Katie Razzall

It was a BBC Long Form Audio production for Radio 4.

When prize-winning author Kate Clanchy is accused of racism she asks her online followers for help. She’s shocked by the reaction. We hear the story from Kate’s perspective.

In Shadow World: Anatomy of a Cancellation, the BBC’s Culture Editor Katie Razzall revisits a story that rocked the UK’s publishing industry in 2021. It led to what some saw as the unjustified cancellation of a prize-winning writer and teacher - but to others, was a long overdue reckoning for the world of publishing. It grew into a culture war about race, class, and who has the right to say what.

Anatomy of a Cancellation explores a range of different perspectives to consider how people now view one of the most controversial literary rows in recent memory.

We have used clips from the following sources:

The Simpsons, Gracie Films and 20th Television

“The myth of the climate ‘apocalypse,’” The Spiked podcast, 13 Aug 2021

“What Happened? Kate Clanchy's Some Kids I Taught and What They Taught Me” - Josie Alford Youtube channel, 14 Aug 2021,

'When I came from Nepal', by Mukahang Limbu

Presenter: Katie Razzall

It was a BBC Long Form Audio production for Radio 4.

Katie Razzall reveals what happened when a prize-winning author was accused of racism, sparking what many saw as a culture war about race, class, and who has the right to say what.