I have now moved on to using the term relational psychiatry (see eg. previous post) at least partly because I think the broader radical approach of critical psychiatry has outlived its usefulness. I want to be clear that relational psychiatry does not take an exclusionist view that mental illness does not exist (eg. see previous post). Perhaps in a similar way to which mainstream psychiatry marginalised ‘anti-psychiatry’, there is a danger that ‘the criticals’ are also being marginalised, as, for example, illustrated in Twitter debates. I never have been ‘a critical’ in that sense.
Nonetheless, relational psychiatry does not see primary mental illness as brain disease. Instead, it provides a framework which focuses on the person and has ethical, therapeutic and political implications for clinical practice.
I am interested in how relational psychiatry relates to the Open Dialogue Approach https://en.wikipedia.org/wiki/Open_Dialogue
There seems many similarities. At present Open Dialogue is being trialled in the UK North East London NHS Foundation Trus https://www.nelft.nhs.uk/dialoguefirst-whatisopendialogue
Russell Razzaque, who I think is leading the trial, calls his approach relational psychiatry, which very much overlaps with what I am saying. In my view, Open Dialogue should be funded and developed as part of community transformation.
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