Thinking differently about mental health

Moving from an outdated physical disease model of mental illness to a more relational mental health practice

Wednesday, December 29, 2021

Therapeutic stance in person-centred psychiatry

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Laura Galbusera et al ( 2021 ) discuss the importance not only of the personal but also of the interpersonal dimension for person-centred ps...
5 comments:
Friday, November 26, 2021

Power of the placebo antidepressant pill

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Sarah Vine describes her history of being prescribed antidepressants and then having withdrawal problems (see Daily Mail article ). She exp...
Monday, November 08, 2021

Engaging people in Mental Health Act reform

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Reform of the Mental Health Act in England and Wales can learn from reform in other parts of the world, not least Scotland (see previous pos...
Sunday, November 07, 2021

Mental health advocacy is not just about IMHAs

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The 2007 amendments to the Mental Health Act (MHA) in England and Wales introduced Independent Mental Health Advocates (IMHAs). As the Code ...
Saturday, October 30, 2021

Dr Ellie helpfully exposes bias of “standard NHS advice” about antidepressants

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Dr Ellie Cannon found it weird that she was criticised for giving what she considers standard NHS advice about antidepressants on the This M...
1 comment:
Friday, October 29, 2021

Radical reform of Mental Heath Act

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Several of the posts on this blog over the last few years have been on reform of the Mental Health Act in England and Wales, following the i...
Monday, October 25, 2021

Evidence about antidepressant withdrawal

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Vinkers et ( 2021 ) helpfully discuss the evidence related to antidepressant withdrawal. As they say: When faced with the possibility of dis...
Thursday, October 21, 2021

Do psychiatrists really want to reduce Mental Health Act detentions?

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The Royal College of Psychiatrists (RCPsych) is concerned that reform of the Mental Health Act (MHA) will require extra psychiatrists. It ha...
Tuesday, October 19, 2021

Are mental health services exploiting the pandemic?

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The impact of the COVID-19 pandemic worldwide should not be minimised. Official counts of death may substantially underestimate true death r...
Wednesday, October 13, 2021

Evaluating ECT effectiveness

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Tania Gergel writes a very personal account in BJPsych of the benefits she has experienced from having ECT treatment. She discusses her tr...
Thursday, October 07, 2021

Outcome of maintenance treatment of depression

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Gemma Lewis and Glyn Lewis have a further article in The Conversation (see previous post ), this time about their recent ANTLER study, whic...
Wednesday, September 22, 2021

Steps towards improving mental health advocacy

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VoiceAbility and over 50 other signatories have written to the Secretary of Health and Social Care (see webpage ) calling on the government ...
Sunday, September 19, 2021

Accepting uncertainty in psychiatry

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Psychiatry has difficulty dealing with the limits to its knowledge about mental illness (see eg. previous post ). Owen Whooley in his book O...
Friday, September 17, 2021

Is my brain health mine?

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Current editorial in The Lancet talks about promoting good brain health. Ironically, it uses the concept of ‘brain health' to encourag...
Thursday, September 16, 2021

The implications of enactivism for psychiatry

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I don’t think I fully appreciate all the nuances in the recent debate in Philosophy, Psychiatry and Psychology ( PPP ) about the implicatio...
2 comments:
Thursday, September 09, 2021

Foucault understood relational psychiatry

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John Iliopoulos (see his guest blog  post ) has an article in BJPsych Advances on 'Foucault understood critical psychiatry'. As I’v...
1 comment:
Monday, August 30, 2021

Effectiveness of ECT still uncertain

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A BJPsych Advances  article by Ian Anderson, who I have mentioned before (eg. see previous post ), has critiqued the review  by Read et al ...
Friday, August 20, 2021

Enactivism can help clarify Engel’s biopsychosocial model

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As I’ve said before (see previous post ), I think Engel’s biopsychosocial (BPS) model can be made more explicit by utilising enactivism. My ...
Monday, August 09, 2021

Scientific validity of a pragmatic biopsychosocial model

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The Academia platform has reminded me of a paper by Bradley Lewis  on ‘The biopsychosocial model and philosophical pragmatism: Is George E...
Tuesday, August 03, 2021

Long-term segregation of people with learning disability and autistic people should be prevented

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The government has responded to a review of people with a learning disability and autistic people who have been placed in long-term segregat...
Monday, August 02, 2021

Rights-based reform of mental health law in Scotland

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The Scottish Mental Health Law Review has produced an impressive July 2021  interim report . It follows a ‘human rights model’ of disabilit...
Monday, July 26, 2021

Representing people without mental capacity

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As I said in a previous post , I have concerns about people with lived experience of dementia being seen as representative of all those with...
1 comment:
Friday, July 23, 2021

Critical psychiatry talks

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Pleased to see that a group of trainees (including Tom Stockmann, current CPN co-chair - mentioned in previous post - and already a consult...
Wednesday, July 21, 2021

Learning from Italian mental health law

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As I’ve mentioned before (see previous post ), Franco Basaglia in Italy was twice found not guilty of criminal liability following patient h...
2 comments:
Saturday, July 17, 2021

Making the most of Mental Health Act reform

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The government has published its response to the consultation on the White paper on Reform of the Mental Health Act (see previous post ). I...
Tuesday, July 13, 2021

Towards a more relational psychiatry: A critical reflection

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Abstract of my recent BJPsych Advances   article  below. This article follows publication of my editorials in BJPsych and BJPsych Bulletin ...
Tuesday, July 06, 2021

Promoting relational practice

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Trevillion et al ( 2021 ) in a qualitative study identified that people using community mental health services think relational practice is ...
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