#understandingpsychosis

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TWO months ago, the British Psychological Society released a remarkable document entitled “Understanding Psychosis and Schizophrenia.” Its authors say that hearing voices and feeling paranoid are common experiences, and are often a reaction to trauma, abuse or deprivation: “Calling them symptoms of mental illness, psychosis or schizophrenia is only one way of thinking about them, with advantages and disadvantages.”




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Carl Heneghan: 

Evidence based medicine on trial

4 Dec, 14 | by BMJ Evidence based medicine (EBM) should form the foundation of effective clinical decision making; however, growing unrest—and an awful lot of criticism—suggests the evidence bit of EBM is increasingly part of the problem, and not the solution.



“Carl Heneghan jointly runs the Evidence Live conference with The BMJ and is a founder of the AllTrials campaign.” 

Interesting. And does this study of “low and moderate use” invalidate all other studies? 

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Apparently: 

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Via Tallaght Trialogue :

A movement to bring people with experience of mental distress into the discourse around care and treatment can revive services in the UK

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The article was written in 2013. A quote:

The desire to be more like the hard sciences has distorted economics, education, political science, psychiatry and other behavioral fields. It’s led practitioners to claim more knowledge than they can possibly have. It’s devalued a certain sort of hybrid mentality that is better suited to these realms, the mentality that has one foot in the world of science and one in the liberal arts, that involves bringing multiple vantage points to human behavior.

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I wish I could get in touch to ask An Observer for permission to quote the entire comment. Instead I’ll paste in some paragraphs:

But I’m not entirely happy with Mental Elf’s reflection. The most unhelpful part is the subtle (deliberate?) slide from ‘psychology vs psychiatry models’ (fairly accurate, although actually the report calls for a psychosocial model) to ‘psychologists vs psychiatrists.’ The other side of the coin from the extraordinarily aggressive responses by (some) defenders of psychiatric models was, in my view, the admirable restraint shown by the report’s authors – and from their colleagues. In fact, one of the charges levelled against them was that they were NOT responding – despite what seemed to be numerous provocations.

And let’s not forget the (inconvenient to some) fact that the report was launched and endorsed by two of the most senior psychiatrists in the country. So, I would argue that at least in relation to the recent debate, it is both untrue and unhelpful to talk about an interprofessional war. No wonder service users get upset if they are constantly told that this is what is going on. Why, then, do (some) people in responsible positions continue to promote this narrative? Well, I don’t think it’s too cynical to speculate that this serves as a convenient way of defusing challenges to entrenched positions and vested interests. Far easier to depict these uncomfortable but necessary critiques as some kind of narrow professional spat, and call for everyone to behave themselves – which is thinly disguised code for ‘Don’t dare challenge the status quo.

(Highlighting mine)

 – See more at: http://www.thementalelf.net/mental-health-conditions/psychosis/reflections-on-understandingpsychosis/#sthash.SL29lytn.dpuf

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Complementary what? Belief systems?

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Critical appraisal of what? 

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And before this report, no patients with symptoms of psychosis have died by suicide or gone to prison, and no carers have suffered? 

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    Dismayed by tone and content of much of the critique of “Understanding Psychosis” report? is too
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    ” data-has-parent-tweet=”true” data-item-id=”540175682677256193″ data-mentions=”ClinpsychLucy HerHealthySelf” data-name=”Clare Allan” data-screen-name=”clareallan” data-tweet-id=”540175682677256193″ data-user-id=”28378391″ data-you-block=”false” data-you-follow=”false” style=”background: rgb(245, 248, 250); border-bottom-color: rgb(225, 232, 237); border-bottom-style: solid; border-bottom-width: 1px; border-radius: 0px; cursor: pointer; min-height: 54px; padding: 9px 12px 12px; position: relative;”>

    I certainly am. App am ‘a liar’ & ‘a bad journalist’ with ‘blood on my hands’ for writing pos response to it