Lucy Johnstone

This new edition is completely revised and updated it uses the authors real-life examples to argue that the traditional way of treating mental illness can often exacerbate peoples problems.

A Critical Look at Psychiatric Practice

Users and Abusers of Psychiatry

Mary Boyle

The current mainstream way of describing psychological and emotional distress assumes it is the result of medical illnesses that need diagnosing and treating. This book summarises the Power Threat Meaning Framework as an alternative to psychiatric diagnosis - an alternative that asks not 'What's wrong with you?' but 'What's happened to you?'

An Alternative to Psychiatric Diagnosis

A Straight Talking Introduction to the Power Threat Meaning Framework

Users and Abusers of Psychiatry is a radically different, critical account of day-to-day practice in psychiatric settings. Using real-life examples and her own experience as a clinical psychologist, Lucy Johnstone argues that the traditional way of treating mental distress can often exacerbate people's original difficulties, leaving them powerless and re-traumatised. She draws on a range of evidence to present a very different understanding of psychiatric breakdown than that found in standard medical textbooks, and to suggest new ways forward. The extended introduction to this Classic Edition brings the book up to date by revisiting its themes and tracing the changes in mental health practice over the last three decades. The book’s accessibility and clarity have ensured that it remains a classic in a growing field, and it is as relevant today as when it was first published. Users and Abusers of Psychiatry is a challenging but ultimately inspiring read for all who are involved in mental health – whether as professionals, students, service users, relatives or interested lay people.

Rudi Dallos

The first edition of Formulation in Psychology and Psychotherapy caught the wave of growing interest in formulation in a clinical context. This completely updated and revised edition summarises recent practice, research, developments and debates while retaining the features that made the first a leading text in the field. It contains new chapters on personal construct formulation, formulation in health settings, and the innovative practice of using formulation in teams. The book sees formulation as a dynamic process which explores personal meaning collaboratively and reflectively, taking account of relational and social contexts. Two case studies, one adult and one child, illustrate the use of formulation from the perspectives of expert clinicians from six different theoretical positions. The book encourages the reader to take a constructively critical perspective on the many philosophical, professional and ethical debates raised by the process of formulating people’s problems. Among the issues explored are: The social and political context of formulation Formulation in relation to psychiatric diagnosis The limitations of formulation Controversies and debates about formulation This readable and comprehensive guide to the field provides a clear, up to date and thought-provoking overview of formulation from a number of perspectives, essential for clinicians working in all areas of mental health and social care, psychology, therapy and counselling.

Making sense of people's problems

Formulation in Psychology and Psychotherapy

The Power Threat Meaning Framework is a new perspective on why people sometimes experience a whole range of forms of distress, confusion, fear, despair, and troubled or troubling behaviour. It is an alternative to the more traditional models based on psychiatric diagnosis. It was co-produced with service users and applies not just to people who have been in contact with the mental health or criminal justice systems, but to all of us. The Framework summarises and integrates a great deal of evidence about the role of various kinds of power in people's lives; the kinds of threat that misuses of power pose to us; and the ways we have learned as human beings to respond to threat. In traditional mental health practice, these threat responses are sometimes called 'symptoms'. The Framework also looks at how we make sense of these difficult experiences, and how messages from wider society can increase our feelings of shame, self-blame, isolation, fear and guilt. The main aspects of the Framework are summarised in these questions, which can apply to individuals, families or social groups: 'What has happened to you?' (How is Power operating in your life?) 'How did it affect you?' (What kind of Threats does this pose?) 'What sense did you make of it?' (What is the Meaning of these situations and experiences to you?) 'What did you have to do to survive?' (What kinds of Threat Response are you using?) In addition, the two questions below help us to think about what skills and resources people might have, and how we might pull all these ideas and responses together into a personal narrative or story: 'What are your strengths?' (What access to Power resources do you have?) 'What is your story?' (How does all this fit together?)

Towards the Identification of Patterns in Emotional Distress, Unusual Experiences and Troubled Or Troubling Behaviour, as an Alternative to Functional Psychiatric Diagnosis

The Power Threat Meaning Framework

A straight talking, myth busting book about psychiatric diagnosis and the flaws therein by a leading critical voice.

Straight Talking Introduction to Psychiatric Diagnosis

This is an overview of The Power Threat Meaning Framework, which is a new perspective on why people sometimes experience a whole range of forms of distress, confusion, fear, despair, and troubled or troubling behaviour. It is an alternative to the more traditional models based on psychiatric diagnosis. It was co-produced with service users and applies not just to people who have been in contact with the mental health or criminal justice systems, but to all of us. The Framework summarises and integrates a great deal of evidence about the role of various kinds of power in people's lives; the kinds of threat that misuses of power pose to us; and the ways we have learned as human beings to respond to threat. In traditional mental health practice, these threat responses are sometimes called 'symptoms'. The Framework also looks at how we make sense of these difficult experiences, and how messages from wider society can increase our feelings of shame, self-blame, isolation, fear and guilt. ﻿This overview publication is structured as follows: Part 1: Summary of the PTM Framework, its core principles, purposes and scope. This brief summary orients the reader to the main features of the PTM Framework. Part 2: Summary of theory and research underpinning the PTM Framework. This briefly recaps some of the conclusions from the literature on the role of factors from various fields, including biological, psychological, social, political and cultural, in the origins and persistence of emotional distress and troubling behaviour. Part 3: The Power Threat Meaning Framework. This demonstrates how theory and research can be used to support a meta-approach, the Power Threat Meaning Framework. The relationship between the various elements of the PTM Framework is illustrated through the Foundational Power Threat Meaning Pattern. Part 4: Provisional General Patterns arising out of the Foundational Pattern. Some General Patterns that emerge from the Foundational Power Threat Meaning Pattern are outlined. These patterns can be used as a basis and resource for the co-construction of new personal and social narratives, as well as suggesting alternatives to diagnosis for service delivery/administrative/legal/service planning/research and related purposes. Part 5: Personal narratives within the Power Threat Meaning Framework. The role, purpose and possible formats of personal narratives within the PTM Framework are illustrated and discussed, along with options for non-medical language use.

Lucy Johnstone

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