Tuesday, June 12, 2018

Calling on Hearts Instead of Hotlines: Options for people who care about people

A couple days ago a friend of mine called the National Suicide Hotline.  He was having a hard day and needed his distress to be heard.  He barely got started talking before the operator interrupted him.  It was the standard suicide assessment:
  • Are you suicidal?
  • Do you have a plan?
  • Do you have the means?
  • Have you set a date? 
Frankly, this is why I would never refer someone I loved to a suicide hotline.  If I had any doubt about killing myself before calling, getting asked impersonal, pro forma questions like these on the worst day of my life would pretty much seal the deal.  Yes, not all hotlines and hotline operators are like this, but enough of them are that I, personally, wouldn't risk it.

So what's the solution....?  After all, this crisis is real.  The pain is real.  The despair is real.  The deaths are real.  Tons and tons of Americans - as well as others worldwide - feel hopeless, worthless, disconnected - as if we have nothing of value to offer and our lives have only become burdens to those we love.

This really is life and death.  So none of us can afford to stick our heads in the sand and pretend anymore :
It isn't meIt isn't someone I loveIt isn't happening. . 
At the same time, the helplessness and confusion about what to do about it is also real.

And that's exactly why peer survivors and peer-developed modalities can be so helpful.  Many, many of us have been there.  Many, many of us know what it is like.  Many, many of us are still alive to talk about it.  We know what we tried, what worked for us and what didn't.  We know what ways of relating gave us hope and helped us to continue on.

Just as important - we know what not to do - what devastated us, wasted precious resources or made life altogether unbearable.

As a result of these experiences, we've developed countless approaches for navigating our own distress and that of our friends and families.

Here's what we offer at Peerly Human:

  • Wednesdays, 8:30-10 pm EDT, Deadly Serious: Talking Openly About Suicide 
  • Thursdays, 8:30-9:30 pm EDT, Intentional Peer Support Workbook Study
  • Saturdays, 5-6 pm EDT, Power Threat Meaning Reflection Group

Join by computer: https://zoom.us/j/119362879

Join by phone: +1 669 900 6833 or +1 646 558 8656  (Meeting ID: 119 362 879)

International callers: https://zoom.us/u/jkwt3wHh

1. Come as a human being
2. Come as you (& only you)
3. No pros, no cops, no 911

We Welcome:

~Your lived experience ~ Your distress ~Your pain ~Your needs   ~Your values  ~Your ideas & insights about what would work for you

Leave Behind:

~ Professional roles, reporting obligations and liability concerns
~ Political, social or organizational agendas
~ Opinions about the experiences of others or what is best for them

Video, voice and text are all options.  Call participants are welcome to come and go.  If you come late, please enter quietly and respect the discussion that is going on.

Other online group support options:  

Hearing Voices Network, http://www.hearingvoicesusa.org/

Mutual aid for voices, visions or extreme or unusual experiences
  • Mondays 7-8:30 EDT on Zoom
  • Thursdays 9-10:30 EDT (starting soon) on Zoom
Contact Caroline@westernmassrlc.org for call-in info

Emotions Anonymous, http://emotionsanonymous.org

Twelve Step peer support for emotional extremes

Spiritual Emergence Anonymous, http://spiritualemergenceanonymous.org/

Twelve Step approach to spiritual emergency
  • Sundays, 8 pm EDT on Zoom
  • Mondays, 1 pm EDT on Zoom

Support Groups Central, https://www.supportgroupscentral.com

Support group options (some online) for mood, anxiety, voices and substances, among other things

Other Options

The big picture

1. Peer respites (spaces offering safe respite)

2. Peer support centers

  • Directory of Statewide Peer Organizations, https://power2u.org/consumer-run-statewide-organizations/
  • Examples of what can be done:

3. Alternatives to Suicide

4. Support lines staffed with people who care and want to listen

5. Intentional Peer Support,   http://www.intentionalpeersupport.org/

6. Emotional CPR, http://www.emotional-cpr.org/

7. Wellness Recovery Action Plan (WRAP),  http://mentalhealthrecovery.com/

WRAP plans can be developed specifically for issues like wanting to die.  WRAP plans also support identification of life-promoting, capacity-restoring activities like art, exercise, creativity, writing, social interaction, nutritious eating, meaningful vocation, relaxation, meditation, spiritual development, body work, massage, yoga, dance, etc.

8. Support for veterans 

U.S. vets are dying by suicide almost every hour on the hour every day of every year

9. Support to withdraw from psychiatric drugs

10. Support for creativity and resilience

Better Days International, https://www.facebook.com/groups/280572615798759/
Discussions, collaborations, workshops between experts by experience.

Icarus Project, https://theicarusproject.net
Navigating the space between brilliance and madness
  • Publications:
 Poetry for Personal Power, http://poetryforpersonalpower.com
What helps you navigate adversity?

11. Support for voices, visions and extreme or unusual experiences

12.  Support for human needs and human rights

Other Resources 

Alternatives to Drugs, Shock & Psychosurgery (yes, they still do that!)

Open Dialogue:

Power Threat Meaning Framework

Trauma-Informed Care

Do you know of other helpful resources that respect personhood and treat us as people first...?  Please share!

Wednesday, May 30, 2018

How Our Families Can Change the World

I post a lot of stuff about my honest experience of living. I do that to find others who share similar experiences, needs and values. I also do that in case others are out there alone and struggling and think they are the only ones. 

At the same time, there's a lot of risk in this.  Among other things, this world being what it is, I sometimes worry that my family might bear the brunt of it. For that reason, I'm incredibly grateful to my family for supporting me, my work and my sharing so openly. That's a rare gift in this world that values keeping up appearances more than genuineness, sincerity and an honest search to find and share the truth of your life as you see it. 

I want to honor here how much my family has given me and taught me about the meaning of love. This includes hanging in there through really hard times of confusion and misunderstanding. It includes continuing to reach out despite feeling frustrated or frightened. It includes trying to understand a viewpoint that makes absolutely no sense at all to you and possibly even threatens things you care about a lot - simply because it matters to someone you love and are desperately trying not to lose. My family has offered all these things to me over the years - and continues to. 

For all of that, I am deeply grateful. The gift is priceless and beyond measure. I wish it for everyone. To me, it is a beautiful vision of what it means to be the kind of 'human family' that, with time and persistence, can change the world.

Tuesday, May 15, 2018

Death by Oppression: Is Suicide a Natural Response to Marginalization - Emily Sheera Cutler

Is suicide a natural response marginalization...? 

Is suicide an individual issue or a social one?

Is suicide caused by chemical imbalances or power imbalances?

Emily Sheera Cutler raises and thoughtfully addresses these questions in her presentation "Death by Oppression: Suicide as a Natural Response to Marginalization", offered as a free video seminar on Tuesday, May 15th ~8-9pm EST on Zoom. 

Emily highlighted key points from JOINER’S THEORY OF SUICIDE

The theory can be illustrated by 3 intersecting circles, each with varying implications for predicting lethality:

  • Circle 1: Thwarted Belongingness - “I am alone.”

  • Circle 2: Perceived Burdensomeness – “I am a burden.”

Intersection of Circle 1 and Circle 2 = Desire for suicide

  • Circle 3: Capability for Suicide - “I am not afraid to die.”

Intersection of all 3 circles = Suicide or near-lethal suicide attempt

In addition, Emily connected a variety of socially salient topics relevant to the suicide discussion, including:

  • Minority Stress 
  • Isms 
  • Abuse 
  • Othering  
  • Bullying  
  • Neglect
  • Isolation 
  • Rejection  
  • Discrimination

The presentation was a part of "May is Power Threat Meaning Month" - a social justice alternative to the pharma and treatment industry sponsored "May is Mental Health Month."  More info and full schedule of events is availabler at: https://www.madinamerica.com/2018/05/may-power-threat-meaning/

There is a related discussion on Facebook happening at the Wellness & Recovery Human Rights Campaign, facebook.com/groups/WellnessRecoveryRights/

If you like this, you might like the our 'Peerly Human' alternative to conventional mental health at: Peerlyhuman.blogspot.com

What is this Peerly Human thang...?

Welcome to Peerly Human. Peerly Human is a peer-run, peer-funded alternative to mainstream mental health.  Our community is run by us and for us from a human needs and social justice perspective. This talk outlines why we exist, what we are trying to do, how we are trying to do it and how you can join us.

Wednesday, May 9, 2018

Revolutionizing Mental Health Awareness: May is Power Threat Meaning Month

A Flyer with a Schedule of Events is attached.  It reads:   POWER, THREAT MEANING MONTH     ANATOMY OF A BREAKDOWN (graphic)  1. Life is hard all by it self 2. Basic needs are insecure 3. Bias and prejudice shut us out 4. Trusted institutions let us down 5. Social responses make it worse 6. Injuries add up 7. BREAK DOWN   MENTAL HEALTH AWARENESS:  LACK OF POWER AFFECTS US   Body power – society values preferences, attributes and abilities that you don’t have or identify with  Coercive power – you are subjected to violence, aggression, threats  Legal power – systemic rules or sanctions limit your choices  Economic power – you can’t afford needed goods, services, activities or opportunities on a par with others  Interpersonal power – you can’t meet basic relational needs for intimacy, care and human protection  Social/cultural power – limited access to knowledge, connections and qualifications that make life easier  Ideological power – values, language and meaning  are defined by powerful others   MAY 2018 SCHEDULE   Wednesday, May 2nd ~8-9:30 pm EST                                     Power, Threat and the Meaning of “Mental Illness”  Friday,  May 4th ~8-9:30 pm EST                                         Devalued Identities and "Mental Illness"  Saturday, May 5th ~2-5 pm EST:  Mini-Retreat                   Power, Threat and Unconventional Realities  Wednesday, May 9th ~8-9:30 pm EST                                                         Surviving Rejection and Invalidation  Friday, May 11th ~8-9:30pm EST                                      Surviving Childhood Adversity  Saturday, May 12th ~2pm - 5pm EST:  Mini-Retreat                            Power, Threat and the Meanings of “Mothering”  Wednesday, May 16th ~8-9:30pm EST                                          Surviving Disrupted Identities and Roles  Friday, May 18th ~8-9:30pm EST                                 Surviving Setbacks and Defeat  Saturday, May 19 ~2-5pm EST:  Mini Retreat                                Power, Threat and the Meanings of "Suicide"  Sunday, May 20 ~2-5pm EST:  Mini-Retreat                   Power, Threat and the Meanings of 'Mania'  Wednesday, May 23 ~8-9:30pm EST                                          Surviving Entrapments  Friday, May 25 ~8-9:30pm EST                                            Surviving Disconnection and Loss  Saturday, May 26 ~2-5pm EST:  Mini-Retreat                              Power, Threat and Angry Meanings  Sunday, May 27 ~2-5pm EST:  Mini-Retreat                   Power, Threat and Addictive Meanings  Sunday, May 27th ~Starting 10 PM EST                                                              Memorial Day Story Telling Marathon                                                     26.2 hour vigil, our lives go the distance                                                                       Tueday, May 29 ~8-9:30pm EST                                               Surviving Social Exclusion and Shame   Wednesday, May 30 ~8-9:30pm EST                                             Surviving Coercive Power  To Join Us:   Join by computer: https://zoom.us/j/119362879 Join by phone: +1 669 900 6833 or +1 646 558 8656 Enter Meeting ID: 119 362 879 International callers: https://zoom.us/u/jkwt3wHh     More info at:  peerlyhuman.blogspot.com & facebook.com/groups/WellnessRecoveryRights/
To me, "May is Mental Health Month" has always seemed like an excuse to hold an annual four-week-long commercial for Pharma and bio-psychiatry.  Under the guise of raising 'awareness' and reducing 'stigma', the PR reps out there make it safe for us average Joe's to admit how bad we feel or how stressed out we are.  Then they tell us what our problem is  ('mental illness') and conveniently offer us the solutions they are selling (pharmaceuticals and professional treatment).  It's like the soda industry taking over July and turning 'thirst' into a public health concern.   Yes, every summer, you suffer from an urgent, potentially deadly, recurrent craving for liquids -- but thank god Coke and Pepsi have thoughtfully created products that will relieve your symptoms if taken daily as directed!!! 

Suffice it to say, I've become a bit jaded.  The flashy flyers, sagacious slogans and tantalizing toolkits notwithstanding, my pessimism about the possibility of anything paid or professional in the mental health industry to actually make the world I live in better instead of worse has grown exponentially with repeated exposure.  For sure, during the first few rounds, there was excitement from the initial hype and the opportunity to actually participate and DO SOMETHING.  But inevitably, for me, this was followed by let-down as retrospective awareness set in.  Hey, WTF...? I just put a boatload of energy and effort into this.  But very little that actually matters to me has actually changed....  

The release of the Power Threat Meaning Framework by the British Psychological Society earlier this year (Johnstone, L. & Boyle, M., 2018b) might just have changed that for me.   Thanks to the British Psychological Society (BPS) , there might finally be a provider-proposed paradigm that is worth the effort of making the public aware of.  In contrast to the medical ("mental illness") model, the Power Threat Meaning Framework (PTM) is a non-pathologizing, unifying model of human bio-psycho-social functioning.  It applies to all human beings - not just those of us with mental health labels. It is also not just for providers.  Rather, it invites everyone to look at and offer their experience.  And it supports all of us to recognize, and make sense of, the diverse, culturally-relevant strategies that people around the world may employ in order to survive, meet our core needs, protect ourselves or cope with overwhelming emotions.

This is a key difference between PTM and mental health as usual.  Conventional mental health approaches take society as 'normal' and endeavor to treat so-called 'maladaptive' individuals who fail to 'adjust.'  PTM, on the other hand, makes clear that meaning and distress must be understood and addressed at social, community and cultural levels, not just individual ones.  In a 400-page meticulously-researched tome, PTM connects the dots and persuasively links wider social factors - like poverty, discrimination, abuse and violence - with the distressed or distressing emotional and behavioral responses that are currently being pathologized as 'mental illness.'  (Johnstone, L. & Boyle, M., 2018b.)  It joins the United Nations in urging a global shift in focus from 'chemical imbalance' to 'power imbalance' in mental health awareness and practice.  (Johnstone, L. & Boyle, M., 2018c, p. 17; UNHRC , 2017, p.19.)  As PTM aptly observes, 'the less access you have to conventional or approved forms of power, the more likely you are to adopt socially disturbing or disruptive strategies in the face of adversity.'  (Johnstone, L. & Boyle, M., 2018c, p. 28.)  Accordingly:

The crisis in mental health should be managed not as a crisis of individual conditions, but as a crisis of social obstacles which hinders individual rights. Mental health policies should address the “power imbalance” rather than “chemical imbalance.”

UNHRC , 2017, p.19.  

Why This Matters

BPS openly acknowledges that this is not the first time that ideas like these have been proposed.  It is, however, jaw-droppingly monumental that a major professional body in mental health finally has stood up to bio-psychiatry, and, effectively, declared its independence.  The equivalent in the United States would be if the psychologists in the American Psychological Association told the medical doctors in the American Psychiatric Association:  

We don't care if you have MD's or think you are the boss of us.  We're no longer going to follow your orders or consider ourselves bound by your thinking.  We think you are wrong on the merits.  We think your approach is hurting our clients. Accordingly, we are throwing out the model you developed and proposing our own.  

In a word, it's a revolutionary act.  Every other mental health-related profession in nearly every country in the world has basically caved to whatever the medical model is dishing out.  Despite the claim of psychologist, social workers, psychiatric nurses and clinical mental health counselors to be 'professionals' in their own right  - that is, to have their own specialized knowledge, to promote the greater good, to operate in the public interest, to serve needs and interests of the clients who sought their services (Susskind, R., & Susskind, D., 2015) - these self-professed 'independent' bodies have, by and large, abdicated their responsibility to conduct their own independent analyses.  To the contrary, they have all but chewed up and swallowed whole whatever the psychiatric industry was dishing out.

Their major excuse:  "We can't do anything.  The insurance industry has tied our hands." Which begs the following questions:

  1. What kind of profession, worthy of the name profession, let's slimy corporations like insurance companies determine how they do business?
  2. What kind of profession, worthy of the name profession, claims to serve the public interest by conforming its knowledge and practice to the dictates of insurance claim examiners?
  3. What kind of profession, worthy of the name profession, claims to serve the best interests of its clients, when it continues to perpetuate an insurance billing model that does not reflect the actual needs and life circumstances of the lion's share of its clients?
  4. What kind of profession, worthy of the name profession, continues to bill insurance companies and collect tax dollars from medicare and medicaid on the one hand, while, on the other hand, whispering to their clients behind closed doors and out of public eye: "We know the DSM is a disaster and we don't believe that you really have x-diagnosis.  But you don't want to have to pay for this out of pocket, right? [wink wink nod nod]." 
  5. What kind of profession, worthy of the name profession, continues to actively and publicly represent that more and more social services funding is needed for more and more off-target, non-responsive services that slander the very clients they claim to serve - because that is what insurance companies will pay for?
I don't know about you, but the law school I graduated from had a 5 letter word for this kind of conduct:  F-R-A-U-D. 

Declaration of  Independence

Not true, however, with psychologists in the UK.  They stopped relying on the Nuremburg defense: 'Someone else is responsible for my values'.  Unlike other mental health 'professionals', they did not delegate their duty to their clients or their duty to develop an informed opinion to the 'higher authorities' of doctors, insurers and drug companies.  Instead of taking the easy route and abdicating their responsibility, they actually did the hard work that therapists have been telling their clients to do for decades.  They stood up.  They took back their voice.  They took back their agency.  They took back their self-respect, their dignity and their personhood. They did their own research and reached their own conclusions.  They developed their own hypothesis of what is going on in the minds and bodies of the people they serve. 

And when all was said and done - the analysis in, the research exhaustively reviewed - they said to biopsychiatry:
No more. It is finished.  We withdraw our consent. We can no longer, in good conscience, defer to your judgment about what is right for the vulnerable, trusting souls who cross our threshold in search of our honest expertise and aid.
Now, that, in my book is something worth making the general public aware of.  So here goes:

May 2018 is Power Threat Meaning Month 


This online series of mental health awareness events introduces the Power Threat Meaning Framework released earlier this year by the British Psychological Society. All events are online and accessible by computer or telephone.  Workshops and mini-retreats feature facilitated discussions on the foundational topics and concepts of the PTM model.  Sessions will revolve around several core questions adapted from the PTM materials:

  • What has happened to you? (In what ways have you felt over-powered, under-powered, dis-empowered ...?)
  • How did this affect you? (What threats has this posed to your needs and survival?)
  • What sense can you make of it? (What did these situations and experiences mean for you?)
  • What did you have to do to survive? (What strategies did you use to respond to threats or create meaning from adversity?)
  • What values, strengths and resources have you been able to access? (What power resources are known and available to you?)
  • What is your story? (How does all this fit together?)

To Join Us:

Join by computer: https://zoom.us/j/119362879

Join by phone: +1 669 900 6833 or +1 646 558 8656

                           Enter Meeting ID: 119 362 879

International callers: https://zoom.us/u/jkwt3wHh


Wednesday, May 9th ~8-9:30 pm EST                                                       
Surviving Rejection and Invalidation

Friday, May 11th ~8-9:30pm EST                                   
Surviving Childhood Adversity

Saturday, May 12th ~2-5pm EST
Power, Threat and the Meanings of “Mothering”

Tuesday, May 15th ~8-9pm EST
Emily Sheera Cutler
Death by Oppression: Suicide as a Natural Response to Marginalization 

Wednesday, May 16th ~8-9:30pm EST                                       
Surviving Disrupted Identities and Roles

Friday, May 18th ~8-9:30pm EST                                 
Surviving Setbacks and Defeat

Saturday, May 19th ~2-5pm EST
Mini Retreat                             
Power, Threat and the Meanings of "Suicide"

Sunday, May 20th ~2-5pm EST
Power, Threat and the Meanings of 'Mania'

Wednesday, May 23rd ~8-9:30pm EST                                         
Surviving Entrapments

Thursday, May 24th  ~8-9pm EST 
Emily Sheera Cutler
Smashing Paternalism: Intersections Between the Consumer/Survivor/Ex-patient Movement and the 
Fat Acceptance Movement

Friday, May 25 ~8-9:30pm EST                                           
Surviving Disconnection and Loss

Saturday, May 26 ~ 2-5pm EST
Power, Threat and Angry Meanings

Sunday, May 27 ~ 2-5pm EST  
Power, Threat and Addictive Meanings

Sunday, May 27th ~ Starts 10pm EST… 
(Ends 12:12am EST on Tuesday May 29th)                                                            
26.2 Hour Vigil - Our lives go the distance
Bring your story - Bear witness to others
Drop in or sign up for time in advance

Tuesday, May 29th ~8-9:30pm EST                                           
Surviving Social Exclusion and Shame 

Wednesday, May 30 ~8-9:30pm EST                                         
Surviving Coercive Power

For more info:

Power Threat Meaning (PTM) in a Nutshell

Mental 'illness' has meaning.  The meaning comes from this:

1. Lack of power  

For a variety of personal, social and cultural reasons, we come to feel under-powered, over-powered, powerless or accountable to be powerful in ways that seem vitally important to us.  

Here are some common examples of ways that lack of power can touch our lives: 

  • Body power – society values preferences, attributes and abilities that we don’t have or identify with
  • Coercive power – we are subjected to violence, aggression, threats
  • Legal power – systemic rules or sanctions limit our choices
  • Economic power – we can’t afford needed goods, services, activities or opportunities on a par with others
  • Interpersonal power – we can’t meet basic relational needs for intimacy, care and human protection
  • Social/cultural power – limited access to knowledge, connections and qualifications that make life easier
  • Ideological power – values, language and meaning are defined by powerful others
(Johnstone, L. & Boyle, M., 2018a.)

2. This feels threatening

Needing power and not having it is uncomfortable and often highly distressing.  Some common feelings ('meanings') that arise from lack of power include:

MEANING – what is the Meaning of these situations and experiences to you? (‘What sense did you make of it?’) Unsafe, afraid, attacked Trapped Abandoned, rejected Defeated Helpless, powerless Failed, inferior Hopeless Guilty, blameworthy, responsible Invaded Betrayed Controlled Shamed, humiliated Emotionally overwhelmed Sense of injustice/unfairness Emotionally ‘empty’ Sense of meaninglessness Bad, unworthy Contaminated, evil Isolated, lonely Alien, dangerous Excluded, alienated Different, ‘abnormal’
How lack of power affects us

(Johnstone, L. & Boyle, M., 2018a, p. 37.)

3. Survival (coping) responses get labelled 'symptoms' of 'mental illness'

We respond to threat in ways that seek to overcome, escape or re-balance our perceived power deficits.  Our responses can affect every aspect of our lives - e.g., physical, mental, social, spiritual.  Here are some examples:

Preparing to ‘fight’ or attack Preparing to ‘flee’, escape, seek safety Freeze response Hypervigilance, startle responses, insomnia Panic, phobias Fragmented memory encoding Memory suppression (amnesia) Hearing voices Dissociating (losing track of time/place; various degrees of splitting of awareness) Depersonalisation, derealisation Flashbacks Nightmares NEAD (‘non-epileptic attack disorder’) Emotional numbing, flattening, indifference Bodily numbing Submitting, appeasing Giving up, ‘learned helplessness’, low mood Protesting, weeping, clinging Suspicious thoughts Emotional regression, withdrawal ‘High’ or extreme moods; rapid mood changes (‘emotional dysregulation’) Holding unusual beliefs Having unusual visual, olfactory, tactile sensations Physical sensations – tension, dizziness, physical pain, tinnitus, sensations of heat or cold, exhaustion, skin irritation, gastrointestinal problems and many other bodily reactions Emotional defences: denying what has happened, idealising people, and so on. Intellectualisation (avoiding feelings and bodily sensations) Attention/concentration problems Confused/unstable selfimage/ sense of self Confused/confusing speech and communication Self-injury of various types Self-neglect Dieting, self-starvation Bingeing, over-eating Self-silencing Mourning, grieving Self-blame and selfpunishment Body hatred Compulsive thoughts Carrying out rituals and other ‘safety behaviours’ Collecting, hoarding Avoidance of/compulsive use of sexuality Impulsivity Anger, rage Aggression and violence Suicidal thinking and actions Distrust of others Feeling entitled Reduced empathy Distrust Avoiding threat triggers Striving, perfectionism, ‘drive’ response Using drugs, alcohol, smoking Overworking, overexercising, etc. Giving up hope/loss of faith in the world Relational strategies: rejection and maintaining emotional distance; seeking care and attachments; taking on caring roles; isolation/ avoidance of others; dominance, seeking control over others; and so on Ruminating, reflecting, anticipating, imagining, interpreting, meaningmaking
Ways we try to cope with threat

(Johnstone, L. & Boyle, M., 2018a, p. 40.)

Threat responses often have appear strange to others - and sometimes even ourselves.  Their meanings may be intuitive and unspoken - even to us.  We may not understand or appreciate that gravity of what we are up against.  This is especially true if we live in a group or culture that marginalizes our core experiences.  

These concepts are critically important to get if we want to make sense of 'mental illness'.   In effect, it is these very threat responses - essentially our attempts to cope with overwhelming personal, social and existential odds - that are currently being diagnosed and treated as 'symptoms of mental illness' by conventional healthcare.  

Just as important, however, the PTM framework recognizes that power operates positively (not just negatively!)  Thus, the power of personal agency and social action can be developed to create meaningful individual and societal outcomes.  In other words, we can rebalance power in ourselves - for example, how we treat ourselves in the face of vulnerabilities.  And, instead of blaming ourselves, we can work to rebalance power in disabling relationships, systems and social dynamics in the world we live in.  This, potentially, heals all of us.


Introducing the Power Threat Meaning Framework (2018, Feb. 1).  Leicester: British Psychological Society. Retrieved from https://www.bps.org.uk/news-and-policy/introducing-power-threat-meaning-framework

Johnstone, L. & Boyle, M. with Cromby, J., Dillon, J., Harper, D., Kinderman, P., Longden, E., Pilgrim, D. & Read, J. (2018). The Power Threat Meaning Framework: Overview. Leicester: British Psychological Society.  Available at https://www1.bps.org.uk/system/files/user-files/Division%20of%20Clinical%20Psychology/public/INF299%20PTM%20overview%20web.pdf.

Johnstone, L. & Boyle, M. with Cromby, J., Dillon, J., Harper, D., Kinderman, P., Longden, E., Pilgrim, D. & Read, J. (2018). The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis. Leicester: British Psychological Society.  Available at https://www1.bps.org.uk/system/files/user-files/Division%20of%20Clinical%20Psychology/public/INF299%20PTM%20Main%20web.pdf

Johnstone, L. & Boyle, M. with Cromby, J., Dillon, J., Harper, D., Kinderman, P., Longden, E., Pilgrim, D. & Read, J. (2018, Jan. 18). The Power Threat Meaning Framework [Powerpoint Slides], retrieved from https://www1.bps.org.uk/system/files/user-files/Division%20of%20Clinical%20Psychology/public/PTM%20COMPOSITE%20VERSION%2025.1.18.pdf

Susskind, R., & Susskind, D. (2015). The Future of the Professions: How Technology Will Transform the Work of Human Experts.  Oxford: Oxford University Press.

UN General Assembly (2017). Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health. United Nations Human Rights Council. Available at  http://www.ohchr.org/EN/HRBodies/HRC/RegularSessions/Session29/Documents/A_HRC_29_33_ENG.DOCX