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There are no doubt some brill clinicians at #BIGSPD19 + more importantly service users bravely speaking out. But what appears to be missing is consideration of how the lack of services +care for the majority of patients that is lamented is produced by ideas of ‘BPD’ it promotes.
Rather than have conferences for specific diagnoses,which exclude as many people as they include but make attendees feel like vanguards, we need whole workforce, trans-diagnostic commitment to depth help for those experiencing the kind of sphlintering anxiety that can wreck life.
That is whole workforce training on things like:
- dissociation and other extreme states
- the profoundly complex and human ways that we can try to show others the often unspeakable pain we are in
- staff sadism and it’s enactments
- scaffolding alongside trauma work
- hope etc
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