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The 2019 @BPSCommPsy Community Psychology Festival is on today and tomorrow in Brighton. I'm presenting on how clinical psychologists can account for the impacts of #austerity on clients' lives when making formulations. I'm sharing my slides here. #commpsyfest2019 #livedausterity
All of the ideas in this thread come from others & their hard work! I've only gathered them in one place. For example, @Sarah_M_Hall has been writing and tweeting about #livedausterity for years. Her new book was published LAST WEEK. You can buy it here: bit.ly/AusterityRead
So what *is* #austerity anyway? Sometimes it seems like this clunky word gets in the way of an idea we all know and understand after a decade of living through it. Here is @HuffPostUK's answer to the question, "What is austerity???":
#commpsyfest2019
Here is @nytimes' answer to the question, "What is #austerity and how has it affected British society?": nytimes.com/2019/02/24/wor…
#commpsyfest2019 #livedausterity
BUT SO WHAT? Why should any of us care about #austerity or how it has affected British society? In this article, @davidstuckler and colleagues explain how ten years of austerity have had a negative effect on health in the UK and Europe: academic.oup.com/eurpub/article…
#commpsyfest2019
I'm a psychologist. This presentation is part of the 2019 @BPSCommPsy Community Psychology Festival. Why should psychologists care about austerity & account for it in their work with clients? Because austerity and inequality play a role in mental illness: theguardian.com/society/2019/j…
When preparing this presentation, I asked clinical psychologists about what gets in the way of them accounting for the clearly documented negative impacts of #austerity on the #mentalhealth of their clients. Here are some of the things CPs said they wonder or worry about:
So what does community psychology as a branch of psychology have to say about all of this?
@CarolynKagan @BPSCommPsy
#commpsyfest2019 #livedausterity
McGrath, Griffin & Mundy, as part of Psychologists Against Austerity (now known as @PsychSocChange: psychchange.org) wrote a GREAT paper on the psychological impacts of #austerity:
…hagainstausterity.files.wordpress.com/2015/03/paa-br…
In their paper (…hagainstausterity.files.wordpress.com/2015/03/paa-br…), @PsychSocChange identify 5 'austerity ailments' -- or specific ways in which #austerity policies of the past 10 years have had a negative impact on mental health.
#commpsyfest2019 #livedausterity
The 1st #austerity ailment identified by @PsychSocChange is HUMILIATION AND SHAME
#commpsyfest2019 #livedausterity
The rise in use of UK food banks -- and the stigma that can accompany food bank use -- offers a case example of HUMILIATION AND SHAME as an #austerity ailment
The 2nd #austerity ailment identified by @PsychSocChange is FEAR AND DISTRUST
#commpsyfest2019 #livedausterity
Suspicion of and about benefits claimants offers a case example of FEAR AND DISTRUST as an #austerity ailment
The 3rd #austerity ailment identified by @PsychSocChange is INSTABILITY AND INSECURITY
#commpsyfest2019 #livedausterity
Insecure housing, insufficient affordable and social housing, and a lack of rent control in the UK creates INSTABILITY AND INSECURITY as an #austerity ailment
The 4th #austerity ailment identified by @PsychSocChange is ISOLATION AND LONELINESS
#commpsyfest2019 #livedausterity
Cuts to UK Sure Start centres over the past decade can result in increased ISOLATION AND LONELINESS and exacerbate postnatal depression
#commpsyfest2019 #livedausterity
The 5th #austerity ailment identified by @PsychSocChange is BEING TRAPPED AND POWERLESSNESS
#commpsyfest2019 #livedausterity
Cuts to UK domestic violence shelters in the past decade can leave victims of DV feeling trapped and unable to escape to safety
#commpsyfest2019 #livedausterity
In their paper (…hagainstausterity.files.wordpress.com/2015/03/paa-br…), @PsychSocChange also identify 5 indicators of a psychologically healthy society: agency, security, connection, meaning, and trust. You can read about each in the article.
#commpsyfest2019 #livedausterity
As clinical psychologists, how can we account for the impacts of ten years of #austerity on the mental health of our clients when formulating? (Unsure what formulation is? amazon.co.uk/Formulation-Ps…)
Urie Bronfenbrenner offers a simple way to think beyond just the individual:
Teresa Hagan & David Smail offer a technique called 'power mapping' to help psychologists & clients focus attention on psychological distress resulting from the operation of social power: onlinelibrary.wiley.com/doi/abs/10.100…
There are similarities to Kimberlé Crenshaw's "intersectionality".
The Power Threat Meaning Framework (#ptmframework), put forward by @ClinpsychLucy & colleagues in Feb 2018 (bps.org.uk/sites/bps.org.…), is another attempt to highlight how power operates in people's lives -- and what people have to do to survive and subvert that power.
In @TheLancetPsych, @peterkinderman and Kate Allsopp encourage clinical psychologists to formally record the psychosocial adversities in clients' lives that are associated with poor mental health. To do this, they encourage CPs to use some of the underused #ICD10 codes.
A lot of those underused #ICD10 codes are buried waaaaaay down in the Z-section. It's worth having a look through them: icd.who.int/browse10/2016/
@peterkinderman #commpsyfest2019 #livedausterity
Finally, there are echoes of Bronfenbrenner's circles in @carlenefirmin's ecological strengths & vulnerabilities model. I've added @PsychSocChange's 5 #austerity ailments as vulnerabilities & 5 indicators of a psychologically healthy society as strengths to consider at each level
I didn’t go into it at my Community Psychology Festival talk, but this @GeorgeMonbiot article nicely sums up the context within which 10 years of UK austerity is occurring, incl 40 years of Thatcher-introduced #neoliberalism + #Brexit as its latest vehicle
theguardian.com/commentisfree/…
Psychologists! Check out social worker @richlynchsmith’s talk for @BBCRadio4 #FourThought about how, in his practice, he’s trying to name and address the role that poverty plays in the lives of the families he works with. He describes poverty as a trauma.
bbc.co.uk/sounds/play/m0…
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