Mini-thread:
@dgurdasani1 and I have just published this piece in the Byline times. Not going to talk about the whole piece in this thread but just wanted to focus on three key aspects
(1/n)
The first is the two false dichotomies that have seriously hampered our pandemic response and continue to do so. (2/n)
The second aspect is the lockdown strawman. Nobody wants or is advocating for lockdown because ltheyare very hard and have multiple costs. Having to lockdown is a point of extremis because it mean you've failed to control the pandemic. (3/n)
So lockdowns and the consequences of lockdown are all the consequence of failing to control COVID. However this false dichotomy pits the lockdown strawman against controlling COVID, framing it for people as a difficult 'choice' that has to made between two false options. (4/n)
In reality, we have little choice and limited agency beyond our immediate circles. This is not just true for COVID. We are usually discussing, debating. justifying and challenging aspects of decisions and processes we have little influence over. (5/n)
However with COVID, the timeline is much shorter and the future outcomes pretty immediate. I feel greatly saddened by anti-lockdown protests (leaving aside how they are organised and fomented) (6/n).
I feel especially said for people who are essentially protesting against how their lives have been so devastatingly affected by COVID when apart from the uncontrollable occurrence if a pandemic, the main reason for their suffering is the failure of their govt to look after them

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More from @HZiauddeen

21 Oct
Tweetpost: Power and discrimination

1. This is about how power operates in societies & systems across the hierarchies of caste, gender, sexuality, ableness and class. This is a distillation of the wisdom and insights of several brilliant women whose work I have read recently.
2. The specific works are:
@Isabelwilkerson's 'Caste',
@kate_manne's 'Down Girl' & Entitled,
@IjeomaOluo’s 'So You want to Talk about Race’,
Angela Saini's 'Inferior' and 'Superior'.
Any errors of fact or interpretation are my own.
3. I would highly recommend all of the above and also @AnandWrites 'Winners Take All' and @JYSexton's 'American Rule', both excellent books that have been tremendously helpful in shaping my thinking about this.
Read 111 tweets
9 Sep
Tweetpost: Functioning and its cost

1.This post is about functioning in psychiatry and mental illness but a lot of it will apply to most areas of health and medicine.
2.Here I’m going to talk about functioning for a given individual i.e. how well they are able to function in their own lives NOT about the expectations of the society or rabidly capitalistic system that they happen to be born into (more on that in next tweetpost)
3.Functioning for our present purposes can be thought of as: to what extent is the person able to manage what they need to and want to do in their life? Both ‘need to’ and ‘want to’ are important and we should consider as far as possible all aspects of their life.
Read 52 tweets
24 Jun
Using meritocracy as opposition to representation and equity:
A very predictable response to calls for greater representation and equity, is ‘the job/opportunity should go to the best person’.
Here’s a thread about this rather devious tactic.
(1/n)
This thread has been occasioned by a fair bit of ‘should go to the best person’ that I’ve seen recently, as in response to the #BLACK_LIVES_MATTER protests, several organisations have been trying (or seen to be trying) to improve their representation of BAME individuals.
(2/n)
One hears this whenever there is an attempt to meaningfully improve representation of any minority group (e.g. women, BAME) in any system. By meaningful representation, I mean sharing of power, from being part of the voices that are heard, to making actual decisions.
(3/n)
Read 20 tweets
26 Apr
Tweetpost: COVID planning in community mental health services
Here is a thread about some of the thinking that went into our service’s COVID planning. I’d be grateful for any comments and criticism as they would be a great help in revising plans as we go. (1/24)
So a couple of important points up front. (1) We’re an early intervention in psychosis service (2) This is a service level plan i.e. how we as a service best look after everyone under our care for at least the next 3-4 months and how we look after ourselves to ensure this. (2/24)
(3) Each individual should get (as far as is possible) the care/treatment that was planned/promised before COVID19 in addition to whatever else they need currently. (4) Delivery of both of the above will be affected by staff and/or their families becoming ill. (3/24)
Read 24 tweets
29 Dec 19
Tweetpost:
No one: Hey Hisham, it’s been a long while since you did a tweetpost.
Me: Well I had one planned for World Mental Health Day 2019 but I got too busy and have just managed to finish it.
No one: Well let us have it.
Me: Well, if you insist… here come 50 tweets.
Long term mental illness and long term treatment
1.This is going to be about two major parts of the reality of living with mental illness namely:
(1) these are often long term/recurrent illnesses
(2) a significant proportion of people will require long term treatment/support.
2.These are often the focus of debates that often don’t include or really consider/help the people they are most relevant to. I don’t really think there is anything to debate about these points and being mindful of them is vital for humility, compassion, fairness and hope.
Read 51 tweets
5 Jan 19
Tweetpost alert: I have rather indulged myself on Twitter these last 2 weeks but now the new year and life as usual are properly kicking in so this is going to be my last indulgence for now (he said confidently) and I want to talk about the CEbE programme.
NOTE: I will mention many of our CEbE teachers n this tweet post (with their permission) as I think it is important to acknowledge them here. They are interesting people you may wish to follow. However if you have any criticisms after reading this tweetpost, please direct @ me.
1. So 4 years ago @Sarah_Rae58 , Iliana Rokkou (CPFT R&D liaison officer) and I set up the Conversations with Experts by Experience (CEbE) programme, an educational programme for researchers studying mental illness, led by people with lived experience of mental illness.
Read 28 tweets

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