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May 16 35 tweets 13 min read
Next, I'll be tweeting from concurrent session about Frantz Fanon, psychiatrist, psychoanalyst, political philosopher. Follow @coopesdetat for tweets from the Presidential symposium and #RANZCP2022 for more discussions from the Congress.

@coopesdetat Frantz Fanon symposium presenters are: Stan Grant, A/Prof Steven Knoblauch @nyuniversity, Dr Daud Saeed @PREMHA3, A/Prof Sally Swartz @UCT_news & Dr Kathomi Gatwiri @ Southern Cross University #RANZCP2022
Fanon grew up on French-colonised Caribbean island of Martinique, with African heritage, enabling him to gain an insight into the impacts of race and colonialism #RANZCP2022 Image
Black people are locked in blackness, and white people are locked in whiteness - Fanon wrote in his book 'Black Skin, White Masks' #RANZCP2022
At the time of Fanon, writings of Freud paid little attention to colonialism. Colonialism provided both an inferiority complex and an dependency complex #RANZCP2022
Fanon contested some original workings on colonisation saying it is highly integrated with violence, not just inferiority and dependency #RANZCP2022
In closing 'Black Skin, White Masks', Fanon writes "Oh my body, always make me a man who questions", echoing Stan Grant's earlier keynote. #RANZCP2022
Fanon's 'The wretched of the Earth' is a critique of colonisation. He is often criticised for his position on violence. #RANZCP2022
A/Prof Sally Swartz from Cape Town University is up next in the Fanon symposium. Swartz says 'Fanon's writing is a call to action against oppressive regimes & the experience of being diminished in the eyes of the "other"' #RANZCP2022
Colonial governments may depart, but left behind are the impacts of being treated as "less than able"- A/Prof Swartz. #RANZCP2022
A/Prof Swartz discusses Fanon the psychiatrist & the powerful bridge between his political ideas and his psychiatry practice. He used everything he could to ease suffering. #RANZCP2022
Fanon was deeply interested in the connection between neural and psychology psychiatry - A/Prof Swartz #RANZCP2022
Talk therapy is routine and essential, according to Fanon - A/Prof Swartz #RANZCP2022
One of Fanon's achievements was the establishment of day clinics, a haven during the day and a connection to community - A/Prof Swartz #RANZCP2022
"Nowadays we are more likely to shut patients out of hospitals than lock them in" - A/Prof Swartz #RANZCP2022
On the issue of culture and it's place in treatment of psychiatry patients - all treatments are better received when delivered by people we trust - A/Prof Swartz #RANZCP2022
When attitudes and judgements belong to a majority, they are seemed as natural. When not, they are considered as marked or "other", who are expected to fit into "natural" - A/Prof Swartz #RANZCP2022
Fanon's challenge to us is to think culturally but avoid "otherness". Context is important in therapy - A/Prof Swartz #RANZCP2022
A/Prof Steven Knoblauch from @nyuniversity is now joining us live from New York to share a brief clinical vignette #RANZCP2022
A patient enters session in a different manner than usual, and goes on to describe pressures finding a new apartment with partner - A/Prof Knoblauch #RANZCP2022
The pressures the pt describes are not typical pressures when house-hunting (affordability, size etc). He likes the apartment but does not feel comfortable in the new neighborhood in which he feels he sticks out as black in a non-Black neighborhood - A/Prof Knoblauch #RANZCP2022
A/Prof Knoblauch acknowledges his limitations in never recognising the patient's experience in feeling different or in a place of "otherness" #RANZCP2022
A/Prof Knoblauch - significance of skin colour shapes a person's sense of place and hierarchical place of value #RANZCP2022
A/Prof Knoblauch emphasises the importance of recognising embodied representations of racial trauma #RANZCP2022
Dr Kathomi Gatwiri @ SCU Australia joins the panel to discuss the importance of racial identity in psychiatry practice #RANZCP2022 Image
How are people being harmed by white supremacy?
Fanon plays a significant role in this conversation and helps to inform psychiatry practice - Dr Gatwiri #RANZCP2022
The fact that we are still having these conversations where black people are seen as racialised subjects, means we are not yet in the place that Fanon talked about where we are referred to as "human being", according to Dr Gatwiri #RANZCP2022
Considering cultural and social context is critical for treating patients in psychiatry - Dr Saeed #RANZCP2022
Person in the audience discusses benefits of #NarrativeTherapy - "They're not just there as a depressed person, they're there as a whole person"- #RANZCP2022
Stan Grant emphasises the power of story-telling in Aboriginal and Torres Strait Island culture. He said that seeing a psychiatrist was very important in his recovery, but absolutely nothing was as important as "standing on my land." #RANZCP2022
Dr Gatwiri says it is important for clinicians to become aware of their own cultural & racial humility - be uncomfortable and acknowledge you are not going to understand the lived experience of being black. #RANZCP2022
While cognitive insights are important, key issue as a clinician is emotionally connecting with patient, one of Fanon's learnings - A/Prof Knoblauch #RANZCP2022.
A fascinating session about racism, colonialism & mental health. Closing comments from the panelists....Dr Saeed ends with a quote by Fanon "your solution sir, don't push me too far, don't force me to tell you what to do" #RANZCP2022
A/Prof Knoblauch-"if we approach others as a source of learning rather than us as the source of expertise than I think a lot will actually follow. But, we have to build a sense of trust by realising that there is so much to learn from the person right in front of us" #RANZCP2022
Dr Gatwiri- ends with the quote by Desmond Tutu, "I am, because, we are & because you are, therefore, I am." We are only made human by humanising other people. #RANZCP2022

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More from @CroakeyNews

May 18
I'm catching up on some of the recorded sessions & will start a thread on the 'Impact of the UN Committee’s statement in 2019 in relation to the minimum age of criminal responsibility', one of #RANZCP2022's recorded sessions, presented by Invited speaker Dr Enys Delmage
Dr Delmage is a consultant in adolescent forensic psychiatry and has worked in an adolescent forensic inpatient unit in Porirua, New Zealand, since November 2017. He has an interest in the law as it relates to children.ranzcp2022.com.au/dr-enys-delmage #RANZCP2022
Minimum age of criminal responsibility is defined as the age below which is deemed incapable of having committed a criminal offence. Below this age, children are 'doli incapax' - incapable of knowing that what they were doing was wrong- Dr Delmage #RANZCP2022 Image
Read 20 tweets
May 18
I'm going to join the session about codes of ethics in psychiatry. Three presentations by Paul Appelbaum, a "godsend" for psychiatry with an international perspective, Izaak Lim & @sidney_bloch #RANZCP2022

Follow @coopesdetat for tweets on 'psychosis and schizophrenia' Image
Prof Paul Appelbaum is, among other things, a Professor of Psychiatry @ColumbiaPsych, joining us live from New York- @appelbap #RANZCP2022
History of the World Psychiatric Association's involvement with history - @appelbap #RANZCP2022
wpanet.org Image
Read 31 tweets
May 17
Starting a new thread for the next keynote by
Assoc Prof Loyola McLean, talking about 'changing bodymind: on attachment, trauma and regulation' #RANZCP2022
sydney.edu.au/medicine-healt…
How do we bring two or more very different points of view together, how do we bring the past and present together? How do we move forward as individuals, as dyads, as a college? - A/Prof McLean #RANZCP2022 Image
To First Nation's people around the world, how do we move forward, how do we open up a future? - A/Prof McLean #RANZCP2022
Read 10 tweets
May 17
First keynote is by Prof Belinda Lennox @BLennox4, from University of Oxford, speaking about 'autoimmune psychosis-current state of play' #RANZCP2022
Schizophrenia/psychosis is a brain disorder, with neurological as well as psychiatric symptoms. The question being discussed is what evidence is there that some psychosis is autoimmune - @BLennox4 #RANZCP2022
Have diagnostic criteria and therapies - but not as much as known about the cause of psychosis - @BLennox4 #RANZCP2022
Read 28 tweets
May 17
Beautiful views in Sydney for the third day of #RANZCP2022! The third day sessions will start soon.
Below is a thread of 5 key takeaways from sessions I saw on Day Two, a day which focused on priority populations and the impacts of climate change.
1/ Important to embed cultural safety into mental health service provision that is based on authentic co-design, allowing culturally appropriate and flexible methods of sharing knowledge - Dr Kashyap #RANZCP2022
2/ Healthcare workers, including psychiatry clinicians, need to be open, honest and acknowledge own vulnerabilities - A/Prof Coleman #RANZCP2022
Read 7 tweets
May 17
While @coopesdetat is following Tim Flannery's keynote, I am going to jump in and catch up on the Indigenous mental health session from yesterday -@AlisonSBarrett. #RANZCP2022
Session chair, Dr Emma Adams, provides a heartwarming acknowledgement of country and lovely introduction to the presenters - Prof Helen Milroy, A/Prof Mathew Coleman, Dr Shraddha Kashyap & Dr Jemma Collova #RANZCP2022 Image
Broad overview of Transforming Indigenous Mental Health & Wellbeing Project, aiming to improve Aboriginal & Torres Strait Islander mental health through Aboriginal leadership and authentic partnerships. #RANZCP2022
timhwb.org.au
Read 54 tweets

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