I do care about the fallout though. So as #AmberHeardlsALiar is still trending could I do a PSA re lying and abuse.
- abusers lie
- abused people lie
Lying happens for many reason including as a trauma reaction - deflect
One of the strategies of abuse is to confuse a victim so much they say contradictory things in panic.
They then get destroyed often for years for being ‘a liar’.
We need to be careful of generalising out that lying equals an abuser not someone abused. This would be dangerous.
We have to remember what we say in public shapes how jurors think.
Whatever you think of Heard, if we start reinforcing ideas such that lies, sudden changes in facial expression, perceived inappropriate affect and so on tell us truth, we get into seriously dangerous territory.
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‘Concerns over the prescription of #clozapine for people diagnosed with “BPD” in private locked psychiatric units’ tinyurl.com/2p9akujp
Important. Clozapine is frequently thrown at people whose cases are seen as hopeless without a full range of interventions having been tried
Many people are diagnosed with PD and left languishing for years in assessment and treatment units meant for a few month stay. I hear of clozapine, yes, bur also people kept in restraints all day.ALL DAY. Levels of abuse are high, families nearly always too far to visit regularly
T/w
This is a frequent cause of AFAB suicide, as recognised by INQUEST. Many of us can generate the names of the dead without pause for breathe. We must not only campaign furiously on this but ensure the move from PD to CEN doesn’t erase the complexity of this group even more
To say my heart is with Black service users, esp those incarcerated in psychiatric hospitals which are terrifying at the best of time let alone now. If we even think of trauma-informed care, your voices have to be central alongside more funding for Black MH grassroots orgs 1/2
The history of mental health provision has so often been retraumaticing adding to the legacy of transgenerational structural racism - yet more institutional abuse in the form of traumagenic increased sectioning levels and overmedication not something healing.
I keep on trying to think how the F it must feel to be a Black men at risk of or having just been sectioned, restrained and injected right now. I know this as a white woman, I can't evn imagine...
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