Archive | Mental Health

Psychiatric Epiphany Part 3: The winter of discontent

Having decided to become a psychiatrist, I watched the autumn of 1978 fade into the notorious Winter of Discontent, the prelude to Margaret Thatcher’s first election victory. Leaving aside public sector strikes and severe cold weather, rather a lot of significant events in my life happened in the last three months of 1978. My long […]

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The flame still flickers

I have had a good idea. Let’s acknowledge that the functionalised system of care in mental health was never a clearly articulated policy, that it was never based on proper evidence, that most patients and professionals dislike it and that it does not work. Let’s abandon it. All we have to do is to agree […]

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Histrionics and quantum politics

Last week started with a somewhat anti-climactic announcement from the Prime Minister about mental health services. Her speech ended with a statement that “parity means parity”. If this was intended as a triumphant conclusion to a stirring performance, it fell rather flat. The phrase echoed her hollow “Brexit means Brexit” catechism. The Prime Minister seems […]

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What’s going on?

One of the most memorable features of 2016 was a continuous cacophony of intolerance and raw aggression. Our most pressing task for 2017 is to find a distinctive voice of militant tolerance and decency. It is a bit of a challenge, but it must be done. Stridency appears to have infected public debate of all […]

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The virtual asylum revisited

Early in my career as a consultant, I took responsibility for the psychiatric care of a group of men who had been resettled in a community facility after decades as residents in a distant mental hospital. One man sticks in my mind. Ernie had diagnoses of learning disability and chronic schizophrenia. He was mute. He […]

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