"No Health Without Mental Health" ... or, "no debate without product placement"

I recently received an invite to a conference around mental health , entitled (something like) 'the implementation of the mental heath strategy'. The invite makes particular reference to the "No health without mental health", the UK government's mental health strategy.
It also goes on to say that "Central to these plans is to improve access to psychological therapies such as Cognitive Behavioural Therapy (CBT)..."

Sadly, this is another example of how the wide range of therapies is being artificially distilled down according to its 'evidence base' (or perhaps its percieved cost-benefit to the state?).
On TV and radio, as well as from political sources, the covert advertising of CBT over other therapies is still going on. Try the examples below, and see what effect you notice.....

"Soft drinks like Coca-Cola (Coke)"

"Fast food chains such as Burger King"

"Popular phrases, for example 'evidence-based'..."

In much of the debate around mental health and IAPT, it seems you never hear the phrase "talking therapies" without the adjunct "such as Cognitive Behavioural Therapy".

How about calling this by its name? Product Placement.

Fortunately the UKCP is still asking for a wider view, claiming that the current approach denies patients a fair choice.
http://www.ukcp.org.uk/ukcps_reaction_to_no_health_without_mental_health.html .

Victor Frankl

A nice quote from the author who told us so much about the resilience of the human spirit:

“When we are no longer able to change a situation - we are challenged to change ourselves."

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"Excellence"...... it's ... umm... well, it's good.

Have you noticed how many organizations, government agencies, and managers these days are referring to "Excellence"?

In the healthcare and psychotherapy worlds, we are already familiar (perhaps too much so) with NICE (the National Institute for Clinical Excellence) and The Council for Healthcare Regulatory Excellence (CHRE).

A couple of thoughts.... firstly, I tend to flinch these days simply because "Excellence" seems to be bandied around now like just another bit of management-speak. Ducks in a row, blue sky thinking, etc.

Also, I frown a little at the hyperbole of it - like, what happened to "Awesome"?? It's mostly used now by people who haven't really experienced anything truly awe-some. The guy who told me that making a credit card balance transfer recently was 'awesome' clearly hasn't stood at the top of a mountain or met someone who lives with a terminal illness.

I think I'm most bothered about the notion of "Excellence" because it seems to suggest that good enough isn't good enough, and that anything short of Clinical Excellence is poor practice.

BACP have a policy/procedure document that is known as the 'gold book' .... I can't help wondering, what happens next - the platinum one...????

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Big on Bonuses, Short on Humility

Bob Diamond, the CEO of Barclays Bank, recently said in Parliament that he feels we should stop blaming the bankers for our financial crisis. He suggests that we have persecuted them enough, and the public needs to move on.

This is a switch on Karpman's Drama Triangle, from Persecutor to Victim. (The taxpayers have, and continue to do, the Rescuing) ... In order to avoid having to make any apology, or gesture, he simply points the finger back and says "you're persecuting me!"

The true position of those bankers like Diamond is, of course, the Persecutor. In bleeding society dry of its funds, they aren't considering whether their needs are sustainable - or moral. Instead, they continue to "Take It", with the grandiose sense of entitlement that is one of the hallmarks of narcissism.

I will feel much more positive towards bankers when I observe some change in the champagne-charlie-casino-royale largesse, and a more sustainable, socially responsible ethos emerges.

I won't hold my breath....

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