That's what I don't understand (yet). How did me posing the question 'was wrap an improvement on the biomedical model' lead you to infer the choice was between 'assigning a sick role' or 'victim blaming' ? How does one follow from the other? Please expain.
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-----Original Message-----
From: John Cromby <[log in to unmask]>
Sender: The UK Community Psychology Discussion List <[log in to unmask]>
Date: Wed, 13 Oct 2010 08:29:15
To: <[log in to unmask]>
Reply-To: The UK Community Psychology Discussion List <[log in to unmask]>
Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
Tim it simply refers to the dichotomy that you set up by posing the
question.
J.
On 13/10/2010 08:16, Tim Anstiss wrote:
> I don't undertand the comment:
>
> how you assess the morality of assigning a 'sick role' versus implicitly endorsing victim blaming
>
> I think this is a false dichotomy. I think you can be with a person in a way they find helpful, and is helpful, whilst also acting as an activist on the underlying determinants of health and wellbeing without labelling people or trying to fix them.
>
> Tim.
>
> Sent using BlackBerry® from Orange
>
> -----Original Message-----
> From: John Cromby<[log in to unmask]>
> Sender: The UK Community Psychology Discussion List<[log in to unmask]>
> Date: Wed, 13 Oct 2010 08:04:05
> To:<[log in to unmask]>
> Reply-To: The UK Community Psychology Discussion List<[log in to unmask]>
> Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
>
> An interesting (or, perhaps, interested) question.
>
>
> On the one hand, why should we simply wait for *others* to tackle
> capitalism?
>
>
> On the other, one of the reasons biomedical interventions remain
> acceptable - apart from the propaganda of big pharma - is precisely
> because they remove blame and responsibility.
>
>
> So whether WRAP and related interventions are considered better than
> biomedicine depends in part on how you assess the morality of assigning
> a 'sick role' versus implicitly endorsing victim blaming.
>
>
> When making such assessments the very weak efficacy of WRAP and related
> interventions, the recognition that any lasting change they apparently
> produce is already contingent upon an array of other factors (available
> resources and power, the happy accident of a new job or relationship
> etc.) must surely be a factor.
>
>
> And that's before we even contemplate a Foucauldian perspective on this...
>
> J.
>
>
>
> On 13/10/2010 07:25, Tim Anstiss wrote:
>> But while we wait for the selfish capitalist system to be overthrown, does WRAP represent progress over the biomedical model? Tim.
>> Sent using BlackBerry® from Orange
>>
>> -----Original Message-----
>> From: Annie Mitchell<[log in to unmask]>
>> Sender: The UK Community Psychology Discussion List<[log in to unmask]>
>> Date: Wed, 13 Oct 2010 07:21:33
>> To:<[log in to unmask]>
>> Reply-To: The UK Community Psychology Discussion List<[log in to unmask]>
>> Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
>>
>> Hi Mel,
>>
>> I agree with your critique. If you re able to search the archives of this list you will find that this topic has been debated along similar lines in the past .
>>
>> Much of the current moves in health provision ( WRAP included) , while no doubt in part and to some extent well -intentioned serve merely to add weight to the systemic victim blaming of those on the margins, and to distract and dis-arm the unwary from focusing on and fighting the structural, socio-economically determined ( selfish capitalist) causes of distress.
>>
>> Good wishes,
>>
>> Annie
>>________________________________________
>> From: The UK Community Psychology Discussion List [[log in to unmask]] On Behalf Of Deborah Chinn [[log in to unmask]]
>> Sent: 12 October 2010 21:56
>> To: [log in to unmask]
>> Subject: Re: [COMMUNITYPSYCHUK] Wellness Recovery Action Plan (WRAP)
>>
>> Dear Mel
>>
>> I thought your critique was very cogent and well-argued. I'd agree that
>> this model uses discursive strategies to create a "normal"/expected service
>> user who responds appropriately to expectations of self-management and is
>> likely to further marginalise people who dont fit in. Your request for any
>> information about the impact of this is a relevant one.
>>
>> I dont have experience with this particular model, but would tend to be
>> suspicious of claims that putting in words like "hope" and
>> "self-assertiveness" achieve much. Any amount of "person-centred" language
>> in learning disabilities services for instance, has not actually handed
>> power over to disadvantaged and marginalised service users and has blunted
>> real reflection by care providers on the uses and abuses of paternalism. I
>> think that you can maintain and foster respect, sensitivity, curiousity and
>> tolerance without needing this sort of framework. Another example is from
>> children's services where practitioners are meant to complete "holistic"
>> assessments including looking at social, economic and cultural context.
>> They usually just leave that section out and focus on pathologising children
>> and parents.
>>
>> Deborah
>>
>> ----- Original Message -----
>> From: "Mel Wiseman"<[log in to unmask]>
>> To:<[log in to unmask]>
>> Sent: Tuesday, October 12, 2010 11:31 AM
>> Subject: Wellness Recovery Action Plan (WRAP)
>>
>>
>> Hi
>>
>> I’m a newly qualified clinical psychologist currently in AMH, a new poster
>> on the forum, and relatively new to Community Psychology as an entity,
>> although I have held the values and ideas that now draw me to it for some
>> years.
>>
>> I would like to ask the forum for their comments and experiences in relation
>> Wellness Recovery Action Plan (WRAP) which is both a tool and an approach
>> that is being promoted across mental health in the community, acute settings
>> and in prisons across the Midlands and some other areas. For those who are
>> uninitiated http://www.mentalhealthrecovery.com/, but essentially it works
>> officially on 5 principles for ‘Wellness’ in 'recovering from a breakdown':
>> Hope, Self-Responsibility, Self-Assertiveness, Education and Support from 5
>> people. There has been some nod toward 2 additional considerations of
>> ‘power’ and ‘context’, but this is not part of the original model and is not
>> well understood or integrated. It seems to perform a similar role to Care
>> Plans and Relapse Prevention plans, but encompasses more than just mental
>> health and is owned by the person.
>>
>> I have recently been to a training session on WRAP and am being asked to
>> comment on it as an approach within or alongside psychology and AMH
>> generally – how it fits. It is being sold as a vast improvement on current
>> practise due to the ‘handing responsibility and ownership to the service
>> user’ and ‘collaborative approach’. Psychologists and Psychiatrists here
>> are being asked to lead on its implementation as we become a ‘Recovery led
>> NHS trust’. Comments that I (et al) made to the training facilitator were
>> the following:
>>
>> · Use of the term ‘Wellness’ – implies illness and does nothing to move away
>> from the medical model.
>> · Perpetuation of individualised notions of mental distress through
>> ‘self-responsibility’ and ‘self-assertiveness’ – no understanding of whether
>> someone has the power to improve or maintain their ‘wellness’ through these
>> methods or whether they find it meaningful to think in this way.
>> · Potentially abusive use of clinician devolved ‘self-responsibility’ and
>> competency of individuals to deliver this approach competently and
>> sensitively.
>> · Primarily has been targeted at BME groups, ‘hard to engage’ groups and in
>> some cases involuntarily to secondary care mental health service users in
>> prison. I’m concerned that this may further burden people who have less
>> power to be ‘responsible’ for their mental health because they don’t fit the
>> existing systems – maybe it frees them from services they don’t want to be
>> part of?
>>
>> I don’t think that I have the knowledge or experience to comprehend the
>> impact (positive or negative) of such a shift in emphasis (if it indeed
>> happens in practice). I would be interested in the views of others who may
>> have experienced the uses and abuses of this, have alternative suggestions,
>> comments or reactions in relation to mental health practise or Psychology in
>> general.
>>
>> Thanks
>>
>> Mel
>>
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> --
> *********************************************************
> John Cromby
> Psychology Division, SSEHS
> Loughborough University
> Loughborough, Leics
> LE11 3TU England
> Tel: 01509 223000
> Email: [log in to unmask]
> Personal webpage: http://www-staff.lboro.ac.uk/~hujc4/
> Co-Editor, "Subjectivity": www.palgrave-journals.com/sub/
> *********************************************************
>
>___________________________________
> The Community Psychology List has a new website/blog at:
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*********************************************************
John Cromby
Psychology Division, SSEHS
Loughborough University
Loughborough, Leics
LE11 3TU England
Tel: 01509 223000
Email: [log in to unmask]
Personal webpage: http://www-staff.lboro.ac.uk/~hujc4/
Co-Editor, "Subjectivity": www.palgrave-journals.com/sub/
*********************************************************
___________________________________
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