For all their many problems, at least biomedical interventions don't
make victims responsible for removing their own misery: WRAP and related
interventions do.
J.
On 13/10/2010 09:06, Tim Anstiss wrote:
> 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.
> 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 08:29:15
> 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
>>>
>>> ___________________________________
>>> The Community Psychology List has a new website/blog at:
>>> http://www.communitypsychology.co.uk/
>>> There is a threaded discussion forum:
>>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>>> There is a twitter feed:
>>> http://twitter.com/CommPsychUK
>>> To post on the website blog, forum or twitter feed, contact Grant or David
>>> at the email addresses below.
>>> David Fryer ([log in to unmask]) or Grant Jeffrey
>>> ([log in to unmask])
>>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list,
>>> visit the website:
>>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>>>
>>> ___________________________________
>>> The Community Psychology List has a new website/blog at:
>>> http://www.communitypsychology.co.uk/
>>> There is a threaded discussion forum:
>>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>>> There is a twitter feed:
>>> http://twitter.com/CommPsychUK
>>> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
>>> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
>>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
>>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>>>
>>> ___________________________________
>>> The Community Psychology List has a new website/blog at:
>>> http://www.communitypsychology.co.uk/
>>> There is a threaded discussion forum:
>>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>>> There is a twitter feed:
>>> http://twitter.com/CommPsychUK
>>> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
>>> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
>>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
>>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>>>
>>> ___________________________________
>>> The Community Psychology List has a new website/blog at:
>>> http://www.communitypsychology.co.uk/
>>> There is a threaded discussion forum:
>>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>>> There is a twitter feed:
>>> http://twitter.com/CommPsychUK
>>> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
>>> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
>>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
>>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>>
>> --
>> *********************************************************
>> 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:
>> http://www.communitypsychology.co.uk/
>> There is a threaded discussion forum:
>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>> There is a twitter feed:
>> http://twitter.com/CommPsychUK
>> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
>> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>>
>> ___________________________________
>> The Community Psychology List has a new website/blog at:
>> http://www.communitypsychology.co.uk/
>> There is a threaded discussion forum:
>> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
>> There is a twitter feed:
>> http://twitter.com/CommPsychUK
>> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
>> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
>> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
>> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>
> --
> *********************************************************
> 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:
> http://www.communitypsychology.co.uk/
> There is a threaded discussion forum:
> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
> There is a twitter feed:
> http://twitter.com/CommPsychUK
> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
>
> ___________________________________
> The Community Psychology List has a new website/blog at:
> http://www.communitypsychology.co.uk/
> There is a threaded discussion forum:
> http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
> There is a twitter feed:
> http://twitter.com/CommPsychUK
> To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
> David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
> To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
> http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
--
*********************************************************
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:
http://www.communitypsychology.co.uk/
There is a threaded discussion forum:
http://www.communitypsychology.co.uk/cgi-bin/discus/discus.cgi
There is a twitter feed:
http://twitter.com/CommPsychUK
To post on the website blog, forum or twitter feed, contact Grant or David at the email addresses below.
David Fryer ([log in to unmask]) or Grant Jeffrey ([log in to unmask])
To unsubscribe or to change your details on this COMMUNITYPSYCHUK list, visit the website:
http://www.jiscmail.ac.uk/cgi-bin/webadmin?A0=COMMUNITYPSYCHUK
|