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Keynote: Matt Ball, The Humane Clinic


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Keynote presentation by Matt Ball of the Humane Clinic, presented at the Western Australian Mental Health Conference 2019.

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Keynote: Matt Ball, The Humane Clinic

  1. 1. Strengthening our Community: Problems – Alternatives - Solutions
  2. 2. ’Sanity’ is determinism and totalitarianism. It is death to the soul and the end of freedom – RD Laing
  3. 3. Psychosis and trauma: Seeing disease or seeing a human being ? The degree to which healthcare professionals engage in dehumanization depends critically on the professional’s conceptualization of schizophrenia, namely bio-genetic or psycho- environmental (Giulia Pavon & Jeroen Vaes 2017)
  4. 4. An alternative – Social codes and phenomenology ICD 11 - social codes … these phenomenological codes offer a constructive, radical way forward Kinderman and Alsop (2018) Cultural considerations e.g. Panic Disorder The symptom presentation of panic attacks may vary across cultures, influenced by cultural attributions about their origin or pathophysiology. For example, individuals of Cambodian origin may emphasize panic symptoms attributed to dysregulation of khyâl, a wind‐like substance in traditional Cambodian ethnophysiology (e.g., dizziness, tinnitus, neck soreness)
  5. 5. radical (adj.) Latin radicalis "of or having roots," Meaning "going to the origin, essential" What is a radical approach?
  6. 6. Narratives and Formulations ● Patterns can be used as a guide in assisting people to contextualise and make sense of their experience - and the experiences of others. ● What we refer to as narrative approaches for understanding our world are common in traditional cultures. In the context of modern psychotherapy and social work, the concept of exploring and ‘re-authoring’ one’s personal stories has been popularised by White & Epston’s Narrative Therapy. ● In the context of services and clinical team settings, the term ‘formulation’ may also be used to refer to the same process. ● Not limited to verbal accounts - can include art, poetry, music etc. This approach supports people to move from pathologising and problem-saturated stories of self (that are often the consequence of engagement with the mental health system), to richer and more empowering narratives about personal identity (an essential aspect of recovery). • 'What has happened to you?’ (How is Power operating in your life?) • ‘How did it affect you?’ (What kind of Threats does this pose?) • ‘What sense did you make of it?’ (What is the Meaning of these experiences to you?) • ‘What did you have to do to survive?’ (What kinds of Threat Response are you using?) This then leads to the questions: • What are your strengths?’ (What access to Power resources do you have?) • .....and to integrate all the above: ‘What is your story?’ Core Questions
  7. 7. Co existing same experience: Human interconnectedness towards to love and safety & away from liminality
  8. 8. Dissociachotic: The experience of animation and giving life to being at variance of companionship to self in order for the survival of self in relationship to interpersonal threat from other
  9. 9. Perception: Psychosis as Dissociation (Dissociachotic) ‘Busy, active dissociation’ towards safety of relationship
  10. 10. Dissociation it’s a freeze response right?
  11. 11. We have had to adapted to the new threat
  12. 12. What does this mean to the evolving sector? Facilitate the person in staying where they are or coming towards the other when ready Connection, narrative, human understanding towards authoring and re- authoring a narrative - not labels, confinement and medication Notice what the threat was - (Going towards the fearful, liminal person pushes them towards nihilation) Attune, be available to your own sense of being in the moment - how that might ‘feed’ the other persons narrative. Being with the person in the co existing same experience – with different realities - allows evaporation of the so called psychotic state Sharing facilitating a moment when the threat might not exist in itself meaning a new story can and may have emerged. - NOT TO REPRODUCED WITH OUT PERMISSION
  13. 13. 113materials under copywrite - do not reproduce or distribute
  14. 14. ‘Applied recovery’ ‘Applied trauma inform care’