Chrys Muirhead Writes blog

FifeGame 2017 04 02 raw footage: Daniel Muirhead

Presentations from #BPS #DCP #Psychosis & Complex Mental Health Faculty event 24Mar17 Stirling

Team CBT formulations to improve staff-patient relationships and service user outcomes in mental health rehabilitation: Dr Katherine Berry, Senior Lecturer in Clinical Psychology, University of Manchester

Current Psychological Understanding and Treatment of Avolition-Apathy and Anhedonia: Dr Hamish J McLeod, DClinPsy Programme Director, University of Glasgow

Applying a Psychological Model of care to Acute Mental Health Services: Dr Sean Harper, Consultant Clinical Psychologist, NHS Lothian

Understanding impaired treatment decision-making capacity in the context of psychosis: Dr Paul Hutton, Associate Professor of Therapeutic Interventions, Edinburgh Napier University

Implementing Social Cognition and Interaction Training (SCIT) with a cohort in an inpatient Rehabilitation Unit: Dr Allison Blackett, Consultant Clinical Psychologist, NHS GG&C

Cognitive Remediation Therapy (CRT), Experiences of implementation in inpatient rehabilitation services: Dr Ian-Mark Kevan, Consultant Clinical Psychologist, NHS GG&C

Link to Storify of tweets on the day

Staying Well After Psychosis

'Staying Well After Psychosis: A Cognitive Interpersonal Approach to Recovery and Relapse Prevention' by Andrew Gumley and Matthias Schwannauer, 2006, John Wiley & Sons.
Thanks to Matthias for lending me a copy.

27Jan17: resuming #StayingWellAfterPsychosis Ch7 Paranoia; maintaining strength & resilience

History Beyond Trauma

History Beyond Trauma (blog page link): Whereof one cannot speak, therof one cannot stay silent, Francoise Davoine & Jean-Max Gaudilliere

"In the course of nearly thirty years of work with patients in psychiatric hospitals and private practice, Francoise Davoine and Jean-Max Gaudilliere have uncovered the ways in which transference and counter transference are affected by the experience of social catastrophe. Handed down from one generation to the next, the unspoken horrors of war, betrayal, dissociation, and disaster in the families of patient and analyst alike are not only revived in the therapeutic relationship but, when understood, actually provide the keys to the healing process. The authors present vivid examples of clinical work with severely traumatized patients, reaching inward to their own intimate family histories as shaped by the Second World War and outward toward an exceptionally broad range of cultural references to literature, philosophy, political theory, and anthropology. ..." Amazon

Another text I'll be using on my PhD research into safe haven crisis houses and alternatives to psychiatric inpatient treatment for people experiencing psychosis, altered mind states, emotional distress.

The Scottish public want sunshine: Dr Peter Gordon on Hole Ousia website

"Over two years ago I raised a petition with the Scottish Parliament to urge the Scottish Government to introduce a Sunshine Act for Scotland. A Sunshine Act would make it mandatory for healthcare workers (and hopefully academics and all allied health professionals) to declare fully any payments including payments in kind. The argument I presented was that a single, searchable, independent register underpinned by statute would ensure transparency, promote scientific integrity, reduce the potential for harm and save money.

Current Guidance in Scotland (HDL62 issued by the Scottish Government) has failed for more than 13 years. Other governance bodies, such as the Royal Colleges, have separate systems which also appear to have failed to ensure transparency of financial payments. These overlapping, but ineffective, systems of governance duplicate costs and bureaucracy to nobody's gain.

My petition was closed earlier this month by the Scottish Parliament as the Scottish Government had committed to 'update guidance'.

One of the actions of the Government in response to my petition was to commission a public consultation.

Gathering public views on Sunshine Act

Last week the public voice of Scotland was revealed:

The Scottish public want sunshine. The majority of participants felt that the publication of financial payments to healthcare professionals should be made mandatory.

read blog post


The official Scottish Parliament page for Dr Gordon's petition can be accessed here.

A Sunshine Act for Scotland page on Hole Ousia website includes the "petition history" of PE1493 and all the "written submissions" made on behalf of this petition.

Open and transparent from omphalos on Vimeo.

avoiding ECT when hospitalised in 1978 after first postpartum psychosis; then Krypton Factor 1980

"Remembering my first psychiatric hospitalisation, 13 weeks after the birth of my second son. A painful experience, induced with chemicals to bring about the birth when the day staff were on duty. Little pain relief, it was a cottage hospital, and like 'bite on a bullet' time. I was living with in-laws and this brought its own pressures. And ended up going voluntarily into Hartwoodhill Hospital, Lanarkshire, with my first puerperal (postpartum) psychosis. It was September 1978, I was 25 with a birthday at the end of the month.

The psychiatric acute ward environment wasn't what I'd expected and the regime required taking psychiatric drugs which I didn't want to do. But I had no choice and these were forcibly given until taken orally with no resistance. I'd been breastfeeding and had to be bound, to stop the milk coming. This was very painful, more so mentally than physically, for I enjoyed feeding my son and didn't want to stop doing it. But I had no choice for my baby was back home and I was hospitalised. Also the drugs meant I couldn't have fed him myself anyway. ..." Read complete Blog Post

memories of peer support in the psychiatric system circa 1984

"Looking back to my psychiatric hospitalisations in 1978, 1984 and 2002 it was peer support that got me through the traumatic experience of forced treatment and disempowerment. And continued on after discharge, helping me on the recovery journey and back to real life. The experiences of fellow travellers, mostly women, who knew what it felt like to be incarcerated and to be limited by the psychiatric drugs or mental illness label.

I remember in particular the 1984 episode, only one day out of the maternity hospital, after the birth of my third son, and being in another place mentally. It wasn't a negative experience for me, on the contrary, but for others it was alarming as I wasn't myself. The fact that I'd had a previous puerperal psychosis would have alerted the doctors and no doubt they were looking out for it. So, in very quick time, I found myself a voluntary mental patient in Hartwoodhill Hospital, Lanarkshire. Separated from my baby who I'd been breastfeeding.

I was in an acute psychiatric ward, female sleeping accommodation and mixed gender dining/living spaces. My clothes locked away in a cupboard and having to wear pyjamas, a few layers of them, for it was late November, winter time, 'Do they know it's Christmas?' by Band Aid on the radio. Strangers wanting to give me drugs, which I refused then being grabbed and jagged with them. Then when they thought me compliant gave me liquid Largactyl, found out later it was Chlorpromazine, and finally pills when I could be trusted. ..." Read complete Blog Post

old photos

from events I organised voluntarily under the banner of Peer Support Fife