Tuesday, February 7, 2023

Comments by nickfitz

Showing 11 of 11 comments.

  • Hi Richard,

    We agree! We have no control over our ages!! I post as I am able, and to issues of interest. I guess your idea of being innovative and transformational are different to mine. I don’t necessarily need to be angry to achieve change, rather a more pragmatic approach, where emotions are contained.

    ” Are you NOT angry? If you are NOT angry then you are not alive with both your eyes and heart wide open”. I disagree, I can be quiet and reserved and be alive with my eyes and heart open wide, as you suggest (or did you plagiarize that statement?)

    There is nothing wrong with anger (in fact we need more anger not less in this world) it is what we do with it, or how we express or channel the anger that is so important in making positive change. Again, we don’t need more anger, we need more humanity, which I assume you are trying to promote, by reducing oppression??

    Now having said that, I will ask you the same question that I asked Tim (which he repeatedly refused to answer), what words or phrases did I write in ANY of my comments that were disrespectful or represented out of control anger or any other negative label (such as Tim used) that you might wish to give them, OR deserved your very flip and sarcastic remark about anger and age??? Who said anything about ‘out of control anger”? And to add an extra hint of sarcasm, it is “flippant”, rather than “flip”!!

    Good luck and best wishes for your future anger-filled change and transformation!


  • Individuals who express an opinion other than yours or mine, are entitled to do so, even if we don’t agree. The author has a right to “blow off challenges to his world view”, just as you do. Its the way in which you articulate those views that appears to express your anger. Whether that is accurate or not, as well as my assertion that Richard and yourself are angry old men, is merely a suggestion of my take on your responses. I enjoyed reading Tim’s article, and I am sure that he is proud of his work, as you probably are of your work, or Richard is of his work. Getting into conflict because Tim chose to use quotations is rather petty and doesn’t persuade me to agree with you. I am more persuaded by Tim’s argument.

    “Regards”, Nick.

  • Hi Richard,

    Unfortunately, what science has to offer isn’t that great! Psychiatry is not a empirical science, however much psychiatry and big pharma dress it up to be. Robert Whitaker’s books certainly highlight the points in regard to ghost-written research studies, data being left out of research findings, etc… Having been a mental health nurse for more than I care to remember in several countries around the globe, my qualitative understanding of human distress doesn’t necessarily require the level of control that many mental health system users around the world offer, does it? Yes, challenging the terms that you describe is important, yet it doesn’t happen overnight and takes a movement, not an individual.

    Regards, Nick.

  • Tim,

    A great article that has been well written and shows how much of the chemical imbalance narrative is actually a joke. I’ve just been reading an article by Robles and colleagues (2016) that argues against the inclusion of transgender into the next ICD-11 as a classified mental disorder. It amazes me that the World Health Organization that promotes social inclusion and destigmatization, actually promotes an individuals expression of “being” as a mental disorder. Sufficed to say, the APA already have a ready-made classification in the DSM-V, so no surprises there! Again, a great post that I enjoyed immensely so close to christmas. A real christmas tale!!

    Regards, Nick.

  • Spot on Robert! As a PhD student in nursing, it is common knowledge that all research studies are not without bias. These two psychiatrists only offer the research findings to reinforce their argument. That’s the game, isn’t it? It’s the same for evidence-based medicine or evidence-based practice: if the evidence is poor, then the outcomes will be poor!

  • What a great article. I am currently a PhD student and my research dissertation relates to the lived experience of nursing students who care for individuals diagnosed with borderline personality disorder. I believe that it is imperative that student nurses, in their pre-registration education, learn how their attitudes, beliefs and opinions can have a significant negative impact on the lives of the individuals that they serve.

    The power of phenomenology in nursing and medicine is immense, but so little research has been completed versus quantitative studies. I am an advocate for phenomenology and the lived experience, as it provides a unique insight into individual experience that can develop new knowledge and learning.

    Ken, you are correct when you talk about the DSM and its power within psychiatry. In my opinion it is a disgraceful way to label human behavior, however it shows how little psychiatry considers the individuals it serves and how little psychiatry has moved on within the past 100 years.

    Regards, Nick.

  • Hi Alec,

    I would be interested in getting a group of us together and have a conversation about mental health nursing education. We could do something along the lines of the CMHNN and have a website, either independent of them or ask them if we could attach ourselves to their website, or have a Facebook page or both. Please let me know what you think? Either way, I’m in! You can contact me via FB, LinkedIn or [email protected].

    Regards, Nick.

  • Hi Alec,

    I agree with some of your comments regarding community co-facilitation and open dialogue in terms of recovery. However, I am unsure of the usefulness of individuals being relocated into social care. I believe that to mean that nurses may not be the principal lead in the delivery of care, but social workers and other qualified/ unqualified clinicians who may or may not have the skills to support an individuals recovery. I see in the UK and New Zealand that they have gone down the route of employing a variety of disciplines within community mental health teams, such as social workers and occupational therapists who are generalists and who then believe that they are nurses and medical staff, by the ill-informed rubbish that they convey. This alarms me, as the mental health field becomes ever-larger, the quality of the care provided becomes worse. It amazes me that as health and social care budgets increase, so does the population of mental health consumers! This is a damning indictment of the lack of quality interventions and innovation within the mental health sector that are currently in use. Successive governments have moved learning disability care into the social care arena and that really hasn’t worked either, so there has been a precedent set in attempting to move towards social care.

    It would be interesting to develop a group of like-minded individuals such as the posters on this site, who are mental health nurse educators to develop solutions to some of the issues that have been raised. What do you think Alec and the other posters?

  • A great article that encapsulates the problem with mental health nursing in the UK and around the world. As a UK-trained RMN and subsequently worked in Australia and currently New Zealand, the theory-practice gap is growing wider. In Australia and New Zealand, nursing students tend to receive approximately 4-6 weeks of mental health theory (mostly biomedical model) and 4 weeks of clinical practice, for the whole of their 3 years of nursing study. Unfortunately, this is reflected in their clinical practice once registered, and the poor public have to be on the receiving end of clinicians with varying degrees of incompetence.

    I also supervise student nurses in clinical practice in New Zealand and endeavor to encourage them to think a little more critically about this field of nursing. Some do and many don’t, as they see completing the clinical placement as a means to an end, without seeing the bigger picture.

    BPDTransformation, Yes, they may attempt to do their best, but you wouldn’t visit a dentist for a tooth extraction who has never extracted teeth, would you? Yes, they may do their best with the training that they have had, but sometimes that isn’t good enough! Until there is a fundamental shift away from the biomedical model of mental health in nursing education around the world, unfortunately not a lot will change. Some clinicians give a crap, but many don’t and there isn’t a stampede to get into the profession. That is concerning especially when other clinical groups, such as occupational therapists and social workers (who have even less mental health training) are slowly becoming dominant within the field.

    I hope that outcomes will get better for those on the receiving end of care, however I suspect it will not!!