Thanks for this summary and for pointing us towards this article. And also for mentioning the Power Threat Meaning Framework – which is a meta-framework, not a model as such, and as Ragnarok says, can thus be used to support a whole range of non-medical models, of which we have many. The idea that ‘we don’t have anything else’ is just nonsense. What about the many countries and cultures which have struggled by without the dubious benefits of the DSM for the whole of human history? – and where, according to the best research, recovery rates are better than anything Western medicine has produced? Don’t they count? Small point: ‘The PTMF is unique among psychiatric diagnostic systems…’ The PTMF is not a diagnostic system of any kind. In fact it is not a ‘system.’ It is a set of principles, and an imperfect, evolving attempt to get right away not just from medical models, but from their conceptual underpinnings – including the assumptions that can be summarised as positivism -which are so deeply embedded in Western thought. It therefore opposes any individualistic, pathology-based understanding, including psychological and psychotherapeutic ones.