The Power Threat Meaning Framework is a new perspective on why people sometimes experience a whole range of forms of distress, confusion, fear, despair, and troubled or troubling behaviour. It is an alternative to the more traditional models based on psychiatric diagnosis. It was co-produced with service users and applies not just to people who have been in contact with the mental health or criminal justice systems, but to all of us. The Framework summarises and integrates a great deal of evidence about the role of various kinds of power in people's lives; the kinds of threat that misuses of power pose to us; and the ways we have learned as human beings to respond to threat. In traditional mental health practice, these threat responses are sometimes called 'symptoms'. The Framework also looks at how we make sense of these difficult experiences, and how messages from wider society can increase our feelings of shame, self-blame, isolation, fear and guilt. The main aspects of the Framework are summarised in these questions, which can apply to individuals, families or social groups: '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 situations and experiences to you?) 'What did you have to do to survive?' (What kinds of Threat Response are you using?) In addition, the two questions below help us to think about what skills and resources people might have, and how we might pull all these ideas and responses together into a personal narrative or story: 'What are your strengths?' (What access to Power resources do you have?) 'What is your story?' (How does all this fit together?)

A straight talking, myth busting book about psychiatric diagnosis and the flaws therein by a leading critical voice.

Given that people who are distressed often choose to go for help in therapy, it is therapists' duty and responsibility to deconstruct practices and to be clear about the ethics, values and effects of the practices they use. This book is based on the values and ethics of justice and responsibility, to resist domination and totalising discourses.

The first edition of Formulation in Psychology and Psychotherapy caught the wave of growing interest in formulation in a clinical context. This completely updated and revised edition summarises recent practice, research, developments and debates while retaining the features that made the first a leading text in the field. It contains new chapters on personal construct formulation, formulation in health settings, and the innovative practice of using formulation in teams. The book sees formulation as a dynamic process which explores personal meaning collaboratively and reflectively, taking account of relational and social contexts. Two case studies, one adult and one child, illustrate the use of formulation from the perspectives of expert clinicians from six different theoretical positions. The book encourages the reader to take a constructively critical perspective on the many philosophical, professional and ethical debates raised by the process of formulating people’s problems. Among the issues explored are: The social and political context of formulation Formulation in relation to psychiatric diagnosis The limitations of formulation Controversies and debates about formulation This readable and comprehensive guide to the field provides a clear, up to date and thought-provoking overview of formulation from a number of perspectives, essential for clinicians working in all areas of mental health and social care, psychology, therapy and counselling.

Users and Abusers of Psychiatry is a radically different, critical account of day-to-day practice in psychiatric settings. Using real-life examples and her own experience as a clinical psychologist, Lucy Johnstone argues that the traditional way of treating mental distress can often exacerbate people's original difficulties, leaving them powerless and re-traumatised. She draws on a range of evidence to present a very different understanding of psychiatric breakdown than that found in standard medical textbooks, and to suggest new ways forward. The extended introduction to this Classic Edition brings the book up to date by revisiting its themes and tracing the changes in mental health practice over the last three decades. The book’s accessibility and clarity have ensured that it remains a classic in a growing field, and it is as relevant today as when it was first published. Users and Abusers of Psychiatry is a challenging but ultimately inspiring read for all who are involved in mental health – whether as professionals, students, service users, relatives or interested lay people.