Sunday, 28 August 2016

Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: PLOS blog 24Aug16

PLOS Blog post 24 August 2016: Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: An Interview with Dr. Rebecca Moore

"It is now blatantly clear that a woman’s increased vulnerability to developing PTSD is closely linked to that fact that, when compared to a man, she is much more likely to be the victim of the toxic traumas of childhood sexual abuse, rape, and intimate partner violence. More recently another type of trauma that women are uniquely vulnerable to enduring is garnering increasing attention—the psychological trauma associated with giving birth.

Dr. Rebecca Moore is the lead psychiatrist for the Tower Hamlets Perinatal Mental Health service based in London, U.K. Her clinical interests include PTSD and birth trauma, premenstrual dysphoric disorder (PMDD), the treatment of anxiety and depression in the perinatal period, and supporting the parent infant bond. Dr. Moore is passionate about improving services for women traumatized by birth and hosts an annual forum on Birth Trauma in London in December each year. Her goal is to form networks with those working with families with Birth Trauma around the world to share knowledge and innovative practices.

I recently spoke with her to understand more about Birth Trauma and PTSD.  ..."

"... During birth, certain complications or events may be more stressful to women than others. Broadly speaking, women are more likely to get PTSD if they have an emergency cesarean or assisted birth (forceps or ventouse), although PTSD can develop after a vaginal delivery.

Other stressful aspects of birth, such as blood loss, a long labor, a high level of pain, or a large number of interventions, are not conclusively related to getting PTSD.

Women who feel out of control, helpless, or overwhelmed by events during birth, or who have poor care and support from midwives and doctors, are significantly more likely to get PTSD. ..."

" ... For many women I meet there is a real lack of honest conversations about the process of birth, and my sense is many women enter their labor emotionally unprepared for what might happen and have high expectations of what they want to happen, which may or may not be realistic.

I think there is a much greater need for midwives and obstetricians to have repeated conversations with women about birth and listen to women’s fears, hopes, and preferred choices. ..."

Friday, 19 August 2016

'Epistemic Benefits of Elaborated and Systematized Delusions in Schizophrenia': Lisa Bortolotti Mar15

'Epistemic Benefits of Elaborated and Systematized Delusions in Schizophrenia': Lisa Bortolotti; 15 March 2015, Oxford University Press on behalf of British Society for the Philosophy of Science

"What Is Wrong with Elaborated and Systematized Delusions? ... Finding Life Meaningful"

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Wednesday, 10 August 2016

FOI Request Responses from @ScotGov re SRN/Penumbra funding & MH Unit governance

Request made to Scottish Government's Director General NHS Scotland Paul Gray on 30 June 2016 via Twitter in the first instance, regarding the funding awarded to Penumbra to "host" Scottish Recovery Network.  Response by Niall Kearney, possibly Head of MH Improvement although not sure, ScotGov, on 18 July 2016.  Which told me very little apart from the £475,000 given to Penumbra.  The rest appears to be a secret.  

I did hear from Geoff Huggins, Acting Director of Health & Social Care, ScotGov, back in around 2011 when he was Head of the MH Division, that SRN was "legally part of Penumbra".  Whatever that means.

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I had asked a Scottish Government person on the MH Strategy team for a website link to information about the Mental Health Unit Staff team, their tasks, responsibilities, on 3 August 2016.  This became another FOI Request, I assume because there is no link for the public on the government website to any info about who is running the mental health brief for Scotland.  Another secret it seems.

Here is the FOI Request Response by Penny Curtis, Head of Mental Health & Protection of Rights Division, ScotGov, dated 9 August 2016:

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It is concerning that Scottish Government's Mental Health Unit Leadership does not appear to be open to scrutiny or to be transparent in their actions.  I contend that civil servants working for the Scottish public should be accountable to the public for what they do, or don't do.