George Gillett
@george_gillett
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Psychiatrist | Writer | Researcher @Cambridge_Uni Published in @Guardian, @NewStatesman & @Spectator Writes 'The Cultural Psychiatrist' Substack
Joined December 2013
🚀 I’ve launched a Substack!. Each month, I’ll share thought-provoking writing on culture & mental health from around the web, plus academic research that’s changed how I see the world. Subscribe here 👉
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Latest newsletter out! . Each edition rounds up thought-provoking writing & research on culture, psychology, and mental health. Read here 👉
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The network approach to psychopathology: investigating inter-individual variability and the association with clinical relapse in psychosis. Our latest paper in @schizjournal, @SIRSGlobal & @SpringerNature with @gimmenicky & @dan_w_joyce . Read here 👉
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RT @kesleeman: This is excellent. It’s a must read for anyone who is interested in mental capacity, in the context of assisted dying. @_C….
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Might be of interest to @nmdacosta @ProfLAppleby @RajivShah90 @ChelseaRoff @yuanyi_z @doctor_oxford @nuwandiss @ddhitchens @M0L0VATT @Fox_Claire @kesleeman @jamesldowns @CostafredaSergi who have also raised these issues.
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"Much has been said about raising mental health awareness and de-stigmatising psychiatric illnesses. Yet when the country’s professional body of psychiatrists warned of preventable deaths, legislators did nothing" . My article on the #AssistedDyingBill (link in next tweet)
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In doing so they've neglected their responsibility to protect the most vulnerable in our society. One day we'll realise that cultural norms exist for a reason, that you can fly too close to the sun, and that naive "progress" can lead to dystopia just as quickly as utopia 2/2.
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The HoC votes to allow people to prematurely end their lives, against the advice of the country's experts on suicidality - the Royal College of Psychiatrists. So-called "progressive" MPs ignored the experts, pursuing fantasies of individual autonomy in hubristic utopianism 1/2.
Assisted dying has passed the Commons with 314 votes to 291. Now on to the Lords but this is almost certain to become law.
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RT @kesleeman: Ahead of today’s assisted dying Bill debate, I thought I’d do a thread of FALSE FACTS. You know… campaigning soundbites, PR….
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@DrLadeSmith @rcpsych Raises v important issues: . "There needs to be a requirement to assess whether or not a person who's wishing to end their life has got a mental disorder that could be treated". "The Mental Capacity Act is not designed to assess capacity in this circumstance".
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Fantastic interview with @DrLadeSmith @rcpsych. "There are a number of issues and concerns, we've raised them repeatedly with the parliamentarians and they've yet to be addressed".
“We remain neutral on the principal of assisted dying, but we cannot support this bill”. President of The Royal College of Psychiatrists, Dr Lade Smith, reveals to #Newsnight that they do not support the Assisted Dying Bill due to concerns they say “have not been addressed”
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RT @CostafredaSergi: As psychiatrists, we’re at the frontline of assessing mental state, capacity, and potential coercion in complex assist….
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RT @bmj_latest: "Current medical education has an overt biomedical focus that does not engage enough on wider social determinants of health….
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RT @bmj_latest: How we train future clinicians has the potential to radically and sustainably improve healthcare for everyone. Medical edu….
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There's a real duplicity in the mental health ads urging us to share emotional distress with loved ones vs stuff like this, which endorses the fear of emotionally burdening others as a valid reason to kill yourself. You can't have both - we either prevent suicide or endorse it.
Who at @TfL thought it was remotely appropriate to promote assisted suicide on the London Underground?
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RT @ProfLAppleby: One reason some of us in mental health are worried: in the Netherlands, despite safeguards, euthanasia has been approved….
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Interesting paper finding similar effect sizes for both direct & indirect psychotherapy on suicidality (both significantly reduce risk). If replicated in head-to-head studies, would hopefully give clinicians confidence to move away from risk focus towards more holistic care.
This meta-analysis found that both direct and indirect psychotherapy interventions led to significant reductions in suicidal ideation and suicide attempts.
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It's a good example of political discourse in which all aspects of civic life are only valued through economic metrics. It's what Michael Sandel calls the "market society" - a hollow understanding of life where values like health & community are overlooked by focus on prosperity.
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Not a fan of this. Health has an intrinsic value to patients, not just an instrumental role in boosting the economy. Re-aligning the objectives of DHSC to "support economic growth" implies that motivation to care for patients is less if they won't go on to get a job etc.
Wes Streeting says DHSC not just a health dept but “an economic growth department” in terms getting people back to work and healthy enough to stay in their jobs . Plus becoming life sciences “powerhouse” and million NHS staff as engines of growth.
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