The Power Threat Meaning Framework (@PTMFramework) header
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A conceptual alternative to psychiatric diagnosis. https://nitter.cf/t.co/kNh8aVUM8G

Joined February 2011
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The Power Threat Meaning Framework retweeted
This study explores a pilot application of the Power Threat Meaning Framework (PTMF) through a participatory psychoeducational group with individuals in the social reintegration phase of the public addiction recovery program 18ANO in Greece. journals.sagepub.com/doi/abs…
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The Power Threat Meaning Framework retweeted
Replying to @naomicfisher
@naomicfisher makes many excellent points in this article, and her conclusion captures it: "We should be able to appreciate and validate difference without seeing it through the lens of psychiatry. Access to services should be determined by need, not by a diagnosis." thecritic.co.uk/119563-2/
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The Power Threat Meaning Framework retweeted
My blog on the Fonagy report. It made some good points, such as allocating support according to need rather than diagnosis, but could not challenge the orthodoxy in the end.
The Fonagy Report: A Missed Opportunity to Challenge the Neurodevelopmental Narrative By Joanna Moncrieff, MD An independent review in the UK to address ADHD and autism diagnosis and treatment has missed an opportunity to correct misleading notions. buff.ly/vbxHa0d
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The Danish translation of the #PTMFramework will be launched in Copenhagen on Oct 28th.
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Dr Lucy Johnstone was pleased to be invited to deliver talks and training on the #PTMFramework in Denmark Oct 7th-9th. A conference on the trauma informed approach, a centre for work with refugees, and the PTMF group affiliated to the Danish Clinical Psychology Association.
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The Power Threat Meaning Framework retweeted
Delighted to see @dropthedisorder returning for another festival! I've had the pleasure of speaking at one of their previous events and have long admired the important work they do on challenging psychiatric dominance and promoting richer conversations about psychological distress and impairment. Thoroughly recommend 👇 eventbrite.co.uk/e/a-disorde…
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The Power Threat Meaning Framework retweeted
Katinka Blackford Newman to speak at the AD4E Online Festival 2026! Katinka Blackford Newman will be joining an important panel discussion at this year’s AD4E Online Festival, hosted by our friends at A Disorder for Everyone. Psychiatric Drugs – What Aren’t We Being Told? 📷 Friday 6 November 2026 📷 2:40–3:40pm UK time Book here: eventbrite.co.uk/e/a-disorde…
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The Power Threat Meaning Framework retweeted
The Fonagy report defines psychiatric diagnoses as thresholds on continuous human variation; it also treats them as identifying underlying explanatory disorders. Despite important concessions, this equivocation undermines its conclusions and may just recapitulate the problem. (See below for link to article👇)
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The Power Threat Meaning Framework retweeted
There seems to be much confusion about the @DHSCgovuk Fonagy report, which is not surprising given its attempt to talk in everyone's language. However, it is clear that its distinctions between traits, distress and disorder—as well as the discussion around neurodiversity—are there to question the degree to which people meet criteria for ADHD & autism diagnoses and to underpin a shift towards support without diagnosis as well as to reduce reliance on specialist services. Where such support is proposed as an alternative to diagnosis, the strong implication is that some people seeking assessment do not, or will not, meet diagnostic criteria. Otherwise, the proposal would amount to diverting people away from diagnoses they legitimately qualify for, which I think it plainly would not be doing. The important question that follows this is whether needs-led support can resolve the problem when diagnosis remains the authoritative explanation of people’s difficulties. Arguably, it will only valorise and incentivise diagnosis further and create a real division between those recognised as having a disorder and those only offered support. As the report rightly recognises, ADHD and autism traits exist on a continuum; diagnosis turns on judgements about the severity of distress and impairment not on the identified presense of an objective disorder that demarcates one group from another. So, why not just make it all needs-led? gov.uk/government/publicatio…
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The Power Threat Meaning Framework retweeted
Looks like there are sensible things in this report (e.g. call for needs-based help), but without challenging the unproven idea that ADHD and ASD are brain conditions or clarifying that diagnosis is not an explanation but a label, change is unlikely. theguardian.com/society/2026…
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The Power Threat Meaning Framework retweeted
Didn’t Anyone Tell You It Is Okay to Be Different? Reflections from the Mad in Norway film festival by Peter C. Gøtzsche, MD People agreed that mental health care needs to be systematically reformed, as recommended by the UN and WHO. buff.ly/0LSKO27
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The Power Threat Meaning Framework retweeted
Just a few assumptions which I’d like to correct. I don’t think that people with an autism diagnoses who do not have learning disabilities are fakers. I don’t think that lived experience is unimportant and should be dismissed. I don’t think that the early psychiatrists who defined autism were right, and more recent definitions are wrong. I don’t have an agenda to cut benefits. I don’t think that the medical model is the best approach for helping distressed people or understanding behaviour. I do not reject the social model of disability. I’m not out to destroy people whose opinions I disagree with. I don’t think that autistic behaviour is caused by poor parenting nor should be blamed on the child. What do I think? Autism is a description, not an explanation. It was created, rather than discovered. It gives a name to a cluster of behaviours but no one has found an underlying genetic, neurological or cognitive difference shared by everyone with an autism diagnosis and no one without one. A descriptive category like autism can and does change over time - and so it’s up to us as a society to decide where the lines should be drawn, and to work out the costs and benefits of that.  In order to do that effectively, we have to be able to talk about the competing interests and conflicts involved. This is actually an uncontroversial opinion among scientists who study autism and the wider psychiatric classification system. It doesn’t just apply to autism, it applies to most psychiatric diagnoses.  There’s (a lot) more, but that’s why I wrote a book.
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