BC HEALTH
Saved by @CodyyyGardner

"Dependency" and "personality disorder" in mental health services: a thread.

I'm thinking today about Courtney Porter who died earlier this year, just three days after being discharged from inpatient care against her wishes. 1/

 She was 20 years old. At her inquest, @CNWLNHS defended their decision to discharge Courtney by stating that people with a diagnosis of EUPD could not stay indefinitely due to the "risk of developing a dependence on the service." 2/
"Risk of dependency" is a phrase used very commonly to deny or withdraw support and care from certain mental health patients - most often those bearing a personality disorder label. But why? Why are this huge heterogeneous group of people, labelled with PD, 3/
supposedly all at risk of developing dependency, more so than anyone else, and what is so terrible about dependency that it's actually preferable for people to die than to be dependent..? 4/
Mental health services in the UK reflect the western culture of viewing autonomy and independence as key to personal development and success. Since the rise of individualism and self-care in the NHS moved us away
5/
from asylums to community care, services have been built on the overarching principles of personal responsibility and independence. Naturally it follows that within a service so heavily based on these cultural ideals, dependency on others would be pathologised. 6/
Western clinicians and academics, espousing the same cultural ideals, heavily emphasise the "pathological" and "undesirable" nature of dependency, with little thought for its active, adaptive, and positive functions. 7/
Contrary to the negative views promoted by mental health services, research shows that "dependent" patients have less delay in seeking help for physical issues, miss fewer appointments, are more "engaged" and 8/
"compliant" with treatment, are less likely to experience substance use difficulties, more likely to be active in seeking solutions to their issues, and more likely to perceive their therapeutic relationships positively, leading to better clinical outcomes.9/
This understanding that dependency can be a positive and helpful trait is not reflected in mental health services however, who only conceptualise it as an inherently negative deficit in functioning.10/
If dependency was rightfully viewed as a more complex concept, perhaps the fear of "encouraging" dependency wouldn't stand in the way of providing otherwise appropriate healthcare interventions, and people like Courtney may still be alive. 11/
But why is this issue so rife within services for people labelled PD? Services frequently present a blanket ban to PD-labelled patients on any form of support considered to lead to dependency - a clinical decision seemingly based *entirely* 12/
on the label, not on the individual needs of the person sat in front of them. It seems to me that there are two forces at play here. First is the inherent stigma, prejudice, and discrimination faced by people who are considered by mh staff to have 13/
a disordered personality, (or "traits" of such.) PD still very much *is* a diagnosis of exclusion. Crying "risk of dependency" seems a very easy and cheap means of excluding undesirable patients, all done in their so called best interests. Very neat, very tidy. 14/
Research shows that the negative connotations of dependency in healthcare lead clinicians to view patients they see as dependent (often those with "complex needs"/under services for a while, read: PD-labelled) 15/
as "needy", "clingy", a "burden", "unreasonably demanding" and before even being assessed "likely to need treatment longer than necessary". 16/
While services exploit the PD stereotype to discredit and malign a diverse group of patients as insufferably demanding, selfish, and needy, they avoid awkward questions about their legal and ethical duties of care. 17/
Secondly, there seems to be a huge lack of understanding regarding the difference between "dependent personality traits", and "care dependency" - as these are in fact two entirely different constructs. 18/
Research has found that the specific context of mental health care plays a separate role in determining whether or not patients become "dependent". Basically, even if every single patient labelled with PD had ragingly dependent 19/
personality traits, there would still be no justification for withholding services based on this diagnosis, as there is no significant correlation between dependent personality traits and becoming "care dependent". 20/
Once again it appears that the care of people mental health services label with PD is hampered by ignorance and prejudice. To withhold potentially life-saving interventions from a single, vastly heterogeneous patient group based 21/
upon an entirely unproven belief they will all somehow experience a possible side effect (a side effect which may subsequently prove to be immeasurably helpful) is utterly perverse and entirely clinically unjustifiable. 22/
It really does my head in that all these concepts are created and used by the very same people who refuse to understand them properly. If you believe in "care dependency", do some fucking reading about it before using it to deny people care - leaving them to die. 23/
RIP Courtney. I'm so sorry you were failed so badly. NHS mental health services are an absolute disgrace. You deserved so much better.
24/24
https://t.co/PJ380PB11N

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Speech Delay is most common in children nowadays

In ancient times, our grandparents used to follow typical natural way of caring the needs of a child. All they used were more of natural products than chemical based for the growth of child.


One of major step followed was to feed Gurbach Jadd/ Vasa Kommu/ Acorus Calamus for initiating good speech ability in a child. This stem was needed to babies on Tuesdays and Sundays in mother's milk.

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Budhwar - Budhi Vasa
Mangalwar - Vaak Vasa
Ravi Vaar - Aayush Vasa

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The procedure to make it is in the link

https://t.co/uo4sGp7mUm

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1. It clears the phlegm in child's throat caused due to continuous milk intake. It clears the tracts and breathing is effortless.
2. Digestion

For children who haven't got their speech and is delayed than usual should feed this vasa on these days in week atleast for 6months. Don't get carried away with this dialogue
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\u0b85\u0bb8\u0bcd\u0ba4\u0bbf\u0ba9\u0bbe\u0baa\u0bc1\u0bb0\u0ba4\u0bcd\u0ba4\u0bc1 \u0b85\u0bb0\u0b9a\u0bbf\U0001f478
அஸ்தினாபுரத்து அரசி👸...
@SivaRoobini555
#தினம்_ஒரு_திருவாசகம்
தொல்லை இரும்பிறவிச் சூழும் தளை நீக்கி
அல்லல் அறுத்து ஆனந்தம் ஆக்கியதே – எல்லை
மருவா நெறியளிக்கும் வாதவூர் எங்கோன்
திருவாசகம் என்னும் தேன்

பொருள்:
1.எப்போது ஆரம்பித்தது என அறியப்படமுடியாத தொலை காலமாக (தொல்லை)

2. இருந்து வரும் (இரும்)


3.பிறவிப் பயணத்திலே ஆழ்த்துகின்ற (பிறவி சூழும்)

4.அறியாமையாகிய இடரை (தளை)

5.அகற்றி (நீக்கி),

6.அதன் விளைவால் சுகதுக்கமெனும் துயரங்கள் விலக (அல்லல் அறுத்து),

7.முழுநிறைவாய்த் தன்னுளே இறைவனை உணர்த்துவதே (ஆனந்த மாக்கியதே),

8.பிறந்து இறக்கும் காலவெளிகளில் (எல்லை)

9.பிணைக்காமல் (மருவா)

10.காக்கும் மெய்யறிவினைத் தருகின்ற (நெறியளிக்கும்),

11.என் தலைவனான மாணிக்க வாசகரின் (வாதவூரெங்கோன்)

12.திருவாசகம் எனும் தேன் (திருவா சகமென்னுந் தேன்)

முதல்வரி: பிறவி என்பது முன்வினை விதையால் முளைப்பதோர் பெருமரம். அந்த ‘முன்வினை’ எங்கு ஆரம்பித்தது எனச் சொல்ல இயலாது. ஆனால் ‘அறியாமை’ ஒன்றே ஆசைக்கும்,, அச்சத்துக்கும் காரணம் என்பதால், அவையே வினைகளை விளைவிப்பன என்பதால், தொடர்ந்து வரும் பிறவிகளுக்கு, ‘அறியாமையே’ காரணம்

அறியாமைக்கு ஆரம்பம் கிடையாது. நமக்கு ஒரு பொருளைப் பற்றிய அறிவு எப்போதிருந்து இல்லை? அதைச் சொல்ல முடியாது. அதனாலேதான் முதலடியில், ஆரம்பமில்லாத அஞ்ஞானத்தை பிறவிகளுக்குக் காரணமாகச் சொல்லியது. ஆனால் அறியாமை, அறிவின் எழுச்சியால், அப்போதே முடிந்து விடும்.
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