Barney Carroll on domesticating psychosis

Although posted only a couple of days ago, my presentation from Royal Edinburgh Infirmary, Division of Psychiatry, University of Edinburgh is now passing the benchmark of over 1000 views.

In one of my introductory slides , I acknowledge a number of go-to’s to whom I am indebted. I actively engage with the go-to’s through social media with questions and requests for feedback. They have kept me from what would have been embarrassing gaffes.  They allow me to present and write smarter than I am, when I let them. However any excesses or inaccuracies in my work are entirely my own. One of these go-to’s is Bernard “Barney” Carroll. In future blogs I will be saying a lot about his influence on me, although we have never actually met. In

Source: Barney Carroll on domesticating psychosis

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On the other side of the fence

Hole Ousia

This image of a boundary fence to a Scottish mental health “Institution” was recently shared with me.

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As an “Institution” the British Journal of Psychiatry rejected my “editorial” on Iatrogenic Stigma. The reason given, by the sole peer reviewer, was that I had included “anecdote”.

Fortunately, a longer version of my paper on iatrogenic stigma was published in a less institutional journal.

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I no longer feel safe [reblog Hole Ousia]

Hole Ousia

I have reluctantly decided that I am no longer going to write any posts about NHS Scotland on Hole Ousia. I will however still continue to discuss health and wellbeing in the context of the “two cultures”.

My reason is that I no longer feel safe to speak out individually as an employee of NHS Scotland.

I will continue to advocate for transparency and accountability.

I feel very lucky to be a doctor. The NHS is so important to me. I have so many wonderful colleagues and I never cease to learn from the Scottish folk that I try to help when in a time of need.

I will always try my best to put patients first. That is the way I am. I do not agree with those who suggest that such a determination might be considered as a sign of illness.

Dr Peter J. Gordon

The Friends of Liberty from omphalos on

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Inspirational: the Chief Medical Officers for Scotland #HoleOusia

Hole Ousia

The Chief Medical Officers for Scotland have been a huge inspiration to me.

I was delighted to hear, earlier this year, that Dr Catherine Calderwood had been appointed to this office to replace Harry Burns. My full support goes to Dr Calderwood in her appointment.

Last year I spoke at a Civic Trust event in Glasgow and was fortunate to follow Sir Harry Burns. His talk on “salutogenesis” accorded with all that Hole Ousia is about.

Salutogenesis from omphalos on Vimeo.

Kenneth Calman was the Chief Medical Officer before Harry Burns. No other Scottish doctor has inspired Hole Ousia writings more than Kenneth Calman.

001-Makars-&-Medicinersa025 Makars & Mediciners

In my need to put patients first I have included the Director General for NHS Scotland in e-mails that I have considered important to patient safety and well-being. I admit to being persistent in this matter.

Communications sent but unanswered:
No response came from the office of the Director General for NHS Scotland…

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“A robust learning environment for healthcare professionals”

Hole Ousia

I have recently posted on the promotion of Lurasidone (Latuda) in the UK. This has raised concerns for me about transparency of conflicts of interest for some of the key doctors and academics involved with the research, development and promotion of this novel antipsychotic.

One of those who has most significant financial interests is Professor Stephen Stahl. In “partnership with” the British Association for Psychopharmacology he recently gave this “Expert Seminar” at the University of Bristol:

Expert Seminar Lurasidone Stahl 1

This “Expert Seminar” is introduced by Professor Stahl as follows:

Expert Seminar Lurasidone Stahl 2

And here is the Programme for this “robust learning environment” which is co-chaired by British Psychiatrist and Academic, Dr Hamish McAllister-Williams:

Expert Seminar Lurasidone Stahl 7

“Application” was made by Sunovion for CPD approval to the Federation of the Royal College of Physicians of the United Kingdom.

Expert Seminar Lurasidone Stahl 3

Summary:
This “robust learning environment for UK health professionals” has left me asking some questions:

  1. Were the healthcare professionals made…

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