Helene Speyer
@helene_speyer
Associate professor, ph.d, psychiatrist
Enyoing a most engaged audience at @ENMESHmental in Versailles, arguing for the need for transformation of mental health care through epistemic humility
Symposium organised by @helene_speyer #enmesh2024 @ENMESHmental sharing own lived experience of mental distress, training as a doctor, working as a psychiatrist , being a researcher and in last year bringing all 3 elements together. A third space leading to epistemic humility. 🙏
Philosophy is crucial underpinning to psychiatric practice. 2 points I think most important: 1)Disorders are useful but fallible constructs/not diseases 2)DSM decisions should be utilitarian- greatest good to greatest #/least harm from unintended consequences Excellent article:
It’s great to see our forum article on philosophy of psychiatry in June 2024 issue of World Psychiatry! It was an honor working with this excellent team of authors. I’m eager to read the commentaries. (PDF has been circulated by email, should be posted online soon, link below)
Could shared deliberation replace shared decision making in cases where agreement cannot be reached?
A triangulation of scientific perspectives to inform clinical decision making when shared decision making breaks down @helene_speyer journals.lww.com/hrpjournal/ful…
If recovery is to have any influence, we need to skærpende and deeepen the conceptual clarity. We gave it a go in Lancet here: kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F%2…
“The best clinicians I know are the ones who figure out how to use their own lived experiences to connect with the people they work with. The ones who understand that we aren’t just applying techniques—we’re engaging in relationships.” 👇🏽
The Paradox of Alternative Spaces: Q&A with Sascha Altman DuBrul “at the intersection of the public mental health system & the Mad Underground” psychiatrymargins.com/p/the-paradox-…
In science, we often celebrate consensus papers With this dissensus paper, we hope to inspire a love for disagreements—not to suppress them, but to harness their power for progress! thelancet.com/journals/lanps…
You basically stated up a reason why people should be skeptical of "The Science"... Formal education does not enhance a person's self-awareness of their biases. Maybe buddhist monk's should be part of peer review process and question the researchers insight levels..
Practicing Psychiatry in the Third Space Guest Post by @helene_speyer [June 2024] “For many years, I kept my own history as a patient a closely held secret, fearing that my colleagues would question my work as a psychiatrist if they knew…” psychiatrymargins.com/p/practicing-p…
Personal narratives are sometimes met with polite smiles and silent applaus. Is deference a way to neglect lived experience as a valid source of knowledge? Out today in Psychiatric Service with John Lysaker and David Roe psychiatryonline.org/doi/epdf/10.11…
Labeling individuals with psychiatric diagnoses can yield unintended consequences, stemming from the personal and societal connotations associated with these labels. Transparency about the hypothetical nature of diagnoses is important: pubmed.ncbi.nlm.nih.gov/39052407/
3 Umpires: 1)"There are balls & strikes & I call them as they are" (Realist) 2)"There are balls & strikes & I call them as I see them" (Constructivist) 3)No balls & no strikes til I call them" (Solopsist) Fun paper: DSM-III hoped to be 1, but psych "reality" is way too complex.
Antirealism Will Not Save the DSM From Empirical Inadequacy What does the DSM say about the unobservable structure of psychopathology? psychiatrymargins.com/p/antirealism-…
The reading of @awaisaftab s authorship through the last years have brought me a long way in my conceptual understanding of psychiatry.
Practicing Psychiatry in the Third Space Guest Post by Helene Speyer (@helene_speyer ) “For many years, I kept my own history as a patient a closely held secret, fearing that my colleagues would question my work as a psychiatrist if they knew…” psychiatrymargins.com/p/practicing-p…
⚠️Updated warnings about persistent sexual dysfunction for antidepressants⚠️ The PI documents for all SSRIs and SNRIs have been aligned to reflect the risk of sexual dysfunction persisting in some patients after drug cessation. Read more: tga.gov.au/news/safety-up…
Most problems in academia could be fixed if we started a fight club.
Yes yes yes!
'Mental Health Awareness' has gotten out of hand & now contributes to national contagion of emotional hypochondria. Started as well meaning effort to reduce stigma/help people get help. But 2 unintended consequences- turning normal distress into disorder/neglect of really ill.
The causal effect of engaging in life is inherently valuable, and needs no further testing thelancet.com/journals/lanps…
Epistemic injustice is inceedibly important to adress, if we are serious about the integration of lived experience: link.springer.com/article/10.100…
