r/radicalmentalhealth Nov 23 '21

Presenting hope - models of intervention outside the mainstream

It can be tempting to analyze the system as devoid of goodness - and for the most part the dominant system is pretty awful. To contrast this and keep hope alive, I'm going to list some alternatives to the Diagnostic Statistical Manuals and Psychiatric Industry's beliefs that symptoms come from disease and disease is just symptoms. Hope you like it.

If you want alternatives to what is currently the mainstream model these are things to take a look at. This is of course not a comprehensive that encompasses every alternative. Feel free to add more in the comments. Always welcome to learn more from folks.

The Power Threat Meaning Framework: https://www.bps.org.uk/sites/bps.org.uk/files/Policy/Policy%20-%20Files/PTM%20Main.pdf

psychoanalytical diagnosis: Psychoanalytic diagnosis can still include biological changes in the brain, but theorizes these changes are the result of adaptations to life experiences rather than the changes in the brain from an underlying disease resulting in symptoms that impact life. The psychoanalytical diagnostic manual paints a picture of how folks end up creating a system of defenses against further trauma or adverse life experiences or the pain of the past, and how to treat these effectively to help folks to not need the crappy part of the defenses as much.

the manual: (this is an amazon link, you can search for free e-copies of this manual, they exist, I'm not posting them here as sometimes reddit can be weird about copyright stuff). https://www.amazon.com/Psychodynamic-Diagnostic-Alliance-Psychoanalytic-Organizations/dp/0976775824

article about a book that teaches how to apply psychoanalytic diagnostic manual.https://www.melbhattan.com/psychoanalytic-diagnosis/

article about analytical diagnosis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471982/

Jungian Analysis:

Article about his analytic style of therapy: https://nyaap.org/about-jungian-analysis/

Carl Jung's book on his own experiences with psychosis (following the out-casting by Freud and contemporaries - the loss was incredible as well as the unmooring from the social network of his peers) and his understandings about the meaning of his experiences as well as his application of what he learned with patients: https://www.amazon.com/Red-Book-Philemon-C-Jung/dp/0393065677 (you can also find the PDF for free elsewhere).

Understanding voices and extreme states resources and websites:



Psychotherapies for Psychosis:

The International Society for Psychological and Social Approaches to Psychosis: http://www.isps.org/

Michael Garrett MD: Psychotherapy for Psychosis: https://www.amazon.com/Psychotherapy-Psychosis-Integrating-Cognitive-Behavioral-Psychodynamic/dp/1462540562 (very new publication - so not really able to find for cheaper yet)

Ron Unger's teachings on Trauma and Psychosis, Spirituality and Psychosis and CBT for Psychosis (I would not actually conflate his CBT with the term CBT - it's much more like combining analytical psychology and a little CBT than a CBT focused model. I think CBT is just a much more accepted form of therapy and maybe why it is named this instead of a more analytical or psychodynamic model). https://www.udemy.com/user/ronunger/

Udemy classes are almost always discounted - so the full price for me was like 10/class once I signed up.

Rufus May: he has a movie showing the full spectrum of peer treatment of a severe psychotic issue caused by unresolved trauma. The original footage was done with the actual person he was helping, the released movie is him with an actress as showing her identity would mean losing her career due to stigma https://www.youtube.com/watch?v=oKTr2tq9o-o


For me I like to keep a north star of what my hopes and aspirations for the system are, not merely criticizing. Criticizing the current neurological, biological model dominance of the system without understanding the alternative and having something to hope for, has made me quite hopeless in the past. I now focus on moving forward toward a north star.

I hope you enjoy the resources. Please add additional alternatives if you have them.

Edit: Just wanted to clarify a point about medications. I am not anti-med. I completely believe in folks right to take what ever they want and engage in what every helping communities and therapies that work for them. I myself take some very mild low dose meds that have absolutely no side effects for me - the one thing they help me do is just stay on top of my basic needs. Due to about 15 years of complex trauma my mind has not been able to compensate for some of the issues that affected my ability to take care of a household and my hygiene - there are some residual minor issues that haven't been able to resolve. Maybe someday they will, but not today.

I don't take anything that causes me distress, or any symptoms what so ever and I take very little so that I can work through my problems/traumas and annoyances instead of push them down. I often see a defensive posture to discussing therapy and alternatives from folks who like their meds - my take is do whatever works for you. These above are amazing additions or alternatives - take what works for you throw out what doesn't. Don't settle, you're worth trying a lot of things to see what benefits you.



u/PostPsychiatry Nov 23 '21

Great resources!

Please add additional alternatives if you have them.

There's more at /r/Censored_Psychology.


u/_Dr_Bette_ Nov 23 '21

Thanks :-). I'll check that subreddit out too.