The Power Threat Meaning Framework: Addressing Adversity, Challenging Prejudice and Stigma, and Transforming Services

Article


Read, J. and Harper, D. 2020. The Power Threat Meaning Framework: Addressing Adversity, Challenging Prejudice and Stigma, and Transforming Services. Journal of Constructivist Psychology. https://doi.org/10.1080/10720537.2020.1773356
AuthorsRead, J. and Harper, D.
Abstract

Advocates of a biomedical approach have argued that: it provides an evidence-based approach to classifying and understanding the causes of problems; adopting a biomedical understanding will reduce stigma; and biomedical interventions are effective and evidence-based. This article reviews the literature and finds not only that there is little or no evidence for these assumptions but that, in fact, the research evidence points to the need for the kind of alternative approach proposed by the PTMF. Alternative causal models which recognise the role of psychosocial adversities are described and alternative approaches to diagnostic classification and destigmatisation programmes are suggested and innovative attempts to redesign services in a manner consistent with the PTMF approach are described. The article concludes by discussing implications for policy-level change.

JournalJournal of Constructivist Psychology
ISSN1072-0537
Year2020
PublisherTaylor & Francis for Constructivist Psychology Network
Accepted author manuscript
License
File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1080/10720537.2020.1773356
Web address (URL)https://doi.org/10.1080/10720537.2020.1773356
Publication dates
Online02 Jun 2020
Publication process dates
Accepted08 May 2020
Deposited11 May 2020
Copyright holder© 2020 Taylor & Francis
Copyright informationThis is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Constructivist Psychology on 02/06/2020, available online: http://www.tandfonline.com/10.1080/10720537.2020.1773356.
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Carter, Lucy, Read, J., Pyle, Melissa, Law, Heather, Emsley, Richard and Morrison, Anthony 2018. Causal beliefs in people experiencing psychosis: The relationship to treatment accessed and the perceived helpfulness of treatment. Psychology and Psychotherapy: Theory, Research and Practice. 91 (3), pp. 332-344. https://doi.org/10.1111/papt.12163
A systematic review into the incidence, severity and duration of antidepressant withdrawal effects: Are guidelines evidence-based?
Davies, James and Read, J. 2018. A systematic review into the incidence, severity and duration of antidepressant withdrawal effects: Are guidelines evidence-based? Addictive Behaviors. 97, pp. 111-121. https://doi.org/10.1016/j.addbeh.2018.08.027
Adverse Effects of Antidepressants Reported by a Large International Cohort: Emotional Blunting, Suicidality, and Withdrawal Effects
Read, J. and Williams, James 2018. Adverse Effects of Antidepressants Reported by a Large International Cohort: Emotional Blunting, Suicidality, and Withdrawal Effects. Current Drug Safety. 13 (3), pp. 176-186. https://doi.org/10.2174/1574886313666180605095130
Correspondence: Network meta-analysis of antidepressants
Timimi, Sami, Moncrieff, Joanna, Gøtzche, Peter, Davies, James, Kinderman, Peter, Byng, Richard, Montagu, Luke and Read, J. 2018. Correspondence: Network meta-analysis of antidepressants. The Lancet. 392 (10152), pp. 1011-1012. https://doi.org/10.1016/S0140-6736(18)31784-7
Correspondence: Purpose, humility, civility, and science
Kinderman, Peter, Davies, James, Moore, James, Guy, Anne, Read, J., Timimi, Sami and Double, Duncan 2018. Correspondence: Purpose, humility, civility, and science. The Lancet Psychiatry. 5 (12), pp. 964-965. https://doi.org/10.1016/S2215-0366(18)30418-8
The interpersonal adverse effects reported by 1008 users of antidepressants; and the incremental impact of polypharmacy
Read, J., Gee, Aimee, Diggle, Jacob and Butler, Helen 2017. The interpersonal adverse effects reported by 1008 users of antidepressants; and the incremental impact of polypharmacy. Psychiatry Research. 256, pp. 423-427. https://doi.org/10.1016/j.psychres.2017.07.003
Predictors of Staff Attitudes Toward Schizophrenia Treatments
Magliano, Lorenza, Read, J. and Affuso, Gaetana 2017. Predictors of Staff Attitudes Toward Schizophrenia Treatments. Psychiatric Services. 68 (12), pp. 1321-1321. https://doi.org/10.1176/appi.ps.201700257
Testing complex hypotheses using secondary data analysis: is the association between sexual abuse and psychosis moderated by gender in a large prison sample?
Shevlin, Mark, Murphy, Jamie and Read, J. 2015. Testing complex hypotheses using secondary data analysis: is the association between sexual abuse and psychosis moderated by gender in a large prison sample? Journal of Criminal Psychology. 5 (2), pp. 92-98. https://doi.org/10.1108/jcp-02-2015-0009
The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review
Carter, Lucy, Read, J., Pyle, Melissa and Morrison, Anthony P. 2016. The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review. Clinical Psychology and Psychotherapy. 24 (2), pp. 332-347. https://doi.org/10.1002/cpp.2002
Mental health clinicians’ beliefs about the causes of psychosis: Differences between professions and relationship to treatment preferences
Carter, Lucy, Morrison, Anthony P., Pyle, Melissa and Read, J. 2017. Mental health clinicians’ beliefs about the causes of psychosis: Differences between professions and relationship to treatment preferences. International Journal of Social Psychiatry. 63 (5), pp. 426-432. https://doi.org/10.1177/0020764017709849
Child abuse in England and Wales 2003–2013: Newspaper reporting versus reality
Davies, Emma, O’Leary, Erin and Read, J. 2015. Child abuse in England and Wales 2003–2013: Newspaper reporting versus reality. Journalism. 18 (6), pp. 754-771. https://doi.org/10.1177/1464884915610994
Conflict in Mens Experiences With Antidepressants
Gibson, K., Cartwright, C. and Read, J. 2016. Conflict in Mens Experiences With Antidepressants. American Journal of Men's Health. 12 (1), pp. 104-116. https://doi.org/10.1177/1557988316637645
‘Learning how to ask’: Effectiveness of a training for trauma inquiry and response in substance use disorder healthcare professionals
Lotzin, A., Buth, S., Sehner, S., Hiller, P., Martens, M., Pawils, S., Metzner, F., Read, J., Härter, M. and Schäfer, I. 2018. ‘Learning how to ask’: Effectiveness of a training for trauma inquiry and response in substance use disorder healthcare professionals. Psychological Trauma: Theory, Research, Practice, and Policy. 10 (2), pp. 229 -238. https://doi.org/10.1037/tra0000269
Beyond individual therapy
Harper, D. 2016. Beyond individual therapy. Psychologist. 29 (6), pp. 440-445.
Experiencing the ‘surveillance society’
Ellis, D., Harper, D. and Tucker, I. 2016. Experiencing the ‘surveillance society’. Psychologist. 29 (9), pp. 682-685.
Communities, psychotherapeutic innovation and the diversity of international qualitative research in mental health
Harper, D. 2016. Communities, psychotherapeutic innovation and the diversity of international qualitative research in mental health. European Journal of Psychotherapy & Counselling. 18 (4), pp. 401-414. https://doi.org/10.1080/13642537.2016.1260622
Effects of the diagnostic label “schizophrenia”, actively used or passively accepted, on general practitioners’ views of this disorder.
Magliano, Lorenza, Strino, Antonella, Punzo, Rosanna, Acone, Roberta, Affuso, Gaetana and Read, J. 2017. Effects of the diagnostic label “schizophrenia”, actively used or passively accepted, on general practitioners’ views of this disorder. International Journal of Social Psychiatry. 63 (3), pp. 224-234. https://doi.org/10.1177/0020764017695353
Childhood adversity and psychosis: generalised or specific effects?
Longden, Eleanor, Sampson, Maria and Read, J. 2015. Childhood adversity and psychosis: generalised or specific effects? Epidemiology and Psychiatric Sciences. 25 (4), pp. 349-359. https://doi.org/10.1017/S204579601500044X
Improving community mental health services: The need for a paradigm shift
Longden, Eleanor, Read, J. and Dillon, Jacqui 2016. Improving community mental health services: The need for a paradigm shift. Israel Journal of Psychiatry and Related Sciences. 53 (1), pp. 22-30.
General practitioners' beliefs about people with schizophrenia and whether they should be subject to discriminatory treatment when in medical hospital: the mediating role of dangerousness perception
Magliano, Lorenza, Punzo, Rosanna, Strino, Antonella, Acone, Roberta and Read, J. 2016. General practitioners' beliefs about people with schizophrenia and whether they should be subject to discriminatory treatment when in medical hospital: the mediating role of dangerousness perception. American Journal of Orthopsychiatry. 87 (5), pp. 559-566. https://doi.org/10.1037/ort0000217
Stressful events and circumstances reported by patients prior to being prescribed antidepressants
Hartdegen, Morgyn, Gibson, Kerry, Cartwright, Claire and Read, J. 2017. Stressful events and circumstances reported by patients prior to being prescribed antidepressants. New Zealand Medical Journal. 130 (1448), pp. 45-53.
Understanding the long-term effects of childhood adversities: Beyond diagnosis and abuse
Read, J. and Mayne, Rachael 2017. Understanding the long-term effects of childhood adversities: Beyond diagnosis and abuse. Journal of Child and Adolescent Trauma. 10 (3), pp. 289-297. https://doi.org/10.1007/s40653-017-0137-0
Is electroconvulsive therapy for depression more effective than placebo? A systematic review of studies since 2009.
Read, J. and Arnold, C. 2017. Is electroconvulsive therapy for depression more effective than placebo? A systematic review of studies since 2009. Ethical Human Psychology and Psychiatry. 19 (1), pp. 5-23. https://doi.org/10.1891/1559-4343.19.1.5
The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study
Magliano, Lorenza, Schioppa, Giustina, Costanzo, Regina, Petrillo, Miriam and Read, J. 2017. The Opinions of Italian Psychology Students About People Diagnosed with Depression and Schizophrenia: A Comparative Study. Journal of Psychosocial Rehabilitation and Mental Health. 4 (2), pp. 147-157. https://doi.org/10.1007/s40737-017-0087-8
Assessing the Impact and Effectiveness of Hearing Voices Network Self-Help Groups
Longden, Eleanor, Read, J. and Dillon, Jacqui 2017. Assessing the Impact and Effectiveness of Hearing Voices Network Self-Help Groups. Community Mental Health Journal. 54 (2), pp. 184-188. https://doi.org/10.1007/s10597-017-0148-1
Do English mental health services know whether they followed N.I.C.E. guidelines with patients who killed themselves?
Geekie, Jim, Read, J., Renton, Julia and Harrop, Christopher 2017. Do English mental health services know whether they followed N.I.C.E. guidelines with patients who killed themselves? Psychology and Psychotherapy: Theory, Research and Practice. 90 (4), pp. 797-800. https://doi.org/10.1111/papt.12141
Do adult mental health services identify child abuse and neglect? A systematic review
Read, J., Harper, D., Tucker, I. and Kennedy, Angela 2017. Do adult mental health services identify child abuse and neglect? A systematic review. International Journal of Mental Health Nursing. 27 (1), pp. 7-19. https://doi.org/10.1111/inm.12369
Do GPs and psychiatrists recommend alternatives when prescribing anti-depressants?
Read, J., Gibson, Kerry and Cartwright, Claire 2016. Do GPs and psychiatrists recommend alternatives when prescribing anti-depressants? Psychiatry Research. 246 (Dec.), pp. 838-840. https://doi.org/10.1016/j.psychres.2016.10.069
Long-term antidepressant use: patient perspectives of benefits and adverse effects
Cartwright, Claire, Gibson, Kerry, Read, J., Cowan, Ondria and Dehar, Tamsin 2016. Long-term antidepressant use: patient perspectives of benefits and adverse effects. Patient Preference and Adherence. 10, pp. 1401-1407.
Understanding the non-pharmacological correlates of self-reported efficacy of antidepressants
Read, J., Gibson, K., Cartwright, C., Shiels, C., Dowrick, C. and Gabbay, M. 2015. Understanding the non-pharmacological correlates of self-reported efficacy of antidepressants. Acta Psychiatrica Scandinavica. 131 (6), pp. 434-445.
Assessing and Reporting the Adverse Effects of Antipsychotic Medication: A Systematic Review of Clinical Studies, and Prospective, Retrospective, and Cross-Sectional Research
Longden, Eleanor and Read, J. 2016. Assessing and Reporting the Adverse Effects of Antipsychotic Medication: A Systematic Review of Clinical Studies, and Prospective, Retrospective, and Cross-Sectional Research. Clinical Neuropharmacology. 39 (1), pp. 29-39.
In search of an evidence-based role for psychiatry
Read, J., Runciman, Olga and Dillon, Jacqui 2016. In search of an evidence-based role for psychiatry. Future Science OA. 2 (1).
Social Adversity in the Etiology of Psychosis: A Review of the Evidence
Longden, Eleanor and Read, J. 2016. Social Adversity in the Etiology of Psychosis: A Review of the Evidence. American Journal of Psychotherapy. 70 (1), pp. 5-33.
Improving Psychology Students’ Attitudes Toward People With Schizophrenia: A Quasi- Randomized Controlled Study.
Magliano, Lorenza, Rinaldi, Angela, Costanzo, Regina, De Leo, Renata, Schioppa, Giustina, Petrillo, Miriam and Read, J. 2016. Improving Psychology Students’ Attitudes Toward People With Schizophrenia: A Quasi- Randomized Controlled Study. American Journal of Orthopsychiatry. 86 (3), pp. 253-264. https://doi.org/10.1037/ort0000161
‘In my life antidepressants have been…’: a qualitative analysis of users’ diverse experiences with antidepressants
Gibson, Kerry, Cartwright, Claire and Read, J. 2016. ‘In my life antidepressants have been…’: a qualitative analysis of users’ diverse experiences with antidepressants. BMC Psychiatry. 16 (1).
The Influence of Causal Explanations and Diagnostic Labeling on Psychology Students’ Beliefs About Treatments, Prognosis, Dangerousness and Unpredictability in Schizophrenia
Magliano, Lorenza, Read, J., Rinaldi, Angela, Costanzo, Regina, De Leo, Renata, Schioppa, Giustina and Petrillo, Miriam 2015. The Influence of Causal Explanations and Diagnostic Labeling on Psychology Students’ Beliefs About Treatments, Prognosis, Dangerousness and Unpredictability in Schizophrenia. Community Mental Health Journal. 52 (3), pp. 361-369.
Are mental health services getting better at responding to abuse, assault and neglect?
Read, J., Sampson, Maria and Critchley, Christine 2016. Are mental health services getting better at responding to abuse, assault and neglect? Acta Psychiatrica Scandinavica. 134 (4), pp. 287-294. https://doi.org/10.1111/acps.12552
Are older people prescribed antidepressants on the basis of fewer symptoms of depression, and for longer periods of time? A survey of 1825 New Zealanders
Read, J., Gibson, Kerry L and Cartwright, Claire 2016. Are older people prescribed antidepressants on the basis of fewer symptoms of depression, and for longer periods of time? A survey of 1825 New Zealanders. Australasian Journal on Ageing. 35 (3), pp. 193-197. https://doi.org/10.1111/ajag.12314
Are mental health staff getting better at asking about abuse andneglect?
Sampson, M. and Read, J. 2016. Are mental health staff getting better at asking about abuse andneglect? International Journal of Mental Health Nursing. 26 (1), pp. 95-104. https://doi.org/10.1111/inm.12237
The Twin Research Debate in American Criminology
Joseph, Jay, Chaufan, Claudia, Richardson, Ken, Shultziner, Doron, Fosse, Roar, James, Oliver, Latham, Jonathan and Read, J. 2015. The Twin Research Debate in American Criminology. Logos: A Journal of Modern Society & Culture. 15.
A different kind of chemistry? Reformulating 'formulation'
Harper, D. and Moss, Duncan 2003. A different kind of chemistry? Reformulating 'formulation'. Clinical Psychology. 23, pp. 6-10.
The Dynamics of Impersonal Trust and Distrust in Surveillance Systems
Ellis, D., Harper, D. and Tucker, I. 2013. The Dynamics of Impersonal Trust and Distrust in Surveillance Systems. Sociological Research Online. 18 (3), p. 8.
The Affective Atmospheres of Surveillance
Ellis, D., Tucker, I. and Harper, D. 2013. The Affective Atmospheres of Surveillance. Theory & Psychology. 23 (6), pp. 716-731.
Transformative processes of agency: information technologies and the production of digitally mediated selves
Tucker, I., Ellis, D. and Harper, D. 2012. Transformative processes of agency: information technologies and the production of digitally mediated selves. Kultūra ir visuomenė: socialinių tyrimų žurnalas [Culture and Society: Journal of Social Research]. 3 (1), pp. 9-24.
Researching "experience": embodiment, methodology, process
Brown, S. D., Cromby, John, Harper, D., Johnson, K. and Reavey, P. 2011. Researching "experience": embodiment, methodology, process. Theory & Psychology. 21 (4), pp. 493-515.
The complicity of psychology in the security state
Harper, D. 2007. The complicity of psychology in the security state. in: Roberts, R. (ed.) Just war: psychology and terrorism Ross-on-Wye PCCS Books. pp. 15-45
Paranoia: contested and contextualised
Harper, D. and Cromby, John 2012. Paranoia: contested and contextualised. in: Diamond, B., Coles, S. and Keenan, S. (ed.) Madness contested: power and practice Ross-on-Wye PCCS Books.
Uncovering recovery: the resistible rise of recovery and resilience
Harper, D. and Speed, E. 2012. Uncovering recovery: the resistible rise of recovery and resilience. Studies in Social Justice. 6 (1), pp. 9-25.
Beyond evidence-based practice: rethinking the relationship between research, theory and practice
Harper, D., Gannon, K. and Robinson, M. 2013. Beyond evidence-based practice: rethinking the relationship between research, theory and practice. in: Bayne, Rowan and Jinks, Gordon (ed.) Applied psychology: research, training and practice, second edition London SAGE.
Preface: Learning from our work
Harper, D. 2009. Preface: Learning from our work. in: Stedmon, J and Dallos, R (ed.) Reflective practice in psychotherapy and counselling Maidenhead Open University Press.
Clinical psychology in context: a commentary on David Pilgrim’s ‘British clinical psychology and society’
Harper, D. 2010. Clinical psychology in context: a commentary on David Pilgrim’s ‘British clinical psychology and society’. Psychology Learning & Teaching. 9 (2), pp. 13-14.
Tensions and dilemmas in clinical psychology’s relationship with the service user movement
Harper, D. 2010. Tensions and dilemmas in clinical psychology’s relationship with the service user movement. Clinical Psychology Forum. 209, pp. 35-38.
Belief in a just world and attitudes towards mental illness
Harper, D. 2010. Belief in a just world and attitudes towards mental illness. Psychosis. 3 (2), pp. 145-147.
The social context of paranoia
Harper, D. 2011. The social context of paranoia. in: Rapley, M, Moncrieff, J and Dillon, J (ed.) De-medicalizing misery Basingstoke Palgrave Macmillan. pp. 53-65
No, we're not 'all in this together'!
Harper, D. 2011. No, we're not 'all in this together'! Asylum: the Magazine for Democratic Psychiatry. 18 (1), p. 4.
Choosing a qualitative research method
Harper, D. 2011. Choosing a qualitative research method. in: Harper, David J. and Thompson, A.R. (ed.) Qualitative research methods in mental health and psychotherapy Wiley Blackwell.
The tyranny of expert language
Harper, D. 2002. The tyranny of expert language. Open Mind. 113, pp. 8-9.
When the drugs don’t work
Harper, D. 2002. When the drugs don’t work. Open Mind. 114, p. 8.
Moving beyond the tyranny of experts
Harper, D. 2002. Moving beyond the tyranny of experts. Open Mind. 115, pp. 20-21.
Histories of suspicion in a time of conspiracy: a reflection on Aubrey Lewis's history of paranoia
Harper, D. 1994. Histories of suspicion in a time of conspiracy: a reflection on Aubrey Lewis's history of paranoia. History of the Human Sciences. 7 (3), pp. 89-109.
Deconstructing 'paranoia': towards a discursive understanding of apparently unwarranted suspicion
Harper, D. 1996. Deconstructing 'paranoia': towards a discursive understanding of apparently unwarranted suspicion. Theory & Psychology. 6 (3), pp. 423-448.
Some effects of conspiracy thinking and paranoid labelling
Harper, D. 2000. Some effects of conspiracy thinking and paranoid labelling. Clio's Psyche. 7, pp. 112-113.
Delusions and discourse: moving beyond the constraints of the modernist paradigm
Harper, D. 2004. Delusions and discourse: moving beyond the constraints of the modernist paradigm. Philosophy, Psychiatry & Psychology. 11 (1), pp. 55-64.
The critical professional and social policy: negotiating dilemmas in the UK Mental Health Act campaign
Harper, D. 2005. The critical professional and social policy: negotiating dilemmas in the UK Mental Health Act campaign. International Journal of Critical Psychology. 13, pp. 55-75.
Professional accounts of electroconvulsive therapy: a discourse analysis
Stevens, Peter and Harper, D. 2007. Professional accounts of electroconvulsive therapy: a discourse analysis. Social Science & Medicine. 64 (7), pp. 1475-1486.
Mental health teaching to UK psychology undergraduates: report of a survey
Cromby, John, Harper, D. and Reavey, Paula 2008. Mental health teaching to UK psychology undergraduates: report of a survey. Journal of Community & Applied Social Psychology. 18 (1), pp. 83-90.
Learning to use discourse analysis on a professional psychology training programme: accounts of supervisees and a supervisor
Harper, D., O'Connor, Julia, Self, Philip and Stevens, Peter 2008. Learning to use discourse analysis on a professional psychology training programme: accounts of supervisees and a supervisor. Qualitative Research in Psychology. 5 (3), pp. 192-213.
Paranoia: a social account
Cromby, John and Harper, D. 2009. Paranoia: a social account. Theory & Psychology. 19 (3), pp. 335-361.
Narrative therapy, family therapy and history
Harper, D. 2009. Narrative therapy, family therapy and history. Context: A Magazine for Family Therapy and Systemic Practice. 102 (April), pp. 17-18.
Accounting for poverty: from attribution to discourse
Harper, D. 1996. Accounting for poverty: from attribution to discourse. Journal of Community & Applied Social Psychology. 6 (4), pp. 249-265.
Working with young people to challenge discrimination against mental health service users: a psychosocial pilot study
Sholl, Catherine, Korkie, Juan and Harper, D. 2009. Working with young people to challenge discrimination against mental health service users: a psychosocial pilot study. Clinical Psychology Forum. 196, pp. 45-49.
Challenging teenagers’ ideas about people with mental health problems
Sholl, Catherine, Korkie, Juan and Harper, D. 2010. Challenging teenagers’ ideas about people with mental health problems. The Psychologist. 23 (1), pp. 26-27.
The politics of paranoia: paranoid positioning and conspiratorial narratives in the surveillance society
Harper, D. 2008. The politics of paranoia: paranoid positioning and conspiratorial narratives in the surveillance society. Surveillance & Society. 5 (1), pp. 1-32.