Podcaster, writer, advocate, consultant, rabble rouser...
Laura throws Maudsley Myths at the people who wrote the book on Family-Based Treatment. Drs Daniel Le Grange and James Lock are the guests. Full show notes at http://circummensam.com
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Not commenting as anonymous to be anonymous- just can't seem to log in with my seldom used blog. I do note one thing (or think I remember noting one thing) the doctors when asked which families should not do FBT stated that the only ones who shouldn't were those who didn't want to. Great. Except what do clinicians do with those families? In market health economies maybe they just let them go off to find an alternative. If a state system or insurance company is paying for the treatment can they really allow the family to choose a non-evidence based treatment. Will one be available? Fiona Marcella
WEll, that's the question isn't it?! That kind of thing only works if there is a choice, and there is access to care. Our clinicians don't have to solve the family's problem: both sides have to agree to work together. And, of course, some clinicians offer FBT and offer other approaches. But the problem of a health system that only offers one approach is a health system problem that needs fixing. Honestly, I wish we had a health system at all!
Also fascinating, particularly to me as a Brit, is the description of the differences between FBT as manualised by Lock and LeGrange and the work that is continuing in London, England. There's a big drive towards early intervention from community based services (wondering whether I should have put a hyphen in there or not) and a lot of talk about family based care, but it is very rarely manualised FBT by fully trained FBT professionals. It is more likely to be some version of Eisler's work, maybe with the odd kangaroo or dolphin thrown in and importantly it will most likely be delivered by someone whose main past training and belief systems will have been in systemic family work. Some of the descriptions of behavioural techniques even from professional sources such as UCSD make me a little uneasy, partly no doubt because I was too weak to use them but also because I think that non-ed specialists in the UK system might misinterpret them as extreme and that parents using them might get little back up even from their specialist clinicians offering "FBT"
It really is important for us to understand context: of health system, of the alternatives available, and how an idea works culturally!!
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