Charlie Jones
@charliepsych.bsky.social
2K followers 1.4K following 1.5K posts
Clinical psychologist in an acute hospital. NHS. Person-centred care. Relationships & dialogue in healthcare. Health creation. Appreciation of simple things. I'm a dad. Identical twins🤍🤍 Living in Bristol #SpacesForListening
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charliepsych.bsky.social
Here's a 25min video about #SpacesForListening

vimeo.com/1033441520?s...

Thanks to @susanresurgence.bsky.social for a lovely conversation with @brigidrussell51 & me.

And thanks to all you wonderful souls who have come to #SpacesForListening over the last 4 years. The fire's still burning bright.
'Spaces for listening': Conversations with Contributors: Brigid Russell and Charlie Jones
A conservation between Editor of The Resurgence & Ecologist Magazine, Susan Clarke and contributors Brigid Russell and Charlie Jones. Read the article:…
vimeo.com
charliepsych.bsky.social
Paying attention, being present, noticing... all valuable. There's so much there, every day, if we can slow down & tune into it.
Best wishes👋
charliepsych.bsky.social
Hello, jumping in...

A concern I have is that the need for psychological thinking in the care of people with long term conditions is getting unhelpfully conflated with 'mental health'. Obvsly, this is important too, but these are 2 different things, & there's poor understanding of this.
charliepsych.bsky.social
When multi-professional working goes well, it makes such a difference for quality of care. It's not just about communicating diverse views (though obvsly this is extremely useful), it also creates a sense of coherence around a person's care- it gives a person confidence & a feeling of being held.
Reposted by Charlie Jones
drlizamorton.bsky.social
My new book 'Beyond the Medical Gaze: Practicing Psychologically Informed Healthcare' is NOW AVAILABLE ONLINE from @oxunipress.bsky.social
Available in print from 28 Nov 25.
Download: academic.oup.com/book/61406

#booksky #medsky #psychsky #chronicillness #healthcare #livedexperience
Beyond the Medical Gaze: Practicing Psychologically Informed Healthcare
Abstract. Long-term health conditions (LTCs) affect one-third of the global population and are associated with a heightened risk of depression, anxiety, me
academic.oup.com
charliepsych.bsky.social
Hi👋It's hard to explain the state of constant threat & exhaustion, & in that context you're trying to parent as well as you can. I was glad it represented the common reality of parents (usually mums) having to give up careers, & having no life. The grief & isolation, & its impact on mental health.
charliepsych.bsky.social
Felt validating seeing Panorama tonight- how the constant fighting for your kids' education needs just breaks parents.

Good on those families who told their stories.

"99% of cases in England that reach tribunal are won by families"

Such a strong indicator of a totally brutal, inhuman system.
charliepsych.bsky.social
Think thatd be an interesting study Annie to track over time what the unbearable things are. I think Schwartz was focused on unbearable clinical scenarios wasnt he? But as you say, often now the unbearable is inequity, political nonsense & powerlessness, racism, moral injury- all part of our context
charliepsych.bsky.social
Getting a life-limiting diagnosis is such a personal thing, & if we want to be supportive it's important to hear where someone's at- to be there, & be open to going with the flow. There's no right way. Sometimes it's about information, sometimes it's about feelings, sometimes it's just normal chat.
charliepsych.bsky.social
Ohh I remember that. I remember exactly where I was sitting in my house. Thank you for that experience 🤩
charliepsych.bsky.social
Really like the mention of agency & the millions of people both 'inside & outside the NHS' who we know can & will be highly creative & motivated if given freedom & backing. There is enormous richness here.

To free this up, do we need to accept variation as local people come up with local solutions?
Reposted by Charlie Jones
drstevetaylor.bsky.social
TAKE A SEAT

Government believes that simply attaching the words 'online', 'digital' or 'virtual' to any NHS problem instantly solves it, those actually working within the NHS know that the opposite applies

Face to face, human interaction with the right tools is the best answer
charliepsych.bsky.social
Wow Mike that's quite some response, thank you. I hear it as something about inner light, & its continuity & quiet determination. Thank you.
charliepsych.bsky.social
I've become jaded by attempts to 'influence strategy' as having any meaningful impact on what actually happens in how healthcare is experienced. Too much emphasis & energy goes into strategy, & there's too little appreciation for just actually engaging in quality clinical work- THIS is what matters.
charliepsych.bsky.social
Jenny👋 thanks yeah I know of MITUK, I remember from twitter. Take my hat off to people who offer challenge to dominant narratives in 'mental health'. I couldnt work in mh again, it'd make me ill. Working as a psychologist in physical health feels do-able & like it's possible to make some difference.
charliepsych.bsky.social
As clinical psychologists we get tons of training & supervision over years. There's a huge literature, psychological theories for everything.

But in practice, often the most important things we can offer are to listen, to take people seriously, & try to understand what's going on & what might help.
charliepsych.bsky.social
Well, i'll keep my opinions to myself here. But you know what i am thinking. Fingers crossed for you you get the help you need v soon
charliepsych.bsky.social
uh gosh Sarah that's so much waiting. And i know you'll be so understanding of the pressures the team are under, but equally this is your health & it's legitimate to want to get on with it. I say a lot atm to patients: "it shouldnt be like this but people who shout loudest tend to get responded to"😬
charliepsych.bsky.social
Definitely, & happens a lot i think.
This could easily be identified as a line NOT to say in HCPs training...
charliepsych.bsky.social
Hi Sarah, this is hard to read & I'm so sorry. It resonates, I've seen that too in the context i work in. The gradual erosion of hope, a growing sense that 'you're on your own with this'. Totally makes sense that people would give up. And this is about the *services*, not the health condition. Bw
charliepsych.bsky.social
Hey Ruth, oh yeah definitely. And even the comment "oh you're looking well", intended to be encouraging, but just creates more disconnection & misunderstanding. The health conditions are frustrating & annoying, but the 'navigating services' bit just adds unnecessary stress I'm sorry to say..
charliepsych.bsky.social
Yeah, layer on layer that further complicates what's already a distressing situation, & makes it so hard to know where/how to help. I'm sorry it's like this Jenny- but yeah, important to face the reality as it is. Best wishes to you 👋
charliepsych.bsky.social
There's the grief & loss involved in living with a chronic condition- that's one thing. But too often this is compounded by services not being able to help in a timely way. So people are not only dealing with the condition, but also the headache & stress of trying to get help. And that's very tough.
charliepsych.bsky.social
I really remember some groundbreaking work from Jocelyn around the time of the Francis Report, 2013ish, before anyone was really talking about Staff Wellbeing - she was totally ahead of the times. it's sad.
charliepsych.bsky.social
Hi Tom, lovely to hear from you. What you thinking?

We have well-intended things that can inadvertently de-humanise. eg aspects of professionalism that avoid feelings; seeking 'standardisation' to be efficient & fair, but we lose individual context; risk processes for safety, but we lose listening.