Part of my current placement involves working with children experiencing dystonia who are candidates for or who have had deep brain stimulation (DBS). Since I was relatively naive to the concepts, I have read up. DBS seems to be helpful to clients experiencing a range of motor-related physical problems, and is most commonly used with people experiencing Parkinson’s Disease, and more recently people experiencing various forms of dystonia. There are two main subtypes of dystonia: primary (a discrete condition) and secondary (resulting from other conditions such as brain injury). DBS seems to be more effective for people diagnosed with primary dystonia. This might be related to the heterogeneity of the secondary dystonia group. A paper by John Gardner about the history of DBS was helpful in positioning the treatment in a historical and sociocultural context, but some of the assertions in the paper concerned me.
I recently started my specialist placement: children’s neurosciences incorporating paediatric sleep and a complex motor disorders service. It has been fascinating so far, working with new client groups and in a hospital setting, which is novel to me. It has also been a culture shock, hence the title of this post.
A group of course-mates and I recently wrote a letter to the Clinical Psychology Forum in response to issue 256, which was itself a response to the Draft Manifesto for a Social Materialist Psychology of Distress, written by the Midlands Psychology Group. The letter was published in CPF 262. Continue reading for the letter.
This month’s CP forum special (PDF version at this link) has been quite evocative for me. It looks at the ongoing discussions about differences between clinical psychology and psychiatry. I shall outline my thoughts about the special issue below.