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This was enlivening to read -- both the PTMF document and the critique of it. I'm not in the medical field and came to this Substack as a psychiatric consumer, with interest both in psychiatry and in alternative frameworks. I want to note that reading the linked material about PTMF, I see in multiple places the statement that they AREN'T interested in replacing all preexisting frameworks, like in this Summary chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://cms.bps.org.uk/sites/default/files/2022-07/PTM%20Summary.pdf and these slides chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://cms.bps.org.uk/sites/default/files/2022-09/PTM%20Framework%20-%20January%202018%20Meeting%20Slides.pdf.

As a co-occurring narrative, it doesn't seem harmful and might instead be empowering, and I like the idea of including more of a social context.

On the other hand, though, it seems to me that if a person shows up with a particular symptom, like grandiose thinking that's impairing their social function and endangering them, it seems much harder to attribute this to a particular pattern in the past than it does simply to identify what's presented. I'm not sure all symptoms or behaviors are traceable to an earlier imprint or to a coping skill -- I think there's more randomness in the universe than that.

Anyway, I should go back to my own work, I just wanted to share that I'm reading!

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