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Michael Birtwhistle
@SalfordMH
Consultant Community and Rehabilitation Psychiatrist. Rides bicycles. Politically engaged. Likes a good discussion. mas.to/@SalfordMH just in case.
Salford, UK
Joined July 2017
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2,369
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  • Pinned
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    Michael Birtwhistle
    @SalfordMH
    Jun 14, 2018
    The NHS would have been 70 years old on 5th July. Sadly, it was quietly brought to an end on 27th March 2012, just shy of its 64th birthday. Replaced by CCGs on 1st April 2013, a form of Local Health Service of which there are now 195, it survives only as a brand name.
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    Michael Birtwhistle
    @SalfordMH
    Dec 23, 2023
    Who else conscientiously rips out the plastic windows before recycling cardboard packaging?
    51K
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    Michael Birtwhistle
    @SalfordMH
    Aug 14, 2019
    It's traditional in the UK to use a 7inch kitchen knife to eat fried chicken, plunged into each piece from a height. Sadly, it was resulting in a high casualty rate e.g. #thigh2thighSlippage put down to hijinks. Many people couldn't imagine eating chicken any other way.
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    Michael Birtwhistle
    @SalfordMH
    Jan 3, 2023
    Replying to @nateffo and @StefGotBooted
    She looks about 30 in her profile picture, so is she bullying 15 year-olds, or was that her MySpace image and she's actually twice as old and bullying her younger self?
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    Michael Birtwhistle
    @SalfordMH
    Dec 12, 2023
    A consequence of a tame media letting Starmer play politics on easy mode, is that no-one mentions this is overwhelmingly the most corrupt shadow cabinet ever, packed to the brim with cronyism (e.g. free staff from big 4 accountancy firms lobbying from within for their clients).
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    BBC Politics
    BBC News (UK)
    @BBCPolitics
    Dec 12, 2023
    "We'll need to clean up politics" Labour leader Sir Keir Starmer pledges a "total crackdown on cronyism" and adds "nobody will be above the law in a Britain that I lead" bbc.in/48grCYn
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    Michael Birtwhistle
    @SalfordMH
    Mar 25, 2022
    Replying to @gavinmit and @stefmowords
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    Michael Birtwhistle
    @SalfordMH
    Sep 30, 2021
    Saying "we want a mental health worker in every school" is like saying "we want a paramedic at every dangerous road junction." It's all very well offering on-site help but wouldn't we be better asking why schools are traumatising our children and doing something to prevent it?
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    Michael Birtwhistle
    @SalfordMH
    Mar 23, 2024
    Replying to @LaShiz03 @RAWest616758761 and 2 others
    Very clever move because forbidding makes things more attractive.
    20K
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    Michael Birtwhistle
    @SalfordMH
    Mar 28, 2022
    😕 "Joining the debate" #PD2022 to say come on @rcpsych write less sensationalist promotional material. You can draw people in without this casual stigma - it makes me doubt the quality of whoever you've got presenting it (doesn't say).
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    Michael Birtwhistle
    @SalfordMH
    Jul 31, 2020
    That's not gaslighting, that's CBT.
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    virgo vixen
    @dominiqueishigh
    Jul 29, 2020
    An example of gaslighting is when someone is upset over a situation and the other person convinces them they are over reacting and that things aren’t that bad, and the person listens and minimizes their own emotions.
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    Michael Birtwhistle
    @SalfordMH
    Feb 28, 2024
    Replying to @celinedionysus_ and @shockproofbeats
    Willy Macbeth: Is this confectionery I see before me?!
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    Michael Birtwhistle
    @SalfordMH
    Jan 1, 2023
    I'm concerned about how the new #ICD11 "Personality Difficulty" specifiers will be used in practice. It seems to me they will used in a discriminatory way, to label perceived troublemakers/according to the whims of practitioners, & so will do more harm than good.
    Side bar menu from: https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f853711607?view=G0 It lists Personality Difficulty alongside other descriptors like "Inadequate social skills" and "Discord with counsellors".
    Personality Difficulty description from: https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f853711607?view=G0 QE50.7 Personality difficulty Parent QE50 Problem associated with interpersonal interactions Description Personality difficulty refers to pronounced personality characteristics that may affect treatment or health services but do not rise to the level of severity to merit a diagnosis of Personality disorder. Personality difficulty is characterised by long-standing difficulties (e.g., at least 2 years), in the individual’s way of experiencing and thinking about the self, others and the world. In contrast to Personality disorders, these difficulties are manifested in cognitive and emotional experience and expression only intermittently (e.g., during times of stress) or at low intensity. The difficulties are associated with some problems in functioning but these are insufficiently severe to cause notable disruption in...
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    Michael Birtwhistle
    @SalfordMH
    Oct 3, 2023
    It's so weird living in the post-peak-internet world, knowing that by 2010 everything was getting worse about the internet and kids growing up with it will never know how easily everything just worked circa 2007.
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    Zito
    @_Zeets
    Oct 2, 2023
    On how and why google changed the system behind their search engine and how it’s ruined looking up anything now wired.com/story/google-a…
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    Readers added context
    Wired has retracted the quoted article. "WIRED editorial leadership has determined that the story does not meet our editorial standards. It has been removed." wired.com/story/google-a…
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    Michael Birtwhistle
    @SalfordMH
    Jan 20, 2024
    Replying to @Shrink_at_Large
    This will be a big big problem with ICD-11 as it gets rolled out & every clinician is encouraged to apply 'personality difficulty' labels based on generally uninformed and brief impressions. These will go on to cause a lot of harm. We already know this & yet it seems inevitable.
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