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• W1416172166 abstract "In reviewing Fulford et al's paper, I declare that I have to open both my mind and emotions as a black male, mental health survival and approved social worker with a doctorate in philosophy. I stress this position because one of the problems of the paper is that the writers fail to declare their identity (values), and how, in collaborations, friendships and professional associations on an informal or formal level, they apply their own values to keeping both eyes open. Consequently they are made absent, which is implicit to the ways science claims objectivity. Their failure to have a patient perspective from the beginning means that they advocate on their behalf, which undermines the whole premise behind their claim for equality in the relationship between the patient and the professional.The power and persuasion of the paper is that it names the problems of social value judgments, and rescues seeing the dysfunction in the individual without really exploring how society values are politically influencing clinical judgements. For example, when using the metaphor of the strawberry in relation to the tensions between factual and evaluative elements, the paper hides the deeper problems when colour is used in relation to humans, particularly black young men who represent the major problems in relation to cultural values and misdiagnosis. So the issue of what is shared or divergent hides the implications of power, especially in relation to white men, which become politically neutral, similar to the presence of the writers throughout this paper.The paper promotes a reality that value based practice is possible despite the failure to see the personal values that become explicit inside the diagnostic label. The failure to examine these values at the outset means that value based practice becomes reactionary as opposed to proactive, because in the process of looking at our values it may be too painful to admit that we corrupt science by personal labelling before the assessment takes place. This embarrassment to our own bias is not discussed in the paper nor is the loss for professionals to truly give to the patient real partnership in a political democracy in which the patient may reveal a perspective that highlights poor practice and injustice. So, whilst the Institute for Mental Health in England (NIMHE) values framework highlights the respect component to the patient, the political and economic pressures placed on the mental health team are not discussed, nor how these pressures influence the four key areas of clinical skills outlined in the paper: raised awareness of values and of value diversity, reasoning skills, knowledge of values and communication skills.The problem implicit throughout the paper then becomes the absence of the writers, and how through their values they construct the imaginary stakeholders to respond to their pre-set questions. So the stakeholders' personal histories have also to be made irrelevant to why they ask the questions and how race, class, gender and other personal variables may be operating in the complexity of values and facts in the assessment process. This enables the authors to reinforce as opposed to refute and retest their position about the real complexity of values and facts from a professional-centred approach.The question by the carer facilitates this defence of romanticising, whilst avoiding to examine the radical personal changes needed to truly move towards a value based practice and to provide evidence of this transition, or to give the accountability to the carer and patient to measure this change. The question on ethical relativism is crucial to the pretence of suggesting that all human values are given equal consideration, which negates the importance of legal considerations when conflicts between the values of patient and psychiatric profession emerge.In conclusion, a delusion is again in practice in that professionals can share their understanding, but not how in their internal worlds they are really assessing and making value judgements about the patient. By using philosophical theories, none of which reflects a non-European/American heritage, this paper gives licence to opening our eyes to values and facts, whilst we may not need to open our hearts and minds." @default.
• W1416172166 created "2016-06-24" @default.
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• W1416172166 date "2005-06-01" @default.
• W1416172166 modified "2023-09-23" @default.
• W1416172166 title "Coloring our eyes." @default.
• W1416172166 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1414747" @default.
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