Dr Selina Tour

Clin Psych, Hypnotherapist & Groupwork Practitioner. Interests: impact of marginalisation/exclusion, de-medicalisation of relational trauma |*All views my own*

[Dr Selina Tour @SelinaTour]

If we could get informed consent and decision making down, perhaps we can ensure women have all the information they need to CHOOSE their care plans.

[Dr Selina Tour @SelinaTour]

If we had a consistent culture of informed consent and decision making at the heart of care then the benefits + risks would always be shared so women can make their own choices around treatment.

My personal exp is informed consent + decision making is massively not practised.

[Ash Paul @pash22]

Intrapartum care: updated summary of @NICEComms guidance https://t.co/XmhhKlUbj8 via @BlottMaggie et al @susan_bewley @jimgthornton @catherineroyuk @drruthannharpur

[Dr Selina Tour @SelinaTour]

That is what worries me most about maternity services.

My exp is I’ve had to always ask for the clinical rationale for options provided to me and remind professionals the choice is mine.

I’ve had options taken away from me without clear clinical reasons based on culture.

[Dr Selina Tour @SelinaTour]

@charlie_psych Yes I like that - the freedom to use it as you please. Protecting the time is important, valuing it as much as MDTs, supervision, line management. Otherwise it can easily be the thing that comes off the list when the work tasks build up which is continuous in services.

[Dr Selina Tour @SelinaTour]

@Shrink_at_Large “Emerging PD” is such an issue as well!!

[Dr Selina Tour @SelinaTour]

@AlanKessedjian This is the difficulty, the ICJ did not call for a halt in war or ceasefire. How different are things since the decision for the people in Gaza

[Dr Selina Tour @SelinaTour]

As a patient, why should I be caught in the crossfire and the be the one to suffer the consequences?

We have a duty to work through these conflicts because they are literally placing our patients at risk.

The time to do this work is not present and without this 🤷🏾‍♀️

[Dr Selina Tour @SelinaTour]

In all the in-house conflict between professional groups be it medics/ PAs, midwives/ medical team on maternity units, psychiatry/anti-psychiatry.

Patients are the ones who have and will continue to face the biggest consequences incl death + outcomes that can be prevented.

[Dr Selina Tour @SelinaTour]

Without this, how will we authentically change cultures and working relationships so patient care is at the forefront.

[Dr Selina Tour @SelinaTour]

@Shrink_at_Large Yes… with how the state of services is becoming normalised culturally + justified too rather than seen as unacceptable + in need of change.

That we’ve normalised referral rejection based rationale of being “too dependent” and detached so much from relational care to cope 🙁

[Dr Selina Tour @SelinaTour]

@charlie_psych He is a wise man in many ways and says many things that I think we can relate to in our line of work.

Makes me think about how we could prevent burnout if we considered meaningful rest as part of the work to make work sustainable.

[Dr Selina Tour @SelinaTour]

@DrAbdullahMia @NHSuk I hope not! Would like to know the answer to this.

[Mohammed Elnaiem @m_elnaiem]

There's something hard for us, children of the colonised, to articulate because the world is upside down. Europe and its descendants, can't differentiate between principle and episode. This is why Germany (and much of Europe) is doomed to be genocidal. Here is what I mean. 🧵

[Tarek Younis @Tarek_Younis_]

1/3
Was asked to speak to mental health professionals about racism within mental health. The well-intended organiser titled it “Decolonising Psychology”
Not to throw shade, but I want everyone to know I DO NOT teach how to “decolonise” mental health. See my response.

[Dr Selina Tour @SelinaTour]

@HughesCK @drjohnjmarshall The love and hate of this platform 😂

[Dr Selina Tour @SelinaTour]

@DrGipps @drjohnjmarshall I think rigidly denying one lens can be just an unhelpful as holding onto one too rigidly. If a client said they felt their psychosis state was an escape from their then reality, if we don’t see any space for psychosis as a functional disorder, would we shut the patient down?

[Dr Selina Tour @SelinaTour]

@HughesCK @drjohnjmarshall Part of recovery though is to work with a person surely about their understanding of their psychosis within their context, all part of relapse prevention and recovery. I don’t think it would be helpful to dismiss trauma in this sense or if a client saw it as serving a function.

[Dr Selina Tour @SelinaTour]

@HughesCK @drjohnjmarshall Yup I’ve been quote tweeted and must have said something controversial! That’s what I mean by holding loosely - rather than holding a rigid understanding which forces everyone into the same box of understanding.

[Dr Selina Tour @SelinaTour]

@D_M_Clark_ Sometime it helps to directly respond to someone’s tweet to better understand what they mean and have a dialogue. I’d appreciate that next time rather than a QT that’s misunderstood my communication. Nowhere did I say recovery and presenting relapse isn’t key.