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toymango's profile
Tanmoy
Tanmoy
Tanmoy
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TanmoyVerified account

@toymango

User-survivor | Building @SanityByTanmoy | Donate: http://pages.razorpay.com/SupportTanmoy  | @newmarkjschool Creators Program 2021 | He/him | No medical advice

New Delhi
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Joined May 2009

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    Tanmoy‏Verified account @toymango 1 Aug 2020

    📢*HUGE* @TheLancetPsych, one of the most powerful journals in the world, is calling game over for "global mental health" as we know it. Just *HOW BIG* could this be? Imagine if McKinsey called game over for capitalism as we know it (and meant it). 🧵 + https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30348-5/fulltext …

    3:00 am - 1 Aug 2020
    • 33 Retweets
    • 66 Likes
    • Lynne Myfanwy Jones Ragnhild Dybdahl Matt Alan Andrea Sturm Kate Miller Álvaro López Vaishali Pandiyen Rory Simon Rosenbaum
    2 replies . 33 retweets 66 likes
      1. New conversation
      1. Tanmoy‏Verified account @toymango 1 Aug 2020

        Tanmoy Retweeted The Lancet Psychiatry

        Quick recap of what brought @TheLancetPsych here. Recently, it published a position paper on "global mental health" in the context of the pandemic. Except the paper wasn't really "global". It had 25 authors - *almost all from rich countries*. +https://twitter.com/TheLancetPsych/status/1284134951408082954?s=19 …

        Tanmoy added,

        The Lancet PsychiatryVerified account @TheLancetPsych
        "The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings" NEW Position Paper: How #mentalhealth care should change as a consequence of the #COVID19 pandemic https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30307-2/fulltext …
        1 reply . 3 retweets 11 likes
        Show this thread
      2. Tanmoy‏Verified account @toymango 1 Aug 2020

        .@MajiHailemariam @netshrink et al immediately called out the appalling miss, which is a symptom of a larger problem: Psychology/psychiatry have long been under the thumb of a tiny, exclusive western club. My newsletter for @The_Corres explained this: +https://thecorrespondent.com/609/dear-western-mental-health-experts-stop-calling-yourselves-global/80621902284-6d2fb7a6 …

        2 replies . 3 retweets 16 likes
        Show this thread
      3. Tanmoy‏Verified account @toymango 1 Aug 2020

        Public health conversations monopolised by rich countries = silly, one-sided narratives on topics like social distancing, ignoring the reality of, say, India or Nigeria. 👉🏿My colleague @olutimehin's piece from Lagos: https://thecorrespondent.com/378/why-social-distancing-wont-work-for-us/50041180728-3862bf28 … 👉🏿My piece: https://thecorrespondent.com/395/in-a-country-of-1-3-billion-space-isnt-just-scarce-its-taboo-try-squaring-that-with-a-pandemic/52291710020-c9c1ebbd … +pic.twitter.com/H2sp2OMqos

        1 reply . 0 retweets 8 likes
        Show this thread
      4. Tanmoy‏Verified account @toymango 1 Aug 2020

        This nexus of rich countries is dangerous in mental health because it wipes out critical local socio-cultural factors. Ironically, the so-called "global mental health movement" has ended up doing just this, basically as a "front for pharma companies": +https://en.m.wikipedia.org/wiki/Global_mental_health …

        2 replies . 3 retweets 12 likes
        Show this thread
      5. Tanmoy‏Verified account @toymango 1 Aug 2020

        .@ethanwatters1 has written a fabulous book on how western money + academic influence + Big Pharma created a vicious system in which an ever increasing number of "mental illnesses" are exported from the west to the rest of the world. +pic.twitter.com/zac4p8nTkH

        1 reply . 3 retweets 15 likes
        Show this thread
      6. Tanmoy‏Verified account @toymango 1 Aug 2020

        When the world listens to rich indigenous wisdom on even complex conditions like schizophrenia, we all win. We @The_Corres commissioned the talented American writer Stephanie Leguichard, who did a great job of highlighting the work of @scarf_india etc: +https://thecorrespondent.com/407/people-not-pills-what-the-west-can-learn-from-developing-countries-about-treating-mental-illness/53880318932-07966bfc …

        3 replies . 8 retweets 13 likes
        Show this thread
      7. Tanmoy‏Verified account @toymango 1 Aug 2020

        It was in this context that @TheLancetPsych's omission of voices from low/middle income countries in its global mental health position paper after Covid sparked outrage. Remember, the pandemic and the narrative of 'borders don't matter' already pose a threat to local knowledge.+

        1 reply . 0 retweets 4 likes
        Show this thread
      8. Tanmoy‏Verified account @toymango 1 Aug 2020

        In its latest editorial, @TheLancetPsych acknowledges all these problems and promises to #DoBetter. It acknowledges @MajiHailemariam and @netshrink's exhortations. It commits to promoting - greater diversity in research - questioning who benefits from this research +pic.twitter.com/GmzCNCviM0

        1 reply . 2 retweets 11 likes
        Show this thread
      9. Tanmoy‏Verified account @toymango 1 Aug 2020

        As an editor-turned-reporter, I also appreciate the fact that editors have taken responsibility for this lapse. To give credit where it's due, co-authors of the paper, such as @viscidula, did step forward to take responsibility and promised to do better. +pic.twitter.com/t4SCkNRNeA

        2 replies . 0 retweets 4 likes
        Show this thread
      10. Tanmoy‏Verified account @toymango 1 Aug 2020

        Tanmoy Retweeted Dr Duleeka Knipe (EBI VC fellow)

        To be sure, one journal editorial can achieve only so much. As @Dee_Knipe says, it remains to be seen how @TheLancetPsych will *implement* its promises. But for starters, this is a big, exciting shake-up for global mental health. Cheers to that 🙌🏿 <Fin>https://twitter.com/Dee_Knipe/status/1289206281887076353?s=19 …

        Tanmoy added,

        Dr Duleeka Knipe (EBI VC fellow) @Dee_Knipe
        Nice to see this, but let's see how practical it'll be. "increase(ing) our scrutiny of authorship contribution forms and statements" to ensure appropriate credit-but if credit isn't given how will you even know? The power imbalances are real & I fear will cont. https://twitter.com/TheLancetPsych/status/1289126516404695040 …
        4 replies . 1 retweet 11 likes
        Show this thread
      11. Tanmoy‏Verified account @toymango 1 Aug 2020

        PS: The fight against dogma and western hegemony in psychiatry has lessons for us all. This whole episode proves that if you speak with facts and conviction - and speak again and again - you *CAN* get even the most monolithic power centres to listen and change things. 👏🏿👏🏿👏🏿

        1 reply . 4 retweets 23 likes
        Show this thread
        12. End of conversation

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