04/11/2025
Altered states or 'psychosis' are always written about in the MH industry as states that should be changed or got rid of. This reductionist position only exists in century old constructs that have served the discourse of those in moral authority.
Whenever I read on LinkedIn or other sites about psychosis, there is an underlying, even when not overt, sense that 'we just know' about psychosis. This is disempowering and at odds with the rhetoric of compassionate modern discourse of shiny organisations.
Imagine the emancipation, responsibility and freedom that would be available to all if we could shift from the underlying, unsubstantiated religious style ideology about psychosis.
In reality we might observe and value the following reality:
'There is a need for a paradigm shift that sees an alternative reality as a primary function to resist nihilation, rather than being classified as an illness. This allows us not to have “goals” or consider “treatment” and allows the person to be seen as functionally responding to unconscious threat of nihilation. It places the “psychotic” person as having the same basic human insecurity, and response, that is shared and navigated by all beings...
Interconnectedness, that occurs through the process of growth within a loving, nongoal–orientated relationship, leads to a negation of the need for an altered state to exist to defend the threat of nihilation in the person experiencing “psychosis,” and the person in a “nonpsychotic” state to resist the attempt to change the legitimate reality the other person is experiencing. The ensuing changes to the liminal space occupied by a person said to be in a “psychotic” state, when being together in a coexisting same experience, can lead to mutual growth and the evaporation of the so labelled “psychotic” state. This demonstrates the “psychotic” experience is more consistent with a dissociative response to threat in relationship and could be reframed as a “Dissociachotic”—a form of dissociation that has been mislabelled as a unique condition of “psychosis” due to its specific representation of creating safety for a person experiencing threat in relationship.' (Ball & Picot, 2023)