{"id":1000,"date":"2014-11-06T22:01:14","date_gmt":"2014-11-06T21:01:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc\/?p=1000"},"modified":"2014-11-06T22:51:18","modified_gmt":"2014-11-06T21:51:18","slug":"should-we-stand-up-for-parity-of-esteem-wherever-we-see-it","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/","title":{"rendered":"Should we stand up for parity of esteem wherever we see it?"},"content":{"rendered":"

\"\"We have worried on here about parity of esteem between physical and mental ill health previously, and there’s a generally increasing feel that we health types should be\u00a0whistleblowers when we see foul play.<\/p>\n

So if we see an example of\u00a0mental ill health being\u00a0treated poorly in\u00a0comparable to physical illness, should we be blowing a whistle on that too?<\/p>\n

<\/p>\n

Two examples spring to mind. One comes from\u00a0the most recent series of Doctor Who<\/a>, a BBC primetime family show about a time-travelling alien, his friends and his magic box. In this episode, the adventure involves a child with auditory and visual hallucinations, who is clearly terrified by them, and is on ‘medication’. On learning of the treatment, the Doctor states to his companion, Clara<\/p>\n

\u201cYou people, you never learn … \u00a0<\/em>If a child is speaking, listen to it.\u201d<\/em><\/p><\/blockquote>\n

and explicitly rejects the use of psychiatric medication. That idea,\u00a0while creatively cliched, is an rejection of parity of esteem. As Tansy Rayner Roberts<\/a> put it<\/p>\n

“You wouldn’t have <\/em>[the hero] telling kids with asthma to throw away their inhalers”<\/em><\/p><\/blockquote>\n

The second comes from admissions of young people with overdose \/ self-harm. The group-think response, reported by a colleague, remains that such events are a waste of medical time. Even worse – I think for all concerned – is the occasional housing of such folk on teenage oncology wards. I assume that placing folk at an emotionally vulnerable time alongside those with a physical life-threatening illness will be detrimental.<\/p>\n

So if we see an example of\u00a0mental ill health being\u00a0treated poorly in\u00a0comparable to physical illness, should we, child health professionals, be blowing a whistle on that too, regardless of its’ arena?<\/p>\n

– Bob Phillips<\/p>\n","protected":false},"excerpt":{"rendered":"

We have worried on here about parity of esteem between physical and mental ill health previously, and there’s a generally increasing feel that we health types should be\u00a0whistleblowers when we see foul play. So if we see an example of\u00a0mental ill health being\u00a0treated poorly in\u00a0comparable to physical illness, should we be blowing a whistle on […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2681],"tags":[],"class_list":["post-1000","post","type-post","status-publish","format-standard","hentry","category-practice-of-medicine"],"yoast_head":"\nShould we stand up for parity of esteem wherever we see it? - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Should we stand up for parity of esteem wherever we see it? - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"We have worried on here about parity of esteem between physical and mental ill health previously, and there’s a generally increasing feel that we health types should be\u00a0whistleblowers when we see foul play. So if we see an example of\u00a0mental ill health being\u00a0treated poorly in\u00a0comparable to physical illness, should we be blowing a whistle on [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/\" \/>\n<meta property=\"og:site_name\" content=\"ADC Online Blog\" \/>\n<meta property=\"article:published_time\" content=\"2014-11-06T21:01:14+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-11-06T21:51:18+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/bob_phillips.allmail.net\/drwho.jpg\" \/>\n<meta name=\"author\" content=\"Bob Phillips\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bob Phillips\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/\"},\"author\":{\"name\":\"Bob Phillips\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\"},\"headline\":\"Should we stand up for parity of esteem wherever we see it?\",\"datePublished\":\"2014-11-06T21:01:14+00:00\",\"dateModified\":\"2014-11-06T21:51:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/\"},\"wordCount\":298,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"articleSection\":[\"practice of medicine\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/\",\"name\":\"Should we stand up for parity of esteem wherever we see it? - ADC Online Blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\"},\"datePublished\":\"2014-11-06T21:01:14+00:00\",\"dateModified\":\"2014-11-06T21:51:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/2014\\\/11\\\/06\\\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Should we stand up for parity of esteem wherever we see it?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"name\":\"ADC Online Blog\",\"description\":\"Education, debate, and meandering thoughts on child health, using evidence and research.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#organization\",\"name\":\"ADC Online Blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/files\\\/2017\\\/10\\\/blog-logo-adc.png\",\"width\":285,\"height\":34,\"caption\":\"ADC Online Blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/#\\\/schema\\\/person\\\/9e94029681ecf36e73bbd1eb2be2ef94\",\"name\":\"Bob Phillips\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g\",\"caption\":\"Bob Phillips\"},\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/adc\\\/author\\\/bphillips\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Should we stand up for parity of esteem wherever we see it? - ADC Online Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/","og_locale":"en_GB","og_type":"article","og_title":"Should we stand up for parity of esteem wherever we see it? - ADC Online Blog","og_description":"We have worried on here about parity of esteem between physical and mental ill health previously, and there’s a generally increasing feel that we health types should be\u00a0whistleblowers when we see foul play. So if we see an example of\u00a0mental ill health being\u00a0treated poorly in\u00a0comparable to physical illness, should we be blowing a whistle on [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/","og_site_name":"ADC Online Blog","article_published_time":"2014-11-06T21:01:14+00:00","article_modified_time":"2014-11-06T21:51:18+00:00","og_image":[{"url":"http:\/\/bob_phillips.allmail.net\/drwho.jpg","type":"","width":"","height":""}],"author":"Bob Phillips","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Bob Phillips","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/"},"author":{"name":"Bob Phillips","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94"},"headline":"Should we stand up for parity of esteem wherever we see it?","datePublished":"2014-11-06T21:01:14+00:00","dateModified":"2014-11-06T21:51:18+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/"},"wordCount":298,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"articleSection":["practice of medicine"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/","url":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/","name":"Should we stand up for parity of esteem wherever we see it? - ADC Online Blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/adc\/#website"},"datePublished":"2014-11-06T21:01:14+00:00","dateModified":"2014-11-06T21:51:18+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/adc\/2014\/11\/06\/should-we-stand-up-for-parity-of-esteem-wherever-we-see-it\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/adc\/"},{"@type":"ListItem","position":2,"name":"Should we stand up for parity of esteem wherever we see it?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/adc\/#website","url":"https:\/\/blogs.bmj.com\/adc\/","name":"ADC Online Blog","description":"Education, debate, and meandering thoughts on child health, using evidence and research.","publisher":{"@id":"https:\/\/blogs.bmj.com\/adc\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/adc\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/adc\/#organization","name":"ADC Online Blog","url":"https:\/\/blogs.bmj.com\/adc\/","logo":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","contentUrl":"https:\/\/blogs.bmj.com\/adc\/files\/2017\/10\/blog-logo-adc.png","width":285,"height":34,"caption":"ADC Online Blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/adc\/#\/schema\/person\/9e94029681ecf36e73bbd1eb2be2ef94","name":"Bob Phillips","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/9ce6165c429dd8d36e6532db799ebe58e6f9c614c44e05e60d553e4bac662441?s=96&d=mm&r=g","caption":"Bob Phillips"},"url":"https:\/\/blogs.bmj.com\/adc\/author\/bphillips\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1000","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/comments?post=1000"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/posts\/1000\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/media?parent=1000"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/categories?post=1000"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/adc\/wp-json\/wp\/v2\/tags?post=1000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}