{"id":2524,"date":"2020-09-07T14:00:17","date_gmt":"2020-09-07T13:00:17","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=2524"},"modified":"2023-04-21T10:21:27","modified_gmt":"2023-04-21T09:21:27","slug":"from-september-minecraft-as-metaphor-for-uk-depression-guidelines","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/","title":{"rendered":"From September: Minecraft as metaphor for UK Depression Guidelines"},"content":{"rendered":"<p>Appearing in our September issue, Susan McPherson&#8217;s paper, <span class=\"highwire-cite-title\"><a href=\"https:\/\/mh.bmj.com\/content\/46\/3\/162\">A NICE game of Minecraft<\/a>,&#8221;<\/span> addressed the &#8220;p<span class=\"highwire-cite-title\">hilosophical flaws underpinning UK depression guideline nosology.&#8221; <\/span><a href=\"https:\/\/www.essex.ac.uk\/people\/MCPHE54701\/susan-jean-mcpherson\">Dr McPherson<\/a> is a researcher in the field of mental health and social care at the University of Essex in the UK, on Twitter variously as @SMhuirich @HHS_Research @ResearchEssex.<\/p>\n<p><strong>SUMMARY<\/strong><\/p>\n<p>This paper uses Minecraft as a metaphor to explain the philosophical problems with trying to divide up experiences of mental distress into discrete categories. Debates about this often take place between mental health professionals who have different ways of understanding peoples\u2019 problems. These debates often focus on professional practices: psychologists usually \u2018formulate\u2019 problems in the context of a person\u2019s life and background while psychiatrists usually provide a psychiatric diagnosis. A psychiatric diagnosis is a way of labelling and categorising distress. This article looks at how these philosophical problems apply to guideline development, focusing on the UK depression guideline. Developing a national guideline which determines population health care is removed from everyday clinical practice. It is a technical exercise led by researchers dealing with large amounts of research. This paper identifies important philosophical problems with the categories, definitions and sub-types of depression used in the UK guideline. It uses Minecraft as a metaphor to expose the problem, otherwise hidden among thousands of pages of technical documentation. It shows how the guideline, like Minecraft, has built its structures from virtual cuboids divorced from real experience. The resulting recommendations are like the implausible structures in Minecraft: divorced from real world physics.<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Appearing in our September issue, Susan McPherson&#8217;s paper, A NICE game of Minecraft,&#8221; addressed the &#8220;philosophical flaws underpinning UK depression guideline nosology.&#8221; Dr McPherson is a researcher in the field of mental health and social care at the University of Essex in the UK, on Twitter variously as @SMhuirich @HHS_Research @ResearchEssex. SUMMARY This paper uses [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":346,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-2524","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities<\/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\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Appearing in our September issue, Susan McPherson&#8217;s paper, A NICE game of Minecraft,&#8221; addressed the &#8220;philosophical flaws underpinning UK depression guideline nosology.&#8221; Dr McPherson is a researcher in the field of mental health and social care at the University of Essex in the UK, on Twitter variously as @SMhuirich @HHS_Research @ResearchEssex. SUMMARY This paper uses [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-07T13:00:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-21T09:21:27+00:00\" \/>\n<meta name=\"author\" content=\"Brandy Schillace\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Brandy Schillace\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/\"},\"author\":{\"name\":\"Brandy Schillace\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/a7854f381ceccb204624a14afb84e852\"},\"headline\":\"From September: Minecraft as metaphor for UK Depression Guidelines\",\"datePublished\":\"2020-09-07T13:00:17+00:00\",\"dateModified\":\"2023-04-21T09:21:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/\"},\"wordCount\":263,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"keywords\":[\"research\"],\"articleSection\":[\"Journal Announcements\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/\",\"name\":\"From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#website\"},\"datePublished\":\"2020-09-07T13:00:17+00:00\",\"dateModified\":\"2023-04-21T09:21:27+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2020\\\/09\\\/07\\\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"From September: Minecraft as metaphor for UK Depression Guidelines\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/\",\"name\":\"Medical Humanities\",\"description\":\"Providing a space for scholarly intervention into the conversation around medicine, as practice and philosophy, as it engages with humanities and arts.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\",\"name\":\"Medical Humanities\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2017\\\/10\\\/blog-logo-mh.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2017\\\/10\\\/blog-logo-mh.png\",\"width\":300,\"height\":34,\"caption\":\"Medical Humanities\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/a7854f381ceccb204624a14afb84e852\",\"name\":\"Brandy Schillace\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g\",\"caption\":\"Brandy Schillace\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/blog-team\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/author\\\/brandyschillace\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities","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\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/","og_locale":"en_US","og_type":"article","og_title":"From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities","og_description":"Appearing in our September issue, Susan McPherson&#8217;s paper, A NICE game of Minecraft,&#8221; addressed the &#8220;philosophical flaws underpinning UK depression guideline nosology.&#8221; Dr McPherson is a researcher in the field of mental health and social care at the University of Essex in the UK, on Twitter variously as @SMhuirich @HHS_Research @ResearchEssex. SUMMARY This paper uses [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/","og_site_name":"Medical Humanities","article_published_time":"2020-09-07T13:00:17+00:00","article_modified_time":"2023-04-21T09:21:27+00:00","author":"Brandy Schillace","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Brandy Schillace","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/"},"author":{"name":"Brandy Schillace","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#\/schema\/person\/a7854f381ceccb204624a14afb84e852"},"headline":"From September: Minecraft as metaphor for UK Depression Guidelines","datePublished":"2020-09-07T13:00:17+00:00","dateModified":"2023-04-21T09:21:27+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/"},"wordCount":263,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#organization"},"keywords":["research"],"articleSection":["Journal Announcements"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/","url":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/","name":"From September: Minecraft as metaphor for UK Depression Guidelines - Medical Humanities","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#website"},"datePublished":"2020-09-07T13:00:17+00:00","dateModified":"2023-04-21T09:21:27+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/09\/07\/from-september-minecraft-as-metaphor-for-uk-depression-guidelines\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/medical-humanities\/"},{"@type":"ListItem","position":2,"name":"From September: Minecraft as metaphor for UK Depression Guidelines"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#website","url":"https:\/\/blogs.bmj.com\/medical-humanities\/","name":"Medical Humanities","description":"Providing a space for scholarly intervention into the conversation around medicine, as practice and philosophy, as it engages with humanities and arts.","publisher":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/medical-humanities\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#organization","name":"Medical Humanities","url":"https:\/\/blogs.bmj.com\/medical-humanities\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2017\/10\/blog-logo-mh.png","contentUrl":"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2017\/10\/blog-logo-mh.png","width":300,"height":34,"caption":"Medical Humanities"},"image":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#\/schema\/person\/a7854f381ceccb204624a14afb84e852","name":"Brandy Schillace","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/7268db9a804efa89e7c5882e40fe514d8f69a121b525fb5c64739b36413cb1c7?s=96&d=mm&r=g","caption":"Brandy Schillace"},"sameAs":["https:\/\/blogs.bmj.com\/medical-humanities\/blog-team\/"],"url":"https:\/\/blogs.bmj.com\/medical-humanities\/author\/brandyschillace\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/posts\/2524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/users\/346"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/comments?post=2524"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/posts\/2524\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/media?parent=2524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/categories?post=2524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/medical-humanities\/wp-json\/wp\/v2\/tags?post=2524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}