The ladder of participation

Yesterday I asked the President of the Royal College of Psychiatrists:

“I was wondering when the planned meeting to consider the shared experience of long term antidepressant prescribing, and the potential for dependence and withdrawal, is to go ahead? I had understood it was to be this month? It would be helpful to share this publicly and make it open to all.”

The President of the Royal College of Psychiatrists replied that this meeting had already taken place. I am not aware of anyone who had been invited.

In my view, the “ladder of participation*” should find openness (light) and ethics (morality) at the the top of any ladder.

However, why should it be that we need to climb a ladder to gain ‘informed consent’ in reaching towards ‘realistic medicine’?

*Sherry Arnstein: 'A Ladder of Citizen Participation', JAIP, Vol. 35, No. 4, July 1969, pp. 216-224.


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