UK Physios

[Calyx72]

Please sign into CSP and look at the new iCSP discussion "Stonewall and the CSP"

A great thread beginning and agreement that stonewall are problematic and women's rights are being overlapped by male rights

Then a HUGE ESSAY by a TRA

I am astounded by the idea that we should want our patients to go away thinking they've had a "great time" wtaf?? I work in resp & I've got bronchiectasis. Now I could share that with all my patients but I don't because I'm professional & they don't need me to do that to feel happy with my care. FFS this is insane

If I was his manager I'd think the idiot has a need of training on BASIC core skills.

"had a good time" is not a valid treatment goal outcome. Is he measuring that by how sexually aroused the patient is?

I say that because I saw his twitter before he deleted it. I heard from someone at a previous employer that he wears leather shoes at work and make sure that everyone notices - "look at my leather shoes. I like leather. I like to polish my leather". If I had a red flag I wouldn't offer to use it to polish his choice of workwear.

hope you are feeling well, @northender

Thats an important point - I have lots of things which are personal and none of my patients know any of them because I am good at my job and can manage to make the half an hour that is all the time they have to access help ALL ABOUT THEM.

I got a telling off for having my hair in a french plait and the plait was touching my collar, it had to be tucked up because of uniform rules. And this person has blue hair and a fetish in the workplace?

"I’ve been able to assert my working-class background, my socialist mentality, my LGBT+ identity" says to me that he spends all his time banging on about Jeremy Corbyn and his leather fetish, whether his coworkers want to listen to it or not.

I don't know about how to talk to each other securely.

How about a joint letter to CSP around the transphobia definition?

I'll start:

The definition of transphobia is whatever Jack Holyroyde says it is. If I get it wrong he'll say I'm a hateful bigot and frigid. I have read his twitter and I listened to some of his podcast and he tells me that saying anything that a trans person doesn't want to hear is transphobic. He thinks that leather is erotic and wee and hurting people.

To clarify, it's Jack with the fetish not Jeremy. (As far as I know!)

"If you don't bring your whole self to work you're doing yourself and you're doing your patients a disservice" ...I think that's the quote?

Au contraire, I teach my students and junior staff, that boundaries are fundamental and so important in clinical care.

You leave your "stuff" outside the room.
I am here at the service of my patient, not to seek any solace, confirmation, validation, or even gratitude from them.
There is a very refined but utterly important difference between being self-aware and self-understanding; vs being selfish enough to bring your issues into the treatment session.

I feel quite angry at the thought that this might be being promoted as a "good thing" in clinical practice.

That ridiculous article is on the website now and comments are open. There's an interview with another gay physio which is fine but JH is an idiot.
https://www.csp.org.uk/frontline/article/being-your-whole-self-work

He displays the typical narcissistic characteristics that are so prevalent in advocates of gender ideology. It's all 'me' and 'my lived experience' and everyone needs to accept me and my opinions, beliefs and sexual proclivities. Where is the patient in all of this? As another poster said they are not there to validate you, and yes absolutely @HilarysMantelpiece I completely agree, there is a distinct lack of boundaries.

Is anyone doing this transphobia definition?

can we spread it ? Deadline tomorrow?

@tonybasil yes I’m not psychiatrist but this person is unable to see that it’s not about him

Me. I will share on my anonymous twitter page. Not sure what else to do though. If each of us contributes separately then they do have to read them at least.

This looks good but seems to be for England and I am in Scotland

Not a physio, but I am amazed at this idea that the patient wants to engage with the physio as themselves/their whole self. The opposite is often true, and depending on the patient's character/age esp in relation to the physio involved/etc this approach would be detrimental to the treatment and potentially excluding of the patient. Physio treatment can easily make a patient feel exposed - both physically and psychologically - embarrassed, etc. Many patients will need distance between them and the professional, in order to concentrate on the treatment and keep some feeling of bodily and personal separateness/integrity.

Where on earth do they get the evidence for their assertions? How are they collecting this information from the patient group?

"If we’re not bringing ourselves to work, then queer patients are not getting that from anyone. Or, even worse, they’re having to mask and pretend and lie in order to feel like they have any kind of rapport, in order to feel like they’re welcome in that clinic space."

I just think this is untrue for the vast majority of patients.

@Mmmnotsure thank you and that's how I feel as well.

Sorry to be hogging the thread, but this is absolute bllcks.

I am extremely professional in my interactions and I know from feedback that the one thing my patients really value is that they feel they can be themselves regardless of their religion, sexual-orientation, nationality, country of origin, learning capacity, disability, presence or absence of limbs/scarring/trauma-responses etc etc etc ad infinitum.

Any failure of rapport is an error on the part of the clinician, not the client.

If I, as a clinician, display overt signals of my sexual orientation/ religion/ politics etc etc etc then I risk alienating the client.... and that is on me.
I need to be a blank, empathetic canvas on which they can project their own fears, worries, concerns, pain, distress ...knowing that I can safely carry it without bringing any of my own issues into it.

I am really really quite annoyed that this crap infects Physiotherapy, Educational Psychology, Occupational Therapy, Speech & Language Therapy.

I agree, @HilarysMantelpiece

This person needs some training to improve his core skills.

I am astonished that he is being given a platform in the way he is. If he was on my staff I'd be concerned about his basic ability to do an assessment and certainly wouldn't trust him to speak, even to do a staff in service. I'd ask his line manager to do audit his notes and then gently suggest a bit less self expression might be useful.

I wouldn't be allowing this.

I absolutely agree.
In my mind this is the 'box of professionalism' that he was so dismissive of. It is being that blank canvas, being neutral, having boundaries, holding the therapeutic space for the patient. Because that is what we are here for, not some kind of self publicity exercise.

Yup tony.
The sneer at the box of professionalism 🙄as if one were better than that- it's there to protect the patient and the clinician.
Unfortunately, the helping professions including fire and police, and ambulance, attract people who use the patient/client to validate their own needs. We have to be super alert to it (particularly in a psychotherapeutic type setting...transferance anyone?).

THE PATIENT IS NOT HERE AS A SUPPLY FOR THE CLINICIAN. end of

I completely agree with @HilarysMantelpiece @vivariumvivariumsvivaria and @tonybasil

How can the gulf between how we feel and how our union wants us to act, be so huge?

They need to speak to patients about this not LGBTQIA+ physiotherapists

I'm also pretty sure that not every LGBT physio feels the same way as Jack. You shouldn't have to hide your sexuality in the workplace or put up with micro or major aggressions but that's a different issue. There's never any need to broadcast your fetish in a professional environment!

Christ, and this from RCN today https://www.rcn.org.uk/magazines/Opinion/2022/May/Conversations-about-gender-and-pronouns-are-vital-to-patient-care

By a nurse who previously won a diversity and inclusion award for raising awareness of the importance of pronouns https://www.rcn.org.uk/magazines/Opinion/2022/May/Conversations-about-gender-and-pronouns-are-vital-to-patient-care

"The trans community is larger than the community of people with type one diabetes, or with dementia or asthma, but everyone knows something about those conditions and it seems very few people know about trans issues"
From the award article about the trans nurse who teaches about pronouns. I would doubt that this statement is actually true?!

Calyx I couldn't get past the picture to read the article, as my eyes were rolling so hard.
However, I work with the prime population that leads to a non-binary or trans identity (being careful w my language here) and that is not my experience at all.