Power, Threat, Meaning

I recognize the limitations of symptom clusters and taxonomies such as the DSM-5 and ICD-11 in mental health treatment. While these frameworks are helpful in categorizing symptoms, they do not provide insight into the root causes of problems or guidance on addressing them. Instead, I use a holistic approach called the Power, Threat, Meaning Framework (PTMF), developed in the UK to account for the social and cultural factors that contribute to an individual's difficulties.

The PTMF acknowledges that psychological problems are not simply a result of brain chemistry or pathology within an individual. Instead, it looks at the entire context, including how individuals experience powerlessness and how their connections may have been threatened or disrupted in relationships or within their community. By attaching meaning to these threats and experiences, individuals develop schemas or behavior sets that are adaptive responses, helping them cope in the moment.

However, these schemas can become problematic when they are applied in other circumstances, leading to ongoing difficulties. Through the PTMF, clients can recognize how their experiences impact their strategies and develop new ones to promote their well-being. This strength-based and collaborative approach between clients and therapists recognizes that individuals are experts in their own lives and encourages them to take an active role in their recovery.

As a therapist, my focus is on understanding the unique experiences of each individual and working with them to develop strategies that address the root causes of their difficulties. By taking a holistic view and utilizing the PTMF, we can move beyond symptom clusters and towards a more comprehensive and empowering approach to mental health treatment.