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Better Thinking

#190 – Dr Lucy Johnstone on The Power Threat Meaning Framework

30 Sep 2025

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In this episode of Better Thinking, Nesh Nikolic speaks with Lucy Johnstone about the Power Threat Meaning Framework and how it offers an alternative to traditional psychiatric diagnoses by focusing on power, threat, and meaning in people’s lives.Dr Lucy Johnstone is a consultant clinical psychologist, author of 'Users and abusers of psychiatry' (3rd edition Routledge 2021) and ‘A straight-talking guide to psychiatric diagnosis’ (PCCS Books, 2nd edition 2022); co-editor of 'Formulation in psychology and psychotherapy: making sense of people's problems' (Routledge, 2nd edition 2013); and co-author of ‘A straight talking introduction to the Power Threat Meaning Framework’, 2020, PCCS Books) along with a number of other chapters and articles taking a critical perspective on mental health theory and practice. She is the former Director of the Bristol Clinical Psychology Doctorate in the UK and has worked in Adult Mental Health settings for many years, most recently in a service in South Wales. She is Visiting Professor at London South Bank University, an Honorary Fellow of the BPS, and a Fellow of the Royal Society of Arts.Lucy was lead author, along with Professor Mary Boyle, for the ‘Power Threat Meaning Framework’ (2018), a British Psychological Society publication co-produced with service users, which outlines a conceptual alternative to psychiatric diagnosis and has attracted national and international attention. Lucy is an experienced conference speaker and lecturer, and currently works as an independent trainer. She lives in Bristol, UK.  

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