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The ERNI Declaration: Making Sense of Distress Without Disease

The ERNI Declaration: Making Sense of Distress Without “Disease” 244 The ERNI (Emotions aRe Not Illnesses) declaration is based on the idea that distress does not equate to disease, dysfunction, dysregulation, or chemical imbalance. Signatories believe that there needs to be a shift from illness and diagnosis ideas to personal narratives and understandings. The declaration was created with the appreciation that there are many like-minded people out there who share opinion, research, ideas, and experiences with others within many contexts but are frustrated by subsequent lack of action or change within mental health and other related systems. The Disease Model The disease model for understanding emotional distress has been the primary paradigm in Western cultures for a hundred years, with roots that stretch back even further.

Seeing wellbeing as a weakness must change for all our sakes

Seeing wellbeing as a weakness must change for all our sakes
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COVID-19 and mental health: Feeling anguish is normal and is not a disorder

I do agree that, as some of the aforementioned research also finds, months of restrictions, isolation and uncertainty are taking a toll on the emotional well-being of increasing numbers of people. I’ve observed this in my psychotherapy practice, among the students I teach and on social media. I take issue with the fact that it has become routine to medicalize human suffering by attaching a mental health diagnosis to it. This doesn’t address the source of people’s anguish. Nor does a diagnostic label enable something that is essential to people’s capacity to cope and adapt: deriving meaning from their own experiences.

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