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Scholarship

The question running through all of my work is deceptively simple: who gets to be a victim?

Not just in mental health, but in welfare, in law, in the consulting room. The answer, I have found, is never neutral — shaped by who holds diagnostic authority, what counts as credible suffering, and whose account of their own experience is allowed to stand.

The systems that answer that question have a history. Victimology has always sorted the credible from the incredible — the ideal victim from the one whose suffering is too messy, too chronic, too bound up with their own choices to qualify. Neoliberalism has intensified this sorting, outsourcing it to therapeutic frameworks that promise recognition while quietly encoding the same hierarchies: who deserves depth work, who gets management, what counts as recovery and for whom.

My research examines how these mechanisms operate — in diagnostic categories that silence the people they purport to describe, in welfare systems that construct their own criteria for legitimate distress, in clinical cultures that reify particular ideals of what therapy should produce and who should benefit from it. Diagnosis is one site of this — important, but not the whole story. What interests me most is what happens further in: how these systems get inside survivors and shape the project of having a sustainable self. The person who has internalised a verdict about whether their suffering counts. The inner landscape produced by decades of being sorted into the undeserving.

That is where the scholarship, activism and clinical work meet — and why, for me, they have never been separable.

Sample Peer-Reviewed Articles

 

Watts, J. (2024). Complex trauma and the unseen: who gets to be a victim. BMJ Mental Health. Argues that cPTSD's inclusion in ICD-11, while a genuine advance, risks reproducing a two-tier system — and calls for transdiagnostic approaches that do not merely move the goalposts of recognition. Download → 

Watts, J. (2024). The epistemic injustice of borderline personality disorder. British Journal of Psychiatry International. Award Winner. Uses Fricker's framework to show how the BPD diagnosis produces testimonial smothering and quieting — patients alter or withhold their own narratives because the diagnostic frame has already determined what counts as credible. Download → 

Watts, J. (2023). Engendering misunderstanding: autism and borderline personality disorder. International Journal of Psychiatry in Clinical Practice. Female autism is systematically misdiagnosed as BPD; argues that diagnostic shortcuts are missing autism — particularly in women and transgender individuals — with serious clinical consequences. Download → 

Watts, J. (2019). Problems with the ICD-11 classification of personality disorder. Lancet Psychiatry. Why should patients be subject to the insistence that their difficulties are due to their personality when the evidence suggests otherwise? Download → 

Photo of Dr Jay Watts keynote. Jay is speaking at a podium in a green striped shirt and white best. Behind her is a large screen with a canva presentation: title 'how do we disrupt the underlying neoliberal scripts that enable welfare hate?'

Sample Book Chapters

'Madness and Misogyny' In Misogyny in the Mental Health System by the Survivors Themselves. On how gendered assumptions are embedded in psychiatric practice — not as aberrations but as structural features.

'IAPT and the Ideal Image' In The Future of Psychological Therapy: From Managed Care to Transformational Practice. On how a managed-care model constructs its ideal patient — and who gets left outside that construction.

'The Social Construction of CBT' In For and Against CBT. A critical examination of how CBT became dominant — and what that dominance forecloses.

'The Work Cure and Clinical Psychology' In The Work Cure: Critical Essays on Work and Wellness. On the category error at the heart of work-as-recovery ideology and clinical psychology's role within it.

Dr Jay Watts wearing a pink and black 1950s checkerboard shirt and skirt standing at the podium doing a keynote on epistemic injustice at a royal college of psychiatrists conference. Behind her is her canva presentation titled 'changing the story around PD: a once in a lifetime opportunity'

Sample Keynote Talks

'Changing the Story Around Personality Disorder: A Once in a Lifetime Possibility' Faculty of General Adult Psychiatry Conference, Royal College of Psychiatrists

'Psychocompulsion and Welfare Reform' Welfare Reform and Mental Health Activist Conference

'Do We Need a Critical Psychotherapy?' The Freud Museum

'Mental Health After Neoliberalism' Mobilising New Economics Futures Conference

Dr Jay Watts in a 1950s red strawberry dress giggling with a fellow speaker at the Goldsmiths 'neoliberalism and mental health' conference

Full Archive

A complete list of publications, talks, interviews, and book chapters is available at Academia.edu.

Full archive →

 Academic Roles

I have held senior academic positions across several London institutions. I served as Head of Psychology Research in a large mental health trust, Head of Research for Psychology in a university department, and Senior Lecturer in Counselling Psychology at City University, where I supervised eleven successful DPsy completions. I am currently an Honorary Senior Research Fellow at Queen Mary University of London and External Examiner for the University of Roehampton's Psychotherapy courses. I sit on the editorial boards of several leading psychotherapy journals, including as Practice Editor of the European Journal of Psychotherapy, and have designed five psychotherapy training modules, all rated 'Excellent' by trainees. I teach and supervise across clinical psychology, counselling psychology, psychotherapy, and psychoanalysis programmes at five London teaching universities.

Working Together

This work is most useful when it moves — across disciplines, into survivor-led spaces, and into the clinical and policy cultures that most need to be challenged. If you are a researcher, clinician, survivor-led organisation, or journalist working on questions that overlap with any of this, I would be glad to hear from you.

Please get in touch at jay@jaywatts.co.uk

Dr Jay Watts | CPsychol, AFBPsS | HCPC PYL22767 | BPS 40369 | 17 Gosfield Street, London W1W 6HE (by appointment)

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