1st Edition
The Future of Psychological Therapy From Managed Care to Transformational Practice
The psychotherapy and counselling profession has recently experienced far-reaching changes because of the development of evidence-based medicine and managed care systems. The Future of Psychological Therapy brings together leading counsellors, psychotherapists, psychological therapists and managers to address how these changes are beginning to affect all aspects of the psychotherapy and counselling profession. It evaluates the impact of these developments, shows how they affect practitioner’s capacity to care, anticipates future developments and offers a coherent and viable approach to research and practice.
The book draws on psychotherapeutic theory to develop insight into managed care and engages in qualitative microphenonena research into the complexities of clinical practice drawing on cutting edge developments. It aims to establish a balanced counselling and psychotherapy profession by:
opening up a debate about these far-reaching developments which threaten the profession,
challenging the rhetoric of accountability, audit, transparency and measurement of care,
exposing the danger of sleeping through these momentous changes in the counselling and psychotherapy profession.
The Future of Psychological Therapy is a timely and important book, examining the psychotherapy profession's approach to managed care and evidence-based research, and discussing whether a balanced, coherent and viable counselling and psychotherapy research and practice culture can be established. It will be of interest to practitioners, academics and policy makers in the field, non-clinical professionals and anyone who is interested in psychological therapy and addressing the worldwide deterioration in psychological health.
Samuels, Foreword. Lees, Introduction. Part I: Mainly Context. Loewenthal, Therapy as Cultural, Politically Influenced Practice. Morgan-Ayrs, Regulation, Institutionalized Ethics and the Therapeutic Frame. Bento, Managed Mental Healthcare in the USA and the Care of the Soul. Part II: Mainly IAPT. Simpson, Containing Anxiety in Social Care Systems and Neoliberal Management Dogma. Rizq, States of Abjection in Managed Care. Watts, IAPT and the Ideal Image. Nuttall, IAPT in Action: The Experience of Working in the IAPT Scheme. Part III: Mainly Practice. Lees, Psychotherapy in an Age of Managed Care. Totton, The Risk-Taking Practitioner:Implementing Freedom in Clinical Practice. House, Alternatives to Managed Care in Research and Practice. Lees, Concluding Thoughts.
Biography
John Lees is Senior Lecturer in Mental Health at the University of Leeds and counselling and psychotherapy practitioner in private practice in London and Sussex. He is editor of a Routledge journal, Psychodynamic Counselling (now Psychodynamic Practice), a Routledge book series, co-editor of four books and has published numerous book chapters and professional articles. He designed an MSc in Therapeutic Counselling, was programme leader of that course for twelve years and co-designed three other therapy-orientated postgraduate courses at the University of Greenwich. He has spoken at conferences in the United States, Japan and Australia, has been visiting scholar at colleges or universities in Japan, Australia and India, and has designed a course on anthroposophic psychotherapy in Japan.
"The helping professions have been increasingly influenced by the prevailing political and economic climate since the 1980s. This book contains a set of timely reflections on how counselling and psychotherapy are affected by the current zeitgeist. They make it abundantly clear that the modernist paradigm, as exemplified by both a state-endorsed version of ‘therapy’ such as IAPT and NICE’s overemphasis on the value of randomised controlled trials, is totally incompatible with non-prescriptive, potentially transformative, ‘authentic’ therapy. This book is an important wake-up call to the pernicious effect of various aspects of neoliberalism, particularly the practices and language associated with it. In the Brave New World of ‘managed care’ public discourse is in danger of falling into a moral vacuum, leading to a general loss of the real meaning of ‘care’. I hope that this book will be widely read."- Dr Els van Ooijen, Psychotherapist, counsellor and supervisor in private practice, Visiting lecturer in Consultative Supervision to the University of South Wales
"Incisive and timely, this collection of critiques of contemporary professional therapy contains astute analysis and radical political challenge regarding the neoliberal trend of managed care, IAPT and associated societal dynamics, presented by some of the most knowledgable observers in the field. It is a gauntlet of a book, not to be missed by all who care about the future of mental health and psychological therapies."- Colin Feltham, Emeritus Professor of Critical Counselling Studies, Sheffied Hallam University
