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Setting up stall in the market place: psychotherapy in a state health service

Published online by Cambridge University Press:  02 January 2018

Christopher Maloney
Christopher Maloney*
Affiliation:
Heatherwood Hospital, Ascot Berkshire SL5 8AA
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Abstract

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Public sector psychotherapy differs from private practice in its explicit responsibility for a population. This has major implications, with the need to ration a scarce resource inevitably affecting clinical practice. De facto rationing has existed within the National Health Service (NHS) for years, and the ‘unconscious' processes involved must be made explicit if NHS psychotherapists are to deal with their broader responsibilities, and influence current changes in the Health Service. Resource issues and the related psychological conflicts shape clinical practice and thus theoretical concepts. The effects on practice could be seen as a series of unhappy compromises, or a stimulus to the creative development of a specific NHS psychotherapy, as envisaged by Sigmund Freud.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 20 , Issue 5 , May 1996 , pp. 277 - 281
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

References

von Bertalanffy, L. (1968) General Systems Theory. New York: Brazillier.Google Scholar
Black, D., Morris, J. N., Smith, C., et al (1982) The Black Report London: Penguin.Google Scholar
Dean, C. (1988) Psychiatry in general practice. In Companion to Psychiatric Studies (eds Kendell, R. E. & Zealley, A. K.), pp. 634–647. Edinburgh: Churchill Livingstone.Google Scholar
Freud, S. (1918) Lines of advance in psychoanalytic therapy. In Collected Works, Vol. XVII (ed. Strachey, J.), pp. 159–168. London: Hogarth Press.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: the Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Ham, C. (1993) How go the NHS reforms? British Medical Journal 306, 77–78.Google Scholar
Holmes, J. & Lindsay, R. (1989) The Values of Psychotherapy. Oxford: Oxford University Press.Google Scholar
Kaeser, A. & Cooper, B. (1971) The psychiatric patient, the general practitioner and the outpatient clinic: an operational study and a review. Psychological Medicine, 1, 312–325.CrossRefGoogle ScholarPubMed
Maloney, C. (1993) Who should refer to psychotherapy? Referrals to a regional service. Psychiatric Bulletin, 17, 352–354.Google Scholar
Office of Population Censuses and Surveys (1980) Classification of Occupations. London: HMSO.Google Scholar
Office of Population Censuses and Surveys (1982) Census 1981 County Reports: Oxfordshire Part 2. London: HMSO.Google Scholar
Parry, G. (1992) Improving psychotherapy services: applications of research, audit and evaluation. British Journal of Clinical Psychology, 31, 3–19.Google Scholar
Ryle, A. (1990) Cognitive–Analytic Therapy: Active in Change (pp. 1–2). Chichester: John Wiley.Google Scholar
Tuckett, D. (1976a) Becoming a patient In An Introduction to Medical Sociology (ed. Tuckett, D.), pp. 159–189. London: Tavistock.Google Scholar
Tuckett, D. (1976b) Work, life-chances and life-styles. In An Introduction to Medical Sociology (ed. Tuckett, D.). pp. 110–155. London: Tavistock.Google Scholar
Tudor Hart, J. (1971) The inverse care law. Lancet i, 405–412.Google Scholar
Williams, P. & Clare, A. (1986) Psychiatry in general practice. In Essentials of Postgraduate Psychiatry (eds Hill, P., Murray, R. & Thorley, A.), pp. 597–617. London: Grune & Stratton.Google Scholar
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