From Fear and Pity to Parity: Politics and Public Mental Health

Byrne, Peter

doi:10.1017/9781911623793.029

Cited by 3 publications

(1 citation statement)

References 15 publications

(19 reference statements)

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“…Sometimes, due to lack of communication in the system, the client missed an appointment with staff at the job center, because they were attending their session with their therapist. In the film by Ken Loach (2016), I , Daniel Blake , the tragic consequence of this cruel policy is shown, including a reinforced feeling of being to blame for being depressed (Byrne, 2021). If applied psychoanalysis is to remain relevant to contemporary mental health needs, and have something of value to offer, does it not follow that the focus for our clinical work and our training placements must shift outwards into our communities, and on to this frontline?…”

Section: Conclusion: Can Psychoanalysts In the 21st C Step Up To Lead...mentioning

confidence: 99%

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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In the UK in 2007 a national experiment was initiated with the aim of tackling “Britain's Biggest Social Problem”—Depression. Improving Access to Psychological Therapies (IAPT) was devised as the solution. A universal free‐to‐access talking therapies program would make available evidence‐based treatment to all adults with depression. NICE (National Institute for Health and Care Excellence), the body that decides on what is cost‐effective, said CBT, not antidepressants, should be its first line offer. The starting gun was fired. The promise from IAPT was 3‐fold: to scale up access to CBT rapidly; to achieve recovery targets that would reduce the prevalence of depression over time; and—most ambitious of all—to ensure the Treasury would see a return on its investment by reducing the economic burden from depression. People who were on invalidity benefits due to depression would be supported back into employment. It was a New Deal for depression. As well as for CBT. But did it work? A decade and a half on with IAPT, are we in any position to give an answer? This paper will seek to draw lessons about “What Worked”, and what didn't, to ask ourselves a question: are we—those of us in the applied psychoanalytic community—willing to garner what can be learned from IAPT to advocate a new deal for evidence‐based psychoanalysis? Faced with challenges from unemployment and widening inequalities, against a backdrop where global economic recovery must heed the existential threats from climate change and ongoing warfare, to say nothing of the scale of loss and grief for those already impacted by bereavement due to the pandemic, the need for some such deal could not be more urgent.

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Section: Conclusion: Can Psychoanalysts In the 21st C Step Up To Lead...mentioning

confidence: 99%

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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Some very important people are depressed. Get over it!A three-part narrative review of depression memoirs in the public sphere. Part 3: the new depressives and the challenge of stigma

Clarke

2021

Psychoanalytic Psychotherapy

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Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

Clarke

2024

Psicoterapia E Scienze Umane

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In Inghilterra nel 2007 è stato avviato un esperimento nazionale con l'obiettivo di affrontare "il più grande problema sociale del Paese": la depressione. È stato così lanciato il programma Impro-ving Access to Psychological Therapies (IAPT), che consiste nell'offrire terapie psicologiche evidence-based a tutti i pazienti con depressione e ansia. Il NICE (National Institute for Health and Care Excellence) stabilì che la terapia cognitivo-comportamentale (cognitive-behavior therapy [CBT]), non i farmaci, doveva essere la prima scelta. La via era spianata. Lo IAPT si propose tre obiettivi: aumentare rapidamente l'accesso alla CBT, diminuire la prevalenza di depressione e an-sia e, il più ambizioso, ottenere un guadagno per le casse dello Stato riducendo il peso economico della depressione, cioè abbassando le assenze lavorative per malattia. Era un New Deal per la depressione, e anche per la CBT. Ma ha funzionato? Noi psicoanalisti siamo disposti a cogliere ciò che ci ha insegnato lo IAPT e sostenere un New Deal per la psicoanalisi evidence-based? Di fron-te alle sfide della disoccupazione, delle crescenti disuguaglianze, del cambiamento climatico, delle guerre e dei lutti dovuti alla pandemia di COVID-19, la necessità di questo New Deal non può essere più urgente.

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From Fear and Pity to Parity: Politics and Public Mental Health

Cited by 3 publications

References 15 publications

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Some very important people are depressed. Get over it!A three-part narrative review of depression memoirs in the public sphere. Part 3: the new depressives and the challenge of stigma

Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

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