Psychotherapy and distributive justice: a Rawlsian analysis
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In this paper I outline an approach to the distribution of resources between psychotherapy modalities in the context of the UK’s health care system, using recent discussions of Cognitive Behavioural Psychotherapy as a way of highlighting resourcing issues. My main goal is to offer an approach that is just, and that accommodates the diversity of different schools of psychotherapy. In order to do this I draw extensively on the theories of Justice and of Political Liberalism developed by the late John Rawls, and adapt these to the particular requirements of psychotherapy resourcing. I explore some of the implications of this particular analysis, and consider how the principles of Rawlsian justice might translate into ground rules for deliberation and decision-making.
KeywordsCognitive Behavioural Psychotherapy Comprehensive doctrines of the good Dialectical inquiry Distributive justice Interpretivism Overlapping consensus Political Liberalism Positivism Schools of Psychotherapy
- Aldridge, S., and J. Pollard. 2005. Interim report to Department of health on Initial Mapping Project for Psychotherapy and Counselling. London: BACP. available on www.bacp.co.uk/regulation/DoH_interim-rep_jun05.doc. Accessed 7 June 2007.
- Beauchamp, T., and C. Childress. 2001. Principles of biomedical ethics, 5th edn. New York, NY: Oxford University Press.Google Scholar
- Beck, A., A. Rush, B. Shaw, and G. Emery. 1979. Cognitive therapy of depression. New York, NY: Guilford.Google Scholar
- Berniker, E., and D. McNabb. 2006. Dialectical inquiry: A structured qualitative research method. Qualitative Report 11 (4): 643–664.Google Scholar
- Brechin, A., and M. Sidell. 2000. Ways of knowing. In Using evidence in health and social care. ed. R. Gomm and C. Davies, 3–25. London: Sage.Google Scholar
- Brockner, J., and P. Siegel. 1996. Understanding the interaction between procedural and distributive justice: the role of trust. In Trust in organizations, ed. R. Kramer and T. Tyler. New York, NY: Sage.Google Scholar
- Butler, J. 1999. The ethics of health care rationing. London: Cassell.Google Scholar
- Churchman, C.W. 1971. The design of inquiring systems. New York, NY: Basic Books.Google Scholar
- Feltham, C. 1999. Against and beyond core theoretical models. In Controversies in psychotherapy and counseling, ed. C. Feltham, 182–193. London: Sage.Google Scholar
- Freud, S. 2005. Mourning and melancholia. In On murder, mourning and melancholia, ed. S. Freud, 201–218. London: Penguin.Google Scholar
- Gelder, M., R. Mayou, and J. Geddes. 2002. Psychiatry. Oxford: Oxford University Press.Google Scholar
- Grant, A., J. Mills, R. Mulhern, and N. Short. 2004. Cognitive behavioural therapy in mental health care. London: Sage.Google Scholar
- Holmes, J. 1999. Psychotherapy as essential health care. In Controversies in psychotherapy and counseling, ed. C. Feltham, 278–286. London: Sage.Google Scholar
- James, O. 2006. Sanity’s shining light. Guardian 19th December. Available on www.guardian.co.uk/comment/story/0,,1974953,00.html. Accessed 12 July 2007.
- Layard, R. 2005. Therapy for all on the NHS. Sainsbury Centre Inaugural Lecture, September 2005. Available on www.existential-psychotherapy.com/layard_layard_lecture_120905.pdf. Accessed 25 July 2007.
- Linklater, A., and R. Harland. 2006. After Freud. Prospect June: 36–41.Google Scholar
- Malhotra, Y. 2000. Knowledge management and virtual organisations. Hershey, PA: IGP.Google Scholar
- McGinn, L., and J. Young. 1996. Schema-focused therapy. In Frontiers of cognitive therapy. ed. P. Salkovskis, 182–207. New York, NY: Guilford Press.Google Scholar
- McGinnis, S. 2006. Not all is CBT. Therapy Today April: 23.Google Scholar
- National Collaborating Centre for Mental Health. 2004. Depression: Management of depression in primary and secondary care. National Clinical Practice Guideline Number 23. London: National Institute for Clinical Excellence.Google Scholar
- Polkinghorne, D. 2001. Managed care programs: What do clinicians need? In Critical issues in psychotherapy, ed. B. Slife, R. Williams, and S. Barlow, 121–140. Thousand Oaks, CA: Sage.Google Scholar
- Rawls, J. 1971. A theory of Justice. Cambridge, Mass: Harvard University Press.Google Scholar
- Rawls, J. 1993. Political liberalism. New York, NY: University of Columbia Press.Google Scholar
- Roth, T. 2006. Applying evidence-based practice. Therapy Today June: 14–17.Google Scholar
- Roth, T., and P. Fonagy. 2005. What works for whom? A critical review of psychotherapy research. New York, NY: Guilford Press.Google Scholar
- Ryle, A., and I. Kerr. 2002. Introducing cognitive analytic therapy: Principles and practice. Chichester: Wiley.Google Scholar
- Wampold, B. 2001. The great psychotherapy debate: Models, methods and findings. Hillsdale, NJ: Erlbaum.Google Scholar