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What will one CCT mean for us?

  • Sheila Hollins (a1) and Dinesh Bhugra (a1)
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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.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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What will one CCT mean for us?

  • Sheila Hollins (a1) and Dinesh Bhugra (a1)
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eLetters

What will one CCT mean for us?

Daniel M Beales, Specialist Registrar in Forensic Psychotherapy
04 October 2006

Hollins and Bhugra (30 (9): 355) seem oblivious to the concerns that the College’s proposed adoption of one CCT has generated, and the process of consultation that lead to this decision. There also don’t seem to find it odd that their article is appearing after the decision has been made, and not before, which would have perhaps allayed some of the concerns and allowed a more open debate, and consultation, to have explored the issues involved.

The model the College has chosen will inevitably lead to the creationof “junior consultants” (whether they are called this or not) in certain specialities. Although the medical profession has resisted this development it is difficult to see how particular sub-specialities (for example forensic psychotherapy, and potentially psychotherapy and forensicpsychiatry) will “fit” into the new training structures, although it is already clear that there are difficulties in how certain sub-specialities (such as forensic psychotherapy and neuropsychiatry) fit into the present structures.

There are potentially creative solutions to these issues that link such sub-speciality training to local service needs and Continuing Professional Development, but it will be difficult to develop these if we ignore the elephant that has been invited into the room (even if it was inevitably going to take a seat at the table anyway - invite or not).

There is a real danger that if the College does not address how it handles these issues its members will lose faith in its democratic and representative functions, and in its capacity to manage ongoing complex change.
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Conflict of interest: None Declared

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