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Martyn Pickersgill
Martyn Pickersgill
Affiliation:
The University of Edinburgh

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Configuring Psychology
Access to Therapy and the Transformation of Psychological Care
 , pp. 210 - 214
Publisher: Cambridge University Press
Print publication year: 2026
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Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This content is Open Access and distributed under the terms of the Creative Commons Attribution licence CC-BY-NC-ND 4.0 https://creativecommons.org/cclicenses/

Index

Abbott, Andrew, 44
access to care, 1, 6, 53, 87, 93, 111, 154, 164
accountability, 13, 48, 61, 62, 64–65, 115, 117, 162
ACP-UK, 19, 43–44, 45
addiction, 11, 36, 40
Adshead, Gwen, 77
advocacy groups, 2, 9, 11, 19, 52, 135, 165
American Psychological Association Health Psychology Division, 39
Anna Freud Centre, 52
antidepressants, 65, 77
anti-psychiatry, 33
antisocial personality disorder (ASPD), 67–68, 70, 72, 74, 81
antisociality, 67, 81
anxiety disorders, 13–14, 47–48, 49, 51, 53, 57, 66, 160
chronic, 51
mild to moderate, 55
apps, 14
artificial intelligence (AI), 14
Ashworth Hospital, 73
ASPD, antisocial personality disorder,
assessment, 91, 93–94, 96–98, 100–102, 107–111, 118, 124, 140–141, 144
attendance contracts, 142, 146
attendance policies, 135–136, 143, 152, 161
autonomy, 9, 26, 111–116, 118–121, 131–132, 142–143, 162
autonomous action, 21, 135, 162
autonomous inaction, 121
temporal, 126
BACP, see British Association for Counselling and Psychotherapy,
Bartlett, Peter, 76
Beck, Aaron, 12
behaviour change interventions, 40
Bentall, Richard, 30
BIGSPD, 76
bipolar disorder, 29
Blackburn, Ronald, 70, 72
Blair, Tony, 49
BMJ, see British Medical Journal,
borderline personality disorder, 78, 81, 92, 150
boundary work, 7, 19, 25–26, 30, 35–36, 43, 44–45, 158
Boyle, Mary, 30, 31–32
BPS, Lesbian and Gay Section, 10
British and Irish Group for the Study of Personality Disorder, 76
British Association for Counselling and Psychotherapy (BACP), 43
British Journal of Clinical Psychology, 9
British Journal of Psychiatry, 71, 75
British Medical Journal, 87, 136–137
British Psychological Society (BPS), 7–9, 12, 26, 29–30, 36–44, 45, 84
Division of Clinical Psychology (DCP), 8, 28–34, 36, 37–39, 42, 44–45
Division of Clinical Psychology (DCP), Faculty of Clinical Health Psychology, 36, 39
Division of Counselling Psychology (DCoP), 36–37
Division of Health Psychology (DHP), 36, 39–40
Practice Board, 28, 42, 44
Workforce Planning Advisory Standing Committee, 42
British Psychological Society (BPS) Annual Conference, 35
Broadmoor Hospital, 80–81
Brodwin, Paul, 13
Buchanan, Roderick, 6–8, 25, 75
Buchbinder, Mara, 104
Butler Committee, 73
CAMHS, see child and adolescent mental health service,
CAT (cognitive analytic therapy), 77, 80
CBT, see cognitive behavioural therapy (CBT),
CBT, training, 43, 45
Charlie Waller Memorial Trust, 51
ChatGPT, 14
Child and Adolescent Mental Health Service (CAMHS), 95, 118, 119, 123, 139, 148
Choice and Partnership Approach (CAPA), 118
chronic pain, 105
Clark, David, 15, 47, 49, 51, 52, 54
Clinical Health and Neuropsychology Psychology Network, 43
clinical health psychologists, 39–40
clinical judgement, 37, 106, 132, 139–150
Clinical Outcomes in Routine Evaluation (CORE) framework, 64
clinical psychology, 10, 14, 15, 26–29, 35–37, 39, 41, 43, 44, 158–159
as social entity, 44
boundary work, 45
challenges facing, 10
competition within, 41–44
diagnostic approach to psychology and, 30–33, 59
health psychology and, 39
influence on other psychological disciplines, 18
integrationism, 12, 15
level of prestige, 3
medical model and, 29–30
origins, 6
other clinic-based psychologies and, 36–38
periodicals, 9
psychiatry and, 11, 19, 26, 94
psychological formulation, 33–36
qualifications, 8
regulation, 11
training and qualifications, 8, 9
Clinical Psychology Forum, 9
cognitive analytic therapy (CAT), 12, 77, 80
cognitive behavioural therapy (CBT), 14–15, 43, 49, 55–56, 58–60, 80–81, 109–110
app-based, 14
as action-centred, 13
as brief intervention, 13
Coid, Jeremy, 71
Commissioning for Quality and Innovation (CQUIN), 114
Community Mental Health Team (CMHT), 95, 100, 126, 131, 147, 151
Cook, Anne, 28
counselling psychology, 10, 19, 36–39, 40, 43, 45, 164
Courtney-Walker, Rebecca, 28
Crichton Royal Hospital, 6, 8
criminal justice system, 14, 67, 85–86
criminality, 20, 68, 69, 72–73, 81, 84–85
Dallos, Rudi, 34
dangerous and severe personality disorder (DSPD), 68, 72–73, 75–77, 79, 85–86
Danziger, Kurt, 5, 15
data collection, 61–62, 64, 124
DBT, see dialectical behaviour therapy (DBT),
DClinPsy, 2, 27
De La Pole Hospital, 72
Decoteau, Claire Laurier, 120, 133, 156, 160–161
deinstitutionalisation, 9
depression, 14, 47–48, 50–53, 55, 57, 58–59, 62–63, 67
Depression Report, The, 50–54, 65
dialectical behaviour therapy (DBT), 77, 79–81
did not attend (DNA), 137–138, 139, 147, 150–155, 163
did not attend (DNA) policies, 21, 134–142, 143, 144, 145–146, 148–156, 161, 163
discharge, 109, 118, 133, 138–141, 142, 148–151, 153–155, 161
automatic, 154
involuntary, 112, 146
discretion, 115, 120, 148, 152, 155, 161
negative, 154, 161
disease model, 31, 34
DNA policies, see did not attend (DNA) policies,
Doctorate in Clinical Psychology, 27
Dolan, Bridget, 71, 79
Draft Mental Health Bill, 76, 79, 82, 86
DSM, 30–32
DSM-5, 30
DSM-III, 70
DSPD, see dangerous and severe personality disorder,
DSPD Programme, 72, 73, 75–76, 79–80, 85–86
DSPD Units, 73, 75, 80–82
high security pilot, 80
hospital-based, 86
East London and City Mental Health Trust, 54
eating disorders, 11, 36, 59
educational psychology, 6, 36
Ellis, Albert, 12
England, 18, 55, 68–69, 97, 109, 114–115
ethic of access, 1–2, 18, 20, 22, 156–157, 160, 161, 165
ethnicity, 10, 102
evidence-based medicine (EBM), 13, 59, 71
exclusionary inclusion, 133, 154, 156, 160
Eysenck, Hans, 6–7, 12, 26, 29
Fallon Report, 73, 74
Farmer, Paul, 52
Feigenbaum, Janet, 84
Fonagy, Peter, 52, 85
Foucault, Michel, 16–17
Frankland (HMP), 80
Freestone, Mark, 73
Frith, Uta, 31
general practice, see primary care,
global mental health, 1
Glover-Thomas, Nicola, 74
GPs, see primary care,
Grounds, Adrian T., 69
group therapy, 128
Guardian, The, 51
Guideline Development Groups, 58–59
Hacking, Ian, 17, 93
Hall, John, 14
Hancock, Matt, 86
Harper, David, 11
HCPC, see Health and Care Professions Council,
Health and Care Professions Council (HCPC), 11, 33, 39, 42–43
Health Professions Council, 11
health psychologists, 19, 39–40
health psychology, 19, 36, 38–40, 42
HEAT, see Hospital Efficiency and Access Targets,
Henderson Hospital, 77
Hewitt, David, 75
HIV, 1
homophobia, 5
Hospital Efficiency and Access Targets (HEAT), 114–115, 123–124, 126, 127–128
Howells, Kevin, 78
IAPT, see Improving Access to Psychological Therapy,
IAPT data handbook, 61
ICD, 31
illegal substances, 99, 102
Improving Access to Psychological Therapy (IAPT), 18, 19, 47, 48, 49, 51, 52, 53, 54, 57–65, 66, 67, 103, 159, 163
clinical and epistemic legitimacy, 57–61
data and accountability, 61
impact, 64
impact and fluence, 64–66
influence, 56
key features, 54
origins of programme, 49–53
pilot programmes, 53
inaction, 121, 133
strategic, 120–121, 123
incapacity benefits, 50
Jameton, Andrew, 122
Jobseeker’s Allowance, 50
Johnstone, Lucy, 30, 32, 34
Jones Nielson, Jessica, 37
Kinderman, Peter, 29, 32, 34, 44
Labour Party, 49, 50, 53
Lavender, Tony, 78
Layard initiative, 52
Layard, Richard, 47, 49, 54
LDP (Local Delivery Plan) standards, 114
Lewis, Aubrey, 6
manualised therapy, 55–56, 59–60
Maras, Pam, 52
Marzillier, John, 14
Maudsley Hospital, 6
Maudsley programme, 6–7, 11
Meacher, Molly, 54
Medical Research Council, 76
Mental Health Act (MHA), 20, 68–70, 72, 74–75, 78–79, 82–88, 159
Mental Health Bill, 82, 86
Mental Health Foundation, 2, 52, 165
MHA, see Mental Health Act,
Mental Health: Britain’s Biggest Social Problem?, 50
micro-rationing, 121, 134
Mind (charity), 52, 55
missed appointments, see did not attends (DNA),
moral distress, 122, 160
Mowbray, Derek, 9
National Forensic Mental Health R & D Programme, 77, 84
National Institute for Health and Care Excellence, 48, 58
National Institute for Health and Care Excellence (NICE), 48, 58–60, 62, 66, 81
National Institute for Mental Health in England (NIMHE), 63, 78–79
National Personality Disorders Development Programme, 84
New Savoy Declaration, 52
New Ways of Working agenda, 11, 56
NHS Talking Therapies, 43, 47–49, 54–55, 63–64, 91, 95, 159, 163
NICE, see National Institute for Health and Care Excellence (NICE),
Nicholas, Helen, 37
Northern Ireland, 68
Nottingham Personality Disorder Institute, 76
nurses, 45, 80, 95, 153
Observer, The, 31, 51, 53
offender personality disorder pathway (OPD), 86
outpatient settings, 8, 137, 139, 160
Parry, Glenys, 37
Patient Health Questionnaire (phq-9), 62
Patten, John, 136–137
Pemberton, Richard, 32
Perkins, David, 80–81
personality disorders, 20, 67–68, 70–72, 74–82, 84–88, 140, 159
antisocial personality disorder (ASPD), 67–68, 70, 72, 74, 81
dangerous and severe personality disorder (DSPD), 68, 72–73, 75–77, 79, 85–86
de-stigmatisation, 71
diagnostic criteria, DSM, 70
history of category, 67
ontology of, 82, 87
psychopathic personality disorder, 67
treatability, 68, 70
PHQ-9, 62–63
Pidd, Frankie, 84
Pilgrim, David, 75
Pilling, Steve, 69
Power Threat Meaning Framework, 32–33
primary care, 8, 47, 104–105, 118, 121–122, 139, 142–143, 145–149
prioritisation, 98, 121–123, 133
prisons, 68, 73, 80, 86, 159
professional autonomy, 9, 11, 21, 118, 123, 128–129, 132, 161
psychiatry, 3, 6, 8, 11–12, 25–27, 29–33, 44–46, 94
psychoanalysis, 7, 12, 13
psychodynamic psychotherapy, 13
psychological formulation, 33–36, 38
psychological mindedness, 101, 107–108
psychological testing, 6–7
psychological wellbeing practitioners (PWP), 55–56
Psychologist, The, 9, 15, 31, 34, 42, 75, 100, 131
psychometrics,7 see also psychological testing,
psychopathic disorder (legal category), 69–70, 74
psychopathic personality disorder, 67
psychopathy, 67–70, 74
psychosis, 12, 29, 36, 96, 121, 142
psychotherapy, 43, 71
PTMF, see Power Threat Meaning Framework,
PWPs (psychological wellbeing practitioners), 55–56
quantification, 59, 61, 63
Rachman, Stanley, 7
racism, 5, 10
Raczka, Roman, 87
Rampton Hospitals, 75, 80
randomised controlled trial (RCT), 48, 60, 77
reconfiguration, ethos of, 22, 164
referral, 20, 93, 94–95, 99, 100, 101, 102, 104, 105–106, 108, 110, 111, 120–121, 161–162
acceptance/rejection of, 99, 110
complex referrals, 103
decision-making process, 92
declined referrals, 91, 99
frustration with, 119
inappropriate, 98–100, 120
process of, 94–96
time to assessment, 96, 114
volume, 130
volume of, 98
referral criteria, 105, 118, 133–134
Relationships Scotland, 104
responsibilisation, 136, 138
Richardson Committee, 74
Richardson Report, 74
Richardson, Genevra, 74
Rose, Nikolas, 4, 17, 25, 93
Russell, Megan, 72
Russell, William, 136
scientist-practitioner model, 37
Scotland, 3, 6, 8, 20, 95, 109, 114, 122–124
Scottish Government, 115, 137
Scottish HEAT targets, 115
self-referral, 54–55, 95, 121
service level agreements (SLA), 124
Shapiro, Monte, 7
stepped care, 54, 57
Stone, Michael, 72
Straw, Jack, 71–73
targets, 13, 21, 97, 114–116, 122–128, 130–133, 135
Tavistock Clinic, 6, 8
technology of the self, 16
Ter Beschikking Stelling (TBS), 73
therapeutic intervention techniques, 4, 40, 141, 157
TNA (Treatment Needs Assessment), 80
training, 8, 12, 14, 26–27, 35, 38, 45, 55
treatability test, 69–70, 74, 78–79, 83, 87
Trethowan Report, 8
Trethowan, William, 8
Tyrer, Peter, 70, 72
UK Council for Psychotherapy (UKCP), 43
Viding, Essi, 31
waiting lists, 20–21, 97–98, 103, 114, 116–117, 121–124, 127–130, 132–133
waiting time targets, 114, 128, 131, 133, 134–135, 138, 161, 165
waiting times, 2, 61, 114, 122, 131, 136–137
We Need to Talk, 52
Wells, Adrien, 59
Wessely, Simon, 86
Whitemoor Prison, 75, 80
Wiseman, Mel, 31
Woolfe, Ray, 38

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  • Index
  • Martyn Pickersgill, The University of Edinburgh
  • Book: Configuring Psychology
  • Online publication: 20 February 2026
  • Chapter DOI: https://doi.org/10.1017/9781108664295.012
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  • Index
  • Martyn Pickersgill, The University of Edinburgh
  • Book: Configuring Psychology
  • Online publication: 20 February 2026
  • Chapter DOI: https://doi.org/10.1017/9781108664295.012
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  • Index
  • Martyn Pickersgill, The University of Edinburgh
  • Book: Configuring Psychology
  • Online publication: 20 February 2026
  • Chapter DOI: https://doi.org/10.1017/9781108664295.012
Available formats
×