The introduction argues on the basis of historical and social-cognitive research that it is likely that Paul and other early Christ-followers were influenced on some level by ethnic stereotypes. It outlines the following chapters, in which this hypothesis will be tested, and discusses why and how reception history will be integrated into these analyses.

Chapter 2 explores the rise of the English Improving Access to Psychological Therapies (IAPT) programme. This flagship initiative aimed at doing exactly what its titles suggests, and has drawn international acclaim – alongside critique and concern. In attending to its underpinnings, I highlight the managerial and clinical trends IAPT drew from and extended to proliferate therapy at scale. I examine how features of IAPT understood to be novel came to be regarded as vital forms of infrastructure around which other psychological services should be built. I also illustrate how the economic logics that underpinned IAPT initially resulted in particular kinds of therapy being rolled out for certain types of conditions experienced by specific groups; most notably, CBT for anxiety and depression diagnosed in adults of working age. The chapter reflects on the ramifications of IAPT, including in relation to the understandings of the nature of ill-health that result from it.

Chapter 2 establishes the fundamentals of sustainability, building from the Brundtland Report’s definition of sustainable development through contemporary frameworks like planetary boundaries and doughnut economics. It introduces the Earth-as-endowment metaphor to illustrate humanity’s relationship with planetary resources and explores the Nordic region’s significant contributions to sustainability thinking and practice. The chapter examines how overconsumption threatens Earth’s regenerative capacity and details Nordic innovations in environmental protection, circular economy, and climate policy. It concludes by addressing the challenge of overcoming sustainability denial, particularly in the United States, while highlighting the Nordic region’s pragmatic approach to environmental challenges. Throughout, the chapter emphasizes systems thinking and the interconnected nature of sustainability challenges, establishing theoretical foundations for examining capitalism’s role in advancing sustainable development.

In Chapter 1, I demonstrate how professional claims-making operates as a form of boundary work that both configures and is configured by the evolving identity of clinical psychology. The keenness of many in the field to position it as different from psychiatry is illuminated, with the ‘diagnostic’ approach deemed particularly problematic by many leading clinical psychologists. Likewise, I spotlight how some in clinical psychology also labour to differentiate it from other psychological traditions (like counselling psychology and health psychology). This includes through the development of a professional body solely for clinical psychologists: the Association of Clinical Psychologists UK (ACP-UK). Ultimately, these forms of boundary-work help to configure the nature and practices of clinical psychology. Accordingly, they also have implications for the values and perspectives of individual therapists, and the kinds of care that patients are (not) able to access.

Chapter 7 examines whether the American Dream – centered on freedom, equality of opportunity, and upward mobility – might be better realized in Nordic societies than in the US. Through Isaiah Berlin’s framework of negative freedom (freedom from something) and positive freedom (freedom to something), it analyzes how different varieties of capitalism translate shared aspirations into distinct realities. While American society prioritizes negative freedoms like freedom from taxation and regulation – often benefiting those with power – Nordic societies focus on expanding positive freedoms, such as universal access to healthcare and education. The chapter documents Nordic nations’ superior performance on measures of social mobility and equal opportunity, while exploring how their universal systems function as “efficient hand pumps” expanding positive freedoms. Using public universities as a case study, it demonstrates how American institutions that once enabled broad-based opportunity are being eroded by concentrated private interests. The chapter concludes that realizing the American Dream’s promise requires strong democratic institutions that expand positive freedom for all citizens.

Chapter 4 analyses how clinical psychologists preface (potential) care through negotiations of referrals and acts of assessment prior to any kind of therapy. I regard these as key ‘uncertainty moments’ in which practitioners must decide whether to see a patient for therapy. This decision-making process depends on far more than an ‘objective’ evaluation of the patient in front of them. Resolution of uncertainty entails the reciprocal configuration of at least three kinds of ontologies: the ontology of a potential patient, the ontology of the service in which they work, and the ontology of their profession. These are not necessarily stable; rather, they can be remade over time and in relation to particular service users (demonstrating how visions and adjudications of therapeutic need are highly contextualised). Such ‘prefacing practices’ contribute to the denial of access for some patients, although even exclusions might themselves sometimes be accounted for by professionals as forms of care.

In this Introduction, I sketch out the rise of a transnational ethic of access to treatments for ill-health, and how it configures and is configured by mental healthcare in the UK. The instantiation of this ethic has resulted in policy and clinical attention to enhancing access to psychological therapy (often cognitive behavioural therapy, CBT, specifically). I introduce the importance of clinical psychology within this context and chart its consolidation as a profession, alongside a discussion of the role of CBT within the UK. I also discuss the wider entanglements of psychological praxis and societies, and the theoretical perspectives that propel the analysis presented in this book. I conclude with outlining the various chapters that follow.

Chapter 3 examines capitalism’s core principles through a three-way comparative analysis of American capitalism, Nordic capitalism, and Soviet socialism. It establishes capitalism’s defining features – private ownership and market mechanisms – while revealing crucial variations in how different societies implement these principles. The chapter introduces the distinction between oligarchic and democratic capitalism, highlighting how power distribution shapes market outcomes. Through detailed examination of property rights, labor markets, and price mechanisms, it demonstrates how Nordic and American capitalism differ despite sharing fundamental market principles. The chapter concludes by exploring sustainable capitalism’s dependence on democratic institutions, arguing that well-functioning democracy is essential for markets to serve broader societal interests. This analysis sets up the book’s central argument that Nordic-style democratic capitalism offers valuable lessons for realizing sustainable capitalism.