Psychotherapy and the NHS: time for a rethink?

In the early 2000s I spent three years working as an honorary psychoanalytic psychotherapist in an NHS mental health trust as part of my analytic training. Back then, this was the time-honoured route to becoming a psychotherapist. What was particularly interesting about this experience was that I saw my first …

Depersonalisation and conversion disorders: old wine in new bottles?

There have been a couple of interesting articles relating to mental health that have caught my eye recently.  They both highlight a longstanding trend within psychiatry (and, unfortunately in some parts of the psychoanalytic world) to redefine various forms of human suffering and disturbance as ‘disorders’.   This seems to directly …

Mental health and the military

Although most people probably associate psychological problems amongst the military with post traumatic stress disorder (PTSD), those serving in the forces can suffer from a whole range of problems including anxiety, depression, drug and alcohol abuse, psychotic illnesses, and relationship problems.  And it is not only about currently serving personnel, …

Is psychoanalysis a science?

I’ve just been re-reading Freud’s An Outline of Psycho-Analysis1 which was his last attempt to give a concise exposition of his ideas and their clinical application.  This paper was written in 1938, very near to the end of Freud’s life.  I think this in itself is significant because by this …