Some very important people are depressed. Get over it!<i>A three-part narrative review of depression memoirs in the public sphere</i>. Part 3: the new depressives and the challenge of stigma

Clarke, Jeremy

doi:10.1080/02668734.2021.1953117

Cited by 3 publications

(3 citation statements)

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“…First, we need to understand how IAPT changed the game. IAPT represents the 2nd major paradigm shift, underpinned by evidence-based practice, as the only viable way to meet the scale and nature of demand for modern mental healthcare (Clarke, 2020a(Clarke, , 2020b(Clarke, , 2021. The 1st revolution-which Pharma cashed in on -was the disestablishment of the asylum hospitals in the 1960s and 70s by, surprisingly, Minister for Health Enoch Powell (1961) in the UK, and President Kennedy (1963) in the USA.…”

Section: In the Room Where It Happens … An Argument For A Universal P...mentioning

confidence: 99%

From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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This paper offers a preview of a forthcoming article on the world's first, universal free-to-access, evidence-based talking therapies programme to treat depression: Improving Access to Psychological Therapies. It was pioneered not in the USA, but the UK, in 2007. At one time it could have been led by psychoanalysts, but it wasn't. It was a New Deal, in fact, for CBT. But did this New Deal in 2007 also offer psychoanalysis an opportunity to renew its vitality as a discipline, after decades of being eroded by our long-term retreat into private practice? Illustrated in the film From Here to Eternity, through characters played by Burt Lancaster, Montgomery Clift and Frank Sinatra, this Preview shows how applied psychoanalysis can once again aspire to become a universal, genuinely popular, relevant professional discipline. How would we engage ethically with psychiatric casualties of war, for example, within an evidence-based practice framework today? A novel, brief psychoanalytic treatment for depression, Dynamic Interpersonal Therapy, was developed for use in the UK's Improving Access to Psychological Therapies (IAPT) programme. It is recommended by NICE (National Institute for Health and Care Excellence) as cost-effective for treating depression.

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Section: In the Room Where It Happens … An Argument For A Universal P...mentioning

confidence: 99%

From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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“…Ffytche and Pick's contributors examine the shattering impact of totalitarian regimes. Today, we are placed at the margins within evidence-based medicine (EBM), whether we like it or not (Clarke, 2020(Clarke, , 2020a(Clarke, , 2021. The story Danto (2005) tells ends, we know, in catastrophe: "By 1940, the psychoanalytic community in continental Europe had been wiped out" (Makari, 2008, p. 462).…”

Section: The War Against Neurasthenia and The Long Road To Finding A ...mentioning

confidence: 99%

“…Over the past couple of decades, however, there has been a slow, unmistakable paradigm shift in evidence-based mental health practice (Clarke, 2020(Clarke, , 2020a(Clarke, , 2021. Current EBM definitions have had to acknowledge complexity in the science that underpins evaluation for example, when matching best available treatment to an individual patient, or making forecasts for prognosis (Cartwright, 2022;Deaton, 2020).…”

Section: F I G U R Ementioning

confidence: 99%

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Clarke

2023

Appl Psychoanal Studies

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In the UK in 2007 a national experiment was initiated with the aim of tackling “Britain's Biggest Social Problem”—Depression. Improving Access to Psychological Therapies (IAPT) was devised as the solution. A universal free‐to‐access talking therapies program would make available evidence‐based treatment to all adults with depression. NICE (National Institute for Health and Care Excellence), the body that decides on what is cost‐effective, said CBT, not antidepressants, should be its first line offer. The starting gun was fired. The promise from IAPT was 3‐fold: to scale up access to CBT rapidly; to achieve recovery targets that would reduce the prevalence of depression over time; and—most ambitious of all—to ensure the Treasury would see a return on its investment by reducing the economic burden from depression. People who were on invalidity benefits due to depression would be supported back into employment. It was a New Deal for depression. As well as for CBT. But did it work? A decade and a half on with IAPT, are we in any position to give an answer? This paper will seek to draw lessons about “What Worked”, and what didn't, to ask ourselves a question: are we—those of us in the applied psychoanalytic community—willing to garner what can be learned from IAPT to advocate a new deal for evidence‐based psychoanalysis? Faced with challenges from unemployment and widening inequalities, against a backdrop where global economic recovery must heed the existential threats from climate change and ongoing warfare, to say nothing of the scale of loss and grief for those already impacted by bereavement due to the pandemic, the need for some such deal could not be more urgent.

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Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

Clarke

2024

Psicoterapia E Scienze Umane

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In Inghilterra nel 2007 è stato avviato un esperimento nazionale con l'obiettivo di affrontare "il più grande problema sociale del Paese": la depressione. È stato così lanciato il programma Impro-ving Access to Psychological Therapies (IAPT), che consiste nell'offrire terapie psicologiche evidence-based a tutti i pazienti con depressione e ansia. Il NICE (National Institute for Health and Care Excellence) stabilì che la terapia cognitivo-comportamentale (cognitive-behavior therapy [CBT]), non i farmaci, doveva essere la prima scelta. La via era spianata. Lo IAPT si propose tre obiettivi: aumentare rapidamente l'accesso alla CBT, diminuire la prevalenza di depressione e an-sia e, il più ambizioso, ottenere un guadagno per le casse dello Stato riducendo il peso economico della depressione, cioè abbassando le assenze lavorative per malattia. Era un New Deal per la depressione, e anche per la CBT. Ma ha funzionato? Noi psicoanalisti siamo disposti a cogliere ciò che ci ha insegnato lo IAPT e sostenere un New Deal per la psicoanalisi evidence-based? Di fron-te alle sfide della disoccupazione, delle crescenti disuguaglianze, del cambiamento climatico, delle guerre e dei lutti dovuti alla pandemia di COVID-19, la necessità di questo New Deal non può essere più urgente.

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Some very important people are depressed. Get over it!A three-part narrative review of depression memoirs in the public sphere. Part 3: the new depressives and the challenge of stigma

Cited by 3 publications

References 61 publications

From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

From here to I.A.P.T? (improving access to psychological therapies), preview for a new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

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