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Child psychoanalytic psychotherapy in the UK National Health Service: an historical analysis
1Pennine Care NHS Foundation Trust, UK. libby.rous@nhs.net
Insights
Child psychoanalytic psychotherapy in UK Child and Adolescent Mental Health Services (CAMHS) is not declining. Despite challenges, the field is evolving scientifically, not showing signs of a fading paradigm.
Area of Science:
- Psychiatry and Mental Health
- Psychoanalysis
- Child Psychology
Background:
- Investigates the trajectory of child psychoanalytic psychotherapy within the UK's Child and Adolescent Mental Health Services (CAMHS).
- Addresses concerns regarding interventions lacking an evidence base.
- Examines the historical context from the National Health Service inception.
Observation:
- Literature review conducted chronologically.
- Analysis focused on identifying signs of a declining paradigm.
- Considered threats to child psychoanalytic psychotherapy.
Findings:
- No significant, consistent decline in child psychoanalytic psychotherapy was identified.
- The field faces various challenges but persists.
- Evidence suggests the profession is developing a stronger scientific profile.
Implications:
- Child psychoanalytic psychotherapy is not a declining scientific paradigm.
- The field's scientific development warrants further attention.
- Supports continued research and evidence-based practice in child mental health services.
Abstract:
This review developed from a discussion with the late Professor Richard Harrington about interventions in Child and Adolescent Mental Health services (CAMHS) that lacked an evidence base. Our aim is to investigate the literature for signs that child psychoanalysis is a declining paradigm within the Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom (UK). We present the literature chronologically since the inception of the UK National Health Service. This study shows that there have been a number of threats to child psychoanalytic psychotherapy, but no significant consistent decline. The profession is beginning to develop the social profile of a scientific discipline. We conclude that child psychoanalytic psychotherapy does not consistently demonstrate features of a declining scientific paradigm.
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