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Bendall, Caroline and McGrath, Laura
(2019).
DOI: https://doi.org/10.1177/1363459318785718
Abstract
Improving Access to Psychological Therapies has lead to a huge increase in the delivery of psychological therapy within the United Kingdom over the past 10 years. Central to the culture of Improving Access to Psychological Therapies is outcome monitoring, brought into every therapeutic encounter through the compulsory collection of the minimum data set in each session. This article explores the role of compulsory outcome monitoring in service users’ experiences of using Improving Access to Psychological Therapies, with a focus on how these forms are folded into distress, therapy and recovery. Data from a small-scale qualitative study are drawn upon. Thematic analysis was conducted on multimodal interviews with current service users. The article explores the ways in which the minimum data set acted as a ‘quasi object’, exploring three main roles of the minimum data set: as an authorising mediator, an alienating adversary and a deferring gatekeeper. Pictures of therapeutic progress, as presented via outcome measures, often ran counter to users’ reported experience of distress. We conclude that far from being a neutral and objective assessment tool, the minimum data set functions as a living actant in the therapeutic encounter.
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About
- Item ORO ID
- 62756
- Item Type
- Journal Item
- ISSN
- 1363-4593
- Keywords
- Mental health; mental distress; Improving Access to Psychological Therapies (IAPT); Deleuze; Latour; non-linear; experiencing illness narratives; health policy
- Academic Unit or School
-
Faculty of Arts and Social Sciences (FASS) > Psychology and Counselling > Psychology
Faculty of Arts and Social Sciences (FASS) > Psychology and Counselling
Faculty of Arts and Social Sciences (FASS) - Copyright Holders
- © 2018 The Authors
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