Psychoanalysis and Analytic Psychotherapy in the NHS -- a Problem for Medical Ethics
Shapiro, David A.
Journal of Medical Ethics. 1986 Jun; 12(2): 87-94.
Wilkinson questions the place of psychoanalysis and psychoanalytically-oriented psychotherapy in the National Health Service, primarily because the efficacy of these treatments has not been established through empirical research and because costly resources should not be allocated to a limited few when many more people could be served by primary care mental health services. Shapiro contends that Wilkinson's argument regarding the cost-effectiveness of psychotherapeutic services is weakened by terminological confusion, bias in review of the empirical evidence, and a failure to address the need for research comparing different methods of psychotherapy. Stewart also believes that Wilkinson is imprecise and biased in his argumentation. (KIE abstract)
Behavior Disorders; Biomedical Technologies; Competence; Costs and Benefits; Economics; Empirical Research; Ethics; Evaluation; Government; Government Regulation; Health; Health Care; Health Personnel; Health Services; Medical Ethics; Medicine; Mental Health; Mental Health Services; Methods; Professional Competence; Psychotherapy; Regulation; Research; Resource Allocation; Review;
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