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History of Psychiatry
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Child psychoanalytic psychotherapy in the UK National Health Service: an historical analysis

Elizabeth Rous

Pennine Care NHS Foundation Trust, UK, libby.rous{at}nhs.net

Andrew Clark

Greater Manchester West Mental Health NHS Foundation Trust, UK

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.

Key Words: Child and Adolescent Mental Health Services (CAMHS) • history • National Health Service • psychoanalysis • United Kingdom

History of Psychiatry, Vol. 20, No. 4, 442-456 (2009)
DOI: 10.1177/0957154X08338338
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