Improving Access or Denying Choice?

This paper addresses the ‘Improving Access to Psychological Therapies’ programme and the reports on which it is based. It is suggested that the evidence base favouring particular psychological therapies is not as clear as is indicated in these reports. It is also proposed that there is an evidence base of at least equal relevance to the choice of psychological therapies. This body of research indicates that preferences for, and responses to, different types of psychological therapy are rooted in the ‘personal styles’ of, and philosophical beliefs held by, therapists & clients. It is concluded that a service can only offer a true choice of effective psychological therapies if it takes account of these diverse preferences and beliefs.