On the Perversity of an Imagined Psychological Solution to very real Social Problems of Unemployment (Work-lessness) and Social Exclusion (Worth-lessness): A Group Analytic Critique

This article explores some ethical and professional implications of social policies that aim to achieve social inclusion through Improving Access to Psychological Therapies (IAPT) for the un(der)employed (the work-less) and the ‘socially excluded’ (the worth-less) in the UK. A major ethical concern at the heart of this critique is that such policies establish a boundary between domains of inclusion and domains of exclusion that perversely maintain the very problem they are designed to solve. The article explores how we, as a society, are invited to live in a split world and to hold contradictory conceptualizations about un(der)employment, (workless-ness) and social exclusion (worthless-ness). On the one hand we seem to know that these problems are a consequence of the vagaries and vicissitudes of national and international economic policies, yet on the other hand are invited to believe that these problems are a result of individuals’ psychological failures. In these ways dissembling conversations about an ‘imagined’ psychological depression replaces conversations about the very real socio-political and economic ‘depression’ that underlies it—and ‘psychotherapy’ is in danger of becoming the medium through which this dissembling is operationalized.