Psychotherapy in the United Kingdom: Past, present and future

Abstract

The 20th century, perhaps 'the age of Freud', has seen the development and growth of psychological therapies. The first half of the century was virtually the province of the psychoanalytic approaches, with the last three decades marking the flowering of many other approaches, and a gradual and general rapprochement between nearly all the major therapies. This history is traced, identifying the major players, including behaviour therapy and humanistic therapies challenging the initially dominant model. The rapid expansion in practitioners and training courses has led to questions of organisation, registration, and relationship between the therapies. The development of UKCP and BCP is examined, examining the size of the constituent elements within these major groupings, their relationship to each other and to counselling and the Independent Practitioners Network. Other developments such as psychotherapeutic studies within universities and the subsequent linking of some psychotherapy trainings to academic qualifications are referred to, while the relationship of British psychotherapy to the European and world scene is briefly described before the author hazards a prediction that it is integrative psychotherapy that will probably expand most in the new century, with counselling asserting its right to be an equal partner in the therapeutic endeavour.