THE VALUES OF PSYCHOTHERAPY THE VALUES OF PSYCHOTHERAPY Jeremy Holmes Richard Lindley Revised Edition Foreword by R. D. Hinshelwood London K A R N A C B O O K S Originally published in 1989 by Oxford University Press. This revised edition first published in 1998 by H. Kamac (Books) Ltd. 58 Cloucester Road London SW7 4QY Copyright O 1989,1998 Jeremy Holmes and Richard Lindley Foreword copyright O 1998 R. D. Hinshelwood The rights of Jeremy Holmes and Richard Lindley to be identified as authors of this work have been asserted in accordance with 55 77 and 78 of the Copyright Design and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A C.I.P. record for this book is available from the British Library. ISBN 1 85575 151 8 Edited, designed, and produced by Communication Crafts Printed in Great Britain by BPC Wheatons Ltd, Exeter For El and Ros CONTENTS FOREWORD by R. D. Hinshelwood ix INTRODUCTION TO THE REVISED EDITION xiii PREFACE xvii 1 Taking psychotherapy seriously 2 The case against psychotherapy 3 Is psychotherapy a luxury? 4 The unjust distribution of psychotherapy 5 The social role of psychotherapy 6 The therapeutic relationship: ethical implications of transference 7 Moral dilemmas within psychotherapy viii CONTENTS 8 Psychotherapists: servants of two masters? 192 9 Ethical codes and codes of practice in psychotherapy 214 10 Psychotherapy: the makings of a profession 23 1 11 Epilogue: the future of psychotherapy 257 GLOSSARY REFERENCES INDEX FOREWORD R. D. Hinshelwood T here is no objectivity in the human sciences. Psychotherapy is one research field that has really addressed that fact. It is accepted that the psychotherapist profoundly affects the field of study whilst in the process of studying it-and the researcher goes on creating an unfolding effect as long as it lasts. The therapeutic effect is, of course, founded on just the same view too: the field of study (the patient or client) is deeply affected by the researcher in a persistent, on-going manner. But, more than this, there is another and comparable mutual influence: psychotherapy and society also influence each other in a two-way fashion. The Western world has not been left untouched by the coming of Freud (and, to a lesser extent, Janet and nineteenth- century hypnotherapies). Psychotherapy has led to a widely accepted change in our understanding of what a person is. Our sense of our- selves and of how we relate to each other is, in part, a product of the century of psychotherapy, just as psychotherapy is, in part, the creation of the historical development of our society. The values of psychotherapy are, in a deep sense, the values of society in general. I was very grateful during my own researches when the first edition of this book appeared in 1989. Though my own ideas eventu- ally developed in a somewhat divergent way, it was in no small