ABSTRACT
This chapter explores briefly the issue of responsibility and associated issues of freedom and self-determination, since these lie at the heart of the practice of mental health care. The person-centred approach takes these issues very seriously. This leads finally to considering issues of risk and accountability. The chapter is generally concerned with the person-centred approach to the issue (theoretical and philosophical aspects) of treatment rather than person-centred practice itself. The person-centred approach speaks the language of recovery, healing and wholeness, as well as appreciating the above concept of mental health that is concerned with potentialities, rather than deficiencies. It is also fair to say that person-centred therapists and other advocates of the person-centred approach are likely to find themselves in considerable conflict with the prevailing culture within psychiatric settings. It would be a mark of courage for managers of mental health services to decide to employ person-centred therapists and counsellors.
