ABSTRACT
This chapter explains how the marginalized approach to therapy practices and Trans formational research might further constructive dialogue in the therapy profession in an age of managed care. In contrast to the managed care principle of building up resilience, the primary aim of relational holistic therapy is transformation of both symptoms and the whole human being. The neo-liberal New Public Management (NPM) approach to healthcare, with evidence-based practice underpinning it, has begun to have a strong influence on the field of counselling and psychotherapy, in the form of the Improved Access to Psychological Therapies (IAPT) scheme. NPM and IAPT are no different from government welfare policies in general in that welfare from the point of view of the State is almost always interwoven with social control, anxiety about the possible uppity behaviour of ordinary people. The preferred approach to clinical practice, anthroposophic psychotherapy, integrates all of these things.
