ABSTRACT

The Tavistock Centre for Couple Relationships (TCCR) began life as a mixed practice and research organisation looking to find effective ways of intervening in family distress after the Second World War. One of the things that TCCR has stood for is the discovery of what works and finding-out of what kind of a thing a couple relationship is, in all its forms. TCCR traditionally has done the two types of research that focus on the case study, and has tended to try to discover meaning and process rather than test "what works for whom". A behavioural form of couple therapy was endorsed by National Institute for Health and Clinical Excellence as having the approved random controlled trial evidence base for its efficacy as a treatment for depression. The complications of this approach have been highlighted in the recent development of couple therapy as a treatment for adult depression in the National Health Service through Improving Access to Psychological Therapies initiative.