ABSTRACT
This chapter is about wondering what does not fit the image of Improved Access to Psychological Therapies (IAPT) and how the seeming gloss of its promises may actually increase the level of anguish in society. It explains part of an initiative to sell online IAPT Cognitive Behavioural Therapy (CBT) to all Camden residents. Unlike much psychotherapy, CBT has a model of psychic change which allows it to be tested through Randomised Controlled Trials (RCTs), the gold star of the National Institute for Health and Care Excellence (NICE) guidelines, which structure service provision in the UK. The therapist and patient need to go through a performance of finding this out, as if it were not already predetermined, before applying a set of change methods' or techniques to fine tune the muscle of the human machine. CBT promises to allow us to cut out bits that do not fit with our ideal image' of ourselves.
