ABSTRACT

This chapter considers the practical application of the three Perceptual Control Theory (PCT) principles introduced in the previous chapter – control, conflict, and reorganisation – to the design and delivery of secondary care mental health services. Services that were informed by PCT principles would shift their focus from treating diagnosable disorders or symptoms to supporting people to resolve distressing conflicts in order to regain control over important aspects of their lives. This can be achieved, it is argued, by prioritising the perspective of patients and enabling them to control key parameters of service delivery. This includes giving patients control over factors such as choosing a problem focus and determining the most suitable approach for resolving distressing problems. Services designed with these principles in mind, it is argued, will be experienced as more helpful by patients.