ABSTRACT This is a response to Andrew Briggs’ paper presented to the ACP Conference in June 2017. Briggs’ paper, sobering, pessimistic and challenging, looks at the emotional pressures on child psychotherapists in Child and Adolescent Mental Health Services (CAMHS) as a result of the imposition of the internal market in the NHS. He posits that this has caused the loss of organisational containment, not just for child psychotherapists, but for all those clinicians who work in CAMHS. Briggs writes that this loss of containment is evident in clinicians’ experience of meaninglessness in their work and that this meaninglessness may lead to the despair of the death instinct. For Briggs, this goes along with the loss of professional identity as a once favoured discipline. He compares this fall from grace to Satan’s as described in Milton’s Paradise Lost. If, as he suggests, there has been a strong sense of being the favoured discipline, then maybe a dependence had grown in the profession whereby this loss now feels like a terrible abandonment. The author of this response sees hope amidst the despondency being forced upon workers in the NHS and makes the case for us to engage and resist in a number of practical ways.

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Andrew Briggs 对“遏制失败”的回应

摘要 这是对 Andrew Briggs 于 2017 年 6 月提交给 ACP 会议的论文的回应。 Briggs 的论文，发人深省，悲观和具有挑战性，着眼于儿童和青少年心理健康服务 (CAMHS) 中儿童心理治疗师的情绪压力对 NHS 内部市场的强加。他认为这导致了组织遏制的丧失，不仅对儿童心理治疗师如此，对所有在 CAMHS 工作的临床医生也是如此。Briggs 写道，临床医生在他们的工作中经历了无意义的经历，这种控制的丧失是显而易见的，这种无意义可能导致对死亡本能的绝望。对于 Briggs 来说，这伴随着职业身份作为曾经受青睐的学科的丧失。他将这种从恩典中的堕落与弥尔顿的《失乐园》中描述的撒旦的堕落进行了比较。如果，正如他所暗示的那样，有一种强烈的被偏爱学科的感觉，那么也许这个行业已经产生了一种依赖性，现在这种失去感觉就像是一种可怕的放弃。 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 这篇回应的作者在 NHS 的工作人员被迫承受的沮丧中看到了希望，并为我们提供了以多种实际方式参与和抵制的理由。