Abstract

A campaign sponsored by the ‘happiness tsar’ Richard Layard and backed by the entire medical, psychiatric, and social policy establishment is recommending ‘evidence-based’ psychological therapies for up to one-third of the population.1 But is their evidence sound? According to Professor Layard, the scale of Britain's mental health problem is ‘massive’: one in three families are affected.2 He believes that ‘one in ten’ children and ‘one in six’ adults are suffering from a ‘diagnosable problem requiring professional help’. It is immediately apparent that these rates of diagnosis can only be achieved by the dramatic inflation of familiar diagnostic categories and the expansion of the scope of psychiatric labelling from a small …

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