The last ten years have seen the application of market values bring about far-reaching changes in the structures and culture of out public sector institutions. Integrity and Change: Mental Health in the Market Place examines how workers in the caring professions might preserve their integrity and ability to reflect and act purposefully in the face of such rapid and extensive change. With contributions from well know clinicians, academics and organisational consultants, Integrity and Change explores experiences and dilemmas common to a range of settings. The book is both topical and diverse including examination of: the management of institutions in transition how to develop and maintain creativity in a market culture leadership dynamics the case for the provision of long-term therapy in public settings. This thoughtful exploration of pressing issues will be of interest and relevance to academics, managers and workers. All those working in the caring professions in education, health, statutory and voluntary social services will find Integrity and Change offers positive and constructive suggestions for ways of coping with the ever-increasing pressures of change. Michael Brearley, psychoanalyst in private practice, London, Jean Hutton, Director, Grubb Institute of Behavioural Studies, Paul Hoggett, University of West England, Julian Lou

Chapter 1 Introduction, Eileen Smith; Chapter 2 A Time to Think, Peter Wilson; Chapter 3 What Price Trust?, Valerie Sinason; Chapter 4 The Hidden History in an Idea, Julian Lousada; Chapter 5 Counselling in Higher Education, Eileen Smith; Chapter 6 Re-Imagining the Organisation of an Institution, Jean Hutton; Chapter 7 Captains and Cricket Teams, Michael Brearley; Chapter 8 Working with Abused Clients in an Institutional Setting, Moira Walker; Chapter 9 Human Responses to Destructive Regimes, Paul Hoggett; Chapter 10 A Struggle Towards Health in Health Service Policy-Making, Jean White; Chapter 11 Internal Space and the Market, Jean White; Chapter 12 Excitement and Tension at the Edge of Chaos, Ralph Stacey;