You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
This paper addresses the difficulties which surround the economic analysis of psychoanalytic psychotherapy. Economic evaluations have as their explicit aim the allocation of scarce resources. The methodology of economic research remains crude, with little consensus over what constitutes costs and benefits, and how they can be measured in the field of mental health. The value of psychotherapy may be undermined by narrow economic considerations, for both defensive and destructive purposes, and we need to differentiate between these differing attitudes. Using one of Auden's poems, ‘Numbers and Faces’, the paper addresses how economic analysis takes a perspective on psychotherapy that focuses more on ‘numbers’, as opposed to process research that more sticks to ‘faces’. The detrimental effects of adopting a belief in numbers is discussed. Two clinical vignettes highlight the limited application of economic evaluation to the clinical setting.