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Purpose

– This paper charts the development and practice of disability psychotherapy for the author and for services.

Design/methodology/approach

– A personal account relating events to the development of thinking and practice.

Findings

– The author suggests that a paradigm shift has occurred over the 30 years to a position of “doing with” as opposed to “doing to”.

Originality/value

– This has not previously been put forward as a way of understanding present day services.

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