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`Pilgrim has some immensely enjoyable swipes at various aspects of the psychotherapy industry... he is at his most interesting when he focuses on the question of power relations in psychotherapy... his heart and his best writing are in the domain of traditional political activism, particularly the mental health users' movement, social reform, equity in service access and so on. What he highlights clearly... is the way some fairly straightforward aspects of injustice and oppression are still key contexts in which the therapeutic enterprise functions...