I think it's not the easiest to be critical of the approach, and I really don't envy your position Jane, good luck. From my (limited) understanding around lean, it seems that the model itself is concerned with values, in particular values of the 'consumer'. If we were to run with the idea that the model could be implemented (which for the record I don't think it can as it is) and there were 'consumers', I think it would be that we would have to see what is of value to 'consumers'. Which from the research on therapy outcomes is clearly not a single modality of therapy. This is without going into the principles and philosophy of the psy-industry.
For me, I think the implementation of the lean model is problematic. This is not news for us as psychologists I think we are quite masterful at manipulating theories and models to suit our beliefs and needs under the guise of helping and supporting. I'm not in favour of implementing lean as it is, but I do think that its adherence to values can be useful. I suppose the question is whether we believe its the 'right' values. In the case of current implementation, obviously not.
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