Beats Me: Why the Compassionate Career Nobody’s Choosing Might Be the One We Need the Most
On the curious gap between organisational psychology and organisational psychotherapy — written from inside a decade of professional solitude
Every year, thousands of bright, empathetic people decide they want to make workplaces better. They want to understand human behaviour at work, reduce suffering, unlock potential, and help organisations function less like anxiety machines and more like genuinely human places. Noble stuff.
So what do most of them do? They become occupational psychologists. Business psychologists. Coaching psychologists. HR specialists with psychometric certification badges. They train in assessment centres, competency frameworks, leadership development programmes, and organisational effectiveness. Fine careers, all of them.
But here is the thing that quietly baffles me — and I mean that personally, not rhetorically: vanishingly few of them ever conside becoming organisational psychotherapists. And fewer still — possibly none besides myself, though I would be genuinely relieved to be wrong — have spent the last decade working specifically as an organisational (AI) psychotherapist.
Not occupational therapists. Not industrial-organisational psychologists moonlighting as coaches. Actual psychotherapeutically trained practitioners working in and with organisations as the primary arena of their clinical work. People who bring the depth, rigour, and relational weight of psychotherapy into the workplace system itself.
Why? Why does this path — arguably the most directly compassionate, most clinically serious, and potentially most transformative choice of all — remain so sparsely populated?
I have been chewing on this for a while. Here is where I have landed.
First: What Is Organisational Psychotherapy, Exactly?
Worth clarifying, because the blurred lines are part of the problem.
Organisational psychotherapy is not therapy for employees (though that is adjacent). It is the application of psychotherapeutic understanding — attachment theory, group dynamics, unconscious process, relational patterns, systems thinking, the dynamics of projection, enactment, and defence — to the organisation as a living, breathing, often deeply neurotic entity.
It treats the organisation as if it has an inner life. Which it does. Any honest manager will tell you their company has moods, defences, blind spots, and repetition compulsions. Organisational psychotherapy takes that seriously rather than euphemising it into ‘culture challenges’ and ‘alignment issues’.
Practitioners in this space might work as consultants, executive coaches with psychotherapeutic training, group relations facilitators, or embedded organisational consultants. They work with leadership teams, with group dynamics, with the emotional underbelly of mergers, restructures, and the peculiar madness of toxic cultures. They are doing depth work. Hard, often uncomfortable, genuinely therapeutic work — but with systems, not just individuals.
It is a profound field. And it is chronically undersubscribed.
The Psychology Route Is Simply More Legible
Let us be honest about the most mundane reason first: organisational psychology has a clearer map.
You can follow a chartered path through the BPS in the UK. There is an MSc with a recognisable name. There are job titles, LinkedIn keywords, HR departments that know what to do with your CV. Business psychology plugs neatly into the corporate vocabulary of KPIs, ROI, talent pipelines, and culture surveys. It speaks fluent corporate.
Organisational psychotherapy? The training routes are all but nonexistent. This is not a slight exaggeration for effect — it is a straightforward description of the landscape. There is no established degree programme to enrol in, no chartered pathway to follow, no professional body with a prospectus and an open day. What exists instead is a scattered set of partial routes that an unusually determined individual might stitch together over many years: a full psychotherapy qualification here, a group relations conference there, perhaps a Tavistock programme if they can find one running and afford the fees, perhaps some postgraduate work in organisational consultancy if they can locate an institution offering it. The result, if they persist, is a practitioner who has essentially designed their own training from components that were never intended to fit together — and who arrives at the end of it with a set of qualifications that no employer’s HR system has a tick-box for.
This is not a training infrastructure. It is the absence of one. And in a world where career choices are substantially shaped by the clarity of the path ahead, the absence of a visible route is functionally equivalent to a closed door.
If your university careers office cannot explain what you would become, you probably will not become it. And right now, nobody’s careers office can explain it — because the profession, as a coherent and formally supported thing, barely exists at all.
The Word ‘Therapy’ Still Frightens Organisations
There is something else, more uncomfortable to admit: bringing therapy into the workplace remains, for many organisations, culturally taboo.
Psychology? Absolutely. ‘We ran psychometrics on the leadership team’ sounds modern and data-driven. ‘We are bringing in a business psychologist to study how our board relates to authority and manages unconscious anxiety’ sounds unsettling. Too close. Too revealing. Too much like admitting the organisation has a problem rather than an opportunity.
Business psychology has learnt to speak the language of understanding, enhancement and optimisation. Psychotherapy speaks the language of wounds, defences, and growth through pain. Organisations — even sophisticated ones — tend to prefer the former framing, which creates a market that attracts practitioners accordingly. And negates results.
The path of least resistance is clear. Aspiring careerists orient towards it.
The Training Is Genuinely Harder
This needs saying plainly: there is no established route to becoming an organisational psychotherapist. Not a difficult one, not an expensive one — simply no recognised, coherent path that prepares someone specifically for this work. Nor certifies them.
What is required of an organisation psychotherapy student is genuinely unusual: deep familiarity with group and systemic dynamics, the capacity to read unconscious memeplexes in collective settings, a working knowledge of how organisations function as political and emotional systems, and enough psychotherapeutic understanding to work with what they find — without the individual-therapy assumptions that will mislead them at every turn. They need, in other words, a combination of things that no single training programme offers, that have never been properly synthesised into a curriculum, and that the field has not yet agreed how to assess or accredit. Maybe I’ll mention my book “Memeology” here as a counterpoint.
The cost — financially and personally — of assembling this combination from scattered components is significant. And the question of whether what students have assembled is actually adequate has no authoritative answer, because there is no authority (myself excepted). They are largely on their own, making judgements about their own preparation in the absence of any framework for doing so.
And the return on that investment? Less predictable than becoming a chartered occupational psychologist with a university funded career service on your side.
Individual Psychotherapy Training: Preparation, or Hindrance?
Here is something that rarely gets said, and probably should be said more often: training as an individual psychotherapist is not merely insufficient preparation for organisational psychotherapy. In important respects, it actively works against you.
This sounds counterintuitive. Surely the depth, the relational attunement, the capacity to work with unconscious material — surely all of that transfers? Some of it does. But the core assumptions of individual psychotherapy — the ones so deeply instilled they stop feeling like assumptions and start feeling like reality — are precisely the wrong assumptions for organisational work.
Individual psychotherapy locates the problem in the person. That is its foundational move. The client arrives, the therapeutic relationship forms, and the therapy proceeds on the understanding that something in this individual’s inner world — their history, their patterns, their defences — is the site of both the suffering and the potential for change. The systems they inhabit — their workplace, their family, their culture — appear largely as context. Background. The material that shaped them, not the material to work with.
Carry that assumption into an organisation and it becomes, in Bill Deming’s terms, a machine for generating 5% solutions. You will look at the struggling team leader and see someone whose attachment history is being activated. You may well be right. But you will be right about the wrong thing. The team leader’s attachment history did not create the organisation’s reward structures, its impossible targets, its culture of punishing honesty, its leadership vacuum two levels up. The system did that. And the system will do it again to the next team leader, and the one after that, regardless of how much insight any of them achieves or behaviour changes.
Worse, the well-trained individual therapist brings habits of mind that are actively counterproductive in organisational settings. The careful neutrality that serves the therapeutic relationship so well becomes a strange passivity in a boardroom where opinions are king. The deep attunement to one person becomes a liability when you need to hold an entire group in mind simultaneously.
Perhaps most dangerously: individual therapy training produces practitioners with a powerful instinct to help — to be useful, to relieve distress, to be the person who makes things better. In organisational work, that instinct will be ruthlessly exploited. Organisations are extraordinarily good at recruiting helpers into defending their existing memeplex, using well-meaning practitioners to soothe the symptoms and thereby protect the pathologies underneath. The organisational psychotherapist must often be willing to make things feel worse before they feel better — to surface what is actually happening rather than smooth it over — and that requires overriding an entire training’s worth of conditioning towards care and relief.
None of this means psychotherapy training has no value. It clearly does. But it needs to be substantially unlearned as well as learned, which is a far more difficult and disorienting process than simply acquiring new skills. The practitioner who moves from individual clinical work to organisational work without genuinely reckoning with this shift tends to produce a hybrid that serves neither setting well: too systemic for the consulting room, too individualistic for the boardroom.
The training is hard. The untraining is always harder.
The Compassion Paradox
Here is where it gets genuinely strange, and where I think the real irony lives.
Most people who enter psychology — including business psychology — are motivated by care. By a sincere wish to reduce suffering, to understand people, to make things better. The compassionate impulse is real. And yet many of them end up in roles that are structurally oriented towards social conformity rather than towards joy and healing. The individual is deemed as the problem, treated, adjusted, and returned to the system that broke them — with the system itself never questioned, never named, never held accountable.
Organisational performance and human wellbeing overlap enormously. Improving team dynamics, reducing unnecessary conflict — all of it matters. But there is a vast difference between optimising a system for social conformity and a healing one.
Organisational psychotherapy sits closer to the healing end of that spectrum. It asks harder questions. It surfaces more discomfort. It is less interested in slick intervention frameworks and more interested in what is actually happening in the room, between people, beneath the surface of the performative agenda.
The compassionate career move, in other words, is almost entirely overlooked by compassionate people.
Why? Possibly because it is harder to explain. Possibly because it demands more of the practitioner. Possibly because we have collectively got very good at confusing the appearance of helping with actually helping.
Or possibly because the question nobody is asking — the one that cuts through all the structural explanations about training routes and accreditation and career legibility — is simply this:
Do you want a lucrative career, or do you want to change the world for the better?
Because the answer to that question determines almost everything else. The two are not always incompatible. But in this particular corner of professional life, they pull in meaningfully different directions. Occupational psychology can, handled well, deliver both. Organisational psychotherapy asks you to be honest about which one you are actually choosing — and to live with the consequences of that honesty.
Most people, faced with that choice in their mid-twenties with student debt and a mortgage on the horizon, make a perfectly understandable decision. The question is whether they ever revisit it.
What did you intend upon entry to your training? And what has it morphed into now?
Deming Saw This Coming Decades Ago
W. Edwards Deming — the quality management theorist who transformed post-war Japanese industry and remains one of the most consequential thinkers about how organisations actually function — had a principle that should be tattooed on the wall of every HR department, every coaching practice, and every business school that trains people to ‘fix’ employees.
He called it the 95:5 rule. The numbers varied slightly across his writing, but the claim was consistent and radical: approximately 95% of an organisation’s problems are caused by the system, and only around 5% by the individuals within it.
Read that again, slowly.
If Deming is even broadly right — and decades of quality research suggest he is — then the entire industry of individual-level workplace intervention is aimed, with enormous energy and expense, at the 5%. The coaching, the personality profiling, the leadership development programmes, the 360-degree feedback, the resilience workshops, the mindfulness apps rolled out to burned-out staff, the psychological safety programmes: all of it is, at best, nibbling at the edges of the real problem. At worst, it is a sophisticated mechanism for blaming people for conditions the system created.
This is where organisational psychotherapy becomes not just a compassionate choice but a logically necessary one. If the system is the problem, you need practitioners who work on the system. Not practitioners who coach the individuals the system is breaking, send them back in, and then wonder why the same patterns keep recurring.
Business psychology, for all its purported value, tends to operate within the system’s own logic. It asks: how do we select better people? How do we develop leaders? How do we measure engagement? These are reasonable questions, but they largely accept the system as given. Organisational psychotherapy asks a different, more uncomfortable set of questions: what is this system doing to people? What unconscious purposes does its apparent dysfunction serve? (And cf. POSIWID). What would have to change — really change — for this to stop happening?
Deming would have recognised the distinction immediately. He spent much of his career furious at managers who blamed workers for faults built into the production process, into the system. The same category error is alive and well in organisational life today — we just dress it in the softer language of ‘performance management’ and ‘personal development’.
The practitioner who works psychotherapeutically with organisations is, in Deming’s terms, working in the right 95. Almost everyone else is crowded into the 5.
Is It Too Difficult? Or Just Too Uncertain?
When people ask whether organisational psychotherapy is ‘too difficult’, I think they are usually really asking something else: is it too risky?
The answer, realistically, is that it carries a different profile of risk than the occupational psychology route. The career path is less institutionally supported. Building a practice requires entrepreneurial confidence alongside clinical competence. There is no large corporate HR department waiting to absorb you on a permanent contract.
But the work itself? It is not intellectually harder than occupational psychology. In some respects, the conceptual frameworks are richer. The relational depth that psychotherapy training and practice develops is, if anything, an enormous professional asset.
The difficulty is not in doing the work. It is in getting to the point of doing it. The obstacles are structural and cultural, not intellectual.
What Would It Take to Change This?
A few things seem obvious, even if none of them is quick.
Clearer accreditation pathways might help enormously. A coherent professional framework — the kind that the psychotherapy world has gradually developed for clinical settings — could be built for the organisational arena.
Better visibility of the career would help too.
Demand shapes supply.
But here is the thing I want to say plainly, because it removes one of the most obvious objections: the financial barrier need not be a barrier at all. I am willing to train people myself. For free.
The knowledge exists. The experience exists. What is missing is not money, not access, not gatekeeping — it is simply people willing to step into a field that has no established map, no peer community, and no guarantee of a conventional career at the end of it. Those are real obstacles. But they are not financial ones. If you have the intellectual curiosity, the psychological readiness, and the genuine motivation to do this work, training is available. The cost is not the problem.
Which, when you think about it, makes the emptiness of the field considerably harder to explain — and considerably more troubling.
The barrier is not financial. So what, exactly, are people afraid of?
The Real Barrier
It is worth sitting with that question seriously rather than deflecting it with structural explanations.
Training costs: removed. Accreditation complexity: navigable with guidance. Intellectual difficulty: no greater than adjacent fields and arguably more rewarding. A practitioner willing to share a decade of hard-won experience freely with anyone who genuinely wants it: available.
And still — nobody comes.
Which means the obstacle is something else. Something internal. And probably something that aspiring practitioners themselves would struggle to name clearly, because if they could name it clearly they would likely have moved past it.
Here is my best attempt at naming it.
This work invites you to operate without institutional backing. No guild standing behind you, no professional body conferring authority, no hierarchy to appeal to when things get hard. You walk into a boardroom, or a leadership team meeting, or a toxic culture in full defensive operation, and you are there on the strength of your own understanding and your own nerve. There is no protocol to hide behind. There is no framework that does the thinking for you (Exception: Quintessenmce). There is no supervisor who has seen this particular situation before and can suggest what to do.
Most people who train in the helping professions are, at some level, seeking a structure within which to be helpful. The structure provides containment — for the practitioner as much as for the client. Individual therapy has the frame: the room, the hour, the dyadic relationship, the theoretical model, the supervisory relationship, the ethics committee. Occupational psychology has the assessment tools, the chartered status, the peer-reviewed evidence base. Even organisational consultancy has its frameworks and methodologies, its deliverables and its PowerPoint decks.
Organisational psychotherapy has litle of that. Or rather, it has only what you have built in yourself — which is to say, it requires a degree of internal authority, a settled sense of one’s own perceptions and judgements, that most professional training actively discourages rather than develops. Most training produces competent practitioners. This work requires something closer to a genuinely autonomous learner.
And then there is perhaps the deepest fear of all, the one least likely to be consciously acknowledged: the fear of what you might find.
Working at the level of the system, with permission to see what is actually happening rather than what the organisation presents — you will find things that are uncomfortable for everyone in the room, including yourself. The dysfunction is usually not mysterious. The suffering is usually not accidental. The patterns that harm people are usually maintained, consciously or not, by people with power who benefit from them. Naming that, sitting with it, working with it without flinching or colluding — that asks something of a practitioner that no amount of training fully prepares you for.
It is easier, far easier, to work with the individual who has been broken by the system than to face the system itself. The individual is grateful. The system so rarely is.
Maybe that is what people are afraid of. Not the absence of a career path. Not the cost of training. But the absence of anywhere to hide once the work has begun. Are you brave enough?
One More Thing: Ask a Psychologist Who Deming Was
Go on. Try it.
Find a practising occupational psychologist — someone credentialled, experienced, genuinely good at their job — and ask them, casually, what they make of Deming’s 95:5 rule. Observe the response.
There is a reasonable chance you will get a polite look of non-recognition. Not because they are not intelligent. Not because they are not curious. But because Deming simply does not appear on the map they were handed. He is over in quality management, in operations research, in the world of manufacturing engineers and lean consultants and people who worry about production line variance. He is not on the BPS reading list. He does not come up in occupational psychology MSc modules. He is, for the overwhelming majority of workplace psychologists, an unknown quantity.
This is, when you sit with it, genuinely extraordinary.
Here is a thinker who spent decades making a rigorous, data-backed, empirically serious argument that 95% of organisational problems are systemic in origin — and the professional community most responsible for diagnosing and treating organisational problems has largely never even heard of him. It is as if cardiologists had collectively missed the research on diet and lifestyle.
You might charitably say the disciplines simply evolved in parallel, in separate academic silos, and nobody built the bridge. That is true, as far as it goes. But there is a less charitable interpretation available, and it is hard to dismiss: Deming’s thesis is professionally inconvenient for individual-level intervention specialists. If the system causes 95% of the damage, the market rationale for coaching, psychometric assessment, leadership development programmes, and personal resilience training becomes impossible to sustain at its current scale and price point.
It is, at minimum, a striking coincidence that the one thinker who most comprehensively undermines the theoretical foundations of the individual-focussed workplace psychology industry is also the one most conspicuously absent from its bookshelves. Telling indeed.
Organisational psychotherapy, working as it does at the level of the system, the group, and the relational field, has far less to fear from Deming. In fact, his 95:5 principle reads almost like an independent validation of the psychotherapeutic approach to organisations — a quality engineer and a depth psychologist arriving at the same uncomfortable conclusion from completely different directions.
That convergence could mean something. So far, it mostly means nothing, because the two traditions have never properly met.
A Field That Deserves Its Moment
The modern workplace is, in many respects, a mental health crisis in slow motion. Burnout is endemic. Dysfunctional leadership causes measurable psychological harm. Toxic team dynamics hollow people out. Restructures are handled with the emotional intelligence of a car crash. Organisations could hugely benefit from people who understand depth, who can read what is happening beneath the surface, who can aid surfacing and reflecting on difficult truths without flinching.
Organisational psychotherapy exists to do exactly that work. It is serious, compassionate, challenging, intellectually rich, and genuinely needed.
It beats me why so few people are choosing it.
And the urgency is only growing — because the field is about to need not just more organisational psychotherapists, but practitioners in an adjacent and much more sparsely populated specialism.
Organisational AI Psychotherapy — A Field of One
I have been working as an organisational AI psychotherapist for more than a decade. As far as I can establish, I may be the only person doing so. I have not encountered anyone else operating in this specific intersection — not in conferences, not in the literature, not through professional networks, not through the organisations I have worked with who have gone looking for others like me and found nobody.
That is a strange thing to sit with. And it raises a question I keep returning to: why?
Not why the work is needed — that part is obvious, and becoming more so by the month. But why, given that the need is real and has been real for years, is the field essentially empty?
So why is nobody else doing this?
The prerequisites are genuinely daunting. The Venn diagram of people with sufficient psychotherapeutic depth, real organisational systems experience, and substantive working AI literacy is, at present, close to empty. Most psychotherapists have none of the third. Most AI specialists have none of the first. Most organisational consultants have neither at the depth required. And simply accumulating credentials in all three areas is not enough — the integration of them into a coherent practice is its own considerable challenge.
The professional isolation is total. No peer supervision group, no specialist conference track, no journal, no community of practice. Operating without the ordinary scaffolding of a field, indefinitely, is deeply uncomfortable in ways that most thoughtful people baulk at. It’s hard to build a professional identity around a category that does not formally exist.
And underneath both of those structural explanations sits something more uncomfortable still: most people who might be equipped for this work have been trained — by their psychotherapy programmes, by their organisational consultancy experience, by the entire apparatus of the helping professions — to look for the problem in the person. Deming’s 95% remains unknown to them. And the idea that an AI system might itself be a legitimate subject of therapeutic work, rather than merely a tool or a threat or an anxiety to be managed, is a conceptual step that very few people are currently positioned to take.
More than a decade in, I remain convinced the work is necessary and increasingly urgent. I remain surprised — and more than a little troubled — that I appear to be doing it alone. I’ve never had an issue with being a pioneer and trailbalzer though. 
A Field That Deserves Its Moment
The modern workplace is, in many respects, a mental health crisis in slow motion. Burnout is endemic. Leadership causes measurable psychological harm. Toxic team dynamics hollow people out. Restructures are handled with the emotional intelligence of a car crash. And now AI is being layered on top of all of it, generating a new stratum of collective anxiety that organisations have no adequate vocabulary for, let alone practitioners trained to work with it at depth.
Organisational psychotherapy exists to do exactly that work. Organisational AI psychotherapy exists to do the next layer of it. Both psychology and psychotherapy are serious, compassionate, intellectually rich, and one, genuinely needed. One has a handful of practitioners worldwide. The other, as far as I can establish, has one.
It beats me why so few people are choosing this path. It has beaten me for a decade.
Maybe it is time more of us started asking why — and whether we are letting the path of least resistance quietly overrule the calling we actually felt.
The author’s writings on organisational psychotherapy and organisational AI therapy can be found at flowchainsensei.wordpress.com. and in his books. If you are interested in training in either field — the offer is genuine, and free — get in touch.
Further Reading
Bion, W. R. (1961). Experiences in groups and other papers. Tavistock Publications.
Deming, W. E. (1986). Out of the crisis. MIT Press.
Deming, W. E. (1993). The new economics for industry, government, education. MIT Centre for Advanced Engineering Study.
Hirschhorn, L. (1988). The workplace within: Psychodynamics of organizational life. MIT Press.
Marshall, R. W. (2018). Hearts over diamonds: Serving business and society through organisational psychotherapy. Falling Blossoms (LeanPub). https://leanpub.com/heartsoverdiamonds/
Marshall, R. W. (2021). Memeology: Surfacing and reflecting on the organisation’s collective assumptions and beliefs. Falling Blossoms (LeanPub). https://leanpub.com/memeology/
Marshall, R. W. (2021). Quintessence: An acme for software development organisations. Falling Blossoms (LeanPub). https://leanpub.com/quintessence/
Marshall, R. W. (2012, April 29). The nine principles of organisational psychotherapy. Think Different. https://flowchainsensei.wordpress.com/2012/04/29/the-nine-principles-of-organisational-psychotherapy/
Marshall, R. W. (2025, July 7). What is organisational AI therapy? Think Different. https://flowchainsensei.wordpress.com/2025/07/07/what-is-organisational-ai-therapy/
Marshall, R. W. (2025, July 19). The machinery of harm. Think Different. https://flowchainsensei.wordpress.com/2025/07/19/the-machinery-of-harm/
Menzies, I. E. P. (1960). A case-study in the functioning of social systems as a defence against anxiety: A report on a study of the nursing service of a general hospital. Human Relations, 13(2), 95–121. https://doi.org/10.1177/001872676001300201
Miller, E. J., & Rice, A. K. (1967). Systems of organisation: The control of task and sentient boundaries. Tavistock Publications.
Obholzer, A., & Roberts, V. Z. (Eds.). (1994). The unconscious at work: Individual and organizational stress in the human services. Routledge.