REFLECTING ON REALITY Tavistock Clinic Series Margot Waddell (Series Editor) Published and distributed by Karnac Books Other titles in the Tavistock Clinic Series Acquainted with the Night: Psychoanalysis and the Poetic Imagination Hamish Canham and Carole Satyamurti (editors) Assessment in Child Psychotherapy Margaret Rustin and Emanuela Quagliata (editors) Borderline Welfare: feeling and Fear of Feeling in Modern Welfare Andrew Cooper and Julian Lousada Facing It Out: Clinical Perspectives on Adolescent Disturbance Robin Anderson and Anna Dartington (editors) Inside Lives: Psychoanalysis and the Growth of the Personality Margot Waddell Internal Landscapes and Foreign Bodies: Eating Disorders and Other Pathologies Gianna Williams Mirror to Nature: Drama, Psychoanalysis, and Society Margaret Rustin and Michael Rustin Multiple Voices: Narrative in Systemic Family Psychotherapy Renos K. Papadopoulos and John Byng-Hall (editors) Oedipus and the Couple Francis Grier (editor) Organization in the Mind: Psychoanalysis, Group Relations, and Organizational Consultancy David Armstrong (Robert French, editor) Psychoanalysis and Culture: A Kleinian Perspective David Bell (editor) Psychotic States in Children Margaret Rustin, Maria Rhode, Alex Dubinsky, Hélène Dubinsky (editors) Reason and Passion: A Celebration of the Work of Hanna Segal David Bell (editor) Sent Before My Time: A Child Psychotherapist’s View of Life on a Neonatal Intensive Care Unit Margaret Cohen Surviving Space: Papers on Infant Observation Andrew Briggs (editor) The Many Faces of Asperger’s Syndrome Maria Rhode and Trudy Klauber (editors) Therapeutic Care for Refugees: No Place Like Home Renos K. Papadopoulos (editor) Understanding Trauma: A Psychoanalytic Approach Caroline Garland (editor) Unexpected Gains: Psychotherapy with People with Learning Disabilities David Simpson and Lynda Miller (editors) Working Below the Surface: The Emotional Life of Contemporary Organizations Clare Huffington, David Armstrong, William Halton, Linda Hoyle, and Jane Pooley (editors) Orders Tel: +44 (0)20 8969 4454; Fax: +44 (0)20 8969 5585 Email:
[email protected] www.karnacbooks.com REFLECTING ON REALITY Psychotherapists at Work in Primary Care Edited by John Launer, Sue Blake, & Dilys Daws KARNAC CONTENTS ACKNOWLEDGEMENTS ix SERIES EDITOR ’ S PREFACE xi ABOUT THE EDITORS AND CONTRIBUTORS xiii CHAPTER ONE Introduction John Launer 1 CHAPTER TWO