Reflecting On Reality: Psychotherapists At Work In Primary Care

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