By John Launer
Fundamental care and psychotherapy are in many ways worlds aside. but either care for an identical human basics: beginning, demise, wish and sadness, identification, and uncertainty. This leading edge e-book seems to be at how psychotherapists could make use in their abilities in fundamental care. It examines how therapists, relations physicians, and different basic care pros can all study from one another via scientific collaboration. each one bankruptcy describes a unique useful method of joint operating in quite a number fundamental care settings, around the existence cycle. particular issues contain companies for kids and young people, operating with immigrants, and stay supervision. the entire authors are hooked up with the distinguished Tavistock hospital, and are psychotherapists or family members physicians. The booklet demanding situations psychotherapists and those that paintings in fundamental care to improve nearer operating relationships, for you to bring more suitable and extra equitable services.
The participants: Jenny Altschuler, Sara Barratt, Sue Blake, Dilys Daws, Nasima Hussain, John Launer, Robert Mayer, Jo O’Reilly, Rob Senior, Ann Simpson, Patrick Tiernan, Beverley Tydeman, and Cathy Urwin
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Extra resources for Reflecting on Reality: Psychotherapists at Work in Primary Care
Example text
When fathers are able to share in the comforting of their baby, it not only lessens the strains on the mother, the father may also gain some authority in stopping the baby from an endless exploitation of the mother. In this method of parent–infant psychotherapy, using the evidence in the room of small examples of behaviour enables the therapist and family to notice and think about their usual way of interacting and the philosophy behind this. The next time, mother came with Harry on her own because of father’s shift work.
So by the time my father left general practice in 1947, I had absorbed the idea that public policies and individual commitment could jointly be powerful forces in preventative health measures. With the creation of the National Health Service in 1948, the shape of general practice changed greatly. The family doctor charter of 1966 encouraged large group practices; some were set up in specially designed health centres. Multidisciplinary primary care teams developed, including health visitors, practice nurses, and others.
To accept psychotherapeutic help within a practice—at any level beyond the most conventional model of liaison work—is of course to accept that practitioners in primary care have great emotional needs too. For any psychotherapeutic attachment to work well, there needs to be a willingness in at least some of the doctors and nurses to reflect on the dynamics of interactions with patients and families, and on the almost universal presence in primary care of the processes that impede or contaminate help: these include collusion, denial, alienation, moralization, and ra- 12 JOHN LAUNER tionalization.
