By John Launer
Fundamental care and psychotherapy are in many ways worlds aside. but either care for a similar human basics: delivery, loss of life, wish and unhappiness, identification, and uncertainty. This cutting edge e-book appears to be like at how psychotherapists could make use in their abilities in basic care. It examines how therapists, relatives physicians, and different fundamental care execs can all research from one another via medical collaboration. each one bankruptcy describes a special functional method of joint operating in quite a number basic care settings, around the lifestyles cycle. particular subject matters contain providers for kids and young people, operating with immigrants, and dwell supervision. all of the authors are attached with the distinguished Tavistock hospital, and are psychotherapists or relatives physicians. The ebook demanding situations psychotherapists and people who paintings in basic care to improve nearer operating relationships, that will carry more advantageous and extra equitable services.
The members: 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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Additional info for Reflecting on Reality: Psychotherapists at Work in Primary Care
At the time that this particular project was conceived, the report Together We Stand (Department of Health, 1995) delineated a tiered approach to CAMHS. It acknowledged that psychological disorders in children are very common and that children are less likely to “just grow out of it” than has traditionally been supposed. The document states: “The mental health of children and adolescents is a particularly important area as many are vulnerable to physical, intellectual, emotional, social or behavioural developmental disorders, which if not treated, may have serious implications for their adult life”.
Each attachment clearly has its own style, deriving from the interests of the clinicians and the needs of the practice or team. The “life cycle” of the attachments also varies greatly—for example, some of the work has been carried out over more than two decades, while other therapists have gone into the primary care setting for a defined project over a limited period of time. The attachments themselves cover a spectrum of activity, from purely clinical work to supervision, facilitation of case discussion, joint consultation on some cases, and wider consultative and developmental work.
Perhaps the biggest challenge facing therapists who enter primary care concerns the need to work with the consulting context as much as with the content of cases. Therapists, especially those who work privately for a great deal of the time, may be used to a physical working context that is so neutral that it is rendered almost invisible. In primary care, they will encounter the exact opposite—a complex, highly populated, sharply conspicuous network of disciplines, personalities, and interconnected human systems.