Reflecting on Reality

John Launer is on the senior staff of the Tavistock Clinic in London, the leading training institute in the UK for psychological treatment, and is the Associate Dean for postgraduate medical education at the University of London. He is a doctor and family therapist, and a renowned medical columnist both nationally and internationally.

'The book reflects a distinctiveness and also an immense diversity of attitude and approach arising out of the thinking and experience gathered in each department of the Clinic over the years. The respective authors each psychotherapeutically trained and each engaged, in different ways, with primary care, focus on a range of community settings in which the complex needs of patients and practitioners challenge known or standardised ways of going about things.'- Margot Waddell, from the Preface

• 1. Introduction, 2 A child psychotherapist in the baby clinic of a general practice: standing by the weighing scales thirty years on, 3. A model for a primary-care-based child and family mental health service, 4.A systemic outreach clinic in primary care: which tier is that? 5. Supervision and general practice: towards a reflecting position, 6. When the patient and family are from somewhere else: narratives of migration in therapy, 7. Cross-cultural work in the community, 8. A Sure Start rapid-response service for parents and their under fours 9. Making meaning out of the mess: developing the mental health role of health visitors, 10. The practice as patient: working as a psychotherapist in general practice 11. Bridging the gap: experiences at the interface of primary care and a psychotherapy institution. References. Index.