Counselling and Psychotherapy in Primary Health Care

1. Front Matter

   Pages i-xxiv

   PDF

2. Hopes and Realities of Work in a Primary Care Setting

   • Jan Wiener, Mannie Sher

   Pages 1-17

3. The Doctor–Counsellor Relationship

   • Jan Wiener, Mannie Sher

   Pages 18-39

4. The Nature of the Work

   • Jan Wiener, Mannie Sher

   Pages 40-51

5. Referrals: Who Really Needs the Counselling?

   • Jan Wiener, Mannie Sher

   Pages 52-70

6. Assessment for Counselling and Treatment Options

   • Jan Wiener, Mannie Sher

   Pages 71-90

7. Ongoing Work in Primary Care

   • Jan Wiener, Mannie Sher

   Pages 91-110

8. Psychosomatic Illness: the Path towards a Common Language

   • Jan Wiener, Mannie Sher

   Pages 111-126

9. Key Professional Issues

   • Jan Wiener, Mannie Sher

   Pages 127-142

10. Does Counselling Work?

    • Jan Wiener, Mannie Sher

    Pages 143-156

11. Back Matter

    Pages 157-184

    PDF

From small beginnings in the 1970s, counselling in primary care has now become an established area of practice. It is well recognised that a significant proportion of patients in primary health care have psychological difficulties which are treatable at the 'coal face' before they develop into major problems. Mental health services can now reach a wider population more quickly with cost-effective therapeutic benefits. This text examines the intra - and inter-personal dynamics of primary care essential for counsellors and psythotherapists working in health centres and considers the advantage of multi-disciplinary and multi-agency collaboration.
The progressive approach will be of interest to all who work in primary care. They will recognise in it many of their day-to-day working dilemmas, especially in trying to balance the tension between commitment to individual patients and the demands of the wider organisation. Case illustrations are used to demonstrate the challenges and teamwork opportunities for both counsellors and doctors who work collaboratively. This book is essential reading for counsellors and psychotherapists who work in primary care and for the doctors and health authorities who employ them.

• assessment
• care
• counseling
• health
• health care
• psychotherapy
• Therapeut
• therapy
• Training
• treatment

JAN WIENER is a Jungian Analyst and Research Psychologist. She works in three different settings: as an Adult Psychotherapist at Thorpe Coombe Hospital, Walthamstow, in her private analytic practice, and as a psychotherapist with a group of GPs in an inner-London practice.

MANNIE SHER is a practising psychoanalytical psychotherapist and organisational development consultant. From both these positions he contributes to the development of counselling and psychotherapy services in primary health care and consults widely to organisations and governments in Britain and abroad on health-care strategies.

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