By Jan Wiener, Mannie Sher
From small beginnings within the Seventies, counselling in fundamental care has now turn into a longtime quarter of perform. it really is good regarded major share of sufferers in basic future health care have mental problems that are treatable on the 'coal face' earlier than they turn into significant difficulties. psychological wellbeing and fitness companies can now succeed in a much broader inhabitants extra quick with in your price range healing advantages. this article examines the intra - and inter-personal dynamics of fundamental care crucial for counsellors and psythotherapists operating in healthiness centres and considers the good thing about multi-disciplinary and multi-agency collaboration.
The revolutionary technique can be of curiosity to all who paintings in basic care. they're going to recognize in it a lot of their daily operating dilemmas, particularly in attempting to stability the stress among dedication to person sufferers and the calls for of the broader organization. Case illustrations are used to illustrate the demanding situations and teamwork possibilities for either counsellors and medical professionals who paintings collaboratively. This booklet is vital interpreting for counsellors and psychotherapists who paintings in basic care and for the medical professionals and health and wellbeing experts who hire them.
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Extra info for Counselling and Psychotherapy in Primary Health Care: A Psychodynamic Approach
Patients become the 'recipients of' rather than the 'partners in' care, and the stepping stones for patients can remain far apart. It is only if GPs and counsellors can truly learn to work together that teamwork and better patient care become possible. East believes this will only happen if there can be dialogue between professionals and patients: 'the most appropriate counselling takes place when everyone is clear what is on offer, and what is on offer has been chosen by providers and by consumers.
What shift in attitudes and resources has to happen before counsellors become more commonplace in primary care? Traditionally patients have looked to their GPs for help with emotional, relationship and family tensions, namely the problems of living, and from them they have received advice, reassurance, support, an ear to listen and a shoulder to cry on. Many GPs enjoy this aspect of their work, believing it to be the essence of good doctoring; others feel ill-equipped to deal with it, and not a few feel unsympathetic, even antipathetic, towards their patients' emotional lives.
Counsellors are often more comfortable with the 'containment only approach', whereas GPs may perceive those patients for whom past treatment decisions have been insufficient, as a medical failure. In contrast GPs can help counsellors understand more about the medical aetiology of symptoms, a subject much neglected in many counselling training courses. A counsellor on site in a surgery means that the deep historical splits between mind and body are, in the best of all possible worlds, less likely to occur, and this will have indirect benefits for individual GPs and the surgery as a whole.