Psychoanalytic thinking in primary care: The Tavistock psychotherapy consultation model

Carrington, Anca, Rock, Brian and Stern, Julian (2012) Psychoanalytic thinking in primary care: The Tavistock psychotherapy consultation model. Psychoanalytic Psychotherapy, 26 (2). pp. 102-120. ISSN 0266-8734

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This paper describes the conceptual underpinnings, structure and operations of a novel service, the City and Hackney Primary Care Psychotherapy Consultation Service – a service set up partly with the aim of addressing the needs of patients who present with ‘medically unexplained symptoms’. As part of the Tavistock and Portman NHS Trust, this service moves its clinical base, staff members and daily work, as well as the foundations of psychoanalytic thinking that define the Trust's work, into the heart of a community, and provides psychoanalytically informed clinical practice and consultation to patients and general practitioners in the City and Hackney, one of London's (and the UK's) most deprived and ethnically diverse boroughs. The authors describe the psychoanalytical underpinnings of the model, the design and structure of the service, patient demographics and preliminary outcome data, as well as an example of consultation work with general practitioners. The authors propose that psychoanalytic applications have a place in primary care and that psychoanalytic thinking can help general practitioners and patients alike, even when the clinical interventions offered are not solely based on psychoanalytic technique or therapeutic approaches. The paper concludes with thoughts about the model, its origins and its future.

Item Type: Article
Additional Information: Published online: 26 Jun 2012
Uncontrolled Keywords: Applied Psychoanalytic Psychotherapy, Medically Unexplained Symptoms,MUS,Primary care, Consultation, General Practitioner, GP
Subjects: Psychological Therapies, Psychiatry, Counselling > Psychoanalytic Psychotherapy
Health and Medical Sciences > General Practice
Department/People: Adult and Forensic Services

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