Counselling in primary care: a psychodynamic approach

This paper explores the dynamic context of the primary care setting and its impact on the work of psychological therapy undertaken within this complex frame. Through reference to clinical experience of working within a primary care team the paper elaborates on the proposition that the dynamics of the team itself can be a source of communication about and containment of the therapeutic dyad as well as hold the potential for working against the interests of therapeutic change. Thus work within and about the team enables fruitful therapeutic work to take place.