| Notes on Contributors | p. ix |
| Introduction | p. 1 |
| References | p. 5 |
| The changing status of counselling and its impact on private practice | p. 6 |
| Introduction | p. 6 |
| The move towards regulation | p. 7 |
| Movement into primary care settings | p. 8 |
| Practice-based commissioning | p. 9 |
| Development of training enterprises | p. 10 |
| The managed care emphasis on brief models of therapy | p. 11 |
| The professionalization of counselling and psychotherapy | p. 12 |
| Evidence-based practice versus practice-based evidence | p. 14 |
| Impact of employee assistance programmes | p. 15 |
| Impact on the voluntary sector | p. 16 |
| Impact of the law on the therapist | p. 17 |
| Impact of change on private practice | p. 18 |
| Conclusion | p. 20 |
| References | p. 20 |
| Advertising | p. 23 |
| Introduction | p. 23 |
| The ethical position | p. 24 |
| Making one's services known | p. 30 |
| Some doubts about advertising | p. 42 |
| References | p. 48 |
| Assessment | p. 50 |
| Introduction | p. 50 |
| Why assess: diagnosis or assessment? | p. 53 |
| Therapeutic expertise | p. 56 |
| Therapeutic judgements | p. 58 |
| Assessing the client | p. 60 |
| Conclusion | p. 66 |
| Notes | p. 67 |
| References | p. 67 |
| Other professionals - support or intrusion? | p. 70 |
| Introduction | p. 70 |
| Medical back-up | p. 71 |
| Medication | p. 73 |
| Collegial support | p. 77 |
| Child protection | p. 79 |
| Suicide | p. 79 |
| Breaching confidentiality | p. 81 |
| Significant others | p. 82 |
| Working with substance misuse | p. 83 |
| Conclusion | p. 85 |
| References | p. 86 |
| The individual therapist working in an independent group practice: unconscious dynamics and defensive practices | p. 88 |
| Introduction | p. 88 |
| What do we as individual practitioners bring to the group? | p. 89 |
| The group - apart from or a part of? | p. 90 |
| The family as group prototype | p. 91 |
| Anxiety - the group as container and protector | p. 92 |
| Some common defensive practices | p. 92 |
| Bion: the basic assumption groups and the work group | p. 93 |
| Observation: Southways Counselling Service | p. 96 |
| Discussion | p. 99 |
| References | p. 101 |
| Psychodynamic counselling and complementary therapy: towards an effective collaboration | p. 103 |
| Introduction | p. 103 |
| From complementary therapy to psychotherapy - a personal journey | p. 104 |
| Observations concerning complementary therapists | p. 110 |
| The body in psychodynamic therapy | p. 112 |
| Towards reintegration | p. 115 |
| Conclusion | p. 119 |
| References | p. 120 |
| Working from home in independent practice | p. 123 |
| Introduction | p. 123 |
| History | p. 123 |
| Advantages and disadvantages to working from home | p. 124 |
| Accommodation | p. 127 |
| Dealing with envy | p. 130 |
| The effect on family life | p. 131 |
| Confidentiality | p. 134 |
| Safety | p. 136 |
| Conclusion | p. 137 |
| References | p. 138 |
| The role of money in the therapeutic exchange | p. 140 |
| Introduction | p. 140 |
| What is money? | p. 141 |
| Money as a form of power | p. 142 |
| The role that money plays in the therapeutic contract | p. 147 |
| Emotional prostitution | p. 151 |
| Health insurance and employment assistance programmes | p. 153 |
| Envy | p. 153 |
| How the fee is paid | p. 154 |
| Conclusion | p. 155 |
| References | p. 155 |
| Breaks and endings in independent practice | p. 158 |
| Introduction | p. 158 |
| Saying goodbye | p. 160 |
| Context and contract | p. 162 |
| Endings within the process | p. 164 |
| Therapist's illness | p. 165 |
| Interim therapeutic cover | p. 166 |
| Client's illness | p. 167 |
| Holidays | p. 168 |
| Fiscal dependence | p. 169 |
| Ending induced by therapist's pregnancy | p. 170 |
| Moving house or changing work venue | p. 173 |
| Death of the counsellor | p. 174 |
| Death of a client | p. 175 |
| Planned endings - the final goodbye | p. 176 |
| Conclusion | p. 177 |
| References | p. 177 |
| Index | p. 180 |
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