chapter  SIX
Boundary issues in alternative therapeutic settings
ByCarol A. V. Holmes, Christopher Dare
Pages 26

The discernment of projective identification is often employed by therapists in the one-to-one clinical interaction through the therapist's emotional experience of the patient, which will subsequently influence her interpretation. For the therapist who practices in a GP setting, a number of basic conflicts and contradictions readily arise that will not only tend to hinder and disrupt the criteria that underpin psychoanalytic principles but are entirely in keeping with and endemic to the ethos of primary health care. Launer also states that boundary issues such as note-keeping and the sharing of information with other members of the team is seen as a matter for the GP's discretion. The therapist may also be able to limit the problem of third-party issues by explaining diplomatically to the group staff team the significance of this fundamental notion as well as by acknowledging the difficulty of resisting the temptation to confide in each other when they feel apprehensive about a patient.