I was a Medical Student in 1966 when the Millis Report on the training of the generalist physician was published, de?ning the concept of primary care. According to the Report, the primary provider has four major responsib- ities or roles. The ?rst role is that of initial contact care of the undiffer- tiated patient. The second is to provide comprehensive care based on the belief that the primary provider should be able to manage the overwhe- ing majority of problems with which patients present. Equally important is the third role continuity and coordination of care within the health care...

Family therapy provides a way of thinking in systemic, relational terms, and a set of strategies for intervening with individuals, couples, families, and other systems. Whether the client is a large family or a single person, family therapy focuses on changing relational interactions. In addition to this relationship focus, family therapy considers biological, environmental, and cultural influences on the client. In this book, William J. Doherty and Susan H. McDaniel present and explore this approach, its theory, history, the therapy process, primary change mechanisms, empirical basis, and...

The field of medical family therapy has grown by leaps and bounds since the authors' bestselling first edition was published in 1992. In this thorough revision and update of their classic text, the authors describe the impact of recent economic and structural changes in health care on the role of the medical family therapist. They describe how medical and mental health providers can learn to speak the same language, whether they collaborate in outpatient therapy, co-location settings, community health centres, or fully-integrated health systems. They also take into account exciting new...