This book arose out of the experiences of a group of counselors and psychotherapists working in the Service for the Seriously Ill and Disabled at the Westminster Pastoral Foundation between 1987 and 2001. The basic model used is psychodynamic, once weekly therapy, with home or hospital visits when necessary. Ten therapists contribute to the book, and two chapters are written by patients/clients.

During their working life most therapists will meet patients/clients who are disabled or who develop serious or life threatening illness. Therapists are often unprepared for this encounter,...