* What are intrinsic counselling skills?

* How can doctors deploy them to help optimize the outcomes of clinical transactions with their patients?

* Can such skills be taught and learned?

This book is about the doctor-patient relationship. It is not about counselling per se but about certain counselling skills intrinsic to the medical consultation or clinical transaction. Together with other clinical skills, intrinsic counselling skills are needed to achieve clinical goals, satisfactory to both patient and doctor and appropriate to the clinical transaction and to the wider systems of healthcare.

Clinical transactions can be intellectually, emotionally and sometimes physically demanding. Success depends on doctor and patient adequately fulfilling the obligations and responsibilities of their respective roles. But evidence shows that success also depends on doctors and patients forming a personal relationship of a quality capable of sustaining the sometimes arduous and distressing clinical work. Such a relationship depends on good communication, adequate mutual trust and the ability of doctors to empathise sufficiently with patients and their predicaments. Intrinsic counselling skills are those deployed in the essential task of harmonizing professional and interpersonal aspects of the clinical transaction.

This book is recommended reading for doctors and medical students, post-registration vocational trainees and medical educators within medical schools.

"It aims to equip the reader with a way of thinking about clinical relational problems. In this it succeeds admirably...should certainly raise awareness, stimulate debate and whet appetites." - Therapeutic Communities

Sam Smith studied medicine at Clare College, Cambridge and St George's Hospital Medical School. A general practitioner since 1982, he became a GP Trainer in 1991. Since 1994 he has been a part-time lecturer at Liverpool University teaching consultation skills. His interests are medical ethics and counselling and psychotherapy in Primary Care

Kingsley Norton also studied at Clare College and St George's Hospital Medical School, where he undertook psychiatric training and completed his MD. After five years as consultant at Sutton Hospital, he was appointed to his current post as Clinical Director of Henderson Hospital. His interests are therapeutic communities, personality disorder, psychosomatic medicine and medical education.