If Michael Balint were assigned to a District General Hospital unit this is the book he might have written. Holmes's book is an interesting effort to include psychoanalytic therapy, not psychoanalysis, into the everyday trials and tribulations of working out in the “community.” Looking at the patient in his environment is shifted to the therapist in his environment, a shift in the biopsychosocial model of the patient to the social milieu of the therapist in the National Health Service (NHS).

This emphasis on being a therapist in the “boonies” is both attractive but also off-putting to the analytic reader. I would think it would find a much warmer reception in England than in the