This paper addresses various training issues of psychotherapy training in mental hospitals. It discusses some particular attitudes about the use of the Psychoanalyst as a Psychotherapist as well as the Institutions’ (i.e. psychiatric establishments) desire often for a superficial teaching in Psychotherapy. It describes a training for NHS staff in psychodynamics and in particular in use of the counter-transference from Balint's model of general practitioner training groups.

Training groups most usually seen in GP seminars, with their central use of counter-transference by the analyst, can be extended to train medical students, nurses, social workers, etc. It is a form of training that uses the analytic stance rather than something of lesser alloy, and allows the Psychoanalyst to be himself rather than function at the level of a Psychotherapist alone.