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Abstract
The slow development of counselling as an alternative to traditional treatment within the medical model is described. Counselling in medical settings has its roots in the work of the Marriage Guidance Council and the influence of Balint towards psychotherapy. 10–30% of all consultations in general practitioners' surgeries are related to emotional distress, yet the adoption and rise of counselling is more patchy than widespread. The factors which have hindered its expansion in the past are discussed, and it is concluded that its development in the future will depend largely upon pronounced changes in public health policy.