General introduction, Joseph H. Berke et al. Part 1 Historical and theoretical perspectives: introduction, Joseph H. Berke et al; working with the dread of the future, George Mak-Pearce; beyond medication, Richard Lucas; a spin in the Toyota, Mats Mogren; the power of the play, Stella Pierides-Muller. Part 2 Ways of working: introduction, Joseph H. Berke et al; conjoint therapy, Joseph H. Berke; the Wednesday meeting, Stella Pierides-Muller; supervision in teamwork, Tamar Schoenfield; containing anxiety - a resident therapist's experience, Catherine Sunderland; the damaged body -working with self harm, Maggie Fagan; the state of the art, Lois Elliott. Part 3 Narratives: introduction, Joseph H. Berke et al; survival or revival?, Martin Jenkins; a fine balance betwen hope and despair, Lois Elliott; then and now, Laura Forti. Part 4 Money and authority: introduction, Joseph H. Berke et al; is the Arbours Crisis Centre cost effective?, Edith David and George Mak-Pearce; the hierarchical authority pyramid in a therapeutic milieu, Stanley Schneider and Rena Bina; conclusion, Joseph H. Berke et al.