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Innocent bystanders?: observation in psychotherapy

Gloucester House, Southmead Hospital, Westbury on Trym, Bristol BS10 5BN

We describe the operation of a psychotherapy clinic where a one-way screen is used In the assessment of adults for a range of dynamic therapies. while observation of psychotherapeutic encounters remains contentious as an activity in its own right, we attempt to illustrate how such a way of working can be helpful to patients and staff. The potential drawbacks of this approach are discussed and ways of minimising these are explored.