Main Publications

This page gives details of books and key articles by John Launer. It also lists his articles as a columnist for QJM and Postgraduate Medical Journal (with open access links). A full chronological list of John’s academic writing including book chapters appears on the CV page.

Books by John Launer

Narrrative-Based Practice in Health and Social Care: Conversations Inviting Change was published in 2018. This is a core text of narrative practice applied to health and social care. Drawing on ideas from narrative studies and family therapy, it provides a theoretical framework and practical skills for dealing with individual consultations, family work, clinical supervision and teamwork. It offers a comprehensive narrative-based approach to the whole range of work in in health and social care. You can order it direct from Routledge here or from Amazon here.

“Reading John Launer’s ‘Narrative-Based Practice in Health and Social Care’ gave me a powerful surge of hope.  John finds words to express our deepest thoughts and visions for a truly respectful and effective health care. We all gather, with John as host, in the clearing of a narrative path toward wholeness. If you care for the sick, read this book.” 

Professor Rita Charon, Director of the Narrative Medicine programme at Columbia University, New York.

How Not to Be a Doctor: and other essays is John’s award-winning collection of essays. It was originally published by the Royal Society of Medicine Press and was named as a Book of the Year by the British Medical Association. The updated edition published by Duckworth as a hardback, paperback and e-book can now be ordered here. 

“Bursting with wonder and wisdom”

Dr Iona Heath, Royal College of General Practitioners

The Inflatable Cushion, And Other Stories: Real Life Reflections from General Practice. To mark the 40th anniversary in 2020 of his first appearance as a medical columnist, John published a selection of essays reflecting on his work as a GP. The book includes tales from everyday practice, as well as humour and political comment. John is donating all profits from the book to support. food banks in the United Kingdom. Order here.


Sex versus Survival: The Life and Ideas of Sabina Spielrein 

Dr Sabina Spielrein was a Russian psychoanalyst who lived from 1885 to 1942. She is mainly famous on account of her affair with Carl Jung, and for her role in the  rift between Jung and Sigmund Freud. However, Spielrein was an original thinker in her own right. She proposed a theory of human sexuality based on the idea that human beings are torn between sexual desire and the drive to survive as individuals. Her ideas anticipated many of the themes of modern evolutionary psychology and child development. This book tells the story of Spielrein’s life, together with a presentation of her ideas. For further information, click on the UK or US edition above. For further details including reviews, click on “Spielrein biography” on the website menu. UK edition   US edition


Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement (edited with Lucia Sommers)

This book examines the whole range of uncertainty in primary care, from the technical to the existential. It makes the case for collaborative peer group supervision as a way of engaging with clinical uncertainty through dialogue and mutual learning. Chapters cover the Balint movement, Practice Inquiry, Narrative-Based Supervision, Problem-Based Small Group Learning, and other models of peer group work from different countries. There is a foreword by Renee Fox, and other distinguished contributors include Trish Greenhalgh, Colin Coles, Charlotte Tulinius and Henry Jablonski. For further information, or to order, click the title above.


Supervision and Support in Primary Care (edited with Jonathan Burton)

Based on a series of conferences on supervision in primary care, run by the Tavistock Clinic and the London Deanery, this book provides practical information and guidance on the nature and purpose of supervision in a primary care setting. For further information or to order direct from the publisher, click the title above


Reflecting on Reality: Psychotherapists at work in primary care (edited with Sue Blake and Dilys Daws)

This book has been written by practising psychotherapists, all connected with the Tavistock Clinic, and with a wide range of experience of working in primary care. It examines how therapists, GPs and other primary care professionals can all learn from each other through clinical collaboration. For further information or to order direct from the publisher, click the title above.


Key articles

Launer J.  A social constructionist approach to family medicine. Family Systems Medicine 1996; 13: 379-389.

Launer J. ‘You’re the doctor, Doctor!’: is social constructionism a helpful stance in general practice consultations? Journal of Family Therapy 1996; 18: 255-267.

Launer J, Lindsey, C. Training for systemic general practice: a new approach from the Tavistock Clinic. British Journal of General Practice 1997: 47:543-456.

Launer J. A narrative approach to mental health in general practice. British Medical Journal  1999; 318: 117-119.

Launer J.  Whatever happened to biology? Reconnecting family therapy with its evolutionary origins. Journal of Family Therapy 2001; 23: 155-70

Launer J. Narrative based medicine: a passing fad or a giant leap for general practice?  British Journal of General Practice 2003; 53:91-92.

Launer J. Practice, supervision, consultancy and appraisal, a continuum of learning. British Journal of General Practice 2003; 53: 658-62

Launer J.  Inattention to primary care: a form of institutional discrimination?  Clinical Child Psychology and Psychiatry  2004; 9: 613-616

Launer J. New Stories for old: Narrative-based primary care in the United Kingdom. Families, Systems and Health 2006; 24: 336-344

Launer J. Moving on from Balint: Embracing clinical supervision. British Journal of General Practice 2007; 57: 182-183.

Ahluwalia S, Launer J. Training for complexity and professional judgement: Beyond communication skills plus evidence. Education for Primary Care 2012; 23: 317-319.

Launer J. Managing Bullying, Harassment and Undermining: A Guide to Good Practice in Postgraduate Medical Education in London. Faculty Development, Health Education England, London, 2013.

Ahluwalia S, Launer J. Complexity and uncertainty in health care. Education for Primary Care 2014; 25: 181-183

Gill D, Griffin A, Launer J. Fostering professionalism in the workplace: the role of workplace discussion groups. Postgraduate Medical Journal 2014; 90: 56-70.

Launer J. Sex and sexuality: an evolutionary view. Psychoanalytic Inquiry 2014; 34: 831-846.

Launer J. Carl Jung’s relationship with Sabina Spielrein: a reassessment. International Journal of Jungian Studies 2015; 7: 179-193

Swanepoel A, Sieff DS, Music G, Launer J, Reiss M, Wren B. How evolution can help us understand child development and behaviour.  BJPsych Advances 2016; 22: 36-43.

Swanepoel A, Music G,  Launer J, Reiss M. How evolutionary thinking can help us to understand ADHD.  BJPsych Advances 2017; 23: 410-418.

Wren B, Launer J, Reiss M, Swanepoel A, Music G. Can evolutionary thinking shed light on gender diversity? British Journal of Psychiatry Advances 2019; 25: 1-12. 

Shah R, Launer J. Escaping the scarcity loop. Lancet 2019; 394: 112-3.

Shah R, Clarke R, Ahluwalia S, Launer J. Finding meaning in the consultation: introducing the hermeneutic window. BJGP 2020; 70: 502-3.

Wren B, Launer J, Music G, Reiss MJ, Swanepoel A. Can an evolutionary perspective shed light on maternal abuse of children? Clinical Child Psychology and Psychiatry 2021;26:283-294.

Shah R, Clarke R, Ahluwalia S, Launer J. Finding meaning in the consultation: working in the hermeneutic window. British Journal of General Practice 2021;71: 282-283.


Coda articles from John’s column in QJM 

The condition of music (January 2002)

The professor of cheese (February 2002)

Darwin’s dangerous idea (March 2002)

What’s in a name? (April 2002)

A house divided  (May 2002)

Seeing double (June 2002)

The art of questioning  (July 2002)

Rhythms of life  (August 2002)

Hot water (September 2002)

Interpreting illness (October 2002)

Plus ça change (November 2002)

Close encounters (December 2002)
 
All doctors are liars (January 2003)

Mentioned in passing (February 2003)

The National Illness Service (March 2003)

Doing the rounds (April 2003)

All Greek to me (May 2003)

It takes two (June 2003)

Welsh blood (July 2003)

Uniqueness and conformity (August 2003)

The wrong trousers (September 2003)

The refugee’s tale (October 2003)

Folk illness and medical models (November 2003)

Minding the body (December 2003)

Escaping the loop (January 2004)

Cultural nepotism (February 2004)

Dr Scrooge’s casebook (March 2004)

Rhyming couplet (April 2004)

Yellow nose sign (May 2004)

The itch  (June 2004)

A magical mystery tour (July 2004)

Impaled on the invisible (August 2004)

Fathers and sons (September 2004)

Of cheese and choice (October 2004)

Unspeakable (November 2004)

Modern medicine (December 2004)

The medics of Myddfai (January 2005)

Secrets of the willow (February 2005)

Let’s talk about sex (March 2005)

Dialogue and diagnosis (April 2005)

Breaking the news (May 2005)

Anna O and the ‘talking cure’ (June 2005)

Bigger picture, lighter touch (July 2005)

Diaspora and coincidence (August 2005)

Careers advice (September 2005)

The many faces of David (October 2005)

Stressing the other (November 2005)

Mysteries of the male (December 2005)

Crusades and mirages (January 2006)

How not to be a doctor (February 2006)

Personal services (March 2006)

The descent of man (April 2006)

Weasel words (May 2006)

Sexual politics (June 2006)

A hitch-hiker’s guide to the past (July 2006)

The enduring asylum (August 2006)

Do not disturb (September 2006)

Maps and meanings (October 2006)

Burning your relatives (November 2006)

Organizational health (December 2006)

Transported (January 2007)

 Passing on (February 2007)

Only obeying orders (April 2007)

Impact factor (May 2007)

A suitable case for treatment (June 2007)

Hansen’s disease (July 2007)

The art of not listening (August 2007)

Personal risk (September 2007)

The problem with sex (October 2007)

The illusion of compassion (November 2007)

From the depths (December 2007)

End of the road (January 2008)


On Reflection articles from John’s column in the Postgraduate Medical Journal

Conversations inviting change (January 2008)

Medical kitsch (February 2008)

Rise and fall (March 2008)

A day out with Darwin (April 2008)

The facts of death (May 2008)

Disappointment-ology 
(June 2008)

Care pathways (July 2008)

Thinking in three dimensions (August 2008)

Learning humanity (September 2008)

The magic of medicine (October 2008)

Making meaning (November 2008)

On kindness (December 2008)

Death by negligence (January 2009)

Capable but insane (February 2009)

Why narrative (March 2009)

The foreknowledge of extinction (April 2009)

Power and powerlessness (May 2009)

Super Vision (June 2009)

Who owns truth? (July 2009)

In our name (August 2009)

Medically unexplored stories (September 2009)

The three second consultation (October 2009)

A beginner’s guide to sex (November 2009)

Young at heart (December 2009)

Double binds and strange loops
 (January 2010)

The many faces of professionalism (February 2010)

Home truths from abroad (March 2010)

Right on cue (May 2010)

The big picture (June 2010)
 
On the record (July 2010)
 
Taking risks seriously (August 2010)

Making time for partnership
 (September 2010)
 
Unconscious incompetence
 (October 2010)

Supervision as therapy (November 2010)
 
What is an emergency?  (December 2010)
  
Why do men have nipples (January 2011)

Family matters (June 2011)

Three kinds of reflection (July 2011)

What is good supervision? (August 2011, with Sue Hogarth)

A Twilight Adventure (September 2011)

Selfish genes and reproductive fitness (October 2011)

The genius of Sabina Spielrein
 (November 2011)

The end of health (December 2011)

Monument to the Discoveries (January 2012)

Narrative diagnosis (February 2012)

Supervision quartets (March 2012)

Dumpling soup (April 2012) 

Being wrong (May 2012)

Waiting rooms and the unconscious (June 2012)

Close readings (July 2012)

The birch field (August 2012)

Spams and spamnals (September 2012)

Brief encounter (October 2012)

Odyssey (November 2012)

Therapeutic dialogue (December 2012)

Brainfulness (January 2013)

On redundancy (February 2013)

Doctors as victims (March 2013)
 
In praise of deaneries (April 2013)
 
Bullying in the health service (May 2013)

Meet your microbiome (June 2013)
 
Developing your faculties (July 2013)
 
Opium (August 2013)
 
First Australians (September 2013)
 
The end of the NHS (October 2013)

The age of Twitter (November 2013)

What’s wrong with ward rounds? (December 2013)
 
Meetings with teams (January 2014)
 
Good questions (February 2014)
 
Rediscovering the unconscious mind
 (March 2014)

Darwin for doctors
 (April 2014)
 
Medicine as poetry (May 2014)

When will we learn to love complaints? (June 2014)

Do diseases really exist? (July 2014)

Patient choice and narrative ethics (August 2014)

Of human bondage (September 2014)

In praise of libraries (October 2014)
 
The science of compassion (November 2014)

The breathtakingly simple facts of life (December 2014)

Creative subversion
 (January 2015)

Monkey business (February 2015)

Concentric conversations
 (March 2015)

Medicine under capitalism
 (April 2015)

Memories of the workhouse (May 2015)

What’s the point of reflective writing? (June 2015)

Setting the facts straight on Wikipedia  (July 2015)

Collaborative learning groups (August 2015)

Why should doctors look at art? September 2015)

In celebration of medical essayists (October 2015)

Guidelines and Mindlines (November 2015)

Resilience: For and against (December 2015)

The case of Emma Eckstein (January 2016)

Clinical gist (February 2016)

Epigenetics for dummies (March 2016)

Clinical case discussion: using a reflecting team (April 2016)

Rudeness and respect in the health service (May 2016)

The hospital drawings of Barbara Hepworth (June 2016)

Reinventing palliative care (July 2016)

Coaching and health (August 2016)

A life on the wild side (September 2016)

Giving feedback (October 2016)

Humour in health care (November 2016)

The career of William Osler (December 2016)

Is there a crisis in clinical consultations? (January 2017)

Doctors and the prevention of nuclear war (February 2017)

Have you considered taking up smoking? (March 2017)

Reducing futile attempts at CPR
 (April 2017)

Masterpieces from the Middlesex Hospital (May 2017)

Patients as ethnographers (June 2017)

Heart failure- or failure of imagination? (July 2017)

Henry Wellcome: the man who made medicine (August 2017)

Why doctors should draw genograms (September 2017 )

Hunting for medical errors (October 2017)

The first artificial pacemaker: the best thing since sliced bread? (November 2017)

Socratic questions and frozen shoulders (December 2017)

Dying”: what doctors can learn from fiction  (January 2018)

Sexual harassment of women in medicine (February 2018)

Whatever happened to silence? (March 2018)

Managing the threat to reflective writing (May 2018.)

Frida Kahlo and her doctors (June 2018)

Peculiar health beliefs of the Nacirema
 (July 2018)

Interprofessional supervision (August 2018) 

Doctors as migrants (September 2018)

Complexity made simple (October 2018)

How are you hoping to die? (November 2018)

Encounters with the Stone Age (December 2018)

Climate change: beyond denial and grief(January 2019)

#Docsplaining (February 2019)

Dr Jekyll and Mr Hyde (March 2019. a tale of mystery, morality and medicine)

In defence of appraisal (April 2019)

The man who confessed he was a serial killer (May 2019)

A passion for walking (June 2019)

Tribute to Tredegar (July 2019)

The blessings of fungi (September 2019)

The Yin and Yang of the medical consultation (October 2019)

Van Gogh’s ear and Gaby’s arm (November 2019)

Equanimity 2020 (December 2019)

Identical strangers (January 2020)

Ethnic inequalities in health: should we talk about white supremacism? (February 2020)

The production of ignorance (March 2020)

Half a mile of medicine (April 2020) 

Digging holes and weaving tapestries (May 2020)

Burnout in the age of COVID-19 (June 2020) 

Why we need to ask adults about childhood (July 2020)

Why you should talk to yourself (August 2020 )

Medicine and the art of trade-offs
(September 2020)

Red Beard (October 2020) 

Effective altruism (November 2020)

Music, religion, sex and cultural humility (December 2020)

Against diagnosis (January 2021)

Churchill and his illnesses (February 2021)

‘I want to see the consultant’: On registrars, rage and reflection (March 2021)

Evolutionary and narrative medicine: are they compatible? (April 2021)

Effective clinical conversations: the art of curiosity.(May 2021)

Anaesthetists and wicket keepers: ‘They also serve who only stand and wait.’ (June 2021)

Waxing lyrical: why we should treat ear wax seriously (July 2021)

Teaching and facilitating groups online: adapting to the COVID-19 pandemic (August 2021)

Medical activism (September 2021)