

Sailing the 7 C's of Systemic Practice in Primary Healthcare Settings: In conversation with Dr John Launer
Feb 18, 2025
In this engaging conversation, Dr. John Launer, a retired GP and family therapist, shares his pioneering work in narrative medicine and the Conversations Inviting Change method. He discusses the transformative Seven Cs framework for patient interactions and the importance of storytelling in medicine. Dr. Launer highlights the challenges within the NHS and the need for curiosity-driven practices. With thoughtful anecdotes, he illustrates how systemic approaches can revolutionize healthcare, ultimately enriching both patient care and clinician experiences.
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Early Systemic Influence
- Dr. John Launer's interest in family therapy started during GP training with Hilary Graham, who used it in his practice.
- He pursued formal training at the Tavistock Clinic and integrated it into his GP work, later becoming a staff member there.
GP at Tavistock
- Some at Tavistock were hesitant about training a GP in family therapy, fearing a problem-solving approach.
- Launer's practical experience, like efficiently using a 10-minute session, proved valuable, highlighting the importance of reflection.
Liberation from Dr. Fixit
- Systemic training liberated Dr. Launer from being "Dr. Fixit," allowing space for reflection and emergent solutions.
- Trusting each narrative's momentum facilitates change, even in brief consultations, shifting from problem-solving.