Developing a systems psychodynamic approach to health and social care

This introductory essay takes an historical developmental view to my published work, from my
early career as a social researcher at the Tavistock Institute (1970-76), through further research
and consultancy projects in health and social care systems in the public and not-for-profit sectors
of the UK, and finally (2001-2007) to an involuntary participant observation of the dynamics of
care in my own family.
The review is in two sections. In the first part I describe the methodology of a systems dynamics approach to understanding organizations, and my contribution to that methodology in relation to systems of care around vulnerable people. In the second part I explore the
development of my thinking about the dynamics of care systems with particular attention to six key publications from 1979 to 2010 (Appendix A), which together make the body of work submitted for examination.

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