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Part 1 The philosophical context of the Marylebone model: holistic medicine - new map, new territory; greening of medicine; alternative medicine; towards reflective practice - the languages of health and social care. Part 2 The community: calculation of a practice underprivileged area (UPA) score; impact of a volunteer community care project in a primary health care setting - relationship between pastoral care and primary health care; disabilities issues in the provision of health care - an initial investigation. Part 3 Patient participation and self-care: partners or partisans? patient participation and general practice - the Marylebone experience; informal complaints procedures in general practice - a one-year audit; self-care - who does best?; a controlled trial of self-care classes in general practice, taught by staff members with a short training, to long-term users of anxiolytic, hypnotic and anti-depressant drugs. Part 4 Extending the range of clinical interventions: the interface between complementary therapy and general practice; traditional Chinese medicine in general practice - an analysis of one year's referrals; massage - a review of its introduction as a therapeutic intervention in general practice; counselling in an inner city general practice - analysis of its use and uptake; musculoskeletal clinic in the general practice - a study of one year's referrals; relaxation and imagery in the treatment of breast cancer; the expectations, health beliefs and behaviour of patients seeking homeopathic and conventional medicine; spiritual interventions in a general practice setting. Part 5 Issues in research and methodology: research trials in general practice - towards a focus on clinical practice; classical medicine v. alternative medical practices; alternative medicine - methinks the doctor protests too much and incidentally befuddles the debate; trouble with research about acupuncture. Part 6 From conflict to creativity - interpersonal collaboration, education and training: history of the primary health care team; interprofessional and interagency work - theory, practice and training for the nineties; stereotypes or archetypes? a study of perceptions amongst health care students; training or treatment - a new approach; towards a clinical framework for collaboration between general practice and complementary practitioners - discussion paper; power and conflict in multi-disciplinary collaboration; communication in cancer care - a reflective learning model using group relations methods; creative collaboration - interprofessional learning priorities in primary health and community care.