After the introductory talks and for the early part of the afternoon participants split into five speciality groups. All groups had one or two psychologists and psychiatrists acting as facilitators. Facilitators were given detailed briefs to encourage a structured and constructive response to certain themes across the groups. This brief is available from the College or the BPS. I was allowed a roving observer's role between the groups and was asked to report back on the final plenary session. The account which follows is a personal view intended to give the flavour of the proceedings.