Dr Lake’s achievement over the past ten years or so has been considerable. He has not limited himself to his own clinical work, but has built up the Clinical Theology Centre in Nottingham and led a team of doctors and clergy in organizing seminars throughout the country. It is he more than anyone else who has alerted the clergy in this country to the need for the right kind of personal relationships in pastoral work, and to the psychological blockages which too often present barriers. This book, based on his teaching booklets but going well beyond them, will spread his influence even more widely. Our chief feeling must surely be one of gratitude to Dr Lake, and to the publishers for a splendid piece of book production. One might almost say the book is too well produced. Such a massive volume gives the impression of being a definitive text, and such a bold attempt at synthesis makes criticism seem niggardly. All the same, it would be no service to Dr Lake if readers were to accept his writings uncritically, for he is working in a field where several disciplines intersect, and where development is continuous, so that mutual criticism is a condition of life.

The first doubt concerns the title Clinical Theology itself. This is not just a quibble about words. What is the book really about, theology or psychiatry? Dr Lake has been criticized for not being sufficiently rigorous either in his theology or his psychiatry, according to one’s point of view. The sub-title, A theological and psychiatric basis to clinical pastoral care makes the intention clearer.