The heightened interest in new ways of working together in health and social care has merited a new edition of this excellent text. Four new contributors have enlarged on the pioneering work of the late Sally Hornby, adding new material on collaborative relationships within organizational hierarchies of health and social care. Key themes such as the fight for resources, the tendency of professionals to behave defensively towards their clients, their departments and their resources, and the use of individual and group coping mechanisms are revisited. The new focus adds reflections on the effects of the professional and organizational contexts to these issues and provides new perspectives on the effectiveness of helping relationships in the year 2000 and beyond.