There are other and better texts that profile the history of Pastoral Care, e.g. Charles Gerkin's "An Introduction to Pastoral Care." There are other and better introductory texts for ministers, student ministers, chaplains, and CPE students, e.g. Gerald Niklas' "The Making of a Pastoral Person" or Sharyl B. Peterson's "The Indispensable Guide to Pastoral Care." In my opinion, Patton's use of the shepherd and sheep imagery, and his focus on going after the lost sheep, are not as helpful as he imagines. One of his psychological models, Carl Rogers, referenced on pages 37 and 43, stresses the traditional clinical stance. It may esteem self-awareness and a one-to-one encounter, but it lacks an appreciation for and understanding of rapport building, relationships skills, and a contemporary and communal context for both care giver and recipient. Read Peterson's text if you want something more contemporary on how to improve one's basic listening and counseling skills in these areas; and she does so more clearly and briefly. Patton does encourage leading and guiding, but even in the one-on-one encounters he does not seem to understand and appreciate, for example, Jung's well-known lines of communication between the care giver and recipient (conscious to conscious, unconscious to unconscious, conscious to unconscious and so on). Patton does not address how a care giver's understanding and matching and pacing the other's emotional states can help build rapport, especially if the persons involved do not have a prior relationship. Patton's third chapter would have been a good place to address, for example, human anxiety, but he only scratches the surface in understanding its origins and other-than-conscious dynamics and elements. This is not what we need to be teaching ministers and students of ministry. His clinical examples are very poor and should not be used to teach or inform others about ministry and/or the clinical method. They are basic and poorly presented and may give the wrong impression of state-of-the-art pastoral interactions. I have been doing ministry and supervision for almost 30 years as an CPE supervisor and as a hospital chaplain. I taught and practiced what John writes about for many years. It's not what I teach or practice today.