Doody's Review ServiceReviewer: Walter F. Burke, PhD (Northwestern University Feinberg School of Medicine)
Description: This new addition to the psychotherapy literature addresses the detrimental impact recent insurance regulations have had upon the practice of longer term dynamic psychotherapy. Historical, ethical, legal, and clinical implications of managed care policies are discussed through detailed case vignettes and recommended strategies for practitioner survival.
Purpose: The authors inform practitioners about the complex impact of the industrialization of healthcare on the delivery of psychodynamic psychotherapy services. The authors believe that the key to practitioners' survival in this turbulent health care marketplace will rest on an in-depth knowledge of the clinical, legal, and ethical ramifications of managed care and the recent research that supports the efficacy of psychodynamic treatment.
Audience: Practitioners committed to the psychodynamic tradition of longer term treatment will benefit from the comprehensiveness of the clinical illustrations presented and the important research citations supporting the continued usefulness of this treatment model.
Features: Comprehensive and up-to-date listings of both theoretical perspectives and research findings on the efficacy of longer term treatment are clearly marked and integrated into the authors' major thesis. The index layout is helpful in pinpointing particular aspects of psychodynamic psychotherapy and their unique struggles with managed care regulations.
Assessment: The authors provide a detailed accounting from both the patient's and the practitioner's viewpoint of the detrimental effects of current managed care insurance regulations on the delivery of dynamically oriented psychotherapy services. Chronicled in-depth are the historical development of managed care, legal issues facing practitioners, and treatment implications for specific patient populations. Practitioners in this subfield of mental health service delivery will benefit from the information contained in this careful review.