Is Long-Term Psychotherapy Unethical: Toward a Social Ethic in an Era of Managed Care

Overview

In this provocative and persuasive book, professor and clinical psychologist Carol Shaw Austad demonstrates that long-term therapy has proven to be no more effective than short-term approaches. She argues that a more accountable system of short-term therapy is clearly more ethical and appropriate in a society where limited resources must provide universal care for millions of individuals and families who need and deserve treatment.Austad outlines a new model for behavioral health care in which criteria and ...
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Overview

In this provocative and persuasive book, professor and clinical psychologist Carol Shaw Austad demonstrates that long-term therapy has proven to be no more effective than short-term approaches. She argues that a more accountable system of short-term therapy is clearly more ethical and appropriate in a society where limited resources must provide universal care for millions of individuals and families who need and deserve treatment.Austad outlines a new model for behavioral health care in which criteria and priorities are driven by societal needs and resources. Filled with solid research, clinical examples, and interviews, Is Long-Term Psychotherapy Unethical? makes a persuasive case for the cost-saving, practical, and goal-oriented use of short-term therapy. It challenges the profession to provide behavioral health care that is widely accessible, responsible, and ethical.

Discusses how profit affects the practice of psychotherapy/ who benefits from long-term therapy/coping w/ethical demands

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Editorial Reviews

From the Publisher
"In an era of managed care delivery systems which focus on both clinical quality and cost effectiveness, Austad has sought to examine the efficacy and ethics of long-term psychotherapy. She has succeeded in writing a book which will be a worthwhile resource for all current practitioners, regardless of their theoretical orientation and practice patterns." --Jeffrey I. Bragman, CEO, Health Marketing and Management, Healthcare Consultant

"Should be required reading for everyone who practices psychotherapy in the 1990s. Of all active professionals in the field today, Carol Shaw Austad alone can lay claim to such fearless clarity of vision and old-fashioned common sense." --Steven E. Salmony, psychological consultant, Department of Social Services, State of North Carolina

"Carol Shaw Austad has written a truly provocative book for the modern mental health practitioner attempting to survive in the rapidly changing world of mental health care reimbursement. Austad 'jars' the reader out of firmly held preconceptions to allow them to 'see' the opportunities in a more flexible view of mental health treatment. Yet, she also is not 'blind' to the pitfalls of many of the new mental health managed care systems." --Louis J. DeStefano, mental health director, Community Health Center, Inc., Middletown, CT

"Is Long-Term Psychotherapy Unethical? raises some of the most crucial questions confronting psychology today." --William H. Berman, associate professor of psychology, Fordham University, and president of BHOS, Inc.

Booknews
The author is a psychologist who has been studying the interaction between health care delivery systems, psychotherapy, and professional development for ten years. She discusses such issues as whether or not traditional psychotherapy contributes to inequity in the distribution of mental health care, how profit affects the practice of psychotherapy, and the benefits of long-term therapy, which she believes are questionable. She challenges the profession to provide mental health care that is widely available, responsible, and ethical, and advocates short-term therapy as the means. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9780787902186
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 4/12/1996
  • Series: Psychology Series
  • Edition number: 1
  • Pages: 283
  • Product dimensions: 0.81 (w) x 6.00 (h) x 9.00 (d)

Meet the Author

CAROL SHAW AUSTAD is associate professor of psychology at Central Connecticut State University and clinical psychologist at the Community Health Care Plan in Wallingford, Connecticut. She is the coeditor of Psychotherapy in Managed Health Care and author of numerous book chapters and journal articles on psychotherapy and managed care.
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Table of Contents

Part One: The Current Transformation of Ethics in Behavioral Health Care
1. The Therapist's Dilemma: Transformation of the Mental Health Care System
3. Money Talks: Does Profit Influence Care?
2. Resistance to Change: Status Quo, Biases, and Self-Interest
4. Ethical Abuses in Managed and Unmanaged Care: Hearing from Both Sides
Part Two: Psychotherapy Today
5. The Myth of Long-Term Psychotherapy: Research Ignored and Neglected
6. How Patients Really Use Psychotherapy: The Clinician's Illusion
7. Toward a Sociology of Psychotherapy
Part Three: What Do We Need to Do?
8. Individual or Social Ethic
9. Lessons from History
10. Stories of Successful Adaptation to Managed Care Practice
11. Is Long-Term Psychotherapy Unethical in an Era of Managed Care?
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