Psychoanalytic Therapy as Health Care: Effectiveness and Economics in the 21st Century / Edition 1

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What are the prospects for psychoanalysis in an era of managed health care, preoccupied as it is with cost effectiveness and the notion of "medical necessity"? And what are the opportunities and dangers for psychoanalytic therapies in the emerging health care delivery systems of the next century? In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care.

Disc. medical necessity, importance of subjectivity, in- patient care, medical illness & mental health; privacy.

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Editorial Reviews

From the Publisher

"The editors have assembled a highly relevant and timely examination of the purgatorio where psychoanalytic psychotherapy and managed care meet. Although they focus on psychoanalytic therapy, they clearly believe that psychoanalysis operates as a bellwether for the key issue that has come to plague all humanistic psychotherapists, namely, the pressure for 'quick fix' treatments of diagnostically reified patients, with all its concomitant loss of dignity and privacy. The contributors carefully and even-handedly examine the issues, make a strong case for the contemporary relevance of psychoanalysis, and point out the directions it must move in to maintain that relevance in the future. This illuminating book should be of great interest both to health care professionals and to a lay audience-and not just of patients-who see in our current version of managed care the death knell of a humanistic approach to illness of any kind."

- Edgar Levenson, M.D., Training and Supervising Analyst, William Alanson White Institute

"Psychoanalytically oriented or informed psychotherapy is devoted to the optimization of human functioning, with cost considered only secondarily. Managed care is intent on containing the costs of delivering mental health services, with a return to previous functioning, rather than growth and change, considered an acceptable goal. The contributors to Psychoanalytic Therapy as Health Care examine the many consequences that follow from the collision of these two cultures. Any student of the contemporary health care delivery system will benefit by considering the many issues raised by this provocative and thoughtful volume."

- George Stricker, Ph.D., Distinguished Research Professor, Adelphi University

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Product Details

  • ISBN-13: 9780881632026
  • Publisher: Taylor & Francis
  • Publication date: 2/1/1999
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 312
  • Product dimensions: 6.20 (w) x 9.10 (h) x 1.20 (d)

Meet the Author

Harriette Kaley, Ph.D., is Professor Emerita and Adjunct Professor, Brooklyn College, City University of New York Graduate School Psychology Program. She is currently in private practice in New York City.

Morris Eagle, Ph.D., is Professor, Derner Institute of Advanced Psychology Studies, Adelphi University, Garden City, New York. He is also Faculty, New York University Postdoctoral Program in Psychotherapy and Psychoanalysis.

David L. Wolitzky, Ph.D., is Director, New York University Psychology Clinic and Faculty, Department of Psychology, New York University, and former Director, New York University Postdoctoral Program in Psychotherapy and Psychoanalysis.

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Table of Contents

Editors' Introduction I. Psychoanalysis and Health Care: Present Problems and Future Prospects
1. Psychoanalysis in the Political Arena: The Reality Principle - Bryant L. Welch
2. Life After Health Care Reform: A Clinical Solution for Psychoanalysis - Toni Bernay
3. Managed Care and the Denial of Subjectivity - James W. Barron
4. Is Psychoanalysis Health Care? The Affirmative Position - Stanley Moldawsky
5. Why Psychoanalysis Is Not a Health Care Profession - Marvin Hyman
6. Psychoanalytic Education in the Age of Managed Care: Staying Alive in Shark-Infested Waters - Marylou Lionells
7. "There Is a Future for Professional Psychology" - Dorothy W. Cantor
II. Legal Issues: Privacy and Confidentiality
8. Restoring the Confessional: Reporting Laws and the Destruction of Confidentiality - David Sundelson
9. Psychoanalysis Under Managed Care: The Loss of Analytic Freedom - Robert R. Cummings
10. Privacy and Confidentiality: Issues in Psychoanalysis in the 90s - Russ Newman
III. International Perspectives
11. National Health Insurance Coverage of Psychoanalysis and Psychotherapy: An International Review Highlighting Some Current Problems - Brent Willock, Christa Balzert, Ahmed Fayek, and Juliam Abraham
12. Psychoanalysis and Health Care in Australia: Health Care Budget Cuts Affect Psychoanalysis - Ron Spielman
IV. Current Issues and Special Populations
13. Who Is in Psychoanalysis Now? Empirical Data and Reflections on Some Common Misperceptions - Norman Doidge
14. Psychoanalytic Approaches to the AIDS Epidemic - Mark J. Blechner
15. The Effectiveness of Long-Term, Intensive Inpatient Treatment of Seriously Disturbed, Treatment-Resistant Young Adults - Sydney J. Blatt and Richard Q. Ford
16. Managed Care Discovers the Talking Cure - Eric M. Plakun
17. Psychoanalytic Perspectcives on Clinical Work in the Inner City - Neil Altman
Epilogue: Look Toward the Future - The Editors

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