ABSTRACT

Presenting first-hand accounts from the ‘front line’, Reflections of a Cynical Clinical Psychologist provides the reader with a participant experience of the daily ups and downs of a US mental health professional. Vividly describing actual clinical events ranging from tragic to comedic, this book calls attention to the human realities of the system’s dysfunction.

Illustrated throughout by anecdotes based on the author’s 50 years of experience and observations in the field, the book focuses on ‘the system’ as the problem, identifying the limitations in current mental health policy with the emphasis misplaced onto profit rather than optimal patient care. These anecdotes are organized by themes such as the harsh treatment of patients by staff; loss in the workplace; anomalous staff behavior; problems with the legal system; and clinically unexpected and bizarre episodes.

The value of humor as a stress reducer, social leveler and a means to make incisive points is highlighted throughout. This is important reading for mental health professionals, policy makers and those interested in humanizing social policy.

chapter |2 pages

Introduction

part I|45 pages

Institutions

chapter Chapter 1|3 pages

Graduate school

chapter Chapter 2|10 pages

The city hospital

chapter Chapter 3|13 pages

The state hospital

chapter Chapter 4|17 pages

The Community Mental Health Center

“Give me your tired, your poor”

part II|71 pages

Challenging clinical circumstances

chapter Chapter 5|15 pages

Compromised patient care

chapter Chapter 6|4 pages

Patient deaths

chapter Chapter 7|4 pages

Staff partings

chapter Chapter 8|16 pages

Psychotherapy

chapter Chapter 9|5 pages

WWII Holocaust survivors

chapter Chapter 10|2 pages

Testifying in court

chapter Chapter 11|1 pages

Screening of police applicants

chapter Chapter 12|7 pages

Clinicians in harm’s way

chapter Chapter 13|6 pages

Curious and troublesome clinical experiences

chapter Chapter 14|4 pages

Absurd staff behavior

chapter Chapter 15|3 pages

Awkward moments

chapter Chapter 16|2 pages

Practicing when out of the office

No documentation required!

part III|35 pages

A challenging system

chapter Chapter 17|6 pages

Mental health advocacy

chapter Chapter 18|4 pages

The appeal of ‘prescription privileges’

“If you can’t beat ’em, join ’em!”

chapter Chapter 19|3 pages

Health insurance abuses

Or unsurance?

chapter Chapter 20|6 pages

Money inevitably drives policy

… and policy loses

chapter Chapter 21|2 pages

Escalating administrative control

All’s well that Orwell

chapter Chapter 22|4 pages

Mostly business, most of the time

Mini-malism

chapter Chapter 23|8 pages

Administrative abuses of power

Petty mal treatment