ABSTRACT
In 2001 The Psychotherapy Networker (Simon, 2001) published a feature article titled “Psychotherapy's Soothsayer” in which they extolled the fact that I had been predicting accurately the course of psychology and psychotherapy for half a century. As I read the article it sunk in that I had, indeed, predicted everything from brief, intermittent psychotherapy as the modal practice, changes in education permitting clinicians to hold faculty positions, the displacement of psychotherapy by psychotropic medications, the medicalization of psychiatry with its abandonment of psychotherapy, the growth and over-taking of psychology by pre-doctoral psychotherapists performing most of psychotherapy, and most importantly, the industrialization of healthcare and the usurping of mental health delivery by managed care. There were many more discussed in the article, but my reaction was, “What's the big deal? Anyone should have seen these ‘train wrecks’ bearing down on us.”
