chapter  10
Issues in the Practice of Brief Therapy
Pages 12

In this book I have tried to show that there are sound huma­ nitarian and pragmatic reasons for enthusiastically using brief ther­ apy with many clients-in many ways, it is the best treatment for many clients. I have also shown that most therapists, with relatively little training, can become adept at doing brief therapy if they have the proper motivation to do so. Despite this, there is resistance and resentment against brief therapy by many therapists. Much of this is the result of the conditions under which therapists often do brief therapy: uniform (across cases) and arbitrary reimbursement re­ strictions by third-party payers, usually under the name of managed care, that coerce therapists to do brief treatment. There is consider­ ably more to this story than simple managed care (i.e., autonomy incursion) resentments, however, for the managing of mental health care and associated forced treatment abbreviation occurs in a con­ text wherein the time-unlimited treatment model has greatly in­ fluenced therapist values and treatment delivery policies. It is diffi­ cult to practice brief therapy under the circumstances of historical aggrandizement of long-term therapy and forced conduct of abbre­ viated treatment.