ABSTRACT
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.
Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients.
Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the "worried well." Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health care delivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.
TABLE OF CONTENTS
part I|86 pages
Psychoanalysis and Health Care: Present Problems and Future Prospects
chapter Three|17 pages
Managed Mental Health Care and the Denial of Subjectivity
chapter Six|14 pages
Psychoanalytic Education In the Age Of Managed Care
part II|37 pages
Legal Issues: Privacy and Confidentiality
chapter Eight|14 pages
Restoring the Confessional
part III|49 pages
International Perspectives
chapter Eleven|34 pages
National Health Insurance Coverage of Psychoanalysis and Psychotherapy
chapter Twelve|13 pages
Psychoanalysis and Health Care in Australia
part IV|97 pages
Current Issues and Special Populations
chapter Thirteen|22 pages
Who Is in Psychoanalysis Now?
part V|6 pages
Epilogue