ABSTRACT

The following two excerpts by Professors Strauss and Cohen indicate how the organizational career may, by conditions, lead to or be a purposeful stepping stone to establishing a private practice–both jointly with the career, and then shedding the career. The young psychiatrist begins to discover that office practice is more economical or at least requires less commuting. There is a more important reason for young psychotherapists' abandonment of hospital practices: They have never intended to treat hospital patients past their early careers. With rare exceptions, they entered residency anticipating office practice. Although the first year of residency plunges them into administrative duties and has them treating hospitalized patients under supervision, few residents become permanently interested in administration or in hospitalized patients. Other findings show that private practitioners are older than non-private practitioners and have been in social work longer. The data in the chapter suggests a distinction among social workers between the more and the less organizationally successful.