ABSTRACT

Speaking in a language created by the recent marriage of business methods and health care that parallels the industrialization of health care, Jacobson and Morley created and then successfully niche-marketed what we would now call a name brand product, a carve-out or a segment. When the question of the inclusion of psychological services in proposals for health care reform first loomed large on the political and economic horizons, Division 39 invited the author to think about responding to this potential new world of practice. The elements of the author's proposed plan for clinical solution to our national health care problems do not stand alone. Psychologists in our division have continued the tradition of developing psychoanalytically based short-term dynamic psychotherapy. Carol Goodheart and others have contributed to the theory and the technique and have done outcomes research on the topic. Reaching these goals also enables us to be insiders and acknowledged and credible experts in assisting legislators in making changes.