Despite the constraints and challenges imposed by managed care, many psychodynamic clinicians are finding ways to work successfully within this pervasive type of health care arrangement. This clear, straightforward book shows how. Grounded in the authors' high professional standards and commitment to psychodynamic principles, the book provides the information and guidance that therapists need to communicate effectively with managed care decision makers, maximize the likelihood of obtaining treatment authorization, and adapt to the demands of time-limited treatment. Extensive case material and concrete examples illustrate ways to "translate" case formulations, treatment plans, and reports into an alternative functional language more readily accepted by managed care, without compromising the psychodynamic conceptual framework. A range of brief dynamic therapy models and techniques are described, and their implications for managed care practice are explored. Clinicians also learn how to present an empirically based rationale and appropriate documentation for their services; select and make use of treatment outcome measures; and deal with clinical and ethical dilemmas that are likely to arise. Useful appendices list additional resources for clinicians and include a glossary of health care and health insurance terminology.
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"This eloquent and insightful analysis of the interface between contemporary psychoanalysis and managed care will be an invaluable resource for practitioners of insight- oriented therapy. The book should be required reading for all clinical psychologists and clinical graduate students--and for managed care decision makers as well!" Robert F. Bornstein, PhD, Department of Psychology, Gettysburg College, Gettysburg, PA
"This book makes a timely, extraordinarily helpful and sensitive contribution toward easing the difficulties presently confronting mental health practitioners (and therein their patients). While the book is designed for psychoanalytically oriented clinicians, its straightforward and informative style will also render it accessible and helpful to clinicians working in other modalities, as well as students. The authors' constructive and thoughtful approach to effective practice will be of lasting value to the field." Harold Cook, PhD, Professor Emeritus, Teachers College, Columbia University and President of the Psychoanalytic Research Society
Michael B. Sperling, PhD, is Associate Professor and Chair of the Department of Psychology at Fairleigh Dickinson University. Dr. Sperling has published and presented extensively in the areas of adult attachment, mental representation, and love relationships. He maintains a private practice in clinical psychology.
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