Читать книгу Ethics in Psychotherapy and Counseling - Kenneth S. Pope - Страница 41

 “A 7 year-old boy was severely sexually abused and severely depressed. I evaluated the case and recommended six months' treatment. My recommendation was evaluated by a managed health care agency and approved for 10 sessions by a nonprofessional in spite of the fact that there is no known treatment program that can be performed in 10 sessions on a 7-year-old that has demonstrated efficacy.”

 “Much of my practice is in a private hospital that is in general very good clinically. However, its profit motivation is so very intense that decisions are often made for $ reasons that actively hurt the patients. When patients complain, this is often interpreted as being part of their psychopathology, thus re-enacting the dysfunctional families they came from. I don’t do this myself and don’t permit others to do so in my presence—I try to mitigate the problem—but I can’t speak perfectly frankly to my patients and I’m constantly colluding with something that feels marginally unethical.”

 “A managed care company discontinued a benefit and told my patient to stop seeing me, then referred her to a therapist they had a lower fee contract with.”