Thoughts about "On the Millennium"

By Sifneos, Peter E. | American Journal of Psychotherapy, Fall 2000 | Go to article overview

Thoughts about "On the Millennium"


Sifneos, Peter E., American Journal of Psychotherapy


It is a privilege for me to have been invited to write a brief for a special feature with which the Journal wants to honor the year 2000, titled "On the Millennium." In these days of Managed Care's assault on psychotherapy, I regret to observe that the only acceptable form of psychotherapeutic intervention is one of brief duration. Short-term psychotherapy is very dear to me, and to see it being used for the wrong reasons upsets me a great deal.

Managed Care has no interest in the selecting of appropriate patients to receive the best treatment of choice for them, it has no interest in encouraging research that uses follow-up studies to demonstrate the value of psychotherapy, and it pays no attention to the educational needs of our trainees. Its only interest in limiting the duration of the treatment is based upon monetary considerations, and greed.

It is unfortunate, however, on the other hand, that there has been little organized resistance to this appalling state of affairs. Looking back at the APA Meetings of the last few years one has difficulty in finding presentations dealing with the subject of psychotherapy. …

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