Kisch J, Makover R B
Community Health Care Plan, New Haven, Connecticut.
HMO Pract. 1990 Jan-Feb;4(1):24-9.
Tensions between expectations and possibilities in providing mental health services are more evident in closed systems like an HMO. These stresses have an impact on clinical providers of psychotherapy. Because further contact cannot substitute for lack of clinical success, special demand is placed on the clinician to achieve an alliance and then reach closure. The situation of the psychotherapist in the HMO is discussed.
在诸如健康维护组织（HMO）这样的封闭系统中，提供心理健康服务时期望与可能性之间的紧张关系更为明显。这些压力对心理治疗的临床提供者产生影响。由于进一步的接触无法弥补临床治疗缺乏成效的问题，因此对临床医生达成联盟并最终结束治疗提出了特殊要求。本文讨论了健康维护组织中心理治疗师的情况。
