Nash J L, Cavenar J O
Am J Psychiatry. 1976 Sep;133(9):1066-9. doi: 10.1176/ajp.133.9.1066.
Psychotherapy for which the patient is not charged, such as that provided by the Veterans Administration system, can lead to unique conflicts and resistances within treatment. Patients may depreciate the value of therapy, feel obligated to the therapist, or expect him to make inappropriate nonfinancial demands. The authors present five cases illustrating that lack of a fee may become the focus of insoluble resistances to therapy, and suggest that, particularly in training situations, a token fee should be charged to obviate these difficulties.
患者无需付费的心理治疗，比如由退伍军人管理局系统提供的治疗，可能会在治疗过程中引发独特的冲突和抵触情绪。患者可能会贬低治疗的价值，觉得对治疗师负有义务，或者期望治疗师提出不恰当的非金钱要求。作者列举了五个案例，说明免费可能成为治疗中无法解决的抵触情绪的焦点，并建议，尤其是在培训环境中，应该收取象征性费用以避免这些困难。
