Word: short
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Dates: during 1970-1979
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...complaints. Simple depression or temporary gloom, to be sure, may be a normal response to some unhappy experience in everyday life. But the enduring pathological kind of depression may well be entirely neurochemical. Says Wyeth Labs Psychopharmacologist Larry Stein: "The normal brain is damned adaptive. It may undergo a short-term depression when things are going bad, but it bounces back when things go well again." The serious depressive, on the other hand, he says, may be "suffering from the biology of his 'good-feeling machinery...
...with the average at $50, or $12,000 a year for the five-times-a-week treatment recommended by Freud. As a concession to economic reality, most American psychoanalysts see patients only once or twice a week, and some have begun to stress even more limited short-term therapy to cut expenses further. One sign of the times: Freudian Judd Marmor, a former president of the American Psychiatric Association, now recommends treatment limited to 20 or 30 sessions, with analysts abandoning their passive role to confront patients more and speed recovery. Marmor points out that even Freud complained that some...
Shervert Frazier, a Harvard Medical School professor and psychiatrist in chief at McLean Hospital in Belmont, Mass., reports that no patients are psychoanalyzed at his hospital. Frazier, himself "a card-carrying psychoanalyst," sees his own patients for only as long or short a time as he deems necessary, some for as little as 15 minutes, others for 2½ hours. Months may go by between visits, he says, but "when we see each other, these people really go to work...
...community mental-health centers have their own headaches. Funding is short, and the goal of low-cost care is proving illusory. According to various estimates, each patient visit costs between $35 and $40, more than in private practice, for treatment that is generally of lower quality. Says Alan Stone, professor of law and psychiatry at Harvard: "Taking care of people well cannot be done in a less expensive way than just warehousing them, which was what we were doing before...
...raised a clamor for legislation by Congress that would stop the influx of poorly trained aliens. If it passes, the state institutions may be left with fewer psychiatrists of any kind. That could be calamitous; for even with these foreign-trained doctors, officials estimate that the nation will be short 9,000 psychiatrists by 1980. Right now there are 3,200 unfilled jobs for psychiatrists at the state hospitals...