This book helped me to identify forces that had been influencing me as I worked with patients -- forces I had been impacted by but which had remained out of my awareness...probably due to my need to survive in this era of managed care. I am grateful for the opportunity to look more deeply into myself and the work I do with patients, and realize that we have all been compromised by the managed care environment. Bravo to the courage of these authors to challenge us all.

This book is a major entry in the debate over managed care. In addition to its theoretical and historical chapters, it offers the real and complex experiences of seasoned clinicians wrestling with the juggernaut of managed care. And in so doing, it provides a significant source of learning for psychologists, social workers, and psychiatrists entering the work force and for the supervisors and educators involved in their clinical training. This should be read.