title: Iatrogenic factors in "managed" psychotherapy.
abstract: The clinical implications of the "case-manager" system are explored through a detailed case presentation. It is demonstrated that the introduction of a third person into the therapeutic relationship compromises the therapeutic alliance and the transference. Under such conditions psychotherapy is impossible.
authors.affiliation: Koger Center, Norfolk, VA 23502.
authors.forename: R L
authors.initials: RL
authors.lastname: Zuckerman
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000523:psychology / Q000628:therapy*; D003363:Cost Control / Q000639:trends; D005260:Female; D006801:Humans; D007358:Insurance, Psychiatric / Q000191:economics*; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy / Q000191:economics*