In Psychoanalytic Therapy as Health Care, a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contemporary psychoanalytic and psychodynamic approaches in the provision of mental health care.

Part I begins with the question of where psychoanalytic treatments now stand in relation to health care; contributors offer explanations of the current state of affairs and consider possible directions of future developments. Part II looks directly at the conundrums that have resulted from the attempt to integrate psychotherapy and managed care, with contributors examining the ethical and legal dimensions of confidentiality, privacy, and reporting to third parties. Part III opens to wider consideration of the experiences of psychoanalysts under health care systems throughout the world. Finally, Part IV demonstrates the relevance of contemporary psychoanalytic approaches to a variety of contemporary patient populations, with contributors focusing on the applicability of analytically oriented treatment to AIDS patients, seriously disturbed young adults, and inner-city clinic patients.

Collectively, the contributors to Psychoanalytic Therapy as Health Care convincingly refute the claim that psychoanalytically informed therapy is an esoteric treatment suited only to the worried well. Drawing on a wide range of clinical and empirical evidence, they forcefully argue that contemporary psychoanalytic approaches are applicable to seriously distressed persons in a variety of treatment contexts. Failure to include such long-term therapies within health caredelivery systems, they conclude, will deprive many patients of help they need - and help from which they can benefit in enduring ways that far transcend the limited treatment goals of managed care.

For more than half a century, the Group for the Advancement of Psychiatry (GAP) has produced position statements on relevant and controversial psychiatric topics. This latest monograph, Homosexuality and the Mental Health Professions: The Impact of Bias, continues a tradition of timely publications dealing with specific aspects of bias, discrimination, and human sexuality.

This monograph acutely identifies problems of bias, overt and covert, as they affect the treatment of lesbian and gay patients and as they influence the training of mental health professionals. Incorporating clinical vignettes that detail actual incidents from a wide range of clinical and professional encounters, the report enables the clinician not only to review his or her own experience, but also to envision alternative possibilities of constructive and caring intervention.

As psychiatry enters a new era of understanding the full range of normal variation in human sexuality, this monograph will serve both as an indispensable teaching tool and as an invaluable touchstone for assessing quality of care with gay and lesbian patients.

In "Psychoanalytic Therapy as Health Care," a timely and trenchant consideration of the clash of values between managed care and psychoanalysis, contributors elaborate a thoughtful defense of the therapeutic necessity and social importance of contem