This paper examines advocates' and critics' views of managed care organizations' practice of limiting sessions for the delivery of outpatient psychotherapy. Four important areas are explored with respect to this practice: 1) the cost savings; 2) the impact on the therapeutic relationship; 3) the ethical concerns with respect to conflict of interest, abandonment r and confidentiality; and 4) the APA's response to the practice of limiting sessions. This paper concludes by offering some suggestions for psychologists who provide psychotherapy to managed care organization clients.
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