Monday, January 26, 2009

Psychotherapy and third-party payment

Three psychologists and a managed care rep were driving down a steep mountain road when the brakes began to fail.  They bring the car to a stop using the emergency brake.  All four get out and discuss how to deal with the problem.


One psychologist states, "we should get back in the car and drive again.  Do not react to anything the car does or fails to do.  The resulting free action demonstrated by the car will be very informative regarding its pathology and eventually lead to a solution."


"That's ludicrous!" bellows a second psychologist.  "We should get back into the car and drive.  But, every time the car succeeds in braking we should reward it with gasoline."


The third psychologist offers, "I think we should just accept this car for itself.  It should feel supported by us whether it can brake or not."


The managed care rep declares, "well, no matter what any of you do, every 100 yards I'll decide whether we keep driving or jump out of the car."


So, all four get back in the car and resume driving down the road.  One hundred yards later the managed care rep makes them all jump out.  They watch with some sadness as the car goes over a curb and then off of a cliff.

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