David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Ethics and Behavior 14 (2):187 – 195 (2004)
To what extent does payment method (managed care vs. out of pocket) influence the likelihood that an independent practitioner will assign a Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) diagnosis to a client? When a practitioner does diagnose, how does payment method influence the specific choice of a diagnostic category? Independent practitioners responded to a vignette describing a fictitious client with symptoms of depression or anxiety. In half of the vignettes, the fictitious client intended to pay via managed care; in the other half, the fictitious client intended to pay out of pocket. Payment method had a very significant impact on diagnosis such that relative to out-of-pocket clients, managed care clients were much more likely to receive diagnoses and more likely to receive adjustment disorder diagnoses in particular. We discuss implications involving informed consent and other ethical issues.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
James G. Mazoué (1990). Diagnosis Without Doctors. Journal of Medicine and Philosophy 15 (6):559-579.
Alexander A. Aarts, Cilia L. M. Witteman, Pierre M. Souren & Jos I. M. Egger (2012). Associations Between Psychologists' Thinking Styles and Accuracy on a Diagnostic Classification Task. Synthese 189 (S1):119-130.
James R. Alleman (2001). Personal, Practical, and Professional Issues in Providing Managed Mental Health Care: A Discussion for New Psychotherapists. Ethics and Behavior 11 (4):413 – 429.
Beverly E. Thorn, Nancy J. Rubin, Angela J. Holderby & R. Clayton Shealy (1996). Client-Therapist Intimacy: Responses of Psychotherapy Clients to a Consumer-Oriented Brochure. Ethics and Behavior 6 (1):17 – 28.
Charles E. Begley (1987). Prospective Payment and Medical Ethics. Journal of Medicine and Philosophy 12 (2):107-122.
Andrew M. Pomerantz (2005). Increasingly Informed Consent: Discussing Distinct Aspects of Psychotherapy at Different Points in Time. Ethics and Behavior 15 (4):351 – 360.
Andrew M. Pomerantz (2000). What If Prospective Clients Knew How Managed Care Impacts Psychologists' Practice and Ethics? An Exploratory Study. Ethics and Behavior 10 (2):159 – 171.
Jennifer Lowe, Andrew M. Pomerantz & Jon C. Pettibone (2007). The Influence of Payment Method on Psychologists' Diagnostic Decisions: Expanding the Range of Presenting Problems. Ethics and Behavior 17 (1):83 – 93.
Added to index2009-01-28
Total downloads10 ( #154,296 of 1,102,113 )
Recent downloads (6 months)3 ( #128,850 of 1,102,113 )
How can I increase my downloads?