PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 9060262

Money: personal issues affect professional practice.

M L Lanza
View original source ↗Export metadata ↓

Abstract

Money is a taboo subject. Clinicians have much ambivalence about money, both personally and professionally, and are often more comfortable discussing clients' issues around money than examining their own. As a result, how clinicians handle money with clients is often determined by the clinicians' personal feelings about money; however, they do not explore the meaning and origin of these feelings or determine how these feelings affect their practices. This article explores the conscious and unconscious issues surrounding money, case examples of therapists' dilemmas in handling money, and implications for practice.

Explore related subjects

Attitude of Health PersonnelEthics, NursingFees and ChargesFinancial ManagementGuidelines as TopicHumansNurse CliniciansJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M L Lanza. 1996. Money: personal issues affect professional practice.. https://doi.org/10.1097/00002800-199611000-00013

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2005

How the psychotherapy research community must work toward measurement validity and why.

The clinical and the scientific value of the whole psychotherapy research enterprise depends upon the construct validity of its Mental Health Status (MHS) measurements. This is essentially a matter of conceptual validity, that is, what we agree that MHS reasonably means. Any theory of psychotherapy can be true only insofar as it involves independent variables that have demonstrated causal relevance to such conceptually valid measurements of MHS, which is also what makes the measurements of these independent variables predictively valid. Every published efficacy, effectiveness, and case study that tests or explores for explanations of MHS ought to involve the same conceptually valid MHS measures, but the necessary validity is still undemonstrated. It cannot be demonstrated unless the research community reaches a conceptual consensus on MHS, a consensus that decisive psychotherapy research must await.

Attitude of Health Personnel↗
PubMed2004

Toward a cognitive-affective model of goal-setting in rehabilitation: is self-regulation theory a key step?

PURPOSE: The aim of this article is to argue that self-regulation theory might offer a useful model for clinical practice, theory-building and empirical research on goal-setting in rehabilitation. METHOD: Relevant literature on goal-setting and motivation in rehabilitation is considered and some problematic issues for current practice and future research are highlighted. Carver and Scheier's self-regulation theory and its application to rehabilitation research is examined. RESULTS: It is argued that self-regulation theory offers a robust theoretical framework for goal-setting and one in which the salient concepts of motivation and emotion are prominent. CONCLUSIONS: Self-regulation theory offers a potentially useful heuristic framework for rehabilitation research.

Attitude of Health Personnel↗
PubMed2004

Clinical decisions associated with positron emission tomography in a prospective cohort of patients with suspected or known cancer at one United States center.

PURPOSE: In 2001, Medicare approved reimbursement of F-18 fluorodeoxyglucose positron emission tomography (PET) for a variety of cancers. PET has been observed to be more accurate than other imaging in cancer patients, but the impact of PET on management in routine practice is uncertain. PATIENTS AND METHODS: We studied a prospective cohort having noninvestigational PET at one university center. Before and after PET, a questionnaire was administered to solicit information regarding each physician's preceding actions, intended management, and probability estimates. RESULTS: Seventy-one physicians provided data on 248 patients, of whom 40% had new or suspected cancer and 60% were undergoing restaging or had suspected recurrence. Lung, lymphoma, and head/neck cancers accounted for two thirds of cases. Sixteen physicians made 64% of requests. Physicians changed their intended management in 61% of patients (95% CI, 54% to 66%). For individual physicians ordering at least 10 scans, the average kappa was 0.16 (range, -0.04 to 0.36), reflecting only slight level of agreement between their before and after PET plan. PET was associated with a change in 90 (79%) of 114 patients if the pre-PET intended plan involved more testing or biopsy. In 32% of cases, physicians changed to a treatment from a nontreatment strategy. The therapeutic goal and mode changed in 22 (7%) and 21 cases (8%), respectively. CONCLUSION: This study confirms that physicians often change their decision making based on PET. This impact is likely due to combined effects of PET's improved accuracy and reduced physician uncertainty. Physicians may also be overconfident in interpreting PET and use it as the final arbiter after an extensive evaluation in lieu of tissue biopsy.

Attitude of Health Personnel↗