The Influence of Payment Method on Psychologists' Diagnostic Decisions Regarding Minimally Impaired Clients

Pomerantz, Andrew M.; Segrist, Dan J.

doi:10.1207/s15327019eb1603_5

Cited by 12 publications

(8 citation statements)

References 17 publications

(20 reference statements)

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“…This return rate is similar to that of similar studies that used similar data collection methods with similar populations (e.g. Pomerantz, ; Pomerantz & Segrist, ). Participants communicated their informed consent by returning the questionnaire via an enclosed, addressed, stamped envelope.…”

Section: Methodssupporting

confidence: 86%

Psychologists' responses to the disclosure of personal therapy by a professional colleague

Schroeder¹,

Pomerantz²,

Brown³

et al. 2014

Counselling and Psychotherapy Research

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Aim The purpose of this study was to empirically examine the responses of psychologists to a hypothetical situation in which they learn that a professional colleague is seeking personal therapy. Method Practising psychologists (n = 96) responded to vignettes in which a professional colleague disclosed personal therapy for a particular disorder (major depressive disorder or bipolar disorder), disclosed personal therapy with no disorder specified, or made no mention of personal therapy. Results Results indicated that psychologists were willing to refer clients to professional colleagues with equal frequency and immediacy across all conditions. In other words, the fact that the colleague was in personal therapy, whether or not the colleague specified a particular disorder, did not influence the psychologists’ intention to refer clients to the colleague in comparison to an identical colleague who made no mention of personal therapy. Discussion Although a number of other factors also deserve consideration as alternate explanations, these results may refute the notion, common among many mental health professionals, that revealing personal therapy to colleagues can elicit stigmatising negative professional consequences. These results are also consonant with the idea of competent communities, recently promoted in the US (where supervision requirements for licensed psychologists are less stringent than in the UK), in which psychologists form mutually supportive groups intended to maintain and augment competence. Cultural factors, particularly those stemming from the presence of required personal therapy for psychologists in some countries (such as the UK) and the absence of such a requirement in others (such as the US), are also discussed.

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Section: Methodssupporting

confidence: 86%

Psychologists' responses to the disclosure of personal therapy by a professional colleague

Schroeder¹,

Pomerantz²,

Brown³

et al. 2014

Counselling and Psychotherapy Research

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“…For example, the likelihood of high functioning, minimally impaired clients receiving a depressive disorder NOS diagnosis is positively associated with the need to ensure insurance payment [Pomerantz and Segrist, 2006]. Lowe et al [2007] replicated this work in subclinical social phobia and attention deficit hyperactivity disorder.…”

Section: Simplifying the Diagnostic Criteria To Improve Clinical Utilitymentioning

confidence: 83%

Classification of Anxiety and Depressive disorders: problems and solutions

et al. 2008

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The American Psychiatric Association and the World Health Organization have begun to revise their classifications of mental disorders. Four issues related to these revisions are discussed in this study: the structure of the classifications, the relationship between categories and dimensions, the sensitivity of categorical thresholds to definitions, and maximizing the utility and validity of the diagnostic process. There is now sufficient evidence to consider replacing the present groupings of disorders with an empirically based structure that reflects the actual similarities among disorders. For example, perhaps the present depression and anxiety disorders would be best grouped as internalizing disorders. Most mental disorders exist on a severity dimension. The reliability and validity of the classification might be improved if we accepted the dimensional nature of disorders while retaining the use of categorical diagnoses to enhance clinical utility. Definitions of the thresholds that define categories are very susceptible to detail. In International Classification of Diseases-11(ICD-11) and Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V), disorders about which there is agreement should be identically defined, and disorders in which there is disagreement should be defined differently, so that research can identify which definition is more valid. The present diagnostic criteria are too complex to have acceptable clinical utility. We propose a reduced criterion set that can be remembered by clinicians and an enhanced criterion set for use with decision support tools.

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“…Some have suggested that pressures to assign a diagnosis for authorization of services play a role (e.g., Jensen and Weisz 2002). Indeed, several studies have documented that clinicians are more likely to assign diagnoses to clients who they believe will pay using managed care than to self-pay clients (e.g., Lowe et al 2007; Pomerantz and Segrist 2006). Other data suggest that some clinicians might also feel pressured to under-diagnose clients; surveys of psychiatrists (Setterberg et al 1991) and counselors (Mead et al 1997) suggest that deliberate under diagnosis to avoid stigma may be a common practice.…”

mentioning

confidence: 99%

Understanding Clinicians’ Diagnostic Practices: Attitudes Toward the Utility of Diagnosis and Standardized Diagnostic Tools

Jensen‐Doss

Hawley

2011

Adm Policy Ment Health

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Data on clinician diagnostic practices suggest they may not align with evidence-based guidelines. To better understand these practices, a multidisciplinary survey of 1,678 child clinicians examined attitudes toward the utility of diagnosis and standardized diagnostic tools. Psychiatrists were more likely than other disciplines to value diagnosis, whereas psychologists were more likely than others to value standardized diagnostic tools. Private practitioners held less positive views in both domains than other practitioners. Both attitude scales predicted self-reported diagnostic practices, although views of diagnosis utility were more associated with diagnosing in general, whereas views of diagnostic tools were more predictive of standardized tool use.

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The Influence of Payment Method on Psychologists' Diagnostic Decisions Regarding Minimally Impaired Clients

Cited by 12 publications

References 17 publications

Psychologists' responses to the disclosure of personal therapy by a professional colleague

Psychologists' responses to the disclosure of personal therapy by a professional colleague

Classification of Anxiety and Depressive disorders: problems and solutions

Understanding Clinicians’ Diagnostic Practices: Attitudes Toward the Utility of Diagnosis and Standardized Diagnostic Tools

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