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Issues relating to practice
 Psychotherapy.co.za - Discussion GroupsIssues relating to practice
Subject Topic: CLINICAL PSYCHOLOGISTS and MEDICAL AID Post ReplyPost New Topic
 CLINICAL PSYCHOLOGISTS and MEDICAL AID
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David L Wilson
Posted: 2011 November 16 at 11:06pm | IP Logged Quote David L Wilson
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I have the deepest conviction that appropriate psychotherapy does provide for the possibiliities of permanent change, specifically, there is even evidence that, unlike some less intense therapies alone, psychodynamic therapy's gains continue well after ending formal threrapy.

We were all part of an intensive selection process. Isuues identified that were considered impediments to out therapeutic efficacy were expected to be adddressed at out own cost through undergoing our own rirorous training personal psychotherapy.

Unfortunately it id all too obvious that not all psychologists share similar incisive diagnostic abilities or the abilities to confront and cut througth layers of defence with the most refractory patients. I have worked with nurses and social workers who have been dedicated enough to invest in their personal therapy, ongoing study and intensive supervision who's work is in some cases superior to some clinical psychologists who seem, to say the least, insipid.

However, such a controiversial reality only makes the present debate even more unwieldy, and I can only assume that 'natural selection' processes will ensure that these therapists are not elevated in the public's perception as exponents of the real qualities and depth involved in the extremely complex and difficult work we provide as clinical psychologists and for which , I can only emphasise , there is no cheap, quicker alternative.

Finally I am sure that psychodynamic therapy does actually result in savings-from lost hours at work and of impaired peformance due to psychic pain- Not to mention obvious costs of hospitalisations, life-long medication, and numerous expensive scans and investigations to exclude organic disease. As we know as clinicians, close work with very disturbed patients is "infectious" and we need supervisiuon etc to ensure we detoxify own minds. I can only imagine some of the malignant effects these patients inflict unwittingly on their friends, colleagues and relatives.

Looking only at addiction , the costly complications, poly -drug abuse, violence, self injury, shame, STD's, -   should jolt us out of complacency. Unfortubately treating such addictions is not a simple matter of establishing a few recreational facilities or running perfunctory peer- led psycho-educational groups. These may be a tiny part of needed change, but by no means address the deep narcissistic wounds, control issues and profound deficits in basic self care and self preservation that manifest in addictions.

I have no doubt that we are specialists in our own right. Who do we lobby relentlessly until we receive due regard for a field not surpringly termed the 'impossible profession'. We are also in the rare position of being in a position to identify the social pathology which affects us all, and of providing training in techniques to all concerned, to limit this damage, Regards   David Wilson

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Norwood, Psychoanalytic Clinical Psychologist, 072 122 7217   18yrs exp.
 
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benard
Posted: 2012 June 27 at 4:34pm | IP Logged Quote benard

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Hi David


Just want to check with you if you were the one who lectured at the university of Zimbabwe in late 90s.

 
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Clinical Psych
Posted: 2013 April 11 at 2:05pm | IP Logged Quote Clinical Psych

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Dear Clinical Psychologist

Since 2012 a group of concerned Clinical Psychologist has been actively involved in promoting our profession. After many meetings with various stakeholders, the Clinical Psychology Forum came into being. Healthman, an organisation prominent in the administration of most medical specialists groups, were contracted to assist in the CPF in gaining access to various role players in the broader field of health care.

 With the support of Healthman, we have been able to resolve various claim related issues for our members.  We actively supported our members in resolving issues with medical schemes and have attended various meetings with our members at the schemes. The majority of our members have joined the CPF due to the overt marginalization of Clinical Psychology and the impact this has on their practices. Last year we had 4 meetings (Cape Town and Pretoria) with all our members, for which attending members received 4 ethic points.

  The CPF is in the process of developing a claims protocol that would assist our members in private practice with a more consistent and streamlined claims process.  We are gathering information to ascertain what  the perception is that  medical schemes have of Clinical Psychological services, for example, what psychological disorders would they reimburse? The number of therapy sessions per patient? The CPF’s priority is to meet with those medical schemes that undervalue our contribution in the treatment of mental disorders.

Through Healthman CPF members have direct access to claim and payment queries. We are developing a claims protocol that would enable our members to be certain that the claims will get paid and trying to streamline processes like PMb’s and minimum benefits, etc.   This process runs parallel to the CPF’s main mission to force the acknowledgement of Clinical Psychology as a distinct profession in mental healthcare and a specialized scope of practice. It is clear that Clinical Psychology needs to be acknowledged by the private sector as a profession before psychology as a whole will accept the scope of practice for Clinical Psychology.

If you are a Clinical Psychologist and you are worried about your profession, please join the CPF. For the first time Clinical Psychology has a forum that will actually do something for the profession. Ask yourself, who negotiated psychology’s fee increase for 2013? The medical schemes made decision based on previous years, seeing none of our professional bodies could bother to negotiate on our behalf. For the Clinical Psychologist to negotiate fees with medical schemes, we need support. Clinical Psychology needs a wake up and smell the medicine! Nobody is looking after the interest of Clinical Psychology, and if for example, PSSYSA can proof they have, we will stand corrected.

 You as a Clinical Psychologist have to realise, if Clinical Psychology wants to be a sustainable profession that provides a livelihood to the practitioner and guarantees proper patient care, you will have to consider joining the CPF.  The reality is as simple as: It is now or never for Clinical Psychology.  Please visit the CPF website for further details on www.clinicalpsychologyforum.co.za.

Take note that the annual meeting is scheduled for 18 May 2013 in Pretoria and the date in June for Cape Town will follow soon. Members will qualify for 5 Ethic CPD points. Fees for members are free and non-members R800.00. Hope to see you there.

 
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