The concept of the analytic attitude has helped to describe how psychotherapists approach the clinical situation. But with the acceleration of administrative change in modern health care delivery, clinicians are under increasing pressure to represent their patients' needs to their organization's career (that is, non-clinical) managers. This article suggests how therapists can fruitfully involve themselves in influencing the direction of organizational change to avoid (1) unnecessary compromise of their patients' interests and (2) the market-led trend to depersonalize the unique encounter we call therapy.
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