Where Has All the ENCHANTMENT Gone? Long Time Passing?1

by: Dr. Barbara Becker Holstein


I thought you might enjoy reading a professional article I prepared several years ago. It is just as current today and really speaks to a tragedy in our health care system that we must all try to combat. I am trying to explain some of the problems of managed care which penetrate much more deeply than out pocketbooks. These problems penetrate our minds, bodies and spirits! I am eager to hear from you, as always.

Those of us who became clinicians 15, 20, 25 and 30 years ago did so because we had a mission. Each in his or her own fashion had a reason for becoming a clinician that tapped into a need to be of service to humanity, dedicated to utilizing skills that stressed talking and listening as an art/science. We served internships, wrote dissertations and gladly entered what we saw as a 'healing' profession.

In fact, we achieved what I refer to as THE ENCHANTED SELF (i.e. Achieving Positive states of being that are a reflection of each person's uniqueness). Each was able to utilize the uniqueness of one's personal history, and talents, serving the public in a meaningful and skilled manner.

As private as the treatment room had been, most can look back on those early years, as years of collegial support and understanding. Whether one became an ego-psychologist, a behaviorist, or a family therapist, each of us knew the mentoring, and the success that went with each discipline. We were able to achieve some form of enchantment within the treatment room, offering our clients the best of ourselves, psychologically supported by our colleagues and society at large. We were confident to encourage our clients to stay for the appropriate length of treatment, comfortable making clinical judgments and enthused about learning new techniques and clinical skills. We offset our sleepless nights and anxieties around difficult clients, with elation and moments of pure joy, as we saw clients grow and heal.


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