A while back, I wrote a textbook. It is now on its third edition, with the fourth edition due out in January. The book is, objectively speaking, expensive at $79, though good texts costing twice as much are not uncommon in graduate education for psychotherapists. Why are graduate textbooks so expensive? I’ll tell you.
Employment
A therapists’ union is not the answer
First thing, to be clear: I am pro-union. If there is any possible way that employees at your workplace can unionize, you probably should. Union workers have significantly better pay and working conditions than their non-union counterparts, and the notion that union dues will outweigh the gains you make as part of a union is typically false. Unions are good.
Psychotherapists often decry the current state of the field. Education and training costs continue to rise. Reimbursement rates are not rising. Salaries aren’t keeping up with inflation. The list goes on. (I discuss each of these issues at some length in Saving Psychotherapy.) It makes sense to wonder why there isn’t something like a therapists’ union to protect the interests of psychotherapy professionals.
However, the idea that a union of therapists will fix the problems in the field is largely wrong. A union for psychotherapists is not the solution we’re looking for. Here’s why.
Proposed Massachusetts law would give therapists collective bargaining
The so-called “gig economy” — best exemplified by ride-sharing companies like Uber and Lyft — has brought political attention to the plight of workers who are hired as independent contractors rather than employees. As independent contractors, these workers typically have no ability to engage in collective bargaining, often receive little or no benefits, and have limited workplace protections. The attention they are receiving might end up helping therapists and counselors who take insurance — or who would, if the pay and benefits were better. It could also help clients by improving accessibility of care.
California looks to change MFT and PCC interns to associates
At its November 2015 meeting, the California Board of Behavioral Sciences (BBS) voted to pursue legislation in 2016 that would change the titles of post-degree, pre-license professional clinical counselors (PCCs) and marriage and family therapists (MFTs) from “interns” to “associates.”
There are a lot of “ifs” here, but if they are able to find an author, and if the bill gets through the Legislature and if it is then signed by the Governor, it would not take effect until 2018. This would give individuals and employers ample time during 2017 to plan changes to their marketing materials.
Why you should read Saving Psychotherapy, in two charts
My new book, Saving Psychotherapy, will be officially released September 22 [Update: Here it is!]. An edited excerpt about licensing exams is available here. Another excerpt focused on student debt appeared in the January/February 2015 issue of AAMFT’s Family Therapy Magazine (it starts on page 26).
I could spend a lot of time convincing you why you should read the book, but I think these two charts will be sufficient.