The Drama of Dysfunction: Value Conflict in US Managed Care
分析了美国医疗从按服务收费转向管理式医疗过程中，因价值冲突引发的无意识心理过程，运用荣格原型、替罪羊理论等组织行为理论，揭示公众与医疗专业人员之间的冲突动态。
The transformation of the American health care environment from retrospective fee-for-service to managed care has been both rapid and chaotic. This period of change has been infected by value conflict, evoking unconscious processes in system participants as they have attempted to cope with personally threatening situations. This article attempts to elucidate this process by presenting an account of events and accompanying value conflict as it occurred over time. It also includes a systems analysis of the rapidly changing mosaic of unconscious processes that resulted from the divergent values held by the public and health care professionals, using various organization behavior theories. Examples of the types of theory used are Jungian archetypes, scapegoating and mutual negative stereotyping, the Karpman Drama Triangle, and Wells' `group-as-mother' analogue.