US economic revolution. Mapping the future of healthcare.

The revival of the economy in the US holds 2 powerful lessons for its healthcare system: know your customers and focus on their needs. Widespread inefficiency and inconvenience characterise the current healthcare system because it has failed to heed these lessons so far. Making the necessary changes will require substantial modifications by both government and healthcare providers.

The case for not interpreting unconscious mental life in consulting to organizations.

DESPITE differing theoretical orientations in psychoanalysis, there is general agreement that its distinctive feature among all therapies is its attempt to bring to consciousness mental conflict that is unconscious. Does this distinctive feature of psychoanalysis apply in organizational consultation? I argue that unlike clinical psychoanalysis, more harm than good occurs when consultants attempt to interpret unconscious material to clients in organizations. The main use of psychoanalytic psychology in consulting work is for observation and understanding on the part of the consultant, who as an advisor presents recommendations aimed at enhancing rationality.

Clusters: a new style of organization.

Hierarchy is under siege; managers and employees alike are tired of its rituals, lack of real communication, and delays in decision making. With computer technology now available to diffuse information widely in organizations, many people feel the issue is not where you are, but what you accomplish, that counts. In this article, the authors present the underpinnings of a new organizational form--one that challenges the fundamentals of hierarchy to enable businesses to better meet employee needs and a cost-conscious economic reality.