‘Critical psychotherapy,’ ‘postpsychotherapy,’ and the cult of technicism

This paper about the terms ‘critical psychotherapy’ and ‘postpsychotherapy’ argues that the terms ‘critical psychology,’ ‘critical psychiatry,’ and ‘postpsychiatry’ are already in use, and we can see the new terms – ‘critical psychotherapy’ and ‘postpsychotherapy’ – as additions to this already existing family of terms. However, this paper also argues that what is of most importance is not the case for using these new terms, but the tendencies and features these terms might be taken to refer to. The paper begins with an experience the author had while working as a counsellor some years ago. The terms listed above are explored, as are the roots of ‘critical psychotherapy’ in psychoanalysis, before providing an example of how a philosopher’s work might be relevant to psychotherapists.     

A challenge to ‘self’ centred ‘psycho’: Therapy as an introduction to an ‘inter-relational therapy’

This paper focuses on ‘psychotherapy’, particularly exploring the emphasis on the ‘psyche’. The term ‘psyche’ is described as potentially having different interpretations depending on the underlying ontological assumptions that influence its understanding and these, it is suggested, will have considerable implications for the therapy that identifies with the label ‘psychotherapy’. Two very different ontological perspectives are highlighted in this paper in order to illustrate the different conception of the term ‘psyche’; firstly, Freud’s interpretation of what is meant by ‘psyche’, which is then contrasted with a phenomenological perspective, with reference to the philosophy of Husserl and Heidegger. Both the Freudian and phenomenological approaches are then criticised for focusing on, what is described here as, an egocentric perspective and it is suggested that the term ‘psycho-therapy’ will inevitably lead to a preoccupation with putting the ‘self’ first as a basis for relating to the external world. An alternative term, ‘Inter-relational therapy’, is presented based on the ideas of Levinas and MacMurray, both of who are critical of a cultural preoccupation with focusing on the ‘self’ and suggest a need to acknowledge relationships with the external world, including the other people that populate it, prior to a ‘self’ reflective process.     

Transcultural histories of psychotherapy

Abstract

Both proponents of and critics tend to assume psychotherapy’s origin and status as a ‘Western’ practice. The history of the emergence of psychoanalysis and psychotherapy are far more complex than this picture allows for. Today as we enter a more multipolar era of world history, the easy identification of psychotherapy with ‘the West’ will become increasingly difficult to sustain, as Bangalore and Shanghai are likely to rival Hampstead and Manhattan as centres of influence for the development of therapeutic practice and theory in the coming decades. Adapting to this new world will necessitate a different conception of the role of ‘culture’ than we have been used to in recent discussions in psychotherapy. Rather than simply seeing ‘culture’ as a factor that needs to be added to discussions to counteract the alleged ethnocentrism of ‘Western’ psychotherapy, we will need to begin to pay more careful attention to the work that is done by appeals to the ‘culture concept’ in different contexts. In particular ‘culture’ can be constructed as an object of evaluation that makes it part of the ‘check-list’ of skills that characterise the reconception of psychotherapy in an era of neoliberal instrumental manualised therapy training and practice.     

Was Feyerabend a Postmodernist?

This article asks whether the philosophy of Paul K. Feyerabend can be reasonably classified as postmodernist, a label applied to him by friends and foes alike. After describing some superficial similarities between the style and content of both Feyerabend’s and postmodernist writings, I offer three more robust characterisations of postmodernism in terms of relativism, ‘incredulity to metanarratives’, and ‘depthlessness’. It emerges that none of these characterisations offers a strong justification for classifying Feyerabend as ‘postmodern’ in any significant sense. Indeed, what does emerge is that Feyerabend’s work was fundamentally informed by a humanitarian vision of the value of science that is, in fact, strikingly modern.     

Solution-Focused Brief Therapy

A brief history on Solution-Focused Brief Therapy is given, followed by pragmatic assumptions, offering a new ‘lens’ for looking at clients. SFBT originated from social constructionism: reality is subjective and there are many realities, all equally correct. Outcome studies indicate that SFBT has a positive effect in less time and satisfies the client’s need for autonomy. Indications and differences between problem-focused psychotherapy and SFBT are outlined. SFBT can be seen as a form of cognitive behavior therapy. Instead of reducing problems, the solution-focused question is: ‘What would you rather have instead?’ A lot could change for the better for both clients and therapists.     

The psychotherapy of parenthood: towards a formulation and valuation of concurrent work with parents

This paper explores the process and value of concurrent work with parents when their child is being treated in individual psychotherapy. The position taken is that psychoanalytic understanding generally and the specific formulations presented in this paper have a broader applicability in other aspects and approaches in child and adolescent mental health practice. The central issues are the interweaving of knowledge of family processes, child development and psychopathology, and the uses that can be made of an understanding of transference and countertransference. A particular formulation is presented in relation to aspects of the work that constitute ‘child guidance’ and those that may be considered as ‘psychotherapeutic’ in relation to parental psychopathology. We have coined the term ‘the psychotherapy of parenthood’ to give this work the status it deserves and to define a boundary within which to explore the areas and levels of this complex work. Some practice and training implications are considered.     

试析后现代心理学影响下的心理治疗与咨询

后现代心理学强调心理现象的建构特性和心理学知识的文化相对性。后现代背景下的心理治疗和咨询接受社会建构主义的认识论主张,认为病理心理是语言的社会建构,并没有客观的意义。所有的治疗和咨询理论都是一种“建构”或“叙事”,而不是所谓的“真理”。承认这一点,将有助于在后现代多元化的基础上,实现各种治疗和咨询理论的整合。     

Consultation in adolescence: Hurried,terminable, interminable1

The physiological ambivalence displayed by adolescents towards dependence on adults is an obstacle, at least initially, to a course of psychotherapy. A consultation is often the only thing that can be offered to start with, and constitutes an essential stage even for those teenagers who go on to prove themselves able to benefi t from therapy or analysis. The way this fi rst meeting is handled is therefore crucial. The author investigates the diffi culties and paradoxes of this consultation, the particular nature of the ‘time’ of the consultation compared to that of therapy, and the different internal attitude this requires of the analyst. She thus identifi es two separate confi gurations‐a hurried consultation and an interminable consultation‐which can result when the consultation fails in its primary objectives. Both are connected with possible collusive elements in the professional linked to specifi c adolescent angst. The very detailed account of a consultation shows the ‘journey’ made by a 14 year‐old starting from her urgent request to be freed from a symptom experienced as an incomprehensible obstacle, to her gradual development of curiosity towards herself and towards her own mental and emotional make‐up, resulting in her acceptance of therapeutic treatment, which would initially have been impossible.     

If merely more words,what is the point? A critical response

A critical response is given to the five articles constituting the special issue theme ‘Critical psychotherapy and counselling: if not now, when?’ The related arguments concerning political justice, professional struggles, new public management, therapeutic language use and ecotherapy are considered concisely and challenges made. Into this discussion is injected a degree of ‘brutalist objection’, along with a recommendation for radical honesty, a confession of depressive realism and hints of nihilism. Psychotherapy, whether traditional or critical, is taken to task for its romantic enmeshment in a hubristic fantasy of infinite relevance and improvement.     

心理治疗中共同要素理论的历史发展

从共同要素的角度,分理论模式化与研究实证化两条线索,追溯了心理治疗中共同要素理论的思想渊源,并自Saul Rosenzweig开始,综述了Carl Rogers、Jerome Frank、Marvin Goldfried、Michael Lambert、Bruce Wampold等学者的观点,探讨了共同要素理论的历史演进、内涵结构、理论模式及当代研究进展。认为它在不久的未来,将与特殊技术说逐步走向整合,加深对心理治疗过程与改变机制的认识,共同提升心理治疗的效果。     

Psychotherapy process and research: Missing persons and missing values

The task of ‘understanding’ in psychotherapy is compared with the mundance basis of interpersonal understanding. This implicates a discussion of three ‘principles’ which are put forward as distinguishing features of psychotherapy: ‘empathy’ (as a process, not a technique); ‘interpretation’ (particularly with regard to its relation to values); and the ‘faded person of the psychotherapist’ (related to empathy and interpretation, but particularly the power and remoteness of therapist). This allows a critical evaluation of psychotherapy research. Process research, particularly the innovative work of Robert Elliott, which seems best able to meet criticisms related to the sensitivity of research methodologies, is given particular attention. However, epistemological limitations are identified which are likely to unnecessarily distort the meaningfulness of the ‘events’ of psychotherapy.     

Challenges of patient‐led mental health services to psychoanalytic clinicians

This paper considers implications to psychoanalytic psychotherapy of the British Government's decision to implement a patient choice agenda for state‐funded mental health services in England and Wales. It places the patient choice agenda in the context of consumerist society and argues that the complex nature of psychoanalytic psychotherapy leaves it more vulnerable than other psychological therapy modalities to compete in the current reality of ‘consumer’‐led public mental health, which, in turn reflects a profoundly changed social context from that to which psychoanalysis traces its roots. Unless psychoanalytic clinicians recognize and find ways to adjust to this context they will jeopardize the survival of psychoanalytic psychotherapy in an increasingly market‐orientated model of mental healthcare provision in the public sector, eager to promote more ‘consumer friendly’ psychological therapy models.     

The validity of psychotherapy 1

How good is psychotherapy as a tool of research into human nature? There is an orthodox defence of it as a research tool, which relies on showing that interpretations are true of the patient when they satisfy certain criteria. This defence is examined and rejected. The reply is considered that an interpretation which ‘keeps things moving’ is true, or an approximation to the truth. This reply is rejected by comparing and contrasting an interpretation in psychotherapy with one from brainwashing sessions. Two suppositions about psychotherapy (which weaken its discovery powers) are deliberately adopted — the suppositions that the material produced is ‘perspective’ and ‘method’ dependent. An unorthodox defence of psychotherapy is then offered — by means of a watery sense of ‘discover’. This enables us to outline a weak sense in which psychotherapy is a valid enterprise, but one which is still strong enough for research purposes.     

‘Does class count?’ Social class and counselling

This article explores the importance attached to social class by experienced practitioners taking part in a co‐operative inquiry group. A review of the literature from the last thirty years indicates that there is very little research on class in relation to counselling and psychotherapy reported in the UK. Both authors position themselves as coming from working class origins. Nine co‐researchers from both middle and working class origins joined the group. Eight meetings took place over a period of nine months. Extracts from the group's discussions are represented and integrated with ‘presentational knowing’ drawn from contemporary culture, including poetry and popular music. This study suggests that social class is a neglected aspect of diversity in the counselling field. Implications of the study have relevance for the language of counselling and psychotherapy and class based values; social class and its impact on initial education; and ongoing counselling practice and access to therapy for working class people.     

Sexual languages/cultural bodies: Transforming psychoanalysis

Abstract

This paper explores what transformation is necessary for a psychoanalytic practice that is sensitive to the languages of lesbian, gay and bisexual identities in their cultural and historical specificity. It draws on phenomenological texts, in particular Merleau-Ponty, the writing of the psychoanalyst Franz Fanon and also of the feminist theorist and novelist, Audre Lorde. It argues for a practice that challenges the dominant language of psychoanalysis with its dualisms of inner/outer, conscious/unconscious, mind/body, and universal notions of drives and mechanisms. The clinical example of the work of women in a therapy workshop entitled ‘Am I a Lesbian?’ highlights the critical importance of the specificity of language, whether verbal, visual or gestural, and its relation to embodiment in psychotherapy.     

Of Keys and Gifts: How to Read The Gift of Authority

Abstract

The Gift of Authority has received a cautious welcome from Anglicans. A reason for this, it is said, is that its language or culture are insufficiently Anglican. The article argues that this should not deter anyone because there are non-Anglican ecclesiologies – most notably that of Medard Kehl – which contain a vision of the Church that is basically the same as that behind The Gift, and which at the same time bear a close family resemblance to principles of Anglican ecclesiology. It is argued that using these as an Anglican ‘hermeneutical key’ to The Gift instead of focusing primarily on the language used, would substantially increase Anglican understanding and appreciation of the report.     

Category mistakes and figurative language

Category mistakes are sentences such as ‘The number two is blue’ or ‘Green ideas sleep furiously’. Such sentences are highly infelicitous and thus a prominent view claims that they are meaningless. Category mistakes are also highly prevalent in figurative language. That is to say, it is very common for sentences which are used figuratively to be such that, if taken literally, they would constitute category mistakes. (Consider for example the metaphor ‘The poem is pregnant’, the metonymy ‘The White House decided to change its policy’, or a fictional use of ‘The tree was happy’.) In this paper I argue that the view that category mistakes are meaningless is inconsistent with many central and otherwise plausible theories of figurative language. Thus if the meaninglessness view is correct, the theories in question must each be rejected, and conversely, if any of the theories in question is correct, the meaninglessness view must be wrong. The debates concerning the semantics of figurative language and concerning the semantic status of category mistakes are closely connected.