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Does
TherapyWork?
A
Real Analysis of the "Science of the Soul"
"Perhaps
in time the so-called Dark Ages
will
be thought of as including our own."
-
G. C. Lichtenberg
Your brave
and dutiful LiveReal Editors, valiently exploring the treacherous
world of therapy for our faithful fans . . .
(Note:
This essay is still, as they say, under construction. So, it's not organized too well, some parts of it don't completely make sense,
and in general, we recommend taking it, like everything else, with
a pretty big grain of salt. Outside of that, this is the stellar
type of literature that you have probably come to expect from your
heroic LiveReal Editors . . .)
Comments and feedback:
info@livereal.com
Modern times ring with echoes of therapists:
"Give me your anxious, your sick, your wounded . . .
. . . come to me, all who are unhappy and anxious, who seek clarity and sanity . . .
And with surgical precision, we will transform you into
pure, vibrant, strong, and noble creatures, reveal you as the
emotional giants you really are, wipe away your suffering . .
. armed with an endless supply of positive thoughts, unconditional
love and a sackful of pills, we promise health, clarity, and happiness
to all are willing . . . so come clients, come!!"
"Umm
. . . OK . . ."
The
Cure for Suffering?
Why
Therapy?
Modern
America
DOES THERAPY WORK?
An Overview of Psychology
Do
Drugs Work?: The Debate of the Happy Pills
An Analysis of Therapy
Psychologists
On Psychology: Evidence and experts
Any
alternatives?
LiveReal,
in our valiant and unflinching pursuit of the truth wherever it
may lie, has undertaken an investigation of a bohemoth monster
of a topic, a topic utterly dominating the millions of worried
psyches today: Therapy in Modern America.
It
has been a knuckle-gripping, mettle-testing, brain-wracking, mind-spinning
grapple for our lives, pushing the envolopes of our sanity, emotional
stamina, and mental fortitude to the very limits.
Yet,
we have emerged, battle-scarred, but intact - (wondering what
the heck happened) - but glad to be alive. And definitely
a little more sober than when we left off.
So,
in our adventures, did we become experts in various therapies?
No. Did we find the single, simple, conclusive, definitive answer
to all the problems facing therapists and all their victims -
um, clients? Nope. Did we earn degrees from Yale, Harvard, or
any mail-order hotlines? No'm. Did we emerge with long strings
of letters after our names? No way.
But
still. . . did we emerge with any questions worth asking, observations
worth making, statements worth stating, that might provide food
for thought for anyone interested in similar matters?
Maybe
so. But then again, we could be wrong.
So,
see for yourself!
The Cure for Suffering?
OK,
for starters, what's really behind our fascination with therapy?
After
all, maybe we can hold down a job, pay the bills, enjoy hanging
out with others, we can put up a good front, have a good time
occasionally, sometimes feel a moment or two of compassion, or
something like it . . .
But
still . . . to step back and take sober look at things . . . sometimes
it really seems that, well, something's not right.
Sometimes it's obvious, sometimes it's nothing you can quite put
your finger on . . . but still, something's not right.
"What's not right. Am I "happy"?
Why do I feel like I should be happier than I am . .
. What am I doing with my life? Why do I get anxious?
If everything's really "perfect," why do I not feel
perfect? Why am I depressed? Why am I lonely, even in a crowd,
even if they are annoying? Why do I have the compelling
urge to sit at home and eat ice cream? Why do I get nervous, anxious,
depressed, confused, without really knowing why? Why do
I still have a bad habit or two I can't seem to kick? Why does
my girlfriend tell me I have "issues"? What does it
mean to have "issues?" Is there any way to be more relaxed,
cool, confident, certain about the future, at ease with myself
and life, happy?
And even further, is there anything more? Is there any
higher or better way to feel, or live, or be? Is my current state
of mind the best I'm capable of? Is there any chance I could be
more happy, more healthy, more real than I am now? How does a
person get to be a better person? . . . "
And so on.
In
short, we haven't found what we want. And we're searching for
it. For "It." We wonder why we do what we do, and many
therapists and counselors are ready with explainations for things
we want explained, like, how we can lead a better and happier
life.
And so, in modern times, the thing to do . . .
.
. . is take it to therapy.
After
all, now that we've put our trust in an expert, can't we
breathe a sigh of relief, and rest easy with full confidence that
a professional will help us find the peace, health and
happiness, that has seemed so elusive?
.
. . right?
.
. . ?
Why therapy?
"The
therapists transformed age-old human dilemmas
into
psychological problems and
claimed that
they (and they alone) had the treatment . . ."
-
Charles Sykes
A
hypothesis:
Some
say that maybe around 10% of the population is emotionally and
mentally "healthy." These individuals are basically
confident, happy, and full of energy. They don't understand
why everyone else seems to have so much trouble.
Another
20% or so are, shall we say, "mostly" emotionally and
mentally healthy. They may have a few bad habits, a bad
day or two here or there, but they push through them by making
a firm decision or two, and a good dose of discipline.
The
remaining 70% of the population struggles with low energy, shyness,
compulsions, headaches, addictions, bad tempers, sleep problems,
failed relationships, sex problems, difficulty reading, talking
and sharing, and many other challenges.1
This
group attempts to solve their problems by a smorgasboard of methods,
from positive thinking to hard work, from discipline to distractions,
motivational experts to ice cream, astrology to exercise, self-esteem
training to herbs, and a score of other methods.
These
individuals work on themselves for years and decades . . . but
their lives seem to stay the same because they never seem to find
the real cause of their condition, or the cure.
This
article, hopefully, will help shed some light.
"Bless
your uneasiness as a sign that there is still life in you."
- Dag Hammarskjold
Modern
America
Modern
America is smothered in an avalanche of "therapies"
claiming to help and heal, both mainstream and alternative:
|
Psychotherapy
Jungian
Analysis
Behavioral
Therapy
Cognitive-Behavioral
Therapy
Family
Therapy
Existential
Psychotherapy
Psychiatry
(Drugs)
Humanistic
Therapy
Transpersonal
Therapy
Object-Relations
Therapy
Insight
Therapy
Christian
Counseling
Marital
Therapy
Client-Centered
Therapy
Inner-Child
Therapy
Twelve-Step
Groups
Positive
Thinking
Hypnotherapy
Bodywork Therapy
|
Gestalt
Therapy
Rolfing
EST/The
Forum
Eye-movement
Therapy
Acupuncture
Therapy
Rolfing
Reiki
Aromatherapy
Past-Life/Future-Life
Therapy
Scientology
Subliminals
Encounter
Groups
Massage
Therapy
Assertiveness
Training
Reality
Therapy
Dance
Therapy
Neuro-Linguistic
Programming
Gay/Lesbian/Gender
Therapy
Rebirthing
Therapy
|
.
. . this is just the tip of the iceberg. 2
Or,
if we stroll through the local bookstore, we are surrounded by
offers to
Reparent
our inner child/children
Get
in touch with your masculine/feminine side
Go
through a rebirthing experience
Unleash
warriors/geniuses/artists/giants/passion within
Find
out what "type" we are
Find
unlimited power over ourselves and others
Get
in touch with your inner magician/hero/healer/king/psychic, etc
Learn
to think like Leonardo da Vinci, Einstein, like an artist, a calculator,
etc
Improve
our lives with Astrology, Channeling, Numerology, seeing auras,
Palmistry, etc.
Meanwhile,
on a more serious note . . .
- Fact:
More people die from suicide than from homicide
in the United States. 3
- Fact:
The cost of
alcoholism, drug addiction, and "mental illness" was
estimated at $273.3 billion in 1988. 4
- Fact:
Reports of
one in five adults suffer from depression, and 12% of youngsters
under the age of 18 take some sort of medication.
A
few questions:
Has
the number of marital therapists increased, along with
the number of divorces?
Has
the number of therapists, psychologists, psychotherapists, healers,
gurus, psychiatrists and other counselors as a whole increased,
along with a decrease in our overall mental and emotional
health? Are all these counselors helping problems . . .
or are they a symptom of the problems?
With all the talk about gun control, genes, educating, we get
lost in a quagmire of genes, policies, laws, legislation, theory
. . . Do we sometimes forget that people fire guns, humans
take drugs, individuals suffer through the schooling process,
people are affected or not affected by the impact of genes,
brain chemistry, laws and drugs . . .
As
far as psychology goes, it seems there is are many huge reasons
for humility. Yet, the wonder is that it is really so rare.
Does
Therapy Work?
An Overview of Psychology
The
question "Does Therapy Work?" in America as a whole,
of course, has no single, simple answer. "It" "works"
sometimes, doesn't other times.
And,
it get more complicated: the whole field of psychology
is in the midst of a huge identity crisis. What
kind of therapy, out of the thousands of breeds available,
works or doesn't work? If something "works,"does it
work every time? How, why? If it works, is it just a placebo?
Control groups? What does it mean to "work," anyway?
What if some therapies work that have not been studied?
. . . Studying therapy "scientifically" is something
like trying to pick up litter during a hurricane - there are hundreds
of independent factors in a chaotic fury that it's almost impossible
for it to sit still enough to conduct a neat and tidy scientific
examination.
At
the same time, we have no choice. We said we were going to do
it, so we did.
Here
goes:
First
of all, the field of "psychology" itself (which for
our purposes, includes the whole range from general counselers
and social workers to therapists, psychologists, and psychiatrists),
all gather under one umbrella of "psychology," and disagree
on practically everything else.
All in all, the field of psychology is like an intellectual equivalent
of a meeting of the United Nations, without translators, without
any particular reason to get along, and without any compelling
effort to bend one's dignity and sink to the level of trying to
communicate with and really understand one's colleagues and competitors.
In a sense, the field of psychology and therapy in particular,
is more similar to a leaderless adolescent mob than a hard scientific
discipline; a tree with many branches, but no trunk. It is something
like the "Olympics of academia"; they speak different
languages, come from different cultures, have radically different
ways of viewing the world, fundamentally different assumptions
about human nature, and the only thing many of them have in common
is that - well, they are all there, and they occasionally run
in the same race.
The field does not seem to suffer from the heroic efforts of
certain individuals, which are definitely admirable, as much as
it seems to suffer from simple disorganization. What progress
would, say, physics make, if every time a physicist made a breakthrough,
he would quit his job, write a bestseller, and go into business
for himself?
Pick any two figures in the field of therapy and counseling, talk
to them about their core beliefs and practices, and there is a
good chance that they will disagree with each other about even
the most fundamental aspects of human nature. Each of them will
say, or at least think in secret, that all the others are, well,
missing the point.
And so, there is no agreed-upon model of the mind and human behavior,
no agreed-upon definition of "sanity," definitely no
agreed-upon definition of mental illness and it's causes and cures
- although, for all of these, there are many various advocates
hollaring and clamoring for attention.
And
that has been our challenge.
And still, we doggedly, relentlessly . . . um, tirelessly . .
. pursue our mission:
Does all this therapy WORK?
- Sure,
sometimes therapy does "work."
Sure, occasionally . . . sometimes with specific problems and
specific solutions, sometimes when nobody is sure what happens
or why - it does happen: clients walk in suffering,
walk out healed.
Sometimes
therapy does produce satisfied customers. Sometimes psychologists
and psychiatrists are skilled, knowledgeable professionals
with an inside track or the working of the mind and emotions
. . . and so, mission accomplished. Maybe it helps slightly,
maybe temporarily, maybe it's just a placebo, maybe it's not
"scientific," but sometimes, it works.
- Other times,
therapy does not work.
It works in cases, but that does not mean that it's systematic,
that there is actually a method behind it all. How many people
have spent, and continue to spend, years and years
in therapy, thousands in drugs, medical appointments, and insurance
claims . . . and still haven't gotten better? How many does
it make worse?
Judging
by the numbers . . . this isn't too rare.
"Psychology
. . . a nasty little profession."
-
William James
- What IS Therapy?
We define "therapy" as one person paying another to
heal them of suffering that isn't obviously physical, or somehow,
one person paying another to help make their life better.
More practically,
we could say that therapy is a very unique and recent type of
human relationship where one person pays another to treat him
or like a human being.
In other words,
therapy could be defined as what happens when we pay another
person to treat us . . . the way we probably should be treating
each other anyway.
And even then,
we sometimes still don't get what we pay for.
"There
are many alternative reductionisms.
We are nothing but a pack of idiosyncratic genes.
We are nothing but a pack of adaptations sculpted by natural selection.
We are nothing but a pack of computational devices
dedicated to different tasks.
We are nothing but a pack of sexual seuroses.
These proclamations . . . are all defensible, and they are all
inadequate."
- John Horgan
- What Is "Psychology,"
Anyway?
There is major disagreement even on this. Is it the science
of behavior? The study of personality, or mental health? The
study of the mind? The science of the human soul? A modern Tower
of Babel?
- Is "Psychology"
Really A "Science"?
The reason why psychology seems to have such a hard time
is because it's standing right on the border between clean,
hard science (like math-physics types) and hocus-pocus-unproven-occultist-type-intangibles
such as thoughts, emotions, beliefs, dreams, souls, etc that
humans get into. Most of the time, they try to get respect
from both camps, most of the time wind up getting it from neither,
and quietly debate one another on various irrelevancies - trying
not to harm each others' self-esteemses, of course.
At the same
time, it would be really nice to think that we trust our "mental
health" to proven experts, true scientific authorities,
who with mathematical precision, really, honestly know exactly
what they're doing. Comforting to think so . . .
So, psychologists,
being human, want to be included in the inner circle
of "real" scientists; yet, it's really hard
to make "intangible, etherial, ghostlike stuff" as
thoughts, emotions, souls and so forth seem "scientific."
So therefore, in an attempt to be scientific, they adopt a bias
towards what can be measured, tested, observed, and easily proven.
So, psychologists
can have a tendency to reduce all the unscientific, ghostlike
thoughts, emotions-soul-stuff down to things like blood pressure,
brain chemicals, synapses, and other "hard" things
that are accepted in the big brother "hard science"
circles, constructing a "myth of expertise." So, they
become "scientific," but at a price, the "price"
being a Procrustean chopping away of the very things that may
well be the vital factor of human experience, and quite
possibly, the very reasons why psychology has such a lousy success
rate.
And for those
vital, unscientific intangibles playing a part in things, it's
nearly always fashionable to scream hysterically "There's
no evidence for that!" "That is not proven!""That's
all anecdotal!" - because it makes them look more like
the hard scientists they want to be. Maybe there's not "hard
evidence," - but then again, things haven't been disproven
either - so really, we don't know either way. It often
becomes a matter of rhetoric.
There are many things which are very true, that cannot be measured
or proven, for which there may never be what some consider
to be "proof." But they're still true.
And, for the majority of us, we can't put our lives on hold
until scientists do prove or disprove everything to each
others' satisfaction. We have lives to live.
- Questions:
On the
first day of the new century, January 1st, 2000, the Wall
Street Journal ran several articles on what the spanking
new millenium might hold. For the article headlining "Human
Nature," the expert they chose to inteview for the column
was Edward O. Wilson.
This is interesting to us is not because of Wilson's brilliant
work in some areas; but rather, the fact that, of all
the "experts on human nature" available, Wilson was
the one picked.
Not that he's not a really smart guy, and not that he shouldn't
have been picked . . . but still, Wilson, after all, became
an expert through studying ants, and eventually generalized
his findings on ants to human beings (sociobiology).
This seems telling that the current dominant model of human
nature is that we are fundamentally no different than ants,
or at best, ants who think.
- Is this telling
about out dominant paradigm of human nature? For example,
if humans are not fundamentally different from ants, how
can so many people/critters (over 90%) claim to be "spiritual"?
Are that many of us phonies?
- If this is
the case, aren't psychologists and psychiatrists, essentially,
veterinarians?
- Every single
professional "psychologist" and "psychiatrist"
was passed over for being selected as the authority to
consult on "human nature." Were any in the psychology/psychiatry
field, well, red-faced about this?
- After all,
if psychologists are not experts on "human
nature," what are they?
But, back to our investigation.
Do
Drugs Work? The Debate of the Happy Pills
First,
we've decided to look at the most popular "therapy"
of the modern day, drugs.
A hurricane of controversy surrounds the widespread use of prescription
drugs - Prozac, Zoloft, Paxil, and others as the primary mainstream
"scientific" treatment for conditions of depression,
anxiety, and others.
Do drugs work? Yes, they do. They would not have become so popular,
with such widespred use, if there was not some truth behind
it. They're definitely a move up from, say, lobotomies or bleedings,
and at times, they seem to be the only method available which
seem to get consistent results. As occasional specific solutions
to specific problems, drugs can put a floor underneath a depression,
to curb an anxiety crisis, to short-circuit a downward spiral,
there are reasons why drugs have won the allegiance of many doctors
and patients. Drug companies are making billions because they
sell and market products which, at least in some cases, work.
At the same time, many folks state strongly that drugs can sometimes
be misleading, harmful, and downright dangerous. A popular trend
nowadays is to offer flood of happy pills as the antidote for
every unpleasant emotion, the key to psychological health, not
as a form of psychological welfare but as the overall cure for
everyone, everywhere for the problems every human faces. On this
point, controversy rages.
And
as far as "scientists" and being "scientific"
goes, well, it is easier to study brain chemicals
than it is to study human beings.
"As
things now stand . . . we don't have a theory of the psychology
of common sense that would survive scrutiny
by an intelligent five-year-old."
- Jerry Fodor, Cognitive
Scientist
We
all want to know "why we do what we do," because more
than we'd like to admit, when you really look into it closely,
well, we don't really know.
So
when a trusty, insistent authority figure comes along and says,
"The reason why you do X is because of X, Y, Z (whether it's
chemicals in the brain, synapses, serotonin, evil spirits, bad
humors, genes . . . essentially, anything that seems complex,
that would require a lot of work and energy to figure out (aren't
we busy enough?) anything that seems over our head, difficult
to understand, perhaps impossible to disprove, and especially
something not subject to immediate verification and evidence -
we naturally tend to believe it, especially when it's an easy
or comforting answer. After all, why not?
While
the following will only be a brief introduction to the main points
of this controversy, we can begin with the observation that:
- Some knowledgeable
professionals strongly believe in the current use of medications;
- Some knowledgeable
professionals strongly disbelieve in the current use
of medications;
- Nearly all agree
that, if medication is needed, it should be used along
with another type of therapy, such as cognitive-behavioral,
psychotherapy, etc;
- Nearly all agree
that if one is taking medication, they should 1) use the medication
under the supervision of a psychiatrist; and 2) they should
not stop taking the medication too abruptly.
Again, it is recommended
that anyone taking prescription medication should not stop taking
it too abruptly. Harmful side-effects could ensue.
Many psychiatrists as well as patients and customers claim that
drugs are undeniably helpful parts of psychiatry, and have helped
many people live more healthy and stable lives. We have absolutely
no argument against anything honestly leading to more genuinely
healthy and stable lives.
At the same time,
let's take a closer look.
"With
these antidepressants, you have to understand that
we
really don't know what we are doing.
We
know these drugs work,
but we don't know exactly how,
and
each one is a little different."
-
Dr. Ronald A Rubin 5
The Underlying Philosophy of the Happy Pills
We
figure a good place to start is to trace the pill-debate back
to it's fundamental assumptions and premises, the ground it's
standing on, about the mind and brain. Once these assumptions
are accepted, trends of pill-therapies evolve naturally. However,
these fundamental assumptions are, many say, pretty shaky.
For example, a popular theory many authoritative figures and figurinas
assume, implicitly, unquestionably, faithfully, wholeheartedly,
and utterly without question, is the hypothesis that "the
brain creates the mind," and speculate that "consciousness"
or "the mind" is nothing more than the spurious offspring
of a pile of brain chemicals.
(Well, that is, all minds except for theirs.)
This line of speculation that "the brain creates the
mind" when played out in the real world (a place largely
unknown to those who spend their time only in laboratories) often
leads to places where they might not have originally intended.
For
example, a way this could sometimes play out:
First of all, scientists hypothesize that consciousness
or "the mind" is correlated with chemicals in the brain,
or that chemicals in the brain "create" our "mind"
and conscious experience.
Before long,
this becomes someone's pet theory, and they then begin to insist
that "the mind" is completely correlated with
chemicals in the brain.
Soon after that, they insist that chemicals in the brain
are the ultimate cause and ground of everything
that happens in the "mind."
Before long
after that, they decree their dogma, essentially, that the "mind"
is nothing more than chemicals, and demonize, attack, and
attempt to discredit any people who say otherwise.
Soon after that, it follows that any kind of "therapy"
that doesn't directly treat the chemicals in the brain
(by adding more chemicals to them, i.e., drugs) is "unscientific,"
and so, invalid and ineffective.
So before too long, the only kind of therapy considered
"scientific" is drugs.
Not too
long after that, drugs are considered the only real method
to attain sanity, emotional health, peace of mind, etc.
And not
long after that, everyone across the landscape, from first-graders
to retirees, (or except for the ones who can't afford it, and
of course except for the scientists themselves) - are swallowing
pills by the handfuls.
Is that
what they really had in mind? Is that, "sanity"?
"How
it is that anything so remarkable as a state of consciousness
comes about as a result of irritating nervous tissue,
is just as unaccountalbe as the appearance of the Djin,
when Aladdin rubbed his lamp."
- Thomas Huxley
After
all, let's be honest. Do we really think we were born with
shortages of Prozac or Xanax?
The theory goes, essentially, that either the mind is physical
or it does not exist. While assuming that the brain creates the
mind, the theorists are forced to admit that the brain chemicals
are "read" and "interpreted" by something,
and they label this exterior, seemingly irrelevant appendage the
"interpretor."
What they
- or their interpretors - often fail to acknowledge is that the
"interpretor" - is, actually, well, "me" .
. . and "you," and the scientist positing the theory.
Why is it that theorists' "interpretors" get to proclaim
that our "interpretors" are irrelevant by-products
of brain chemicals, but not their own? And why, then, do they
then leap to the conclusion that the only way to help out
an "interpretor" is by changing the brain chemicals?
In
another way, these theorists insist that anything that
doesn't show up on an EEG isn't real, or at least, (as
in psychoanalysis, talking therapies, etc) it's some form of "occultism."
(Talk about "demonizing" your opponents, literally).
It's good politics, but bad science.
"'By
the way, 95 percent - you can quote me on this -
95 percent of psychologists'
are not deeply intuitive about others,
Gardner added. "They come to psychology out of chemistry,
because they weren't good enough in chemistry."
- Martin Gardner, quoted
by John Horgan
And
so, they look at the world only through this lens of an
EEG, and insist they're seeing the whole picture, and no other
view is valid. In other words, horse-blinders are OK, in fact
the mark of good science, as long as the blinders are a complex
and expensive piece of electrical machinery.
We remember the
old cry "You make me feel like an object," although
it's often completely allowed if it's done wearing the cloak of
"science."
Doctors
use fancy gadgetry to look at things that my brain (not me)
is doing, and then claim I am nothing but a brain, an object.
I may only seem like an object to you; while the
the truth is, well, I am also a subject, just like
you.
"Psychology
is not applied biology, nor is biology applied chemistry . . .
particle physics cannot predict the behavior of water,
let alone the behavior of humans.
- Philip Anderson, Nobel
Prize winner
Say you're driving your car. There
is you, and there's your car - two separate things.
You drive your car, but you are not your car.
In the same way, there is you, and there's your brain.
Even if you and your brain are intimately connected, there is
absolutely no proof - not to mention common sense - that "you
are your brain." Why is this so often what the white-coats
so vehemently assume?
When we here "your
experience is due to your brain chemicals," this seems
to imply that our brain chemicals are fixed, permanent, and
unchanging, in the same way that we can't really change the
shape of our arms or legs. Yet the opposite is true: our brain
is changed physically by the conversations we have, the events
we witness and the love we receive. This is true all through
our lives, not just when we are infants. Our brains are not
fixed and hard-wired, but are plastic and changeable.
- Question: Why
do so many psychologists talk like biologists, or
chemists? Why don't they just call themselves biologists,
or chemists?
Neurobiologists
study the brain, and assume that the brain, somehow, as an independent
entity separate from the thoughts, emotions, and outer
environment of the individual, causes or originates
behavior and experience. Is this assumption valid? What if,
say, it's actually more a model of "as above, so below,"
where the brain simply mirrors what is happening in other
areas?
They
also assume that human beings do not have anything vaguely
resembling a "soul," and argue dogmatically against
even the possibility of such a thing. Or, at any rate, if there
is such thing as a "soul," they say, it is really of
no practical importance. Perhaps, however, they should speak for
themselves.
In another way, Arthur
Eddington tells a story about a scientist studying deep-sea life
using a net with a three-inch mesh. After bringing up repeated
samples, the scientist concluded that there are no deep-sea fish
smaller than three inches in length. Moral: Our methods of fishing
determine what we can catch. And if science is selective in it's
fishing methods, it cannot claim that its picture of reality is
complete.
It is easier
and often less expensive, for doctors, patients, and insurance
companies, to prescribe a pill than, say, to spend time and energy
getting to know a person, much less investing in an actual relationship.
Generalize
This:
A human tendency, when we find something that works in one
instance or several instances, is to tend to assume it works for
everything.
In
other words, there is a human tendency to generalize; when
a two year-old first learns the word "dog," then everything
- a cat, a couch, a table, a sock - he points to and screams,
"Dog!"
We
don't lose this tendency, and so, the same goes for scientists.
If we find something that works in one area, we naturally
tend to apply it to other areas, thinking or assuming it
will work there too. For example, Freudians first became Freudians,
and then used Freudian theory to explain all human behavior;
Behaviorists tried to use Behaviorism to explain all human
behavior, ad infinitum.
".
. . some would argue that our present use of psychotropic drugs
is just as flawed, in that we don't make patients better -
we just succeed in preventing them from bothering us."
- Frank Vertosick, M.D.
Perhaps:
Some medications in certain cases, say, genuinely helped some
schizophrenics alleviate their symptoms; when it worked in this
context, enthusiasts generalized the effect to society at large,
and next thing you know, they're drugging every first-grader who
doesn't pay attention to the teacher. Perhaps
pills are effective in some areas, but not all.
Certain
reductionist types look at a rainbow, insist that it's "nothing
but" drops of condensation reflecting sunlight, pretend that
they don't actually see the rainbow itself (only droplets of condensation),
and insist that if you actually see the rainbow, you're being
snowed by an illusion.
Often these fundamentalist reductionist types shamelessly
assume that the whole is nothing more than the sum of it's parts,
and close their eyes to anything but. In other words, they would
take a scrap-heap of Mercedes auto-body parts, ignore the mechanic
or engineer (say, any intelligence that organized the parts),
then look at a bright, shiny Mercedes, and insist that it's only,
nothing but, a scrap-heap of parts.
These
theorists insisting that "the mind is nothing more than chemicals"
can be essentially the same as hunting dogs sniffing around paperbacks
copies of War and Peace. After all, all "books"
(and minds) are alike to them - they're all the same, right? They're
all nothing more than a few pounds of paper and black ink, right?
- Fact:Nearly
50% of doctors spend an hour or less with a child before making
a diagnosis and prescribing medication. 6
It
is less time and energy consuming, and in other ways, easier to
swallow a pill, than to say, engage in therapy, do some serious
introspection and soul-searching.
Most
doctors agree that pills are overprescribed. Doctors overprescribe
them, patients who don't really need them, ask for them. Pills
were originally used only for serious cases of psychological suffering;
now, however, we have redefined what is meant by "serious."
To many, this can mean, well, ordinary human life.
"Right
now, of course,
most psychiatrists believe that the major mental disorders are
biochemical, physiological, genetic. Now, I've been in this business
long enough
to recognize that it's cyclical . . . these beliefs co-vary in
time
with the political climate of the culture."
- Roger Chistenfeld, Director
of Research,
Hudson River Psychiatric Center.
Scientists
have made a great amount of progress in understanding brain chemistry,
and have developed drugs which control the symptoms of neurosis,
depression, schizophrenia and manic-depression. The effectiveness
of these drugs has lead some scientists to conclude that many
mental problems are caused by a chemical imbalance in the brain.
But
still, what causes the chemical imbalance?
What Causes .
. . "If you go to the top specialist at one of America's
. . . major headache clinics, he might say, 'Headaches occur
when neurons in the back of the brain stem become unstable,
causing an imbalance of serotonin, thus causing depression of
nerve cell function in the cortex and causing the blood vessels
in the scalp to expand.'
This sounds very scientific, and it's probably true, but it
does not solve your problem. We still don't know what causes
the 'neurons in the back of the brain stem to become unstable
. . ." - Thomas Stone
Some professionals
and many non-professionals assume that a physical chemical in
the brain causes emotional states (depression, anxiety,
etc).
Yet, because the two may appear together does not mean
that one causes the other. Are they causal, or correlational?
What about say, chicken and egg? Or, what about environmental
conditions that cause changes in brain chemisty?
"Over the past
decade scientists have linked specific genes to manic depression,
schizophrenia, autism, alcoholism, heroin addiction, high IQ,
male homosexuality, sadness, extroversion, introversion, social
skills, novelty seeking, impulsivity, attention-deficit disorder,
obsessive-compulsive disorder, violent aggression, anxiety, seasonal
affective disorder, pathological gambling, anorexia nervosa, and
virtually every other imaginable hu8man trait or ailment . . But
the simple fact is that these findings are classic examples of
what science writers sometimes call "gee-whiz" stories;
the science is fairly simple, and the philosophical and social
implications are titillating . . ."
". . . So far, none of the claims linking specific genes
to specific, complex behavioral traits and disorders - not
one - has been unambiguously confirmed." - John Horgan
- Question:
Is it possible
that some psychiatrists/psychologists are more comfortable
with pills than with people? That some would
rather prescribe a pill than talk with someone about, say,
real problems?
Chemicals in the brain
are sometimes assumed to be the cause of emotional states.
The theory goes, the physical is the cause of the
mental/emotional. Yet,
back in the real world, the process works exactly in reverse:
Someone gets in your face and calls you a jerk, you get angry,
blood pressure rises, heart pounds, and so forth. Yet, what is
the cause of this emotional reaction in this case? The blood pressure
rising?
And what caused the
blood pressure to rise?
The
jerk.
"The
dogma that 'mental diseases are diseases of the brain'
is
a hangover from . . . materialism . . . It has become a prejudice
which
hinders all progress, with nothing to justify it."
- Carl Jung (1948)
Observation:
An abused wife, perhaps, may ask for Prozac and painkillers
to help make her happy again. In other ways as well, the hope
and promise imlied in swallowing pills can discourage
a person from, say, introspection, or examining one's life to
find out if anything concrete and changeable might be wrong.
Band-Aids Over Bullet Wounds:
Treating the symptoms without understanding the underlying cause
may well be putting Band-Aids over bullet wounds. (Come
in with symptoms of say, depression, panic, general anxiety, etc.
Rather than finding the cause of the problem, they help
you forget about - or feel less pain from - the symptom.
So, you might still die, but you'll be intoxicated by various
drugs most of the time, so the process of dying doesn't hurt as
much.)
"Rana
Lee remembers the time she went to her doctor
because her
husband was beating her. The doctor,
she told a congressional committee,
'prescribed 10 milligrams of Valium three times a day to calm
me down . . .
he refilled it for five years, with no questions asked.'"
- Washington Post
Health, January 3, 1989
Quoted in Toxic Psychiatry by Peter R. Breggin, M.D.
The "Miracle of the Human
Body"
The physical human body is described by even skeptics as a miracle
of intelligence and design.
Example: if all the information held in all the
libraries of the world were programmed onto DNA, that
information would fit on about one percent of the head of
a pin. Each cell of our bodies has approximately three
billion bits of data coiled within DNA weighing trillionths
of a gram.
. . . Yet, according to
some psychiatric theory, your body is often downright incompetent.
"Oops! I forgot to squirt enough serotonin in here! Golly!!
Oh, wait, swell, here comes the pill salesman with a
backup supply. Whew!"
Simplicity verses Complexity:
It is easier to study something you can see, touch, and
hear (say, brain chemistry), rather than something you cannot
see, touch, or hear (say, more "subjective," inner
states such as depression, anxiety, etc).
We all naturally tend to gravitate towards simple solutions
more than complex. Because something is more visible, audible,
and easy to study, it might be more easy to say that it is more
"scientific"or "clinically proven," but
that does not necessarily mean that it more important.In
other words, because it's easier to study brain chemicals,
that does not mean that brain chemicals are more important than,
say, child abuse.
Overspecialization?
How many brain researchers have studied in depth, say, neo-Freudian
theory? How well do all pill-pushers realize the extent of all
other alternatives for mental and emotional health? Do other
valid alternative routes have the manpower, funding, marketing
muscle, and political connections to communicate this message?
"Nothing but"
and Reductionism On Speed
Popular thought, born at bred at the prodding of psychiatrists,
seems to have the notion that "thoughts, feelings, emotions
are nothing but chemicals and hormones in your brain."
Translation: The works of Shakespeare, Dante,
Homer, are nothing but groups of letters of the alphabet.
Nothing more. It you say there's more to poetry, literature,
and so forth than simple groups of letters - well, you're seeing
things at worst, "unscientific" at best.
This "nothing but"
mentality also implies that, because your thoughts and
emotions are nothing but the burps arising from brain chemicals,
they are therefore irrelevant, unimportant, or somehow secondary,
or at any rate, there's nothing you can do about them.
Essentially, it's "reductionism" gone rampant. Many
scientists define science as only tearing things down into the
smallest pieces possible in order to understand how they work.
Psychiatrists do this with people, and then wonder why this
approach isn't having a blazingly impressive success rate.
Humpty-Dumpty, hello.
"If the
Prince of Peace should come to earth,
one of the first
things he would do
would be to put psychiatrists in their place."
- Aldous Huxley
-
Is all
suffering inherently bad?
Take a modern Hamlet, a Nietzsche, Camus, Rilke, Buddha, Dante,
Homer, and put him in the hands of a modern psychologist,
who drugs them into a narcotized stupor, being well-paid for
doing so.
Sometimes, maybe, soul-searching may not always be a bad thing.
-
Alarm Clocks
Maybe when you start realize your life isn't perfect, it may
well be a wake-up call. If this is the case, the real
answer isn't a matter of finding ways to turn off the fire-alarm,
it lies in finding ways to put out the fire.
"People
wish to be settled;
only
as far as they are unsettled
is there any hope for them."
- Ralph Waldo Emerson
- The Drug Industry
- Fact: Drug companies make
a lot of money selling prescription drugs. 7
Drug companies, of course,
make this money by selling drugs.
In order to sell
drugs, they need to persuade potential buyers that
their drugs will be the solution, or will at least help,
with the problems they face. If they do not sell their products
and the message behind them, they do not make money.
To go further, many
of those involved in the industry point out that there is
a well-known cozy relationship between the pharmaceutical
industry and the medical industry.
This is not saying
a "vast conspiracy" with ill intentions necessarily
exists;
still, the facts are that simply that doctors and hospitals
prescribe pills, and drug companies make money from making
pills.
In many cases, drug companies fund the research studies
(which, not surprisingly, sometimes show results that their
drugs work well) . . .
- and then have the drug salespersons use those studies
in their pitches to overworked doctors,.doctors who have
an enormous amount of information to keep track of . . .
At any rate, with all this going
on, are we getting healthier and happier? That's debatable.
Are drug companies making lots
of money? That's a fact.
- Cure, For Whom?
In homes, mental institutions, and classrooms, people are given
drugs, which, when they work, make things better.
But better for whom? Are things better for the
person (or child, or patient), or for the teacher,
parent, or physician overseeing them?
"My son used to cause me all kinds of trouble, it would
wear me out. Then we saw a doctor, who gave us drugs.
After we started drugging him, it was great - he doesn't cause
near as much trouble. In fact, he hardly bothers
me at all."
- LiveReal and the
Psychiatrist, a (sort-of) Dialogue:
LR: Yes doctor, why
did the Titanic sink?
P: Because of the density of the metallic composition
of the ship's hull.
LR: Hmm. OK, why was
Michael Jordon so good at basketball?
P: Because his tendons flex when activated by the
neuromuscular synapses.
LR: Hmm. OK, why do people go to college?
P: Because their knees and ankles set forth a kinetic
force which transports their bodies.
LR: Hmm. OK, why do I like looking at sunsets?
P: Because the electromagnetic frequency of the rays
get interpreted into your corpus collosum.
LR: Hmm. OK, why do I really dig listening to Jewel
sing?
P: Because the sound of her voice creates vibrations
in the air which are interpreted by your eardrums.
LR: Why do we feel, say, anxiety?
P: Because of the levels of serotonin in the brain.
LR: Umm, thank you.
P: That'll be two hundred dollars.
- The Fable Of Tommy the Soon-To-Be
Psychiatrist:
In school, Tommy hit little Susie
with a rubber band. Miss Ratchet sees Tommy, and in a scolding
voice, asks him why. Tommy, being up-to-date on the latest
in psychiatric thought, replies honestly, "Well, Miss Ratchet,
the biosynaptic neurons in my hand released the reuptake-inhibitors
of the serotonin of my brain levels . . ."
Johnny is sent to the principles
office.
The next day,
A psychiatrist is asked why
Johnny hit little Susie with a rubber band. With impressive
confidence and authority, he replies deeply, "Well,
the biosynaptic neurons in his hand released the reuptake-inhibitors
of serotonin of his brain levels . . ."
The audience claps madly, psychiatrist
is congratulated and paid handsomely. He soon writes a bestseller
and hits the lecture circuit.
Moral:
Don't dodge any question, unless you have a degree and are
well-practiced at confusing your audience.
- The Order Of Things
For example . . .
You can't really understand a cell by examining an atom.
You can't understand an organ,
such as a liver, by examining molecules.
You can't understand the economy
by closely examining how, say, a liver works.
Why do we continue to insist that
the way to understand human beings is to study biochemistry?
- The Drug Model
How it works: A person feels anxiety or another unpleasant emotion,
ingests a pill or other substance, and feels relief from the
unpleasant feeling.
Picture: A man stands is expected to do some public speaking,
experiences anxiety at the thought of it. He takes a shot of
whiskey which relaxes him a bit, he feels a little better, and
delivers the speech.
This is not to claim that psychiatric drugs are no more sophisticated
than the shot of whiskey, they might be; rather, this is to
point out two things: that the underlying structure of the "psychiatric
medication" is structurally and functionally the same (unpleasant
emotion, ingest substance, relief from emotion) and so, essentially,
is nothing new.
- Psychiatrists Like to Ridicule
. . . the old days,
when oracles would read the tea-leaves to reveal the mysteries
of human nature . . . or even a century or two ago, when established
scientists examined the shape of the skull (phrenology) in order
to unveil the secrets of character.
Who knows . . . but perhaps in another century or two, future
scientists will look back on the scientists of today, and wonder
what we were doing looking so closely for the secrets of human
nature in the mush inside our skulls.
"The Humpty
Dumpty Dilemma . . . They can break the mind into pieces,
but they have no idea how to put it back together again.
A crucial missing ingredient is plain old common sense."
- John Horgan
An Analysis of Therapy
To
discuss many of the "talk" (and dance, and body, and
so on) therapies that are out there . . .
-
First of all,
Many professionals, with as many degrees and credentials as
anyone else, state strongly that, in more words or less, the
whole field of psychology and psychiatry is in a lot
of trouble, flawed or corrupt, and quite possibly, in the words
of one author, is built from the ground on a "house of
cards."
Just
to name a few, here is a brief overview of just a few authors
and some revealing titles:
Hans Eysenck, Ph.D., The
Decline and Fall Of the Freudian Empire
Peter R. Breggin, M.D. Toxic Psychiatry:
Why Therapy, Empathy, and Love Must Replace the Drugs, Electroshock,
and Biochemical Theories Of the New Psychiatry. (In LiveReal
Products).
Jeffrey Moussaieff Masson, Against Therapy, and
Final Analysis: The Making and Unmaking Of a Psychoanalyst.
Ethan Watters and Richard Ofshe: Therapy's Delusions:
The Myth of the Unconscious and
the Exploitation Of Today's Walking Worried.
Paula J. Caplan, Ph.D. They Say You're Crazy:
How the World's Most Powerful Psychiatrists Decide Who's Normal.
Robyn M. Dawes, (author
of the 1990 winner of the APA William James Award) House
Of Cards: Psychology and Psychotherapy Built On Myth.
Thomas Szasz, M.D. The Manufacture Of Madness.
Dr. Dineen, Tana.
Manufacturing Victims: What the Psychology Industry
Is Doing To People
- Go into an office
with a stranger and talk about your problems, doubts, insecurities,
worries, and fears, in detail, ad nauseum. How does doing
that make you feel?
- Talk to any stranger
about your most deep and private thoughts and dreams, while
he or she silently, coldly stares at you as if you're a bug,
underneath a microscope, with leprosy.
How does doing that make you feel?
- The
answer you get, depends on who you ask:
In general, if we talk to:
A
Freudian, he or she will start looking for fixations and childhood
traumas;
A Jungian, he or she will dig for dreams and archetypes;
A
psychiatrist, look for a "neurochemical and hormonal imbalance";
A
Rogerian, they will listen to us very attentively;
A Behaviorist, they will train us, circus-seal fasion, to change
our habits;
A
Cognitive-Behaviorist, will train us to change our habits and
thoughts;
A
Humanist, will focus on our potential to be more than what we
are now;
A
Family Therapist, will talk to us about our relationships;
A
Transpersonalist, will try to expand our awareness;
A
Synthesist, has a pureed casserole of all of the above.
Each breed of therapist has been trained in their own specialty,
and in general tends, naturally, to view things from that perspective.
As the saying goes, "to a man with a hammer, everything
looks like a nail..."
-
Different
Languages, Models, Definitions . . .
Psychology has different approaches, different models of the
mind, different definitions of happiness and success, different
definitions of sanity, all operating under the same banner.
For example,
Cognitive therapy - takes people with "irrational thoughts"
and trains their thoughts to be "rational."
Psychotherapy - it's all about taking "the unconscious"and
making it "conscious."
Behaviorism - training people to act the way we think they
should.
Etc. This is fine for psychologists. A good debate on different
models of human nature is a pleasure. But as for the patients,
clients, and customers, suffering and paying the bills, it's,
well, not quite as much fun.
"I'm
not strong enough to stand the remedies;
it's all I can do to stand the disease."
-
Moliere
- The Towers of Psycho-Babel:
As a saying sort-of goes, half the world of psychology doesn't
know what the other half is doing.
And if they do know, they think they're nuts. And
they might be right.
Psychiatrists think Jungians
are all nuts, Jungians think psychiatry is missing the mark;
the same for behaviorists, cognitive-behaviorists, existential
psychoanalysts, Freudians, Alderians, bodywork specialists,
transpersonal psychologists, humanistic psychologists, inner
child ones, family and couple therapists, Adult Children workshops
- all have different assumptions, different therapies, different
approaches, and different treatments, and all claim to be the
one that's "real."
Some say all this "diversity" is wonderful.
Others say it's chaos that's confuses the hell out of anyone
else bothering to pay attention.
- Blind Men and Elephants
This point is better articulated by an old Sufi fable:
There are eight men, all blind, touching an elephant.
One grabs the elephant's tail; "Elephants are long
and thin!" he says. Another blind man touches his
stomach; "No, idiot, elephants are like the wall
of a barn!" Another blind man grabs the trunk;
"No, elephants are like big snakes!" Another
man grabbed his ears. "No, they're big, flat, and
flappy!" And so on, etc.Just like psychology, they're
all right to a certain
extent, but they see a piece of the puzzle and not the whole
picture.
- But To the Customer
It's all the same. It seems that rarely is there a "try-out"
period or interview, so that the customer knows what they're
getting into.
For example, they might unknowingly go to a psychoanalyst for
something that could be solved in a session by a short-term
therapist, or might go to a short-term therapist for something
that could only be helped by a psychoanalist - and never know
the difference.
In a way, it could be like buying a car without taking a test
drive; sometimes it's like trying to buy a Jeep from a Honda
salesman, sometimes is like trying to buy a Ferarri from an
insurance salesman. Where the customer doesn't know anything
about cars, or car salesmen.
When you're selling and buying the invisible and intangible,
sometimes it's worthwhile to, well, do the homework, and define
the context of exactly is going on.
- "Give 'em a headache,
sell 'em an aspirin."
Many say that that often the process of therapy itself actually
creates many of the problems it is claiming to solve.
Doesn't seem too far out. After all, does talking, at
length and in depth, about your deepest problems, insecurities,
fears, inadequacies, make you feel good?
(Counter-point: Of
course, ignoring "issues" won't necessarily
solve things, either.)
Some theorists claim that therapy is often simply a process
of influence, persusion, or an elaborate procedure of "leading
the witness" to where therapists want them to go ("you're
traumatized, you're hurt, you need my help.")
(And actually, some therapists are forthright about this, and
specialize in it)..
- Another variation of the "Headache-Aspirin."
Another possibility:
Take a normal child or adult;
notice a fairly normal, common, everyday behavior, such as not
enthusiastically loving the process of homework (because reducing
fractions is obviously inherently fun), not being ecstatic
at one's job (Who says they don't enjoy typing data into a machine?
Step into my office!) - and so forth;
label that behavior as the symptom of some underlying
condition or serious disease, and then prescribe the cure for
it.
Further, in addition to
whatever core "issues" cause a person to seek therapy,
add on top of that many complex, intricate, elaborate
and confusing philosophies and theories (that matter tremendously
to the individual, but which cannot be tested, proven, or disproven.)
Well, it's one way to sell a lot of aspirin.
- How to Put Yourself in Business
as a Psychologist
Advertise:
Do you ever feel:
Fear? Anger? Lonely? Guilty? Uncomfortable? Sad? Happy?
Or any other human emotion?
Well you may be suffering from ________ (insert length
word here) Disorder.
It's a "disease,"
probably caused by genes or brain chemistry.
But we
can help you!! Maybe!!
Just call (800) ________ (insert phone number here).
Translation:
You've either got _________ Disorder, and need their help,
or maybe, you're OK, and you're human.
- In some cases, more harm than
good. Much.
Therapy, by defintion, deals with people at their most vulnerable
moments. For certain individuals, well, this provides a certain
type of opportunity.
Meaning, some therapists are criminals. Like, literally. They
have gone to jail and all. Just to make the observation that
it is possible. Not good.
- Is
your therapist, sane?
Hopefully so.
But of course, not necessarily.
(A little experiment: ask them what the definition of "sanity"
is. They may have to consult a book.)
"Of
all tyrannies
a tyranny sincerely exercised for the good of its victims
may
be the most oppressive."
- C. S. Lewis
- Snapshot:
A two year-old boy falls down, skins his knee, cries, and four
minutes later, has completely forgotten about it and is going
about his business.
An adult falls down, skins his knee, mulls over his possible
unconscious reasons for self-sabotage, feels victimized, joins
a support group, starts taking Prozac, and spends the rest of
his life recovering as a "trauma survivor."
- What are the Goals
of therapy? Specific problems? Long-term character changes?
There are, of course, different medicines for different conditions;
but for many new customers just getting into the matter, a "therapist"
is a "therapist." It's not their job to know everything
else.
And if a therapist, well, cooks one dish, well, that's what
you're going to be served, whether that's what you wanted, or
not.
- Conflict of Interest?
Observation: If therapists, counselors, psychologists, psychiatrists
and so forth were actually completely successful - they
would then put themselves out of jobs.
In other words, while we
are not in danger of this actually happening, the interesting
part is the potentially tempting conflict of interest:
the better they are at their job, the less money they potentially
make (they share this dilemma with medical doctors as well
. . . and teachers . . .).
This does not necessarily
mean that therapists deliberately "keep people in therapy"
in order to maintain a steady income for themselves.
At the same time, this doesn't
mean that all of them are exactly sweating bullets to get us
back out the door, either.
How about us looking into a new commission structure?
- Digging for Problems
Many know that therapy can sometimes become a "psychological
archeology" type mental goose-chase, rather than focusing
on the present time, now; still, it has the possibility
of becoming "problem-oriented" ("what's wrong
with me?") rather than "solution-oriented," or
getting things right.
-
Scene:
- Once a Victim, Always.
. .
"Instead of teaching
victimized people how to become strong and move on with their
lives, they encourage clients to adopt the label of 'abuse survivor'
and endure a prolonged, self-effacing victimization status for
a period of years or even a lifetime." - Michael J. Hurd,
Ph.D.
- Whose Fault Is It?
Why doesn't a person in therapy get happier, healthier,
better, when it doesn't happen? Well, the "blame,"
most of the time, goes not to the counselor, but on the
client. The client, directly or subtly, is accused of
not being committed enough, honest enough, strong enough, direct
enough, is too repressed, too in denial, too guarded etc, etc,
etc.
So now, in addition
to whatever problems we go into therapy with, we are also
blamed for failing in our own therapy. Great. That makes
us feel super!! (Pass the pills.)
Of course, directly "blaming
the victim" or even implying that the therapy is
not working because of the "client" can make
the client feel worse, more guilty, more helpless, can make
them try harder, become more upset . . . which creates need
for more therapy . . . and a whopper of a cyclical pattern.
Overall, the rule is this:
when therapy works, the "expert" is responsible
and gets the credit; when therapy doesn't work,
the "client" is responsible and gets the blame. Check,
please.
"So-called
psychoanalysis is the occupation of lascivious rationalists
who reduce everything in the world to sexual causes,
with the exception of their occupation."
- Karl Draus
- Founding Fathers:
Thought experiment: Examine the real lives of the founding
fathers of psychiatry and psychology (Freud, Skinner, etc) -
especially about the times when they're squabbling with each
other. "Is that sanity, mental/emotional health?
Do I want to be like that?"
- The "Self-Actualized"
Club
Abraham Maslow decided that a group of people he selected were
"self-actualized," that is, exceptionally healthy.
How many of those
individuals got "self-actualized" through therapy?
- The "Tar Baby" Syndrome
Therapy can become a kind of emotional "tar-baby,"
which is why many seem to have a natural aversion to discussing
the subject at all.
In other words, once you open Pandora's box and begin getting
involved with certain theories, questions, and doubts, they
can become obsessive and very difficult to get free from.
It's like asking yourself "Do I itch, anywhere on your
body, right now?" Asking yourself, "Did anything happen
in my childhood that could have traumatized me?"
tends to produce its own effects.
- Example:
"You're in denial."
"No I'm not."
"See? I told
you you were in denial. That's a symptom of ____"
(insert scary words here with the word "Disorder"
after it).
"But I'm not."
"You're proving my point."
"But I'm really not."
"People with X always say that."
Etc.
- More "Tar Baby"
Syndrome - Therapy itself creates the need for more therapy.
In other words, a cycle is set up: you innocently enter therapy,
wanting to become a happier, healthier person, and
- therapy
makes you aware of many "problems" with yourself,
or "issues" to be addressed;
- of
course, such issues and problems are assumed to get resolved
in therapy. Therefore,
- more
therapy is needed;
- return
to step one.
It can become like a private,
personal, inner Vietnam: you enter into war, not really knowing
why you're there, lacking a clear objective; it's hard to
know who the enemy really is (yourself? your parents? your
genes? the culture? life? God?) and no clear exit strategy.
In another way, it's like a video game: you play, you win
some and lose just a liiiiittle bit more, and so, every game
you play makes you want to play again, which makes
you want to play again . . . . Like playing a slot
machine, overall, it makes you want to keep playing .
- "That just proves
my point!"
Of course, even when therapy causes problems, counselors sometimes
cites the fact that therapy is "not working" as evidence
that more therapy is needed in order for it to work. This
is the "frying pan into fire into frying pan into fire"
syndrome.
"I
am still more frightened by
the
fearless power in the eyes of my fellow psychiatrists
than
by the powerless fear in the eyes of their patients."
- R. D. Laing
- What is Really Working?
After massive amounts of study and research, scientists have
concluded that the relationship between the client and therapist
is very important.
Um, thanks.
Much evidence states that among popular therapies, the therapist
is overall more important than the therapeutic method or technique
used. Except in certain specific cases.
Many researchers have found that all therapies or methods are
equally effective, or ineffective. In other words, no real "method"
is worse or better than any other.
Now this is precision.
Researchers have also determined that training doesn't make
you a better therapist. Reearchers have also found the opposite:
many therapists with more experience tend to do better than
therapists with little experience . . . and conclude that therefore,
they must be learning something while it's all going
on.
That's encouraging. We guess.
That about sums it up.
- Two Extremes:
At one extreme are therapists who focus of the inevitable bumps
and bruises of life, label them "traumas," lay out
a long (and expensive) "recovery path," and guide
the client along that imaginary path to "recovery."
At the other extreme are either 1) legitimate victims who have
suffered very real abuse, who are grouped with "therapy
junkies" or "victim wannabees", and
2) real wounds, not just bumps or bruises, that are being ignored.
- Thinking Positive. huh.
"Over the past thirty years, psychology journals have published
over 45,000 articles about depression and 400 on happiness."8
Talk about thinking positive. In other words, the best way to
learn how Bill Gates made billions is to interview the homeless.
- Procrustes
and the Patient:
To repeat, in some therapies, individual differences are utterly,
completely ignored. A therapist learns one trick - for
example, hypnotherapy, or cognitive-behavioral therapy - and
applies it everywhere, at all times, for all individuals.
To a dance therapist, everyone needs to get in touch with their
body. To a Freudian, everyone is harboring repressed impulses.
To a Behaviorist, everyone becomes a bundle of conditioned reflexes.
Not that this in itself is a problem, but it becomes a problem
for the client when, say, he or she needs a short-term intervention
and winds up diving into his childhood, or needs an exploration
of childhood and visits a short-term intervention-specialist.
You don't go to a plumber for help with your electricity; you
don't go to a car mechanic if your toilet is overflowing
"What
is poison to one man is medicine to another."
- Articulating Problems
"I went into therapy because I was unhappy. Now,
I'm still unhappy - but I have aboooout three dozen more theories
why I'm unhappy."
". . .
A therapist who is incompetent and does no more
than sit in silence and scratch himself
will have at least a fifty percent success rate with his patients."
- Jay Haley
- Chasing Ghosts: The
goal of therapy, from the individual's viewpoint, is in some
way or another, to feel better, to find fresh happiness, meaning,
fullness of life, joy. Yet these things - happiness, "meaning,"
"joy" and so forth - are personal, subjective, seemingly
internal conditions; they cannot be "objectively"
seen, heard, felt, measured, or replicated. In other words,
The goal of therapy is chasing some"thing" that is
at present, practically impossible, by "objective"
standards, to detect, like hunting the wind.
Therefore, it seems to leave
a lot of room for mistakes, inaccuracy, and even, well, fraud.
-
Psychology
In It's Infancy, or, Adolescent Infancy:
"Imagine if we were in the state of science where
we could reliably diagnose heart disease but
knew nothing about the effects of exercise cholesterol, salt
and fat, stress, and fatigue. Patients who were diagnosed
would be grasping at all kinds of straws that might help them
recover. Some would stop all exercise, some would exercise
furiously. Some would withdraw from stressful situations.
Some would take medication to reduce blood pressure without
knowing that their unhealthy diet undoes any beneficial effect
of medication. Many would die prematurely; some
would get better accidentally; without good controlled
scientific studies, medicine would not learn what was causing
some to die, some to recover. This is where we are with
depression."
- Richard O'Conner,
Ph.D
(. . . and for that matter, almost everything else. There
are many good reasons not to be dogmatic yet,.but then again,
this doesn't seem to stop anyone).
-
Digging Through
the Past and Feeding Ghosts
Some therapies consist of continually dredging up mental
memories of past events, and prompt a continuous habit of
laboriously digging through the archaology of our memory banks,
hoping to find the keystone to our current problems.
There may very well be
times to examine the past and deal with it's effects, especially
when it imposes itself on the present moment.
At the same time, digging
into the past can become a futile process in itself. Imagine
a hunter examining the footprints, broken branches, scratches,
and other clues left by the rare squirrel he is hunting. Examining,
scratching his head, and re-examining, while the squirrel
is perched happily right on his hat.
Example:
You fall and scratch a knee. It's good to take a few
moments, inspect the wound, clean it, and put a bandage
on it.
From there, it will heal on its own - unless you keep
falling and re-scratching it, or keep picking at it.
These wounds heal naturally.
In the same way,
it's very possible that many "childhood wounds," as long as we're not retraumatizing ourselves, will
heal on their own and dissolve away . . . so it is better
to practice being completely present now than
to search for salvation in your memory banks.
(Counterpoint:
This theory or method does not work for, say, bullet wounds.
Bullets should first be removed before proper healing can
take place. In addition, one could easily take this "wounds
heal naturally" as an excuse to never reflect, never
examine oneself, never think about the consequences of one's
actions, or never look into the past for what can lead to
valid understanding of one's present behavior.)
"It gave explanations to phenomena that demanded
explanations."
- Steven Hyman,
quoted by John Horgan
-
Labels:
Counselors spend years learning to recognize symptoms, diagnose
and label the probable "condition," categorize the
patient, (borderline, manic depressive, schizophrenic,
or whatever), and recommend treatment.
In other words, this is
primarily organizing and categorizing symptoms
and people - which has nothing whatsoever to do with understanding
and treating properly what they have organized.
- (Nudge) Label It, It Makes
You Look Smart
When we label or categorize anything, we are always tempted
to believe that we then understand it. But of course,
well, we don't. We just have a word for it now. So,
a person barks like a dog, thinks he is Napolean, talks continually
about how aliens from Mars are plotting to destroy him and the
rest of the world . . . ask a psychiatrist, "Why?"
Answer: "Because he has schizophrenia."
"Oooooh, OK! Thank you!! That's why, because
he has schizophrenia."
(pause)
". . . but wait a minute, sir, what is schizophrenia?"
"We don't know."
"Oh."
Moral:
Sometimes a word is just a word. What the word means
is an entirely different thing, altogether.
"There
also seems a parallel between the role of the Socratic dialectic
in the education of the intellect and the role of free-association
in the psychoanalytic education of the emotions.
Both are developed from the observation that virtue cannot be
taught,
i.e., the truth cannot simply be stated by the teacher
and learned by rote by the pupil
because the results of learning cannot be separated from
the process of inquiry which each individual must live through
for himself at first-hand."
- W. H. Auden
- Defining Yourself By Your
Wounds
Another
side-effect of "therapeutic work," is to "define
yourself primarily by your wounds."
In therapy, one can form (or discover) a new "identity,"
such as "I was abused," "I am a victim of abuse,"
"I am a survivor," and so forth. This "identity"
can grow, and unless kept in check, can drow to dramatic proportions
and become cancerous - consuming other aspects of oneself (such
as "I am a mother," "I am a father," "I
am a businessman") and so on. If one focuses primarily
and exclusively on self-definitions taht are born in therapy,
those aspects can eventually take over a person's life, and
do more harm than good.
- True, and Irrelevant:
In the avalanche of stuff to wade through, a great deal of research
is very high-quality, very professionally done, very respectable,
and totally irrelevant to what we're looking for.
For example, often books with titles like "How the Mind
Works," are successful marketing ploys to grab our attention
- after all figuring out how the mind works is what we're after.But,
while it might sell the book, it can also be a little misleading.
They are often about cognitive psychology, perception, memory,
sensation, etc, not about how to understand and manage
your own mind and emotions.
In other words, they don't know how the mind works, not
in any practical and complete sense, anyway, as the title implies
. . . although you'd almost have to buy the book and read it
before finding that out.
"Why should
I tolerate a perfect stranger at the bedside of my mind?"
- Vladimir Nabokov
- Sensitivity: Too far left,
too far right . . .
To use a crude analogy,
in riding a bike, one call lean too far left and fall, and too
far right and fall. The same dynamic can happen, say, with an
issue like "sensitivity": because most of us have
often had our fair share of being treated with disrespect, insensitivity
and even downright meanness by others, we tend to get into therapeutic
circles and become very considerate, veeery polite, veeeeery
"nonjudgemental" (at least we act like it)
regarding one anothers' feelings.
Yet, at the same time, when does this cross over into overemphasis
on feelings, oversensitivity, and pettiness?
Psychoanalysis ". . . justifies its ideas by reference
to its own interpretations. If you want to justify the idea
of the ego, you justify it by interpreting what a patient
says in the light of ego theory. There isn't any reputable
science on the face of the earth that's conducted that way."
- Frederick Crews,
quoted by John Horgan
- Facts, or Opinions?
Sometimes therapy is
simply one person giving another their personal opinions, advice,
biases, prejudices, theories, and speculations to another, under
the guise or pretense of it being scientific, proven
fact, under the fraudulent pretense of professional expertise.
Many honest psychiatrists admit that they are not experts on
the human mind; they're just ordinary people who have taken
a few classes that the rest of us haven't. And if they're good
therapists, it's not because of their training (maybe even in
spite of their training) - it's often because of just who they
are, or something that wasn't, and maybe can't be trained.
- The "Impending Doom"
Could it be that therapy
encourages and nurtures a constant sense of "doom"
that constantly hangs over a client's mind like a black cloud,
constantly threatening that they just might go through
the rest of their life a fundamentally flawed, incomplete, unnatural
individual, suffering from incurable emotional suffering, a
defective brain chemistry, or bad genes, due to events beyond
their control (genes, hormones, things that happened when they
were two, etc) . . . while paying large amounts of money to
hear this?
- The Inner Labyrinth
Sometimes therapy is
an inner labyrinth of infinite regression consisting of an endless
supply of defense mechanisms and ulterior motivations.
("The reason why you're really doing this is X. And
you deny that because you're repressed.
And you've repressed that because you're in denial,
which is really because you need control, because
you're afraid, but you deny that you're afraid,
etc etc etc.) . . . as if you are slowly closing in on
some core, deepest motivation, which must surely be pretty awful
- when in reality, that's just not the case at all.
. . . makes it very disorienting, easy to get lost, and greatly
increases the possibility of, as the saying goes, getting "devoured
by some Minotaur of conscience."
- Placebo effect:
It has been demonstrated that when people believe they
are receiving therapeutic attention, they tend to show some
improvement.
"Psychoanalysis
is confession without absolution."
- G. K. Chesterton
- Theorizing "About"
Therapy can sometimes offer complex intellectual formulas which
can sometimes substitute for honest self-inspection.
(A person can feel he needs to understand all of Freud's descriptions
of consciousness, before, say, he asks himself why he acts like
a jerk to his wife.)
Question:
Is there a relationship between morality and psychological
health?
If so, what?
And if so, why is this completely ignored?
- Ripples In Society
Psychologists face many unique challenges that experts in other
fields simply don't face, which makes their job much more difficult.
For example:
Pretend for a moment, the entire world suffers from a mild form
of, say, heart disease. It bothers everyone, just a little.
Say a group of the highest-caliber
doctors, surgeons, and physicians gather to perform the first-ever
open heart surgery.
They perform the surgery, it is successful.
They publish their reports enthusiastically.
The media covers the event.
The general public hears the reporting,
and gets wildly enthusiastic.
Soon, millions of people begin performing open-heart surgery
on their brothers, sisters, and in-laws. Mass chaos ensues.
The technique is scandalized, the doctors are demonized and
discredited, the reports go in the history books as a huge disaster.
This isn't too far a throw from what psychologists have to contend
with.
- Testimonials Matter
"I would be dead without his or her help," "This
therapy benefitted me enormously." We hear from many
patients and former patients how much benefit they have derived
from a certain person or treatment. We hear it from people
who are given electroshock, from people on dangerous psychiatric
drugs, and from people who have been lobotomized."
- Masson
- Indirect Implications of Theory:
Example:
Somehow or other, a person picks up the notion that "Repression
causes neurosis." Therefore, assuming neurosis is bad,
it follows that if assuming one doesn't want to be neurotic,
they should then repress nothing . . .
So well, heck, the whole concept of "self-control"
is sort of repression, right?
And heck, I sure don't want to be repressed, so therefore, abandon
all "self-control" entirely . . . so,
Sex, drugs, rock&roll is the safest, fastest route to psychological
health, right?
- Memories, Real and Unreal
Well, of course, all therapy isn't perfect. If it was, why
would sites like www.stopbadtherapy.com spring up?
Along these lines, many say that we have two, and only two,
options:
A) Psychological suffering is caused exclusively by chemicals
inside the skull, or
B) Blame parents as the root of all evil.
Really, we're not convinced that you really have to necessarily
go either route. "Blaming" parents doesn't do any
good and can go overboard, and ignoring the very possibility
that parenting might be a factor, while it makes fewer people
mad, well, it isn't good science. Why blame at all? Why not
just focus on getting healthy?
- In Your Body, Not Thoughts:
Says body-oriented therapists, "repression happens on a
bodily, physical level - so insight therapy, based purely
on "the talking cure" and intellectual understanding,
does not provide relief.
- Talk,
talk, talk
Emotions can be spoken about, written about, and even acted
out, without being truly accepted, integrated,
and felt.Emotions happen on the feeling, visceral
level, not on the mental, think-talk level. You've got to go
deeper for that.
- Cognitive Therapy and Thought-Training:
On the one hand, cognitive therapy definitely works well in
certain specific situations. On the other hand, cognitive therapy,
or the practice of training thoughts, circus-seal fashion, may
be something like trying to tune a piano in a snowstorm.
The theory is this: "The
world is rational, and you become unhappy when, for whatever
reason, you begin thinking irrationally; the solution
is to retrain you so that you think rationally, because
happiness consists of adjusting yourself to a rational world."
Questions:
What made a person "irrational" to start with?
If poison ivy makes you
itch, should you learn to stop scratching, or should you get
rid of the poison ivy?
Is life rational, and should we simply adjust ourselves to it?
(Um, Don Quixote?) Rational, according to whom?
Do thoughts determine feelings? Or do feelings
determine thoughts? Or does behavior and perception determine
thoughts and feelings? Or all of the above?
What if there is a deeper rationale to humans, perhaps a deeper
logic to what we call "irrationality," beneath the
surface of a person's behavior and thoughts?
- DSM-XX
One reviewer of the DSM-IV, the Bible of the psychology field:
The description of schizophrenia "boils down to this: a
schizophrenic is a person who thinks very odd thoughts, behaves
weirdly, and suffers from bizarre delusions, which suggests
that the authors of the DSM-IV either don't know what schizophrenia
is or suffer from poor writing skills."
"Let
the credulous and the vulgar continue to believe that
all
mental woes can be cured by a daily application
of
old Greek myths to their private parts."
-
Vladimir Nabokov
-
Repair the Nonexistent
A Transpersonal criticism of conventional therapy is that it
is attempting to fix the "ego" which, when closely
examined, is in fact, is some "thing" that does
not really exist.
.
- "The
Dodo Hypothesis"
A study by Lester Luborsky uses an excerpt from Alice's Adventures
in Wonderland:
"First (the Dod) marked out a race course, in a sort of
circle ("the exact shape doesn't matter," it said)
and then all the party were placed along the course, here and
there. There was no "One, two three, and away!" but
they began running when they liked, so that it was not easy
to know when the race was over. However, when they had been
running half an hour or so, and were quite dry again, the Dodo
suddenly called out, "The race is over!" and they
all crowded round it, panting, and asking, "But who has
won?"
This question the Dod could not answer without a great deal
of thought, and it sat for a long time with one finger pressed
upon its forehead (the position in which you usually see Shakespeare,
in the pictures of him), while the rest waited in silence. At
last the Dodo said, "Everybody has won, and all must have
prizes!"
- Lewis Carrol, originally quoted by Saul Rosenzweig (1936),
commenting that all therapies seem to somehow produce equivalent
results.
- Me,
my, mine:
Therapy can sometimes encourage and provide fertile ground for
a narrow self-absorbed, narcissistic, and even selfish mentality,
where everything is and everyone is evaluated according to the
impact on one's own mental and emotional health.
(Counterpoint:
Other times, therapy can be the only place where an individual
is, perhaps for the first time in their life, allowed to be
honestly, openly, healthfully, "selfish.")
- Sacred-Cow-Making:
Therapy can sometimes encourage and promote the creation of,
well, sacred cows. For example, a person's "self-esteem,"
or "inner child," every shadow of a feeling, every
careless opinion, every ego or vanity can become a fixation,
a minor obsession, the measure of all good, or the center of
the universe.
- "You've
Got a Serious Problem"
Some say that therapists can accidentally suggest, and so create,
problem conditions which do not actually exist.
For example, "He/She did something to you, what? That must
have been very traumatic. How awful. (Since you've
been so traumatized, you'll need a lot more therapy.)"
Question:
Do we all reaaly have something called a "conscience"?
If so, what part does it play in psychological suffering
and health?
-
Therapeutic Procrastination
Therapy can cometimes encourage individuals to put their life
on hold until . . ."I
will really start living when I get better, after I've gotten
more self-esteem, when I have accepted my inner child . . .
" etc.
- "There are two ways of
'adjusting' a person . . .
. . . to his situation without producing growthful change. One
is to stabilize the person by the use of medication . . . The
other method of adjustment is long-term individual therapy focusing
upon helping the person to understand his childhood development
situation. Many (people) have been stabilized for years by intensive
analysis. Instead of encouraging them to take aciton that would
lead to a richer and more complex life, the therapy pervents
that change by imposing the idea that the problem is within
their psyche rather than in their situation . . ." - Jay
Haley, Uncommon Therapy
"Today's
psychologists are observing and gathering material
from which a future science will emerge."
- Ayn Rand
-
Positive thinking, or delusional?
If you tell someone they're wonderful when they're not, then
even if they believe you - are they better off, or worse?
-
Motivation.
Therapy works most often for those who are highly motivated
to get better, and are determined to make it so. At the same
time, sometimes hopelessness and lack of determination are the
reasons for being in therapy to start with.
-
Egos
Out Of Control
Occasionally, scientists tinker around in their
laboratories and sometimes stumble onto something that is
actually relevant to everyday life.
Say, for example, genetics. They study a few genes, speculate
that this might someday have an impact on, say, alcoholism
or depression or something. So, they see their golden opportunity
to become celebrities and take over the world, and take it,
often to the dismay of the rest of us.
And so, they map out some genes, and proceed to spend days
and weeks full of gala, festivities, and huge media coverage,
publically clapping each other on the back, congratulating
each other until they're hoarse, tooting each others' horns,
blowing thick smoke up one another's arses and talking ad
nauseum about how galactic, how huge, how immensely
staggering the implications are of the work
they're doing.
And soon after, the party ends, they settle down, and life
goes on as usual.
"But
in terms of sheer complexity, particle physics is a child's
game
- a ten-piece jigsaw puzzle of Snow White - compared to
neuroscience . . .
Anyone hoping to construct a unified theory of the mind
now
must cope with an astronomical number of findings,
many of them with contradictory implications."
- John Horgon
- Lean
On Me (Not Yourself)
Quite possibly, therapy itself encourages dependency on the
therapist, and so, discourages self-reliance. "The
therapist will cure me," and so can potentially encourage
individuals to put responsibility for their emotional health
into the hands of someone else.
- The
Best Cure for Insanity is, Don't Go Crazy to Start With.
Psychotherapy
and much of modern "psychology" all normally step
in, exclusively, after the fact. Perhaps, after tha damage
has already been done
But
w hat about, say, prevention?
For
example, psychoanalysis was born in part from asking "How
can we 'cure' Anno O?"
What
about a different question: is there anything Anna
O could have done to prevent herself from ever needing help
in the first place?
It
seems reasonable that, paradoxical as it may sound, that the
best "psychology" is that which prevents the need
for psychologists to start with.
Enough of this. Let's look
at what real psychologists have to say about other psychologists.
Psychologists
On Psychology:
Evidence and experts
At various times, various
psychological researchers have had the courage to point their
keen eyes and instruments back towards their own profession, and
study with scientific scrutiny the question, "Does Therapy
Work?"
A
short summary of the results: after analyzing many studies of
psychotherapy in many different fields, most of the conclusions
are that
treated patients do fare better than untreated;
all
the different therapies produced only roughly equivalent outcomes;
there
is no correlation between the amount of time spent in therapy
and the benefits;
there
was no correlation between the effectiveness of the therapist
and their credentials or expertise. (Healers with degrees from
medical school, with Ph.D.'s, with Masters Degrees, with undergraduate
degrees, or social workers are all equally effective.)
Here is a partial gathering of what they've found.
Eysenck (1952)
- Of the people who remained in psychoanalysis as long as their
therapists thought they should, 66% showed improvement;
patients treated with other various approaches, 64% showed an
improvement; and those who received no psychotherapy but
were treated only custodially in instituations, 72% showed improvement.
Three
decades after his initial study challenging the claims of therapy,
Eysenck wrote that he still saw no compelling evidence that the
practice of psychotherapy showed much value. However, he also
notes that this lack of support had little effect on the profession,
which seems to ignore all findings that disupte the usefulness
of its methods.
Luborsky,
Chandler, Auerback, Cohen, and Bachrach (1971) investigated
the factors that influence the outcome or a course of psychotherapy,
such as "patient variables," "Treatment variables,"
"Therapist variables,"and so forth, have different impacts
on how therapies proceed. Their results were not surprising.
Lester
Luborsky (1975) - Psychotherapy is worthwhile, those who received
therapy generally fare better than those who did not; however,
none of the different therapies measured stood out; all were roughly
as effective as each other.
Strupp and Hadley (1979) - Halfway sane, compassionate,
and honest professors were just as effective as "professionally
trained" experts.
Smith,
Glass, and Miller (1980) - Therapy can be beneficial, yet,
different approaches tend to measure outcomes in different ways.
"Psychotherapy is beneficial . . . Its benefits are on a
par with other expensive and ambitious interentions, such as schooling
and medicine. The benfits of psychotherapy are not permanent,
but then little is."
Lohr,
Lilienfeld, Tolin, and Herbert (1999) - There are factors
common in all psychotherapies which may factor in the effects
of therapy: placebo effects resulting from the mere expectation
for improvement, demand characteristics, therapist enthusiasm
and support, therapist-client allience, and effort justification
(i.e., the tendency to report positive changes in order to justify
the effort exerted).
So,
What are the Alternatives?
So,
if conventional therapy has a few issues it needs to work out
. . .
What's
a person to do in the meantime?
What is
the answer, the cure? Well, heck, we don't know. Remember,
we're ordinary folks here, no fancy research labs, no white coats,
just us and our grit and our Diet Mountain Dew.
For sure, in the course of our travels
and adventures here at LiveReal, we've gotten a mean, shovel-across-the-head
education in a lot of what doesn't work. But,
at the same time, we've run across a few things that . . . well,
have really been pretty cool for us. So maybe they'll
work for a few other people, too.
So, if we
offer a few suggestions, are we saying they're the answer everyone's
been waiting for? Are they the ultimate, across-the-board, one-size-fits
all solution that will apply for everyone under the sun equally
well? Is this the final, end-all that is the pinnacle of the humanity's
search?
No. As far
as science goes, as far as "psychology" goes, it's still
a young field, with a long way to go.
And along
these line, anyway, the normal course of events for various proposed
answers, cures, and solutions is this:
First, a
few scientists or researchers make a new discovery about something
(psychoanalysis, behaviorism, drugs, shock therapy, gene therapy,
cognitive behaviorism, etc);
Then, there
is a lot of overblown hype about what this "miracle cure"
will do;
The miracle
cure becomes all the rage;
Test trials
of the cure over time, with results ranging from fairly good to
mediocre to disasterous;
As time
goes on, the buzz dies down, the movement loses its gusto, and
researchers retreat back to the drawing board;
Life goes on as usual;
The slow
progression of "twenty steps forward, nineteen-and-a-half
step back" continues.
With that
in mind, here are a few alternatives.
First
of all, just for kicks, we've sketched out a picture of "the
ideal therapy":
A
world where,
the
customer, after it's all over and done, is well-satisfied;
the
customer knows from the start exactly what they're getting into,
and what to expect;
it's
non-intrusive, non-invasive, non-manipulative, non-coercive;
the
patient is in the driver's seat the whole time, yet
also has the benefits of expertcounseling and coaching from a
proper authority;
it's
inexpensive;
it
doesn't take too much time;
payment
if necessary at all, is contingent on success, not failure;
it's
based on a rock-solid, time-tested understanding of human nature;
it
doesn't require months and years of studying obscure texts and
philosophies;
it
"rings true" and makes sense on a practical level;
it's
self-justifying and directly
produces tangible benefits;
it
eliminates the proper symptoms, and whatever may cause the symptoms;
when
helpful, it provides understanding of the origin of the symptoms;
overall, it helps everyone involved become more clear, honest,
sane, healthy, strong, and helps us know, understand, and care
for ourselves, others, and our place in the universe, a little
better.
So,
back in the real world, for anyone is looking for a few alternatives
to therapy, drugs, and suffering . . . here a little of what we've
found.
- You already did it.
There's a pretty darn
decent chance that if you read and absorb what's in this article,
you're way ahead of the game already. Thanks to LiveReal and
the gut-crunching research of your faithful LiveReal task force,
you are now well-armed with insights that, if applied correctly,
hugely decrease the chances of you spending years and thousands
on fruitless, dead-end, insanity-inducing drugs and therapy
sessions.
So, congrats, and good work!!
- Shop Around.
This isn't meant to give the impression that there are no
good therapists (or drugs) out there; there definitely are
good therapists (and maybe drugs) out there. But at the same
time, "let the buyer beware." It may be very worthwhile
to have a Good-Will-Hunting-style shopping trip, where many
different options are tried, before you find one that fits.
Don't hesitate to shop around.
- Consider the Possibility
that deep down, underneath it all, even in your darkest most
secret, most unpleasant moments . . . that fundamentally, you
are OK, capital "O," capital "K," and there
is absolutely nothing at all really wrong with you.
With that in mind, consider as well that there's a lot of work
to do.
- Know Thyself.
To take it further, along the "Physician, heal thyself"
line of thinking, this is a "Willis, learn how your own
mind works" line.
In other words, "self-knowledge" isn't a matter of
studying genes, textbooks, hormones, brain chemcals, or really,
anything else; it's a matter of studying you, the same
way as it is for studying "me." "Self-knowledge"
isn't just for gurus perched on mountaintops any more. With
all the material and information readily available today, we
are already much more psychologically astute, for better or
worse, than we used to be.
In a sense, every person already is their own depth psychologist,
motivational coach, insight therapist, counselor, philosopher,
etc - now it's just a matter of getting good at it, and
there is a wealth of information available to make it a more
safe and pleasant journey overall. That's what
we're on the search for here as well.
In another way . . . every person is already a scientist,
they are their own laboratory, and the experiments they
run is the story of their life.
So, it seems there is good reason to talk to and learn from
other people, and compare notes on which "experiments"
work, and what the results have been, so we can learn from each
other.
This also parallels the notion that while there may be some
areas it's best to safely trust to experts and authorities,
such as insurance, taxes, and so forth, your sanity and emotional
health should be the last to be abdicated, and with the
greatest amount of scrutiny and consideration, instead
of the other way around.
- "Be still," or something.
A mark, perhaps "the"
mark of a good scientist lies in the ability to be clear, objective,
and unbiased; to have an open and nonjudgment yet discriminating,
not-easily-fooled attitude, is really the ability to see things
the way they really are instead of the way we'd like
them to be; to see directly, without spin, personal interpretation,
or anything that clouds or colors a direct perception and of
the way things are.
This "ability" is something that, seems like, can
be practiced and cultivated.
This gets into the area of something like, for lack of a better
word, "concentration."
Concentration, dispite popular opinion, isn't something you
get from a pill; it's something more like a golf swing, that
is practiced, honed, and developed. Proper concentration, perhaps
a type of mental strength, can sometimes be a practical, real
way to stave off phantoms of fear, anxiety, guilt, depression,
tension, etc, if we're just able to slow our pace and be still
enough to stop and look at them.
Along this line, many people say that the the root of unhappiness
and confusion lies in the inability to actually, literally be
"still," as in, being able to go into a room alone,
with no distractions, nothing to do, and to sit there, being
present, and let what happens, happen. And they say,
to break away from unhappiness, do just that. We spend weeks
and months working on our golf game, our draperies, our physiques,
but rarely spend any time on our minds. It's pretty simple,
definitely not expensive, and quite possibly one of the hardest
things to do on the planet.
"I
have discovered that all of man's unhappiness
derives from only one source -
not being able to sit quietly in a room."
- Blaise Pascal
" In the
realm of "meditation" or "contemplation,"
many different words are used to describe the same essential
things, and as often, many of the same words are also used
to describe very different things. This is especially true
for areas of "meditation" and "contemplation."
It is sometimes a chore
to separate the wheat from the chaff.
We definitely do not recommend everything that operates under
the banner of "contemplation" or "meditation"
(see Caveat
Meditator) and there are many varieties and numerous breeds
of various "meditation" techniques available. "Meditator
beware," indeed. Still, many meditations claim to have
no impact on emotional healing and strength, while some folks
also say that a great deal of real "emotional healing"
lies in this ability to "be still" or develop attention;
some thinkers believe this is the missing link in psychoanalysis
(Jack Kornfeld, or Mark
Epstein, see Thoughts Without A Thinker, etc).
The practice we personally
recommend is in the LiveReal
Products section, "The Classic" and How
Your Mind Can Keep You Well by Roy Masters. This technique
is definitely not the
only one available, it is not the only one that works, it
might not work every time for everyone, and is not meant
for every individual with various unique needs. Yet in our
experience thus far, it is effective, and in general, applicable
to many. Like anything (most things), it can all definitely
be misused, misunderstood, misinterpreted, etc, yet it still
seems effective in ways that other ways are not. The tape
itself is meant only to be used a few times and then thrown
away once the practice is learned. And, you can't beat the
price (compared to an hour with a therapist), and it's definitely
"non-intrusive."
Disadvantages: Requires, if just beginning, a willingness
to try, persistence, work, responsibility, time, effort, and
more persistence, more work. No easy solutions, no magic carpet
ride through life.
Advantages:
Just maybe, it's simple, low-risk, very inexpensive (as in, "free"), easy to learn, self-validating, completely
within your power and control, it works, like becoming your
own boss, there's freedom, opportunity, adventure, and responsibility,
and plenty of others to compare notes with.
"Let
anyone try, I will not say to arrest,
but to notice or attend to, the present moment of time.
One of the most baffling experiences occurs."
- William James
- Roy Masters and "Advice
Line Overnight"
Roy Masters is a little-known,
widely misunderstood, often ignored guy who is way ahead of
his time.
In our experience, to state our biased, unscientific, personal
opinion, well, Masters just makes a lot of modern psychologists
look like drooling, wet, saggy-diapered babies. Masters, while
very human, is a really good-hearted grandfatherly-type figure
who understands a heck of a lot about human nature.
And in what is more
than our opinion, he has many real cases of helping people overcome
addictions, deal with emotional and marriage problems, and much
more.
On the other hand, he's probably one of the more easily misunderstood
men on the planet. When anyone first listens to Masters, the
standard procedure is to experience something like the following:
first, shock; then, surprise, then, more shock; then indignation,
then decide he's X; then decide he's Y; then call him A, B,
C, and D, then grant that he has a point, then dismiss him,
then grant that he does have a unique perspective, then, at
some point, say "wow, he's talking about me,"
then something like, "wow, he's right on . . ."
Masters' books can be somewhat
hard to decipher, he isn't immune to getting on a political
rant or two, he comes close to almost having his own kind of
language, he has no hesitations about being blunt with his thoughts
. . . but for those who sincerely want to know, and are able
to hear him . . . well, we think it can definitely be a worthwhile
experience.
At any rate, if someone
would really just like to check out someone who may just
know a lot about what's really going on, check him out yourself.
(www.fhu.com).
(Not to mention, you can't
beat the price. (As in, "free.") He even has a 1-800
number in case you're too lousy to make your own phone bill
- check that against $150 an hour.)
- Cure By Crying and
Other Cool Stuff . . .
Certain first-person case
studies, while not strictly "scientific," do
sometimes offer very clear and definite clues which can act
as signposts to what kind of promise future psychology may hold.
For example: A guy suffers
continually from depression, nervousness, insomnia, headaches
. . . he deliberately embarks on an investigation to cure himself
of his problems, finds a concrete, deliberate method which he
practices, works, hones, and perfects, and eventually succeeds
in curing himself . . . and now he is no longer depressed, nervous,
or any of the above, but is energetic, positive, upbeat, confident,
outgoing, and overall, at peace with himself . . .
Situations such as these
offer a few clean, self-justifying cases which (while "anecdotal"
and not yet strictly "scientific" according to some)
do leave large clues for those wishing to follow similar footsteps.
When a person says "It worked for me," we think they
should not necessarily be ignored.
- The Diamond Approach.
Championed by A.H. Almaas
. . . www.ridhwan.org.
In our opinion, definitely worth looking into.
- LiveReal.com
LiveReal is, of course,
no substitute for professional psychologists, counselors, and
psychiatrists, etc, when the situation is calls for it.
On the other hand, maybe
LiveReal can help out a little. Our mission is to find the the
cream in the crop, the wheat in the chaff, the babies in the
bathwater, and gather them here, so you should be able to find
some decent reference material on the site, a few good products
to buy, maybe a partly-sane person or two to talk to. Well,
least, we're working on it.
Note:
This "article" is a living, breathing, discussion forum
and dialogue-in-progress, which will continue to be amended and
updated, if necessary, as further information, studies, and reports
come in.
Talk
about it:
info@livereal.com
"I
wished,
by treating Psychology like a natural science,
to help her to become one."
- William James
Psychology
Arena
Home
Page
Sources and Additional Reading
Breggin,
Peter R. Toxic Psychiatry: Why Therapy, Empathy,
and Love Must Replace the Drugs, Electroshock, and Biochemical
Theories Of the New Psychiatry.
Caplan,
Paula J., Ph.D. They Say You're Crazy: How the
World's Most Powerful Psychiatrists Decide Who's Normal
Carlson,
Neil R., Psychology: Third Edition
Crews, Fredrick. Ed., Unauthorized Freud: Doubters Confront
A Legend
Dawes,
Robyn M. House Of Cards: Psychology and Psychotherapy
Built On Myth
Dineen,
Tana. Manufacturing Victims: What the Psychology
Industry Is Doing To People
Defresne,
Todd. Skeptic Magazine, Vol 7, Vo. 3. "The Making
Of A Freud Skeptic: An Interview with Frederick Crews."
Dorpat,
Theo L. Gaslighting, the Double Whammy, Interrogation, and
Other Methods of Covert Control in Psychotherapy & Analysis
Eysenck, Hans. The Decline and Fall Of the Freudian Empire
Fedorschak, VJ. The Shadow On the Path.
Frank,
J. D.., and J. B. Frank. 1991 Persuasion and Healing: A Comparative
Study of Psychotherapy.
Frankl, Viktor. Man's Search For Meaning
Haley, Jay. "Therapy-A New Phenomenon", The Power
Tactics Of Jesus Christ
Horgan,
John. The Undiscovered Mind: How the Human Brain Defies Replication,
Medication, and Explanation
Hurd,
Michael J., Ph.D., Effective Therapy: Choosing the Right Therapy
That Works For You
Malcolm,
Janet. Psychoanalysis: The Impossible Profession
Masson,
Jeffrey Moussaieff, Against Therapy
Masson,
Jeffrey Moussaieff, Final Analysis: The Making and Unmaking
Of a Psychoanalyst
Monte,
Christopher F. Beneath the Mask
Ornstein,
Robert. The Mind Field
Robertson, Ian H. Mind Sculpture: Unlocking Your Brain's Untapped
Potential
Rose,
Richard. The Albigen Papers
Singer, Margaret
Thaler and Lalich, Janja, Crazy Therapies: What Are They?
Do They
Work?
Szasz, Thomas. The Manufacture Of Madness.
Szasz,
Thomas. Ideology and Insanity.
Watters,
Ethan and Ofshe, Richard. Therapy's Delusions:
The Myth of the Unconscious
and the Exploitation Of Today's Walking Worried.
Wilber,
Ken, The Spectrum Of Consciousness
Yapko,
Michael D. Hand-Me-Down-Blues: How To Stopp Depression From
Spreading In Families
1 Taken from Cure By Crying by Thomas Stone
2
"Two researchers estimated that 'in 1990, Americans made
425 milion visits to providers of unconventional therapy at a
cost of approximately $13.7 billion.'" Margaret Thaler Singer
and Janja Lalich, Crazy Therapies (195).
3
National Center for Health Statistics. Between 1990 and
1996, 216,631 Americans committed suicide. During the same
time, there were 161,020 murders committed in the United States.
"There are fewwer than 20,000 murders a year in America and
about 30,000 suicides." (U.S. Department of Health and Human
Services, National Center for Health Statistics, "National
Vital Statistics Report," Vol. 47, No. 9)
5
Dr. Ronald A Rubin quoted in "Selling Happiness: Inside the
Therapy Business" by David D. Kirkpatrick, New York Magazine,
May 15, 2000.
6
Ken Livingston, "Ritalin: Miracle Drug or CopOut?" Public
Interest, Spring 1997.
7
"Sales of the antidepressant medication Prozac totaled $2.8
billion in 1998, an increase of 10 percent from 1997. (Eli Lilly
and Company, Lilly Corporate Center, "1998 Annual Report")
8 Martin Selignman, cited in Trish Hall, "Seeking a
Focus on Joy in Field of Psychology," New York Times, April
28, 1998.
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