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BACK TO WHAT'S WRONG WITH PSYCHOLOGY


9

A Eulogy for Psychological Thought

Modern Psychology, Psychotherapy about Controlling Chaos


I'd like to preface this piece by claiming that psychologists are not entirely to blame for the pressures that re-shaped modern therapy. I believe the Age in which Classic Psychoanalysis was favorable to practices that allowed therapists to learn about the human condition from the course of administering therapy with patients. I say this even though I am no fan -- no advocate -- of classic psychoanalytic theory and therapy itself. But let's face facts. In this era in psychology history, the patient was a vital source of productive psychological thought for psychiatrists developing comprehensive theories about the human condition. Each patient served as a rich case study for psychiatrists like Jung and Adler whose writings on the structure and dynamics of the psyche fill encyclopedia volumes. Psychodynamic thinking did not die because time, research, or therapeutic outcomes proved it was not valuable to psychoanalyze symbols and symptoms. Psychological researchers working in universities never really had the time, talent, tools, or temperament to test many aspects of the formal psychodynamic theories and, whatever you think of Freud himself, it is disingenuous to treat him as a synonym or standard bearer for psychodynamic thinking past, present, and potential. In the Age of Classic Psychoanalysis, psychiatrists devoted a great deal of time contemplating the human condition and it was the lives of their patients that furnished the raw material for this productive thinking.

You know what the problem with contemporary Psychology is? Today's clinical psychologists seek normalization through diagnosis. They don't understand the true nature of motivation. They conceptualize their patients in terms of deviations from tolerable levels of distress and impairment. Not that there's anything wrong with that. Not that it's any fault of the therapist. It's not. But as reluctant as I am to find fault with the therapists, I think it is equally important to point out that modern psychotherapy is neither the result of, nor the springboard for, a science of human nature. And the research occurring within universities ... is even more estranged from its roots in the human being as the object and subject of science.

The professionalization of modern mental health delivery systems constrain many diagnostic and therapeutic components of the patient-client relationship, putting the therapist in less of a position to learn from patients/clients. Some of this is just plain economics. Managed care companies will reimburse time-efficient therapies over a limited number of sessions that, in some cases, must follow a phased protocol and adhere to today's version of the truth as borne out in efficacy research scantily clad in DSM diagnostic nomenclature. This is not a hospitable environment for a discussion of a client's dream, nor does it foster a concern for how patients make meaning beyond the specific feature in their environment to which they are presently maladjusted.

By analogy, this state-of-affairs is similar to one we find in our universities, where necessary changes in the way learning is evaluated compromises the learning itself. Even where professors are not servicing 300 students in a Psych 101 ampitheater, their love for the convenience and cosmetic legitimacy of psychometrically sound multiple choice tests and their search for objects and standards that serve as symbols of professionalism (e.g. textbooks) fundamentally altered faculty instruction and student study habits. Gone are the days when students learned from the very act of studying for essay exams, the very act of composing the essay, and very act of receiving feedback on the essay. Now students, fluent in the language of PowerPoint, are limited by what they can learn from bulleted lists and bold faced terms.

The Clinical Psychology EPPP Exam Preparation Booklet presented an interesting fact for its readers to commit to rote memory: "Modern approaches (to therapy) replace insight and interpretation with the therapist-client relationship." (Actually, it is not as if the classical approaches neglected the therapist-client relationship. To quite the contrary, the therapist-client relationship was itself interpretable and transformative). My friend could hardly resist the urge to provide what is a painfully factual take on the fact: "That's all they can teach. That's all their students will know." I of course ran with her comment, remarking that those admitted to modern graduate programs are not selected for their interpretative interests or capabilities and their insight into their own lives is lazy and poor. They are selected for their fit (i.e., compatibility) and their familiarity (i.e., networking), and they put more effort into choosing a cheese dip for their student social functions than they put into contemplation, reflection, or into showing any intellectual curiosity. Why would Jung, for example, ever resonate with such a group? When they become professors, will their students ever hear the name Jung. (I know one student who inquired into Jung out of an extracurricular flirtation with a concept she picked up from a public listserv. Wanting to know more, she sought answers from her clinical psychology professor, only to be disappointed. It is unfortunate enough not to know anything about an approach, but it is disingenuous to conceal or pardon the lack of knowledge with a depreciatory statement about the approach. This is the "if I don't know it, it is only because we disqualified it or deemed it unimportant"). Being primarily social creatures, emerging generations of therapists cling to wholly interpersonal theories and approaches to therapy which (1) neglect intrapsychic factors that would tax their puny and lazy minds and (2) allow them to pass off their socializing with the client as true knowledge. For the new and next generation therapist who lacks the temperament or the tools, a human's condition (the human condition is too abstract for them) is an exercise in controlling chaos, and this is reflected in

  • the business of graduate training as abstract busy-ness.

  • a tendency to foreclose on a theory of human nature or abandon one altogether for metaphysical behaviorism, metaphysical materialism, or a metaphysical DSM

  • the efforts to build a procedural knowledge base (i.e., business rules) and massive framework of expectations. This pseudo-scientific paradigm and pseudo-professional gild is riddled with pork that unnecessarily constrains independent thinking and undermines an adequate exploration of the human condition, substituting arbitrary institutional rules for the true requirements (i.e., the wits of the individual researcher and the fabric of factual material surrounding the phenomena under study).

I have come up with some rather original methodologies for exploring ways of dynamically modeling psychological life. I liken the approach to Meteorology in that the approach represents an effort to identify the parameters comparable to pressure, moisture, and wind that govern our understanding and prediction of weather. (One side note: I find it interesting that meteorologists can achieve understanding and prediction with respect to the weather but not control, while present-day psychologists can achieve some prediction and control but no understanding. And prediction and control can only be achieved where we're talking about crude motor responses to specific sets of stimuli). I think psychological researchers forgot how to approach their subject matter. We have a growing body of wonks and technicians where theory and method are concerned, but lost is the living, breathing phenomena itself and the empirical concepts that blend theory and phenomenology. Today's notion of empiricism is a collection of procedures that will populate the Method section of a research article. Where's the attention to the phenomenon that will ultimately become our data? (I say ultimately because psych profs seem to forget the human and experiential vehicles of the data they chisel off crudely through questionnaires and other devices). And today's notion of a concept is some wooden theory and the formally derived, microscopic, and operationally defined hypothesis. In brief, we divorced theory from method and lost the emergent property in between that was keeping the two alive. It's as if we cut the corpus callosum connecting the two halves of the psych prof's brain, producing generations of split-brain researchers who can't discuss a dream while they're looking for beta waves in an electroencephalagram.

Graduate Training as Abstract Busy-ness

A critical minority (somewhere over 30%) favored lobbying for prescription privileges, and I think that is a symptom of the deterioration in psychological education. I want to outline one clinical program as an example because I believe this program type to be the future of psychology. It's delivery devices, a consortium of professional schools, are metastasizing new campuses at the rate of cancer. The program is in keeping with the technical and professional Zeitgeist that gave us DeVry's metamorphosis from institute to university and that will continue to pressure universities to give their programs a technical and professional make-over. Since it was in the best interests of this profit-driven consortium to apply for early accreditation from the American Psychological Association, it meticulously modeled its program to APA requirements like a vehicle owner at annual inspection. On paper, the program would appear to have it all. A core course allocated to every major therapeutic approach. A didactic seminar in which to discuss current practical experiences. So why have I never been less impressed with any group of graduates?