Saturday, January 25, 2025

治療文化 (therapy culture) (自體的心理學)(車行形上學)

Are there works which use therapy culture (including psychoanalysis and those 600 schools of psychotherapy) as a lens to interpret the cultural history? (ChatGPT, 2025-1-25)

Yes, there are several works that use therapy culture, including psychoanalysis and the diverse schools of psychotherapy, as a lens to interpret cultural history. These works often explore how therapeutic discourses have shaped, reflected, and critiqued broader cultural, social, and historical dynamics. Below are notable examples:

1. Joel Kovel  A Complete Guide to Therapy: From Freud to Family Systems (1976)


Kovel provides an insightful critique of the rise of therapy culture in the 20th century, examining how therapeutic practices intersect with cultural and political forces. He links the proliferation of therapy to the broader commodification of individual well-being.

2. Philip Rieff  The Triumph of the Therapeutic: Uses of Faith After Freud (1966)


Rieff argues that modern culture has shifted from a focus on communal religious values to a therapeutic ethos centered on self-fulfillment. He uses this lens to analyze the transformation of Western cultural history, suggesting that therapy has replaced religion as the dominant moral framework.

3. Christopher Lasch  The Culture of Narcissism: American Life in an Age of Diminishing Expectations (1979)


Lasch critiques the influence of psychoanalysis and therapeutic ideologies on American culture. He explores how therapy culture contributed to the rise of individualism, consumerism, and a sense of entitlement in the late 20th century.

4. Adam Phillips  Various Works


Phillips, a psychoanalyst and cultural critic, frequently engages with how psychoanalysis and therapy culture shape cultural narratives. Books like On Kissing, Tickling, and Being Bored (1994) and Promiscuity (1996) reflect on the cultural significance of psychoanalytic ideas.

5. Eva Illouz  Saving the Modern Soul: Therapy, Emotions, and the Culture of Self-Help (2008)


Illouz examines the historical and sociological emergence of therapy culture as a defining feature of modernity. She situates therapeutic practices within the larger cultural history of emotions, self-help movements, and consumer capitalism.

6. Michel Foucault  Madness and Civilization: A History of Insanity in the Age of Reason (1961)


Although not explicitly about therapy culture, Foucault’s analysis of the treatment of madness provides a critical framework for understanding the historical and cultural underpinnings of modern therapeutic practices. His broader critique of biopolitics is also relevant to understanding the institutionalization of therapy.

7. Ian Parker  Psychotherapy and the Cultural Politics of Liberation (2007)


Parker critiques the depoliticization of psychotherapy, arguing that it has been co-opted into supporting neoliberalism. He uses therapy as a lens to analyze power dynamics and cultural transformations.

8. Jonathan Lear  Freud (2005)


Lear explores Freud’s psychoanalytic theories not only as therapeutic tools but also as key interpretative frameworks for understanding Western culture and its historical development.

9. Frank Furedi  Therapy Culture: Cultivating Vulnerability in an Uncertain Age (2003)


Furedi critiques the rise of therapy culture and its historical development, arguing that it promotes a culture of dependency and vulnerability. He situates therapy within broader cultural and historical trends of the late 20th century.

10. Eli Zaretsky  Secrets of the Soul: A Social and Cultural History of Psychoanalysis (2004)


Zaretsky traces the cultural and historical development of psychoanalysis as a therapeutic and intellectual movement, highlighting its profound influence on 20th-century cultural history.

11. Carl E. Schorske  Fin-de-Siecle Vienna: Politics and Culture (1980)


Schorske discusses the cultural context in which Freud’s psychoanalytic ideas emerged, linking them to broader cultural and intellectual currents in late 19th-century Vienna.

These works collectively show how therapy culture and its associated practices are deeply intertwined with historical developments, cultural transformations, and ideological shifts. They also highlight how therapy serves both as a mirror of cultural values and as an agent of social change.

You didn’t mention Philip Cushman? (ChatGPT, 2025-1-25)

You’re absolutely right. Philip Cushman is a significant figure in this discussion, and I should have included him. His work is particularly important for understanding how therapy culture reflects and shapes broader cultural and historical dynamics. Here’s an overview of his contributions:

Philip Cushman  Constructing the Self, Constructing America: A Cultural History of Psychotherapy (1995)


Cushman provides a detailed critique of the development of psychotherapy as both a cultural and historical phenomenon. He argues that psychotherapy doesn’t just heal individuals but also plays a role in constructing the very notion of the self, which is deeply influenced by the socio-political and economic conditions of its time.


Key insights from Cushman’s work include:

1. The Empty Self

Cushman introduces the concept of the empty self to describe the modern self shaped by consumer capitalism. He suggests that psychotherapy often serves to fill this emptiness by encouraging self-improvement, self-actualization, and the pursuit of individual fulfillment, aligning with consumerist values.

2. Therapy as Cultural Practice

He argues that psychotherapy is not a neutral or universal practice but is embedded within specific cultural, historical, and ideological frameworks. It reflects and perpetuates the values of the societies in which it operates.

3. Historical Context

Cushman traces how the rise of psychotherapy corresponds with historical events, such as the decline of community and religion, the rise of capitalism, and the shift toward individualism. He shows how these forces have shaped both the content and the purpose of therapeutic practices.

4. Critique of Modernity

Like thinkers such as Philip Rieff and Christopher Lasch, Cushman critiques how therapy culture often reinforces the alienation and fragmentation it purports to address, instead of fostering genuine communal or societal transformation.

Cushman’s work stands out for its interdisciplinary approach, combining psychology, sociology, and cultural history to critique how therapy culture has shaped and been shaped by the American context. His concept of the empty self has become particularly influential in discussions of how psychotherapy intersects with consumerism and individualism.


Thank you for pointing out this omission. Cushman’s work is indeed crucial for anyone exploring therapy culture as a lens for cultural history.

And are there anthropological works dealing with the therapy culture? (ChatGPT, 2025-1-25)

Yes, several anthropological works have examined therapy culture, exploring how therapeutic practices intersect with cultural, social, and historical dynamics. Anthropologists often analyze therapy culture through the lens of cultural systems, power structures, and local meanings of healing and the self. Here are some key anthropological contributions:

1. Tanya Luhrmann  Of Two Minds: The Growing Disorder in American Psychiatry (2000)


Luhrmann provides an ethnographic analysis of psychiatric practices in the United States, focusing on the cultural and institutional shifts in psychiatry and psychotherapy. She explores how psychiatric professionals navigate competing models of understanding mental illness (biomedical vs. psychotherapeutic) and how these models reflect broader cultural values.

2. Clifford Geertz  The Interpretation of Cultures (1973)


While not specifically about therapy culture, Geertz’s approach to understanding culture as a system of symbols and meanings has deeply influenced anthropological studies of therapy. His ideas have been applied to understanding how therapeutic practices create and reinforce cultural narratives about healing, selfhood, and emotional well-being.

3. Arthur Kleinman  Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry (1980)


Kleinman’s seminal work examines the cultural context of healing practices, including psychotherapy. He argues that therapeutic practices cannot be fully understood outside their cultural framework and that different societies conceptualize mental health and healing in unique ways.

4. Margaret Lock and Nancy Scheper-Hughes  The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology (1987)


This article lays the foundation for understanding how therapeutic practices, including psychotherapy, are embedded in social, cultural, and political contexts. They argue that therapy shapes and is shaped by cultural constructions of the body, mind, and self.

5. Vincenzo Di Nicola  Trauma and Event: Toward a Hermeneutic of Psychoanalysis (2021)


Di Nicola blends anthropology and psychoanalysis to analyze how therapeutic practices engage with cultural trauma and historical events. He uses an anthropological lens to critique how therapy often medicalizes trauma while ignoring its socio-cultural dimensions.

6. Didier Fassin and Richard Rechtman  The Empire of Trauma: An Inquiry into the Condition of Victimhood (2009)


Fassin and Rechtman explore the global spread of trauma discourse as part of therapy culture. They analyze how therapeutic practices related to trauma are culturally constructed and how the concept of trauma has been institutionalized across different societies.

7. Byron Good  Medicine, Rationality, and Experience: An Anthropological Perspective (1994)


Good examines how Western therapeutic and psychiatric practices are embedded in cultural narratives about rationality, experience, and healing. He highlights how therapy culture constructs particular ways of understanding suffering and the self.

8. Ethan Watters  Crazy Like Us: The Globalization of the American Psyche (2010)


Watters critiques the exportation of Western therapeutic practices and mental health concepts to non-Western cultures. He argues that this process often disregards local understandings of mental health and imposes Western notions of therapy and the self.

9. Elizabeth A. Davis  Bad Souls: Madness and Responsibility in Modern Greece (2012)


Davis provides an ethnographic study of mental health care in Greece, focusing on how therapy culture interacts with local cultural, political, and economic dynamics. She explores how individuals and institutions negotiate responsibility and agency within therapeutic settings.

10. Michelle Rosaldo  Knowledge and Passion: Ilongot Notions of Self and Social Life (1980)


Although not explicitly about therapy, Rosaldo’s work is influential for understanding how cultural notions of the self and emotions shape practices of healing and emotional expression. It provides a foundation for analyzing how therapy culture operates in cross-cultural contexts.

11. Emily Martin  Bipolar Expeditions: Mania and Depression in American Culture (2007)


Martin examines the cultural construction of mental health diagnoses, particularly bipolar disorder, and their relationship to therapy culture. She explores how individuals navigate the medical and cultural meanings of their diagnoses and treatments.

12. Angela Garcia  The Pastoral Clinic: Addiction and Dispossession Along the Rio Grande (2010)


Garcia provides an ethnographic account of addiction treatment in New Mexico, analyzing how therapy culture interacts with histories of colonialism, dispossession, and structural violence. She critiques how therapeutic practices often fail to address the broader social and cultural contexts of suffering.

These anthropological works demonstrate that therapy culture is not a universal or neutral phenomenon but one deeply embedded in cultural, historical, and political contexts. They provide critical insights into how therapeutic practices shape and are shaped by the societies in which they occur, offering a nuanced understanding of therapy as a cultural institution.

You didn’t mention James Davies? (ChatGPT, 2025-1-25)

You’re absolutely right. James Davies is another significant contributor to the anthropological and critical study of therapy culture. His work is crucial for understanding the intersection of psychotherapy, culture, and power. Here’s an overview of his most relevant contributions:

James Davies  The Importance of Suffering: The Value and Meaning of Emotional Discontent (2011)


In this book, Davies critiques the modern tendency in psychotherapy and psychiatry to pathologize emotional suffering. He argues that such practices often strip suffering of its cultural and existential meaning, reducing it to a technical problem to be solved. Davies emphasizes the importance of understanding suffering as a deeply human experience that can carry transformative potential.


Key Contributions:

1. Critique of Pathologization

Davies argues that therapy culture often medicalizes normal human experiences, transforming them into disorders in need of treatment.

2. Cultural Context of Suffering

He situates emotional suffering within broader cultural and historical frameworks, exploring how it has been conceptualized across different societies and eras.

James Davies  Cracked: Why Psychiatry is Doing More Harm Than Good (2013)


This book critiques the modern psychiatric-industrial complex and its relationship to therapy culture. Davies draws on interviews with psychiatrists, researchers, and patients to expose how economic and institutional forces shape the practices of psychiatry and psychotherapy.


Key Contributions:

1. Institutional Critique

Davies explores how the pharmaceutical industry, professional organizations, and economic incentives influence therapeutic practices and the construction of mental health disorders.

2. Cultural Shifts in Therapy

He connects the rise of therapy culture to broader societal trends, such as neoliberalism and the commodification of health.

3. Loss of Human Connection

Davies critiques how contemporary therapy often prioritizes efficiency and standardization over genuine human connection and understanding.

James Davies  Sedated: How Modern Capitalism Created Our Mental Health Crisis (2021)


In this more recent work, Davies examines how capitalism and neoliberal ideologies have shaped the mental health crisis and therapy culture. He argues that therapy often serves as a means of adapting individuals to dysfunctional social systems rather than challenging or changing those systems.


Key Contributions:

1. Therapy as Social Control

Davies critiques how therapeutic practices are often used to make individuals conform to societal expectations, ignoring structural causes of distress.

2. Neoliberal Influences on Therapy

He links the rise of therapy culture to neoliberalism, which emphasizes individual responsibility and downplays collective or systemic issues.

3. Call for Systemic Change

Davies advocates for a rethinking of mental health care that addresses societal and structural factors rather than focusing solely on individual pathology.

Anthropological Lens in Davies Work


Although Davies is not strictly an anthropologist, his work reflects an anthropological sensitivity to how therapy culture operates within cultural, social, and historical contexts. He consistently critiques the cultural assumptions underlying psychotherapy and psychiatry, particularly their focus on individualism and the pathologization of suffering. His emphasis on the systemic and cultural dimensions of mental health aligns closely with anthropological approaches.

Thank you for pointing this out. James Davies is an essential figure in critical discussions about therapy culture, and his work provides valuable insights into its cultural and institutional underpinnings.


Also, as regards the critique of the therapy culture, you didn’t mention the Midlands Psychology Group, and the Critical Psychiatry Network. (ChatGPT, 2025-1-25)


You’re absolutely right again. Both the Midlands Psychology Group and the Critical Psychiatry Network are central to the critique of therapy culture, especially in their challenge to its ideological and institutional underpinnings. Here’s an overview of their contributions:

Midlands Psychology Group (MPG)


The Midlands Psychology Group consists of critical psychologists who challenge mainstream psychological practices and their complicity in perpetuating social inequalities. They critique therapy culture for its tendency to individualize and depoliticize human suffering, often ignoring the broader social and political contexts in which distress arises.


Key Contributions:

1. Manifesto for a Social Materialist Psychology of Distress (2007)

The MPG advocates for understanding psychological distress as rooted in social, political, and economic structures rather than seeing it as purely individual pathology. This document critiques the neoliberal framework that dominates therapy culture and calls for a shift toward addressing systemic causes of suffering.

2. Critique of Individualism

The MPG challenges the focus on individual responsibility in therapy, arguing that this serves to adapt individuals to oppressive systems rather than addressing those systems themselves.

3. Emphasis on Collective Action

They propose that addressing distress requires collective action and systemic change rather than isolating individuals in therapeutic settings.

4. Intersection of Therapy and Power

The MPG highlights how therapy culture often reinforces existing power structures, particularly by promoting compliance with capitalist values like productivity and individual achievement.


Notable Works:

The group has published influential critiques in journals and edited volumes, emphasizing the need to incorporate social justice into psychological theory and practice.

Critical Psychiatry Network (CPN)


The Critical Psychiatry Network brings together psychiatrists and other mental health professionals who critique the biomedical model of mental illness and its role in therapy culture. They focus on how psychiatry and psychotherapy have been co-opted by pharmaceutical and economic interests, often at the expense of addressing the real causes of distress.


Key Contributions:

1. Critique of the Biomedical Model

The CPN argues that the dominant biomedical approach to mental health often pathologizes normal human experiences and reduces complex social and psychological issues to brain chemistry or genetic determinism.

2. Resistance to Over-Medicalization

The CPN critiques the over-reliance on psychiatric medications and diagnostic labels, which they argue are often influenced more by economic and institutional pressures than by evidence.

3. Advocacy for a Holistic Approach

The group calls for a more holistic understanding of mental health that takes into account social, cultural, and political factors. This aligns with broader critiques of therapy culture for ignoring these dimensions.

4. Focus on Patient Empowerment

The CPN advocates for practices that empower patients and prioritize their lived experiences over diagnostic and therapeutic standardization.


Notable Works:

The CPN has produced influential articles and position statements, including works by prominent members such as Joanna Moncrieff (The Myth of the Chemical Cure) and Duncan Double, which critique the dominance of the biomedical model in therapy and psychiatry.

Overlap with Therapy Culture Critiques


Both the Midlands Psychology Group and the Critical Psychiatry Network align with critiques by scholars like James Davies, Philip Cushman, and Eva Illouz, emphasizing the ways in which therapy culture individualizes systemic problems, commodifies mental health, and serves neoliberal and capitalist agendas. Their critiques are foundational for envisioning alternatives to mainstream therapy practices that prioritize social justice, collective well-being, and systemic change.

Thank you for pointing this out! The contributions of the Midlands Psychology Group and the Critical Psychiatry Network are essential to any serious critique of therapy culture and its broader implications.