Thursday, March 02, 2017

Chapter 4 Psychotherapy East and West

This book seems to get better going forward. The Countergame chapter is an intense critique of psychotherapy, and presents it as similar to the guru relationship. That psychotherapy comes crashing down, implies also that Vajrayana Buddhism comes crashing down. I felt it was a strong critique of both.

On the psychotherapy front, he wonders if we can truly free associate, and if we could, why would we do that with a stranger? In the end we have conflict between society and our impulses. The therapist can be anti-society, or he can buy into "symptoms" and "mental illness". The way to get over mental illness is to accept your feelings, and when you screw up, you are not accepting them. It's hard not to get past a game of one-up-manship.

The discussion of games, made me think about Games People Play, a book that is 60+ years old, and that I read as a teenager, and found it quite bewildering. I hadn't really been that aware of social activity, but on some level the games seemed authoritative the way the writer wrote about them. I think today we would perhaps not put women into such a negative light, for some of the games, it feels dated in my memory, me reading the book 30+ years ago.

I also think of Knots by RD Laing, a very different kind of book, and kind of poetic book about his therapeutic experiences, and the knots people tie them selves up in.

The Countergame chapter is bigger, more of a critique of the knots and games people play in psychotherapy. He bases the chapter on a paper by J. Hailey. When you google that name you can come up with Jay Hailey, a family therapist. A little more looking and indeed his is the author of the essay that Watts quotes in the book, and is collected in a book of collected essays.

Not sure if he is the same one because they don't list publications, only books. He seems family therapy royalty sitting next to Minnuchin. Strategic family therapy sounds like the way child welfare is done today:

A therapist employing strategic therapy must:
Identify solvable problems.
Set goals.
Design interventions to achieve those goals.
Examine the responses.
Examine the outcome of the therapy.

This also seems like a forerunner to the short techniques of cognitive behavioralism. Insurance companies love brief therapy and there's something to be said for a non-endless therapy.

Anyway, I found this chapter interesting, might have to reread this chapter again in the future.

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