Friday, September 6, 2013

The Social Construction of Reality (Part 2)

In general I thought that this second half of Berger’s book flowed much more smoothly in its arguments.  Interestingly enough I found that I was not as clear cut about a “likes” and “dislikes” section.  However, what I did find is that I began strongly agreeing with the base principles of Berger’s arguments but strongly disagreeing with concluding developments.
Firstly, Berger writes; “What remains sociologically essential is the recognition that all symbolic universes and all legitimations are human products; their existence has its base in the lives of concrete individuals, and has no empirical status apart from these lives” (p.128).  This statement runs a deep truth with me, particularly when taken into the context of mental health.  What you would call in your universe or “world” and consider legitimate may result in considering a patient’s legitimizations to be absurd.  However, the fact of the matter is that they are symbolically and subjectively real to them and all the more to the point, have their roots set deeply into the individual themselves.
“What is most important for our considerations here is the fact that the individual not only takes on the roles and attitudes of others, but in the same process takes on their world” (p.132).  I find this passage to resonate on a personal note with myself.  I often have the revelation that I am acting out another person’s mannerisms.  However, these are usually not just some random acquaintance.  I can think of two (in my opinion equally likely) explanations.  The first (would fit Berger’s liking) is that these people that have “rubbed off” on me are people that I have spent a great deal of time with and become socialized to the “culture” constructed between the group of people interacting with each other.  The second is much more deeply seeded.  I think that the first case may have some resonance in the short term while the members of that sub-group are still engaged with each other.  However, I think that more longer lasting effects can be found by stating that these socialized mannerisms have been imparted to the individual by other persons whom the individual found to be admirable in some way or another.  In short, the subconscious is paying a homage to the persons that the entity of the self has dubbed “influential” (most likely framed in the positive).
Moving in a linear fashion through the book, I also thought it was interesting that Berger makes mention of the ways in which different cultures view children.  He mentions (p.136) that Western cultures often view children as “sweet” and “innocent” whereas some other cultures view them as “by nature sinful and unclean.”  I have no opinion one way or another other than being able to confirm (from my viewpoint) the Western stance Berger presents.  However, I did think it was worth some reflection and investigation.
Berger writes (p.141) that primary socialization cannot take place without an emotionally charged identification.  On the other hand, secondary socialization does not require this.  Berger uses the example that one is “required” to love one’s mother but not his teacher.  Perhaps it is due to the time in which the book was written, but I certainly don’t think that this is an adequate example.  One is not “required” (required by whom?)  to “love” anyone… in fact, that seemingly defeats the entire purpose of a “gift” of love.  At any rate, given the examples at hand I would have to disagree with Berger and say that his “primary” and “secondary” socializations may need to be reframed as “positive” and “negative” socializations; both influential societal auras that contribute to the development of a person’s “social-self.”
Berger states that the reality of our childhood is always regarded by the psyche as “home” (p.143) and that all other, later, realities are, by comparison, “artificial.”  I find this to be hauntingly true.  As Sartre put it, introspection is always in retrospect.  Any self analysis of the “present” is always filtered through the lens of the past.  We can’t help but compare our present situation to the days of old, particularly if we are fond of our former state/place.  Berger later (p.160) discusses that what is required is a “radical reinterpretation of the meaning of these past events or persons in one’s biography.”  I love stories, anthologies, and am a well known fan of postmodern-narrative therapy/psychology.  So this rubbed a good vein with me.  True enough, we may not be able to change the aforementioned “lens” but we can change where our focus lies, or add additional “lenses”, or recall that there are many pages left to be written in the metaphorical “biography.”
When Berger discusses “maximal success in socialization” (p.164) he seems to be advocating for his descriptions of “simple division of labor” and “minimal distribution of knowledge.”  However, I must disagree.  There is a reason Mayberry (The Andy Griffith Show) is a fictional place, and anyone not living under a rock for the last sixty years knows how socialism and communism have panned out on live scales.  Yet, Berger states that men have committed treason to the self once they've been socialized (p.170).  I agree with this part, at least when the socialization process becomes such that “the whole becomes greater than the sum of the parts.”  Such a proposition insists that there is nothing singularly significant about the individual and that it’s only purpose lies in being a function of the “whole.”
Nearing the conclusion of the book Berger writes; “Put simply, psychology always presupposes cosmology” (p.175).  I feel as though I can’t quite bring myself to get on board with this assumption.  Certainly, in some regards it is quite apparent.  Extreme behaviorists and cognitivists may apply here with a reduction to neurology and nature, but I don’t think its quite the case of other models of psychology.  Even more philosophical psychologies that are more concern themselves more with space, time, and freedom can’t all be cap-stoned with the causality aspect of cosmology.  Particularly if a psychologist were to truly emphasize and embody a “here and now” or “future oriented” mindset all the rules of cosmology are little more than filler in an prologue.
Lastly, there are Berger’s concluding statements.  “Man is biologically predestined to construct and to inhabit a world with others.  This world becomes for him the dominant and definitive reality.  Its limits are set by nature, but once constructed, this world acts back upon nature.  In the dialectic between nature and the socially constructed world the human organism itself is transformed.  In this same dialectic man produces reality and thereby produces himself” (p.183).  The first part is crudely true.  We are born, other people are born, we and other people inhabit the physical planet Earth.  Berger gets a bit off track in the next statement because everything in the preceding chapters implies that hermeneutics are more quintessential than sociology and that “that world” “becomes reality” in very different ways.  Indeed, man acts back against the world (Camus:  There is no fate that cannot be surmounted by scorn) and a transformation takes place discursive (rather than dialectic) living of life.  Lastly, man does not “produce” himself by means of producing his reality, only manifests the embodiment of him(her)self.  My ever existential side feels the need to advocate that existence precedes essence.

Reference:
Berger, P., Luckmann, T. (1966).  The social construction of reality: A treatise in the
sociology of knowledge.  New York, New York.  Anchor Books. p.116-183.

Thursday, August 29, 2013

The Social Construction of Reality (Part 1)

     Finally, as the a semester of a full course load starts up again I'm gaining plenty of fodder to write on and publish here.  To kick things off, I'm taking a class titled "Social and Cultural Foundations of Psychotherapy."  The first book I am reading for the course is "The Social Construction of Reality" (follow the link for more info).  The reading assignments for the book are split into two sections.  Other texts read for the course and requiring a "Response Essay" or something similar will also be posted here.  I am also keeping journals for many of my courses.  That content is largely private, however, the inevitable reflection paper culminating from the journals may find their way here as well.  Below you will find my submitted response paper for the first half of Berger and Luckmann's book.

This essay is written in response to the first half (pages 1 - 15) of Peter Berger and Thomas Luckmann’s The Social Construction of Reality.  The formatting will consist of two sections, firstly, the points on which I would tend to agree with the authors (more or less “like”) and secondly, the points on which I would disagree with the authors and/or feel the more explanation or development is needed. My initial interpretation upon reading this book is that it has been quite some time since I’ve studied philosophy in the formal sense.  Perhaps there is good reasons for that.  Nevertheless, the debating spirit and love for wisdom persist.
Firstly, I like the initial premise that the book is written around a “sociology of knowledge.”  Essentially I interpreted this to mean the (sociology) development, functioning, organization, and classification of (knowledge) certainty that phenomena are real and that they possess specific characteristics.  Given the aforementioned definition of “knowledge” set forth by the authors (p.1).  I also concur with the authors’ sentiments towards language; “... language marks the co-ordinates of my life in society and fills that life with meaningful objects” (p.22).
The authors state that “language also typifies experiences, allowing me to subsume them under broad categories in terms of which they have meaning not only to myself but also to my fellowmen” (p.39).  What I like about this statement is that the symbolism of language allows for the development of sociological expectations and archetype development.  Schemas (Jung) are also developed in conjunction with these archetypes by the vehicle of attributed meanings ala language.  “Language possesses an inherent quality of reciprocity that distinguishes it from any other sign system” (p.37).  Furthermore, language develops (within a society) a coherent means of communication and conveyance of information (eg:  knowledge).
“Deviance from the institutionally ‘programmed’ courses of action become likely once the institutions have become realities divorced from their original relevance in the concrete social processes from which they arose” (p.62).  When a society begins to base their resilience on symbolic apperceptions, a distortion takes place.  What we then find is that dysfunction and deviance from social expectations occur more commonly because the “institutional programming” no longer serves the same functions as before.  Essentially the guest-perception of a romanticized social schema becomes the prefered perceptive filter.  However, this is in error because it ignores the host-perceptive mechanism that allowed the socio-fantasy of that romanticization to develop in the first place.
Stemming from these ideas, the authors write that “mythology as a conceptual machinery is closest to the naive  level of the symbolic universe - the level l on which there is the least necessity for theoretical universe-maintenance beyond the actual positioning of the universe in question as an objective reality” (p.110).  Of course, no matter how concrete or “close to the source” a preferred constructed mythos is, it will always be the victim of apperception, thus leaving something further to be desired.  “Mythological thought operates within the continuity between the human world and the world of the gods.  Theological thought serves to mediate between these two worlds, precisely because their original continuity now appears broken” (p. 111).

“Commonsense knowledge is the knowledge I share with others in the normal, self-evident routines of everyday life” (p. 23).  I found this definition to be somewhat irritating.  A certain bit of knowledge may be evident to one person and not to another, yet it still holds the title of “common sense.”  In an ironic twist we can easily find countless examples of persons within (our) society who (as we might say) without common sense; yet per the authors this bit of knowledge is still allegedly “self-evident” to them.  Furthermore on this note, the authors talk extensively about reciprocal typification.  I would suggest that the only social constant (reciprocal typification) is that change will occur.  Questions of when and how are subject to circumstantial conditions, however, the only potential certainty is that nothing will stay the same.  The authors do state that there is no apriori consistency (p.71) but linkage between symbols and functions is just that, symbolic (at best).  Archetypes carry significant weight in our expectations of self, others, groups, and the world, yet they are extremephied abstractions open for interpretation.  Symbolizations are subjectively variable, may not even be pragmatically accurate, or consistent in their representation.
The authors do make a valid point that persons objectify themselves (when referencing the self) when representing the self vis-a-vis socially defined roles (p.73).  For example; I am a student-philosopher and a therapist-in-training.  Thought the representation of myself via language (a symbolic interpretation) is not truly encompassing of “I.”  They may ascribe and describe my representation of “me” but they are not adequate predicates to formal sense of “I.”  The vehicles of socio-typical characteristics miss something.  They are lacking something very integral.  If social construction is “legitimate”, as the authors suggest, then they relationship is also mutually reciprocal.  That is, I contribute as much to the mechanisms of social construction as social construction attributes to “me”.
I was in some agreement with the authors’ sentiments that social constructs are constantly being reified (p.90-91).  However, in debates of logic, reification is known as a fallacy.  More to the point, resetting our social adaptations and archetypes to the proverbial 0 still leaves traces of and odes to its predecessors.  It owes something to them.  A complete re-birth of these constructions is only possible by imparting a completely new system.  However, doing so denies the constructed system of “0-” and its typifications any value.  This is not true, a given system is in fact the best matter of process for the time and circumstances that it was embodied in.  But adaptations of socially constructed realities do not take place in real time.  The manner of introspection is, by default, in retrospection.



Reference:
Berger, P., Luckmann, T. (1966).  The social construction of reality: A treatise in the
sociology of knowledge.  New York, New York.  Anchor Books. p.1 - 115.


Friday, July 12, 2013

The Day That Never Comes

          I have been meaning to write this post for quite some time.  The revelation came to me one night while I was thinking about aspirations of "finally catching a break"  and the kind of mindset that accompanies such thoughts.  For starters I'll reference the Metallica song "The Day That Never Comes".
          I'll not dwell on the song and it's meaning too much as I cannot speak for the band.  Nevertheless, the title of the song and a few lyrics serve as a nice punch-line and prompt for this post.
Waiting for the one
The day that never comes
When you stand up and feel the warmth
But the sunshine never comes, no...

          I am quite certain that a great many people have had the experience, at some time or another, of thinking "If I can just... then I'll be good."  Of course entering some verbiage and / or a time frame to the statement.  What I've found is that these experiences just correlate a chain reaction from one If-Then to another.  For example, for me, two years ago it was "If I can just get accepted to graduate school...", then "If I can make it through this semester to the break...", then "Once classes start again...", etc, etc.
          What I'm starting to realize is that we've somehow allowed Hollywood, Television, and Novels to so impact our lives that we've begun to re-imagine our lives like a series of capstone endings.  That is, a picture perfect, sentimental, (more or less) happy ending.  And that's it, the story ends with closure and comfort.  The unfortunate part is that that is not the way life works.  There will always be another day, to rejoice, and another struggle to (potentially) conquer.  In this sense then we are all waiting for the day when we can say to ourselves, "At last, the worst is behind me."  But life is complicated, we all know that.  And there is a reason fiction is dubbed such and fantasy is not reality.  The very subsistence of "life" is that it is indicative of a verb... living.  Phrased in the present tense and demanding active participation, however passive or pro-active those actions are is largely up to the individual.  Don't pester me with opposition about time being linear or cyclic because the matter of fact is that "time lapsed" is always linear.  It moves in one direction, consumption.
          But that fabled, romanticized, and beloved day of relief will (in effect) never come.  It may manifest itself before our very eyes, but its presence will be of short note before the next tragedy or next struggle takes center stage.  I'm not very politically oriented, but just look, for example at how fast our world moves from one tragedy to another.  Katrina -> Tsunami in Japan -> Hurricane Sandy -> Sandy Hook Elementary.  In all of these cases there are people still suffering with the traumatic fallout of those events as our media and our attention shifts away from "Yesterday's News."
          We are longing for the "warmth of the sunshine" for our hearts to be filled and our lives to be consummated.  We are dredging thorough time and space on a quest to overcome fate and searching for closure to our struggle.  But as life goes on, so do its pains.  The sunshine may never come, or it may be the silver lining behind clouds we're failing to recognize.  Either way, that doesn't stop us from continuing onward.  The new struggles, the challenge of a new pursuit, the tragedy of Trauma-X or Incident-Y provide resistance to strive against.
          Before anyone gets too uptight let me just say that I'm not trying to diminish the severity of anyone's suffering or belittle their hardships.  What I am saying is that with time and attention to open wounds (personal, cultural, and global) we begin to realize how tedious a process it is to keep our good-faith from slipping to charms of malevolence.  We will never get to see how our story ends, we don't get to write a back cover or appendix.  All we are guaranteed is the proverbial "page" we're on.  Chapters end and pages turn (thanks, Bob Seger).  The story continues and new struggles begin as quickly as old ones are (at least perceptually) closed.  Perhaps it is more apt then not say "the day that never comes" but "the day we'll never see."  The point of inquiry and interest then becomes; "What will I do in the meantime?"

"The struggle itself towards the height is enough to fill a man's heart.  One must imagine Sisyphus happy."
- Albert Camus



Tuesday, June 18, 2013

Freud, Adler, Charlie Sheen, and Masturbation

          Yes, you read that title right.  After little break from the academy and writing world this is what I have to offer.  I have one class this summer, Counseling Theories, and thus far we've covered some ethic considerations, introductory stuff, and as far as actual theories we've discussed Psychoanalytic and Adlerian.  For the time being, I'll spare you a rant on each.  Maybe I'll save that for a later date.
          The first point of discussion was Psychoanalysis.  Welcome to the early 1900s and Sigmund Freud.  In the most basic sense, I'd say that what I like about psychoanalysis is that there are so many "gems" of information to be uncovered.  Certainly, I do not support Psychoanalysis or Psychodynamic theory in full (just my personal preference), but that does not mean that there isn't anything valuable in the theories.  Psychoanalysis offers a great deal of insight into the realm of the unconscious, or what is working behind the scenes that we are not pro-actively aware of.  Of course, Freud was not 100% correct, no one ever is, but he certainly gave us a lot of possibilities to consider for the past 100 years and counting.  On a comical note, my colleague who gave a presentation on the topic, described the Id (part of the psyche) as a tiger.  I could barely control my laughter because I have always thought of the impulsive ans reckless Id as being epitomized by Charlie Sheen.  If you the blanks filled in, let youtube take you back a couple years:
Perhaps my most adamant critique against this model is (please, correct me if I'm wrong) the denial of responsibility.  Allow me to elaborate.  Nevermind the nonesense that our psyche is entirely developed during childhood; but even if it were, suppose that all of our present adult issue can be traced back to something that happened during our childhood... a deficit or surplus somewhere or another.  I take no alliance with this inherent "blame game."  Blame my parents, or blame this series of random events to which I've attributed the meaning of causation of my current phobia... pick your poison, I'm not buying any.  This seems lazy in my opinion.  It is lacking responsibility and ownership.  Not that we can control every aspect of our lives, but this theory inherently denies responsible ownership of our present state and thereby demands that we succumb to the whim of our past.  Perhaps an early childhood trauma did contribute to your irrational fear of X, indeed that is insightful, but I doubt its helpfulness.  What do you plan on doing about it now?  I don't know that I'd go as far as to say that insight without action is useless, but it doesn't seem to help having a flashlight in the dark if you don't know how to turn it on.  Nevertheless, I stumbled upon a Freud quote the other day that was very much to my liking:  "No one who... conjures up... those half-tamed demons that inhabit the human beast, and seeks to wrestle with them, can expect to come through the struggle unscathed"  Think about that for a good long while...  Here are some links for more information on psychoanalysis, psychodynamic theory, Freud, and Jung.  
          On to the Adlerian theory.  Again, this will be just a brief commentary, for more information about Adler, have a look here.  I have never thought of myself as an Adlerian, but what I was quite surprised and impressed with during this class lecture was how much more "contemporary" styles of therapy owe to Adler.  For example, the notion of the therapist not being an expert, therapy being a collaborative arrangement based on mutual respect, emphasis on choice and responsibility, emphasis on meaning making, and interests in family constellations.  If you've read any of my writing before, some of that should sound pretty familiar.  The one bone I have to pick with Adler is his optimism that people will be willing to change.  His theories seem to assume that people will desire a stance of activism.  For my personal interests and opinions, this is true.  However, it is certainly not a blanket effect.  It is pretty safe to say that a large number of people are perfectly content with... well... being content.  Which, then, kind of puts a buger in the whole "superiority striving" notion.  (And yes, I am aware that that phrase does not necessarily mean being better than everyone else, but closer to being your 'best self' - Maslow and Self-Actualization?).
          That brings me to the last tag in the title.  When contemplating parts of the psyche, various terms are used by Freud and Jung, but I've also heard comparisons with terms such as "should-self", "ought-self", and "actual-self".  Similarities exist, for example, the "should-self" closely resembles Freud's Superego in the sense that social-moral-cultural standards suggest you "should" do/be this.  The "ought-self" (if my memory is correct) is somewhat of an expectation of the Ego, I "ought to" do this or be this way.  We can see, then, some correlation starting to develop from Adler's notion of superiority-striving.  Once this was mentioned in class and the connections made in my memory, I couldn't help but continuously think of one thing.... "Is that what a man looks like?"


          

Thursday, May 9, 2013

First Year of Graduate School Summary


          My second semester and first year (out of three) at the University of West Georgia ended two weeks ago.  As following form with the first semester, I wanted to write a little something to sum up my experiences this semester.
          Firstly, I must say that this semester has been exhausting.  Particularly the last three weeks or so.  I thoroughly enjoyed my classes this semester.  I thought that they had helped me to dive excruciatingly deep into this wonder we call "the human experience."  Of course, it is impossible for me to express all that I have learned over the past semester in this simple post, but that is what all the entries along the way have been for.  I also felt like there was great synergy between most of my classes.  Particularly the connection between "Psychology of Suffering and Disorders" and "Brief and Narrative Therapy."  The same instructor taught my "Suffering" course as my "Theory and Practice of Clinical Assessment" course, so naturally there was some methedological and philosophical crossover.  The topics covered in these courses most certainly influenced the topics I discussed and researched for my "Research Methods" course.
          In terms of exhausting, I have never felt so "out of gas." as the closing weeks of this semester.  For starters, my Spring "Break" consisted of me working over 60 hours at my Mental Health Tech job.  The following week, there was a stint where I was awake (not just vegged out infront of a TV or computer screen) for about 41 hours.  That consisted of a 12 hour shift at work, presenting our Psychology Department's annual conference, providing supportive attendance to my colleagues' presentations, and returning to work for another 6 hour stint... then it was time to begin working on my final papers.  From what I can recall, I think I wrote somewhere between 80 and 100 pages in a matter of 4 days.  Truth be told, I was sad to see the semester end.  My feelings of running out of fuel were not due to "uninvested sacrifice", rather, quite the opposite.  I feel as if I had contributed all that I possibly could to the courses ... to the point where the grades I "earned" were irrelevant.  My spirit may have been running out of fuel but I can hardly think of I time when my heart had felt so full.  That, has made the journey worth it all the while.
          I finally watched "The Dark Knight Rises" (yes, I'm a bit late in getting to this) but I think that the timing was just right considering the philosophical implications of the film.  There were two parts of the movie that I felt really spoke to my personal life.  First, Bain says to Batman; "You fight like a younger man, with nothing held back... admirable, but mistaken."  When I look back at my career as an athlete, I think this is very symbolic   When I first started practicing martial arts and combat sports, you could say, I was full of piss and vinegar, seething with anger at the world, and searching for an outlet.  I found that outlet in fighting.  One of the reasons I have not returned to fight in "the octagon" is because I am afraid that I could not recreate the experience of my first fight.  I was driven by a raw grotesque rotting in my guts, as if they were filled with gravel, my eyes sharp and hardened stones.  For better or worse, I don't know that I feel that way anymore.  Similarly, in the film, the parallel is that "Victory has defeated you."  Bain says this as he's pummeling Batman and the idea behind it is that Bain is still fueled by an animalistic rage whereas Batman has become soft or weakened, that he has "mereley adopted the darkness" rather than being "born in it, raised by it."
          The second connection I made to the film lies in an exchange between Bruce Wayne and Alfred.  Bruce tells Alfred, "You're afraid that I'll fail."  Alfred replies, "No, I'm afraid that you want to."  In my class discussions on Suffering, we talked about Vicarious Trauma, or Counselor's Guilt (similar in my mind to Survivor's Guilt), Burnout, and Compassion Fatigue.  The more interesting part of the discussion was about the unavailability of resources for counselors to help themselves manage their existential pains.  Indeed, a colleague said to me at the conference (mentioned above), "Wow... I hope you're taking time to take care of yourself."  I wrote in one of my journal entries that that was my "sickness unto death"; that I didn't want to or have forgotten how to "take care of myself."  In a similar sense to the film, and the more interesting part of my inquiry into these topics, is why I don't want the help in dealing with these vicarious and guilty sufferings.  I don't think it is a matter of individual egoism  by more a fundamental principle of mine.  "Suffering builds character" (from the film).  In absolute honesty, I am mortified by the thought that attempts at soothing my own personal sufferings and traumas would only antagonize the "existential" guilt.  Indeed, there is something pure, simple, and beautiful about the "9-5 grind" and carrying on your personal life in segregation.  But that concept misses something powerful, "admirable but mistaken", there is wonder and awe to be found in the depths of our suffering when we peer up (if only for an instant) from the quagmire and (perhaps only imagine) see(ing) a faint peep of sunlight.
          I have become increasingly convinced of the truth in Camus' statement that "The struggle towards the heights is enough to fill a man's heart" and of course, then, "One must imagine Sisyphus happy."  But I suppose that depends on the punchline of another favorite film of mine (Vanilla Sky), "What is happiness to you..."  For me, I have to think it is the feeling of being burried but brilliant, depth charging a rabbit hole, owing nothing to the filth of this planet and its contents, but giving everything anyway.

Friday, April 19, 2013

No Exit, No Resolution: Reflections on Postmodernism, Trauma, and Narratives

          Recently, I participated in the University of West Georgia's "Student Psychology Annual Research Conference" (SPARC) and presented my final research paper for my "Brief and Narrative Therapy" course.  In spite of preparation and lack of sleep, the presentation was well received and I felt it was quite outstanding and received several compliments on the presentation.  Below, you will find a link to a .PDF version of the the presentation that is publicly available on Google Drive as well as a .PDF of the essay which is also publicly available on Google Drive.  I have not posted the essay here in its entirety due to formatting errors in the past.  However, these documents (as stated) are publicly available for viewing, download, and searchable on the web.  I have provided the abstract from the essay for reference.

Abstract
The term “postmodernism” can refer to many different things ranging from art to politics. Postmodernism also has connotations with philosophical and social movements. The concentration of this essay is to examine the social sphere of the philosophical notion of postmodernism. It is, then, to say that the philosophical and social distributions of postmodernism are intimately connected. The first part of this essay will examine the precursor to postmodernism, “modernism”, as well as some of the movement’s weaknesses or shortcomings. The following will also address some of the social effects of interrogating meta- and personal influences. This essay asserts that we as a society and as individual persons are not, nor can we be, prepared for the “discursive construction” that embodies the heart of postmodernism. In fact, it may well be in our best interest not to be. A case will also be made against postmodernism and how it has been enacted within the world. Furthermore, I postulate that we exist within a unique state of trauma, perhaps post-trauma, in which our memories, narratives, and confidants are called into question from every angle. Nevertheless, The World and our worlds have not stopped or been enacted upon retroactively. Rather, we continue working, living, and being in a nameless age; a narrative with an innumerable amount of blank pages left to fill. So, it would seem, that somewhere between catharsis and oblivion, at the intersection of nowhere and everything, it is very probable that something quite therapeutic occurs.






Monday, April 15, 2013

Trajectory of Psychotherapy - Psychological Suffering: Final Reflection


** The following was submitted as the last reflection paper for my Psychology of Suffering and Disorders course **

          For this reflection paper we were asked for our thoughts on the “trajectory of the field.” The first thing that comes to mind is part of a conversation I had with some of our colleagues after class on Thursday. I mentioned that a friend of mine, who is in her Podiatry Residency posted something on her Facebook titled “Dear Lawmakers: This is what it's like to be a doctor today.” As I read through the article (link here) I couldn't help but think of the parallels I was seeing with my own career projection. To summarize, the physician laments his soaring student debt and modest salary as a young doctor while purchasing a home and raising a family. He presents a question about why doctors still bother; and answers that it is not about the money any more, it is because they care. I thought this bore a striking resemblance to my thoughts on entering a career as a psychotherapist or even as a psychologist. As ***** pointed out below, if money is your game, you're in the wrong field. So, why do therapists still bother with 2-3 years of graduate school (5-7 if you're chasing a doctorate) and another 3 years of supervised training? I suspect it is not too different from the reasons stated in the article.
          More to the point, I think that there are two predominant directions that “the field” is headed in simultaneously. Firstly, I think the divisions between professions (Psychiatrists, Psychologists, and Therapists) is only going to deepen. As technology, science, and medicine relentlessly accelerate and are pushed by various influences (consumer demand, payment policies, research and education politics, etc...) the idolatry of a “human science” seems to be waning even from its current crippled state. Secondly, I suspect that further integration between these fields will develop regardless of who holds the “majority share.” While technology can do incredible things, the screaming voice of the last half-century or so is pleading that capital and industry can not solve all our problems.
          I mentioned Human Science in quotations and with the pejorative of “idolatry” with specific intent. I feel that emphasis is needed there and not doing so discredits what science and medicine have done to improve our (every helping profession's) quality of care. If nothing else, options are available now that would have been beyond comprehension 100 years ago. I also think it would be dishonest of us to deny that there is any “theoretical seclusion” or “mental masturbation” going on in our field. Personally, I plead no exception to this. I suppose that I am more hopeful than making a probable projection that integration will occur. I also mentioned a waning presence of “talk therapy.” I mean this in a public/political stock-holding sense. I don't think that this necessarily means a weakening of strength within our own context and scope of practice; rather, a concentration of skills and emphasis... a refining richness in quality over quantity if you will.
          On the specific subjects of this course, I think that suffering is inevitable, perhaps even integral. Sooner or later something or someone will come along and hurt us, scar us, disease, or dis-ease us; probably more than just one or once also. As part of our growth and developmental processes, I think that a radical “foundation-shaking” occurs at some point in life (a breaking of the dam) whose reaction fosters growth in one area or another, be it “orderly” or disorderly. While this can be taken into several personal contexts, I think it is also fitting to the “trajectory of our field.” As I read ****'s post, I don't think “willingness to” or “state of” suffering has ever been the question; although, certainly we are living in an age in which our career path seems dis-ordered, the foundation of the field questioned, and no where to go but onward. In one direction or another, it will grow. Decades of medicine and technology have not abolished the need for therapists, counselors, and social workers; nor has the prevalence of CACREP-accreddited programs erased the existence of non-CACREP programs. I highly doubt either of those things will ever occur. There's no replacement for human-to-human customer service; and “it takes a hell of a drug to beat a placebo.”