 First edition | |
| Author | Jeffrey Moussaieff Masson |
|---|---|
| Language | English |
| Subject | Psychotherapy |
| Publisher | Common Courage Press |
Publication date | 1988 |
| Publication place | United States |
| Media type | Print (hard and paperback) |
| Pages | 340 |
| ISBN | 1-56751-022-1 |
Against Therapy: Emotional Tyranny and the Myth of Psychological Healing is a 1988 book by author Jeffrey Moussaieff Masson, in which the author argues against the practice of psychotherapy. The work was criticized by reviewers.
Masson argues that psychotherapy is a form of socially sanctioned abuse.
Masson argues that therapists ask patients to do more than is reasonably possible, they "distort another person's reality" to try to change people in ways that conform to the therapist's concepts and prejudices. Therapists are, in Masson's opinion, inevitably corrupted by power and "abuse of one form or another is built into the very fabric of psychotherapy". He gives an example of a therapist who used his "insensitivity, historical bewilderment, and general incomprehension" as "weapons with which he punish [a] woman for not viewing the universe the way he did". [1] : 83
He argues that therapists impose an internal understanding of people's problems, refusing to help a patient reach an external understanding of the world citing the example of psychiatry's failure to acknowledge the existence of sexual abuse of children. [1] : 86
Masson explores Carl Jung's relationship with the Nazi party [1] : 289 and argues that the interpretation of dreams by therapists used by Jung could impose an interpretation of their wishes on an individual [1] : 317 giving the example of a female patient whose dreams Jung interpreted as a secret desire to marry.
Of Rogerian psychotherapy, Masson argues that the theory is inconsistent because the therapeutic relationship prevents real connection and therefore the empathy that it claims is necessary for effective therapy, because the therapist is not in any way invested in the relationship. He points out that in his later work with committed patients diagnosed with schizophrenia, the patients were compelled to engage in therapy, which is at odds with the principles of client-centered voluntary exploration in therapy.
He concludes by arguing that therapy has a lack of interest in social injustice, [1] : 551 that the training process can act as a form of social indoctrination [1] : 567 arguing that psychiatry is fundamentally unreformable. [1] : 580
Time wrote, "Although the author's slash-and-burn style of argument can be entertaining, readers should keep their hands on their wallets. Assertions tend to be sold as established facts." [2] The New York Times argued that "Masson has failed to put a stake through the heart of therapy—in fact, he's greatly missed the mark." [3] Psychiatric Times called Against Therapy "a 'battle cry' for the abolition of psychotherapy". [4] [5]
Psychoanalysis is a set of theories and therapeutic techniques that deal in part with the unconscious mind, and which together form a method of treatment for mental disorders. The discipline was established in the early 1890s by Sigmund Freud, whose work stemmed partly from the clinical work of Josef Breuer and others. Freud developed and refined the theory and practice of psychoanalysis until his death in 1939. In an encyclopedic article, he identified the cornerstones of psychoanalysis as "the assumption that there are unconscious mental processes, the recognition of the theory of repression and resistance, the appreciation of the importance of sexuality and of the Oedipus complex." Freud's colleagues Alfred Adler and Carl Gustav Jung developed offshoots of psychoanalysis which they called individual psychology (Adler) and analytical psychology (Jung), although Freud himself wrote a number of criticisms of them and emphatically denied that they were forms of psychoanalysis. Psychoanalysis was later developed in different directions by neo-Freudian thinkers, such as Erich Fromm, Karen Horney, and Harry Stack Sullivan.
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.
Anti-psychiatry, sometimes spelled antipsychiatry, is a movement based on the view that psychiatric treatment can be often more damaging than helpful to patients. The term anti-psychiatry was coined in 1912, and the movement emerged in the 1960s, highlighting controversies about psychiatry. Objections include the reliability of psychiatric diagnosis, the questionable effectiveness and harm associated with psychiatric medications, the failure of psychiatry to demonstrate any disease treatment mechanism for psychiatric medication effects, and legal concerns about equal human rights and civil freedom being nullified by the presence of diagnosis. Historical critiques of psychiatry came to light after focus on the extreme harms associated with electroconvulsive therapy and insulin shock therapy. The term "anti-psychiatry" is in dispute and often used to dismiss all critics of psychiatry, many of whom agree that a specialized role of helper for people in emotional distress may at times be appropriate, and allow for individual choice around treatment decisions.
Jeffrey Moussaieff Masson is an American author. Masson is best known for his conclusions about Sigmund Freud and psychoanalysis. In his The Assault on Truth (1984), Masson argues that Freud may have abandoned his seduction theory because he feared that granting the truth of his female patients' claims would hinder the acceptance of his psychoanalytic methods. Masson is a veganism advocate and has written about animal rights.
Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideation as well as for changing behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies and ultimately balance and synthesize them—comparable to the philosophical dialectical process of thesis and antithesis, followed by synthesis.
Countertransference, in psychotherapy, refers to a therapist's redirection of feelings towards a patient or becoming emotionally entangled with them. This concept is central to the understanding of therapeutic dynamics in psychotherapy.
Art therapy is a distinct discipline that incorporates creative methods of expression through visual art media. Art therapy, as a creative arts therapy profession, originated in the fields of art and psychotherapy and may vary in definition. Art therapy encourages creative expression through painting, drawing, or modelling. It may work by providing a person with a safe space to express their feelings and allow them to feel more in control over their life.
Psychodynamic psychotherapy and psychoanalytic psychotherapy are two categories of psychological therapies. Their main purpose is revealing the unconscious content of a client's psyche in an effort to alleviate psychic tension, which is inner conflict within the mind that was created in a situation of extreme stress or emotional hardship, often in the state of distress. The terms "psychoanalytic psychotherapy" and "psychodynamic psychotherapy" are often used interchangeably, but a distinction can be made in practice: though psychodynamic psychotherapy largely relies on psychoanalytical theory, it employs substantially shorter treatment periods than traditional psychoanalytical therapies. Psychodynamic psychotherapy is evidence-based; the effectiveness of psychoanalysis and its relationship to facts is disputed.
Claude Michel Steiner was a French-born American psychotherapist and writer who wrote extensively about transactional analysis (TA). His writings focused especially on life scripts, alcoholism, emotional literacy, and interpersonal power plays.
The Dodo bird verdict is a controversial topic in psychotherapy, referring to the claim that all empirically validated psychotherapies, regardless of their specific components, produce equivalent outcomes. It is named after the Dodo character in Alice in Wonderland. The conjecture was introduced by Saul Rosenzweig in 1936, drawing on imagery from Lewis Carroll's novel Alice's Adventures in Wonderland, but only came into prominence with the emergence of new research evidence in the 1970s.
Intensive short-term dynamic psychotherapy (ISTDP) is a form of short-term psychotherapy developed through empirical, video-recorded research by Habib Davanloo.
Complex post-traumatic stress disorder is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.
Recovered-memory therapy (RMT) is a catch-all term for a controversial and scientifically discredited form of psychotherapy that critics say utilizes one or more unproven therapeutic techniques to purportedly help patients recall previously forgotten memories. Proponents of recovered memory therapy claim, contrary to evidence, that traumatic memories can be buried in the subconscious and thereby affect current behavior, and that these memories can be recovered through the use of RMT techniques. RMT is not recommended by professional mental health associations. RMT can result in patients developing false memories of sexual abuse from their childhood and events such as alien abduction which had not actually occurred.
Child psychotherapy, or mental health interventions for children refers to the psychological treatment of various mental disorders diagnosed in children and adolescents. The therapeutic techniques developed for younger age ranges specialize in prioritizing the relationship between the child and the therapist. The goal of maintaining positive therapist-client relationships is typically achieved using therapeutic conversations and can take place with the client alone, or through engagement with family members.
Freud's seduction theory was a hypothesis posited in the mid-1890s by Sigmund Freud that he believed provided the solution to the problem of the origins of hysteria and obsessional neurosis. According to the theory, a repressed memory of child sexual abuse in early childhood or a molestation experience was the essential precondition for hysterical or obsessional symptoms, with the addition of an active sexual experience up to the age of eight for the latter.
Attachment-based psychotherapy is a psychoanalytic psychotherapy that is informed by attachment theory.
Common factors theory, a theory guiding some research in clinical psychology and counseling psychology, proposes that different approaches and evidence-based practices in psychotherapy and counseling share common factors that account for much of the effectiveness of a psychological treatment. This is in contrast to the view that the effectiveness of psychotherapy and counseling is best explained by specific or unique factors that are suited to treatment of particular problems.
Supportive psychotherapy is a psychotherapeutic approach that integrates various therapeutic schools such as psychodynamic and cognitive-behavioral, as well as interpersonal conceptual models and techniques.
The mainstay of management of borderline personality disorder is various forms of psychotherapy with medications being found to be of little use.
Henry Zvi Lothane is a Polish-born American psychiatrist, psychoanalyst, educator and author. Lothane is currently Clinical Professor at Icahn School of Medicine at Mount Sinai, New York City, specializing in the area of psychotherapy. He is the author of some eighty scholarly articles and reviews on various topics in psychiatry, psychoanalysis and the history of psychotherapy, as well as the author of a book on the famous Schreber case, entitled In Defense of Schreber: Soul Murder and Psychiatry. In Defense of Schreber examines the life and work of Daniel Paul Schreber against the background of 19th and early 20th century psychiatry and psychoanalysis.