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Maximizing Effectiveness in Dynamic Psychotherapy Self-Compassion in Psychotherapy101 Healing StoriesA Clinician's Guide to Legal Issues in PsychotherapyA Map of the MindA Primer for Beginning PsychotherapyACT With LoveActive Treatment of DepressionAffect Regulation, Mentalization, and the Development of SelfAlready FreeBad TherapyBecoming an Effective PsychotherapistBecoming MyselfBefore ForgivingBeing a Brain-Wise TherapistBetrayed as BoysBeyond Evidence-Based PsychotherapyBeyond MadnessBeyond PostmodernismBinge No MoreBiofeedback for the BrainBipolar DisorderBody PsychotherapyBoundaries and Boundary Violations in PsychoanalysisBrain Change TherapyBrain Science and Psychological DisordersBrain-Based Therapy with AdultsBrain-Based Therapy with Children and AdolescentsBrief Adolescent Therapy Homework PlannerBrief Child Therapy Homework PlannerBrief Therapy Homework PlannerBuffy the Vampire Slayer and PhilosophyBuilding on BionCare of the PsycheCase Studies in DepressionCaught in the 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Psychotherapist John M. Heaton has written an interesting book about practical philosophy and the use of Ludwig Wittgenstein's thoughts on psychology. The book is called Wittgenstein and Psychotherapy. From Paradox to Wonder. In a way, it moves from the paradoxes of the early Wittgenstein to the wonder of the latter, although the book addresses the paradoxes of many theories in psychology.
The aim of the book is to move psychotherapy away from its particularly Freudian doctrines and dogmatic norms toward the therapist acting "like a mirror." An eventual cure, Heaton points out, doesn't only depend on theories and techniques, but much more on the relationship between therapist and patient.
The therapist, therefore, doesn't guide the patient toward what the therapist believes to be an accurate picture of reality; rather, he or she pays attention, and then mirrors how the patient makes sense (or fails to make sense). Therapy becomes a way of allowing the patient to see and hear what he or she is saying. Encourage the patient to express him or herself. Heaton is pleading for a more humble and curious approach. The author uses his practical experience to emphasize how the therapist will achieve a better result if one has a better understanding of language (e.g., how language can produce false appearances that may separate the patient from the world).
The book is scattered with illuminating quotes from Wittgenstein, just as it raises a serious and severe critique toward Freudian so-called scientific psychoanalysis. "A philosophical problem has the form: "I don't know my way around," says Wittgenstein.
The paradoxes in psychoanalysis are that a too rigid theory leads to less acceptable suggestions. Our relationship with life becomes limited. For example, "We tend to picture thought as representation that reality must fit or fail to fit. . . . It is assumed that what the analyst thinks must be true." However, sometimes our capacity to use language is sufficiently limited. And yet, just because we can't articulate it, doesn't mean that it doesn't exist. This experience can lead to wonder and how to make sense of these.
Unfortunately, "Our disease is one of wanting to explain," Wittgenstein is quoted for saying. Therefore, the therapist's ear and vision is clouded by the theoretical ideals. How does one open his or her senses?
"To recognize something as true," Heaton writes, "is to make a judgment and this involves making sense." Make sense of sense, that is. How? Heaton, in continuation of Wittgenstein, suggests that in order to understand people, we must be able to read and understand the context because then, we can better understand their intention of saying or doing what they do. His approach is based on compassion for the others' form of life. For this reason, the relationship between therapist and patient is crucial, not the theoretical armor that a therapist hides behind. It's the relationship that facilitates the possibility of living in the world with the patient.
A happy person lives in a happy world because of his or her form of life. Similarly, an unhappy person lives in a different world--so it seems, although the world is the same, due to his or her form of life.
The book is for everyone who is interested in psychology or practical philosophy (including therapists, students, and the many consultants who implement Wittgenstein's teachings). Heaton encourages the reader to unfold the process of sense-making--that is, to see it as a process without an ultimate reference. If one can do that then the patient will be free to find or create the form of his or her life.
The book is a well-composed mixture of theory and practice with a slant in favor of theory. It doesn't require knowledge of Wittgenstein, but it helps if the reader is familiar with Freudian theory and practice in order to qualify the critique that Heaton raises. It's a highly welcome approach that challenges a growing tendency--perhaps due to a growing insecurity--to see psychological experts as infallible.
© 2015 Finn Janning
Finn Janning, Ph.D. in philosophy, is a writer.