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Culture War Roundup for the week of June 2, 2025

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This is fair, but I would also add that this shifts the incentives for therapists as well, towards mechanisms of therapy that are "easier," or more "humanistic" for patients. The humanistic school announces just what you've outlined as a point of pride:

More than any other therapy, Humanistic-Existential therapy models democracy. It imposes ideologies of others upon the client less than other therapeutic practices. Freedom to choose is maximized. We validate our clients' human potential.

The academics whose studies are always presented as evidence for the effectiveness of therapy almost universally practice strict cognitive-behavioral therapy, which explicitly involves persisting in important activites despite negative feelings, acting on carefully-reasoned directions rather than following emotions, and trying to clearly understand how your actions affect other people. In other words -- exactly what someone whose negative emotions harm themselves or others needs (emphasis mine):

  1. Human emotions are primarily caused by people's thoughts and perceptions rather than events.
  2. Events, thoughts, emotions, behaviors, and physiological reactions influence each other.
  3. Dysfunctional emotions are typically caused by unrealistic thoughts. Reducing dysfunctional emotions requires becoming aware of irrational thoughts and changing them.
  4. Human beings have an innate tendency to develop irrational thoughts. This tendency is reinforced by their environment.
  5. People are largely responsible for their own dysfunctional emotions, as they maintain and reinforce their own beliefs.
  6. Sustained effort is necessary to modify dysfunctional thoughts, emotions, and behaviors.
  7. Rational thinking usually causes a decrease in the frequency, intensity, and duration of dysfunctional emotions, rather than an absence of affect or feelings.
  8. A positive therapeutic relationship is essential to successful cognitive therapy.
  9. Cognitive therapy is based on a teacher-student relationship, where the therapist educates the client.
  10. Cognitive therapy uses Socratic questioning to challenge cognitive distortions.
  11. Homework is an essential aspect of cognitive therapy. It consolidates the skills learned in therapy.
  12. The cognitive approach is active, directed, and structured.
  13. Cognitive therapy is generally short.
  14. Cognitive therapy is based on predictable steps.

It does strike me as funny that a lot of criticisms of therapy culture you see on the motte and elsewhere are essentially that therapy should be just that -- short, goal-oriented, placing a great deal of responsibility on patients, focused on behaviors rather than emotions, emphasizing change instead of validation. If all therapy were like that, it would be a much better profession!

Yeah, in practice they just go in and talk and talk about themselves without pushback, creating a 'history of me', the end result being that they 'learn' that the original source of all their problems is that their parents/siblings have screwed them over in childhood and there’s nothing they can do. It’s incredible, what garden-variety therapy accomplishes. They blow up their small, real problems to gigantic proportions, convince themselves they cannot be resolved, and also destroy their relationships with their closest family members.