The Poetics of Psychotherapy: Why Clinicians Need the Psychological Humanities

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From Psychology Today written by Justin Karter: “Clinical work often brings you to the edge of language. A person tries to render panic, the felt thickness of depression, or the altered texture of the world after loss or violence. Sometimes words pour out. Sometimes they fail. The experience remains, pressing at the edges of the conversation, not yet submitted to our terms. Much of human life is like this, ineffable and hard to quantify. When we run up against these limits of everyday language, we reach for metaphors; we become poets.

In psychotherapy, we understand that metaphorical language doesn’t just describe and convey inert information; it brings experience into a form that we can then try on for fit. Capacious metaphors offer us room to grow, but if we over-fit our metaphors, we can get stuck in them.

Consider a patient who describes intrusive thoughts through the language of having ‘a broken brain’ and, perhaps as a result, focuses on pushing them away or avoiding them. If we can move toward a metaphor like ‘a film reel that keeps sticking,’ it opens up some room to pause a frame or splice a scene.”

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4 COMMENTS

  1. I was quite amused by the author’s phrase “Capacious metaphors offer us room to grow, but if we over-fit our metaphors, we can get stuck in them.”
    Yes, for over a century the deceptive medicalized metaphors employed in psychotherapy have fostered its growth and general acceptance, but the often deliberately concealed or downplayed harm of its practices to public health and welfare has been immense.
    From the well-documented studies conducted by objective researchers such as Phil Hickey, Peter Breggin, and Robert Whitaker, there can be little doubt that this pseudo-science posing as a legitimate branch of medicine has grossly overdone its fallacious metaphors and become hopelessly mired in them.
    Also, whence do therapists derive their supposedly unique skills to “pause a frame or splice a scene” in order to interrupt the flow of their clients’ intrusive thoughts? Perhaps these practitioners should channel some energy into examining their own misguided assumptions and unwarranted beliefs. It’s not only clients (mislabeled here as “patients”) who think and behave irrationally…

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    • Does self-aggrandizement ever acknowledge any ceilings or limits?
      Humility is not the hallmark of conventional psychiatry. When one of its core hypotheses, such as deficient serotonin as a causative factor in depression, proves inadequate or false, it covers up or minimizes its failure and devises some other conjectural explanation.

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