Hermeneutic and anti-hermeneutic sides in the debate about psychoanalysis are entangled in an epistemological and methodological antinomy, here exemplified by Grünbaum's and Spence's paradigmatic views. Both contain a partial element of truth, which they assert dialectically one against the other (§§ 1 and 2). This antinomy disappears only by reconciling an operationalist approach with man's ability to suspend the effectiveness of the‘laws’ applied to him (§ 3). The hermeneutic way in which the technical-operational criterion of truth works in psychoanalysis demands (...) that clinical and extra-clinical testing methods work synergically, through a fruitful self-correcting strategy, grounded on the very psychoanalytic object: the unconscious (§ 4). (shrink)

We present an inference to the best explanation of the immense cultural success of Freudian psychoanalysis as a hermeneutic method. We argue that an account of psychoanalytic facts as products of unintended declarative speech acts explains this phenomenon. Our argument connects diverse, seemingly independent characteristics of psychoanalysis that have been independently confirmed, and applies key features of John Searle’s and Eerik Lagerspetz’s theory of institutional facts to the psychoanalytic edifice. We conclude with a brief defence of the institutional approach against (...) more contentious social constructivist approaches to science and psychoanalysis. (shrink)

Separate from the question of whether our patients believe us as doctors is the question of whether we ourselves believe in our healing ‘performances’. Borrowing from Bernard Williams’ model of truth based on the two irreducible virtues of sincerity and accuracy, this article describes a spectrum of states of self-belief, from the quack who does not believe in his acts to the fanatic who does not ‘dis-believe’, with ranges of pious fraud and bad faith in between and on either side (...) of a variable range of justified self-belief. I describe how as practitioners we move and are moved up and down this range throughout our careers and as a result of the behaviors of others. The model provides the basis for a critique of the marketing efforts of industries related to medical practice. (shrink)

The proper range and content of the unconscious in the human sciences should be established by reference to its conceptual relationship to the folk psychology that informs the standard form of explanation therein. A study of this relationship shows that human scientists should appeal to the unconscious only when the language of the conscious fails them, i.e. typically when they find a conflict between people's self-understanding and their actions. This study also shows that human scientists should adopt a broader concept (...) of the unconscious than the one developed by Freud, that is, one free from his ahistorical concept of the instincts and his ahistorical emphasis on the sexual experiences of childhood. The unconscious, understood in this way, has an ambiguous relationship to more recent linguistic and narrativist strands of psychoanalysis. (shrink)

According to insight-oriented psychotherapies, the change clients undergo during therapy results from insights gained into the "true" nature of the self, which entail greater self-knowledge and self-understanding. In this paper, I question such claims through a critical examination of the epistemological and metaphysical values underlying such forms of therapy. I claim that such psychotherapeutic practices are engaged in a process that subtly "absorbs" clients into the therapist's philosophical framework which is characterized by a certain problematic conception of subjectivity, knowledge, and (...) reality. Through mechanisms which are intrinsic to the therapeutic encounter, such as suggestion and power, such therapies construct and reconfigure clients along the lines of socially accepted norms and values. Consequently, insight-oriented psychotherapy results in a deceptive form of social control. (shrink)

According to insight-oriented psychotherapies, the change clients undergo during therapy results from insights gained into the "true" nature of the self, which entail greater self-knowledge and self-understanding. In this paper, I question such claims through a critical examination of the epistemological and metaphysical values underlying such forms of therapy. I claim that such psychotherapeutic practices are engaged in a process that subtly "absorbs" clients into the therapist's philosophical framework which is characterized by a certain problematic conception of subjectivity, knowledge, and (...) reality. Through mechanisms which are intrinsic to the therapeutic encounter, such as suggestion and power, such therapies construct and reconfigure clients along the lines of socially accepted norms and values. Consequently, insight-oriented psychotherapy results in a deceptive form of social control. (shrink)

RésuméJe me penche sur un aspect de la philosophie sociale de Popper, à savoir les principes d'évaluation des interprétations historiques. Ma thèse globale est que suivant la perspective poppèrienne, notre choix parmi des interprétations historiques doit user d'au moins deux des critères qu'applique Popper au choix parmi diverses théories scientifiques : une interprétation devrait logiquement se prêter à une réfutation et elle devrait être consistante. Afin de montrer la pertinence et la fécondité de cette approche, je me concentre sur l'interprétation (...) historique des causes de la montée du nazisme que propose Erich Fromm, en particulier dansEscape from Freedom.Je montrerai que l'application de notions psychanalytiques dans le cadre de son interprétation historique a une valeur explicative faible, voire nulle. Son échec à expliquer certaines questions sociales tient à plusieurs raisons. Premièrement, l'auteur ne fournit pas, quoi qu'il en dise, d'explication causale convaincante. Ensuite, les concepts et les multiples hypotheèsesad hocauxquels il a recours tendent è rendre son interprétation irréfutable. Enfin, Fromm s'appuie sur des assomptions théoriques contradictoires. Mon analyse est basée sur la notion fondamentale de Popper voulant que la connaissance scientifique empirique exige au strict minimum une ouverture des interprétations historiques à la critique intersubjective. C'est cette exigence qui permet de les critiquer — c'est-à-dire les accepter, les réfuter et les corriger — sur une base rationnelle. (shrink)

The guiding idea of Patricia Kitcher's Freud's Dream is that the use of interdisciplinary methodology accounts at the same time for the most central features of Freud's theory of the mind and for its most serious shortcomings. Kitcher proposes to provide an account of Freud's theory that illuminates its interdisciplinary underpinnings. While she indisputably succeeds in providing a subtle and rich reconstruction of Freud's work, her attempt to show up the limitations of interdisciplinary studies does not work. The value of (...) her account is attributable not to the idea that Freud's was a flawed interdisciplinary endeavour but to a contextually and historically sensitive approach that makes explicit and elucidates the norms of explanation at work in his method of theory construction and that takes into account the multifaceted nature of his scientific practice. (shrink)

In this paper we argue that dissociative identity disorder (DID) is best interpreted as a causal model of a (possible) post-traumatic psychological process, as a mechanical model of an abnormal psychological condition. From this perspective we examine and criticize the evidential status of DID, and we demonstrate that there is really no good reason to believe that anyone has ever suffered from DID so understood. This is so because the proponents of DID violate basic methodological principles of good causal modeling. (...) When every ounce of your concentration is fixed upon blasting a winged pig out of the sky, you do not question its species' ontological status. James Morrow, City of Truth (1990). (shrink)

Though the psychoanalytic method of interpretation is seen by psychoanalysts as a reliable scientific tool for investigating the unconscious mind, its reputation has long been marred by what’s known as the consensus problem: where different analysts fail to reach agreement when they interpret the same phenomena. This has long been thought, by both practitioners and observers of psychoanalysis, to undermine its claim to scientific status. The causes of this problem, however, are dimly understood. In this paper I attempt to illuminate (...) one important cause of the consensus problem by investigating the role which reliance on ‘associative evidence’ has in generating consensus failures. Various options for overcoming the difficulties with this form of clinical evidence are then examined. It is argued that these problems can be mitigated by the notion of overall associative fit, though they are exacerbated by certain loose standards used for what counts as acceptable associative evidence. The possibility of using more rigorous standards is discussed. (shrink)

This article initially discusses reasons why Freud researchers turn to critical realism since this is what led me to compare causality in the two traditions in the first place. Three arguments on causality follow. First, it is argued that Freud's analyses of unconscious processes merit closer attention by critical realists, focusing on the relation between causal unconscious processes and rationality, and causal unconscious processes and social change. It may be objected that this does not concern the discussion of causality proper, (...) to which I would reply that what we consider to be causally efficacious ultimately is relevant to our conception of causality. The second argument, which is the centrepiece, outlines Freud's conception of causality, his idea of overdetermination and his treatment of motives and reasons as causes. His notions of causality are compared to those of critical realism. Freud's idea of retroactive causality is discussed in relation to delayed causality in critical realism and the idea of disembedded space-time components. Finally, Freud's concept of determinism and the related concepts of repetition and chance are discussed and compared to ubiquity determinism in critical realism and the distinctions between causal and non-causal correlations and necessary and accidental sequences of events. While the first argument concerns presuppositions for the discussion of causality in psychoanalysis and its relevance for critical realism, the third concerns implications and/or applications of the two views on causality. It is my contention that the second argument needs to be placed in context of the other two in order for the two conceptions of causality to be understood adequately and most revealingly compared. (shrink)

Is it ever permissible to publish a patient’s confidences without permission? I investigate this question for the field of psychoanalysis. Whereas most medical fields adopted a 1995 recommendation for consent requirements, psychoanalysis continues to defend the traditional practice of nonconsensual publication. Both the hermeneutic and the scientific branches of the field justify the practice, arguing that it provides data needed to help future patients, and both branches advance generalizations and causal claims. However the hermeneutic branch embraces methods tending to undermine (...) the reliability of such claims, while the scientific branch aims to improve the field’s empirical base – in their words, to advance psychoanalysis as a science. The scientific branch therefore has the stronger claim to the traditional practice, and it their claim that I consider. An immediate concern arises. We seem unable to answer the applied ethical question without first determining which ethical theory is correct; for defenders of the practice appeal variously to therapeutic privilege, principlism, and utilitarianism, while opponents wage autonomy-based arguments. The concern turns out to be unfounded, however, because all of these ethical approaches fail to justify the traditional practice. The more promising defenses fail partly because even the scientific branch of the field lacks empirically sound methods for establishing its causal claims and generalizations, often appealing to authority instead. I conclude that it is currently unethical for analysts to continue publishing their patients’ confidences without permission, and I suggest that the field help future patients by attending to its methodological problems. (shrink)

In this paper, I criticize the claim made by Donald Davidson, among others, that Freud’s psychoanalytic theory provides “a conceptual framework within which to describe and understand irrationality.” Further, I defend my epistemological strictures on the explanatory and therapeutic foundations of the psychoanalytic enterprise against the efforts of Davidson, Marcia Cavell, Thomas Nagel, et al., to undermine them.

This paper consists of two related parts:I. A detailed critique of Donald Davidson's thesis—in his “The Paradoxes of Irrationality”—that “…any satisfactory [explanatory] view [of irrationality] must embrace some of Freud's most important theses” (p. 290). I argue that this conclusion is doubly flawed: (i) Davidson's case for it is logically ill‐founded, and (ii) its Freudian plaidoyer is also factually false.II. Relatedly, in the second part, I confute the recent arguments given by Marcia Cavell, Thomas Nagel, et al. to establish that (...) psychoanalytic causal explanations of irrationality are epistemically justified, because they are extensions of the desire‐cumbelief pattern of accounting for intentional actions. As a corollary, it becomes clear that these authors have failed to undermine my epistemological strictures on the foundations of psychoanalysis. (shrink)

Adolf Grünbaum contends that he has discovered in Freud's writings a hitherto overlooked thesis (the Tally Argument), enunciated by Freud to underwrite his psychoanalytic method of clinical investigation. (The Foundations of Psycho analysis, 1984:127-72). He claims that until at least 1917, and possibly up to 1926, Freud invoked the unique efficacy of analytic therapy to vindicate the Freudian theory of personality, including the specific aetiologies of the psychoneuroses and the general theory of psychosexual development (Foun dations : 140-1). In this (...) article I shall argue (1) that the Tally Argument itself is defective, and (2) that Freud did not invoke it as Grünbaum claims. In short, I shall argue that Grünbaum's Tally Argument thesis is untenable and, as a corollary, that his depiction of Freud as a 'sophisticated scientific methodologist' is misconceived. (shrink)

It is argued that philosophers can contribute indirectly to the cure of psychopathology by helping to resolve problems that impede the development of effective treatments. Two such problems are discussed. The first arises because different schools of therapy use conflicting criteria in evaluating therapeutic outcomes. A theory of Defective Desires is developed to deal with this problem. The second issue, which divides the field of psychotherapy, concerns the need for experiments, especially in validating claims of therapeutic efficacy. An epistemological foundation (...) is developed to support the need for experiments. (shrink)