Argument“The Case of Ellen West” was published by the Swiss psychiatrist, Ludwig Binswanger, in 1944–1945. The case-history depicts the illness and suicide of a young woman who was his patient twenty years earlier. It came to be considered one of the paradigmatic studies of the newly established discipline ofDaseinsanalyse, an attempt to synthesize existential philosophy and therapeutic practice. This paper analyzes the case-study, employing newly uncovered archival material to expose important details regarding the treatment of Ellen West and the posthumous (...) writing of her case-history. The richness of the archival sources and the various historiographical characteristics they exhibit raise methodological questions about the potentialities and limitations of historical representation. The new data will thus serve as a platform from which to explore and discuss more generally the problems involved in historical reconstruction – of both subjective experience and clinical knowledge – and the questions of authorship and intertextuality in the genre of the case-history. (shrink)

This article explores and attempts to resolve some issues that arise when psychoanalytic explanations are construed as a type of historical or narrative explanation. The chief problem is this: If one rejects the claim of narratives to verisimilitude, this appears to divorce the notion of explanation from that of truth. The author examines, in particular, Donald Spence's attempt to deal with the relation of narrative explanations and truth. In his critique of Spence's distinction between narrative truth and historical truth, the (...) author develops some suggestions regarding the role of truth in narrative explanations. (shrink)

This book critically examines Freud's own detailed arguments for his major explanatory and therapeutic principles, the current neorevisionist versions of psychoanalysis, and the hermeneuticists' reconstruction of Freud's theory and therapy as an alternative to what they claim was a “scientistic” misconstrual of the psychoanalytic enterprise. The clinical case for Freud's cornerstone theory of repression – the claim that psychic conflict plays a causal role in producing neuroses, dreams, and bungled actions – turns out to be ill-founded for two main reasons: (...) Even if clinical data were valid, the method of free association has failed to support the psychoanalytic theory of unconscious motivation; Clinical data tend in any case to be artifacts of the analyst's self-fulfilling expectations, thus losing much of their evidential value. The hypothesis that psychoanalytic treatment is in reality a placebo poses a serious challenge to the assumption that insight is a key causal factor when therapy is successful. This challenge has yet to be met by psychoanalysts. Similar conclusions undermine the neorevisionist versions of psychoanalysis. The most influential hermeneuticists, on the other hand, are shown to have imposed an alien philosophy on psychoanalysis, partly through their reliance on gross misconceptions of the natural sciences. Karl Popper's criticism of the Freudian corpus as empirically untestable has misjudged its evidential weaknesses, which are more subtle. If there exists empirical evidence for the principal psychoanalytic doctrines, it cannot be obtained without well-designed extraclinical studies of a kind that have for the most part yet to be attempted. (shrink)

The dominance of the medical-model in American psychiatry over the last 30 years has resulted in the subsequent decline of the “talking cure”. In this paper, we identify a number of problems associated with medicalized psychiatry, focusing primarily on how it conceptualizes the self as a de-contextualized set of symptoms. Drawing on the tradition of hermeneutic phenomenology, we argue that medicalized psychiatry invariably overlooks the fact that our identities, and the meanings and values that matter to us, are created and (...) constituted by our dialogical relations with others. While acknowledging the importance of medical and pharmaceutical interventions, we suggest that it is only by means of the dialogical interplay of the talking cure that the client can both recognize unhealthy and self-defeating ways of being and be opened up to the possibility of new meanings and self-interpretations. (shrink)

Using the theory of Michael White, Hans-Georg Gadamer, and Charles Gerkin, this thesis discusses how and why narrative therapy techniques work and how they could be applied in group or parish settings. It further explores using theory developed by Charles Gerkin regarding how spiritual reflective practice could be utilised in the narrative process to help people process their life experiences for hope and resilience. In examining similar and difference theoretic framings in Gadamer and White, the thesis discusses and develops a (...) process for purposeful listening. This method of listening, unlike listening-to someone or listening-for information, involves an immediate “presentness” with others. It creates a context of openness for new insights to come and be explored openly. A special kind of questioning enables horizons to expand and new learning to be experienced either within a group or in pastoral care settings. This listening recognises biases and people’s historic realities and interpretations while fostering new interpretations that expand people’s horizons and bring new understandings. In Gadamer’s writing we find the theoretical understanding of human communication – what works and why it works. While in White we have practical applications of theory based on narratives and ways to use communication to bring healing and new interpretations of life experiences. Finally, Gerkin provides a spiritual component that assists people in connecting the bigger narrative of God to their individual faith to foster healing and hope. The thesis concludes with suggestions for training for pastoral care providers as facilitators of this process and ways in which this communication methodology could be utilised in a parish setting. (shrink)

Psychotherapy is commonly described as a “talking cure,” a treatment method that operates through linguistic action and interaction. The operative specifics of therapeutic language use, however, are insufficiently understood, mainly due to a multitude of disparate approaches that advance different notions of what “talking” means and what “cure” implies in the respective context. Accordingly, a clarification of the basic theoretical structure of “talking cure models,” i.e., models that describe therapeutic processes with a focus on language use, is a desideratum of (...) language-oriented psychotherapy research. Against this background the present paper suggests a theoretical framework of analysis which distinguishes four basic components of “talking cure models”: (1) a foundational theory (which suggests how linguistic activity can affect and transform human experience), (2) an experiential problem state (which defines the problem or pathology of the patient), (3) a curative linguistic activity (which defines linguistic activities that are supposed to effectuate a curative transformation of the experiential problem state), and (4) a change mechanism (which defines the processes and effects involved in such transformations). The purpose of the framework is to establish a terminological foundation that allows for systematically reconstructing basic properties and operative mechanisms of “talking cure models.” To demonstrate the applicability and utility of the framework, five distinct “talking cure models” which spell out the details of curative “talking” processes in terms of (1) catharsis, (2) symbolization, (3) narrative, (4) metaphor, and (5) neurocognitive inhibition are introduced and discussed in terms of the framework components. In summary, we hope that our framework will prove useful for the objective of clarifying the theoretical underpinnings of language-oriented psychotherapy research and help to establish a more comprehensive understanding of how curative language use contributes to the process of ther-apeutic change. (shrink)

What is the non-objective/non-empirical nature of the psychotherapeutic discourse that heals? In general, to what extent must non-objective and non-empirical strategies be used in psychotherapeutic dialogues? In particular, to what extent must rhetoric be used to alleviate the symptoms of depression and anxiety? We shall examine the various rhetorical strategies in psychotherapy, and question the nature of the therapist–patient relation that pervades psychotherapeutic discourse.