Saturday, November 17, 2012

On “Modern Psychology’s God-problem”

“The Biblical account of Noah’s Ark and the Flood is perhaps the most implausible story for fundamentalists to defend.  Where, for example, while loading his Ark, did Noah find penguins and polar bears in Palestine/”

Judith Hayes

 “We have fools in all sects and impostors in most; why should I believe mysteries no one can understand, because [they were] written by men who chose to mistake madness for inspiration and style themselves Evangelicals?”

Lord Byron

 The eminent and brilliant (though fiendish and fictional) psychiatrist Hannibal Lecter, MD, had no respect for psychology.  He simply did not believe it was a science.  Cutting Ray Liotta’s skull open, lifting off the top,  and sauteeing parts of his brains while talking to him (in the movie “Hannibal”) – now, THAT’S science.

Science – and therapy

 But psychology can be science – when it concerns itself with the description of behavior or the measurement of cognitive capabilities. 

Psychotherapy, on the other hand, is not science.  It’s hard to say what it is.  All too often therapy, supposedly curing by talk, is a bitch session; the therapist is a paid listener, because no one in the client’s world will listen to his/her complaints.

 Classical psychoanalysis can go on forever.  Back in Detroit, I knew a psychiatrist who for years spent tens of thousands of dollars annually on three- and four-times-a-week therapy sessions with another psychiatrist.  Apparently he found himself endlessly interesting, because the analyst is supposed to say nothing.

 Goals of therapy?

Insurance companies eventually caught on to this racket and started holding therapists responsible for goals and outcomes.  Usually this means helping the client to better cope with his/her situation (because it’s typically unchangeable), perhaps helping the less sophisticated clients understand their problems, or enabling the client to deal more constructively with difficult people. 

 So far, so good.  But what happens when the client’s belief system enters the picture?  In “Modern psychology’s God problem,” Boston Globe, 10/16/11, Gareth Cook states the problem in the following words (and by “psychology,” he means “psychotherapy,” according to the above distinction):

“Modern psychology has a serious God problem.  America is a deeply spiritual country.  More than half of American say religion is ‘very important’ to them, and more than 90 percent profess a belief in a higher power.  Yet psychology, as a scientific endeavor, has done almost nothing to understand how spiritual beliefs shape psychological problems or affect treatment.”

Let’s all get spiritual

Let’s first stipulate that “spiritual” (i) is taken to be a good thing (note the praising adjective deeply, as opposed to, say, rabidly or fanatically); (ii) can mean ANY interest in imaginary supernatural entities, whether Christian, Jewish, Hindu, Sufi, Hawaiian, Native American (to New Agers, the last three, and all native cultures, are VERY spiritual). 

So spirituality is a very big tent: all you have to do is invest yourself heavily in an imaginary belief system, the older the better.   In the context of the article, Cook refers only to mainstream American religions.

Voice of reason

 OK, at this point the atheist hits a wall.  What is therapy if not reality adjustment?   We humans love to deny.  The therapist can be the sober, kind voice of reason.   He/she can pull the client out of denial and gently urge the client to face the reality of his/her situation and/or personality. 

This approach goes under various names: cognitive/behavioral, rational/emotive, and others.  For most neurotics, Albert Ellis’ list of Irrational Thoughts is all the therapy they need.

Debt of truth

The therapist owes the client the golden nugget of truth and insight – else what is the client paying for?  (I know, the right to gripe and have an interested listener.  If only clients knew how the therapist’s mind wanders as they prattle on.).

That’s why this atheist has serious problems with the thrust of Cook’s article: the solution to the “God problem” is “spiritually integrated” therapy.  My 2nd wife was “deeply” into this – this craven pandering to the client’s fantasies.

 Cook correctly notes that “for those who are not religious, it is hard to understand how important religion may be to a patient, and how off-putting it can be when a therapist steers the conversation away from the spiritual.”

 And why not?  If the therapist were to blend religion with therapy, he/she would be no better than a cleric, larding his/her advice with fantasy and imaginary friends.  How does perpetuating the client’s delusions help the client?

Religion and therapy

Oh, yeah, maybe it’s a band-aid, a psychological mind-trick.  Thus Cook cites the example of a therapist who might encourage the client to think about all the things that God has given you, and this gratitude exercise will help reduce anxiety. 

How does God help?  Can’t I just list the things I’m grateful for, without crediting God?

 God harms as much as he helps.  Encouraging people to think of misfortune as “part of God’s plan” can make them passive and helpless.  People who trust in God (in a survey Cook cites) were more tolerant of uncertainty and  less prone to worry.  Yes, and less likely to see the piano falling on them. 

Plus, every day, religious clients bring their miseries to psychotherapists and ask why God would allow such a thing.  In dealing with evil and sorrow, again, God is no help.  He’s a hindrance. Didn’t he make or let it happen?  Such conundrums make it harder, not easier for the believer to cope with the traumas that life deals out.

“Meeting patients where they are”

Cook ends with the idea of offering a treatment option to the deeply faithful [there’s that adjective again – does the therapist have to first evaluate the level of the client’s fanaticism/fundamentalism? – AMP].  It’s about the field of psychology shedding its prejudices and preconceptions and returning to the first principles of therapy: meeting the patients where they are.”

 ROFGAR (rolling on floor, gagging and retching).   Earlier in the article, Cooks says the same thing: therapists must “modify the tools of psychology to treat the devout.”

This is why I could never be a therapist.  I would want to deal with the underlying delusion, religion itself.   A religious client would leave before the first session was over. 

Pandering and faking

 And what exactly happens if an atheist/agnostic therapist encounters a “deeply religious” client?  Is the therapist to pander, to fake it, to buy into the client’s fantasy/psychosis? 

And what if the client is a Hindu or a Sikh or a Wiccan or a Druze?  Must the therapist bone up on every faith, every imaginary friend of every client and play along with it?  How can you look yourself in the mirror if you do that?

Is the goal of therapy to dissolve delusions – or to encourage them?

Saturday, November 3, 2012

Miss my old boss? You gotta be kidding!

CEO stands near Dilbert’s cubicle.  He says:

“Uh-oh. I’m lost and I’ve wandered into the grimy habitat of an underling.
“I feel the cold desperation of your drab and meaningless life.
“I need to roll in money to get the smell off me.  Where’s the nearest pile?”

Keene Sentinel, 9/24/12

Is it my imagination or is Dilbert getting darker?  Anyway, I think Linked-In has taken a wrong turn by offering a link that helps you reconnect with your old boss.  Who wants to reconnect with a tyrant, a petty dictator, a micromanager, a clueless ditherer (as in Dilbert)…the bad bosses are 80% of all bosses, and the types of bad boss are as numerous as the sands of the beach.

Bosses drawn and quartered

Most people would like to re-connect with their bosses only if they can watch them being drawn and quartered.  Down through the decades and centuries of the Industrial Age, as steam is replaced by silicon and robots, one thing has remained constant: most bosses practice the military/authoritative kind of managing that was supposed to have gone out of style, with so many schools of management and armies of consultants spreading the gospel of “treat people like human beings.” 

But no.  Basic as it is, they don’t get it – because they don’t have to.  The military system works, sort of: whatever the top people want is what the peons carry out.  If senior execs are lucky and the economy and marketplace are right, their strategy succeeds and they’re geniuses.  If not, they take a golden parachute and start somewhere else. 

Managing is independent of content, said Harold Geneen, and he proceeded to prove it by amassing many different companies under one corporate banner, ITT.  I don’t think it really worked out that well, though many execs change industry, with varying degrees of success.

Absolute power

The boss.  Imagine one individual with the power to cut off your livelihood at whim, and this individual is a control freak or a humiliator…or any of the countless bad-boss types.  No wonder inability to get along with one’s manager is one of the leading causes of workplace dissatisfaction and stress.   You’re in a very clean, quiet and pleasant…concentration camp. 

You are at the mercy of the guards. As in the camps, you can be targeted because of your race (white) or gender (male).  At one company where I worked, diversity was a managerial metric, just like profit and loss, headcount, and other things that really matter.  And my boss took it seriously, packing the department with women -- black and Hispanic ones where possible.

Face time: no give

Not only do they maintain totalitarian boss-cracy…THEY WILL NOT BACK DOWN ON FACE TIME.  You’d better not be seen coming in too late or leaving too early, no matter how well or thoroughly your work is done.  Today, in 2012, when so much work can be done anywhere, Robert C. Pozen of Harvard Business school describes this very scenario and adds: “You don’t want to come off as a slacker.” 

The article that reports this scenario (Keene NH Sentinel, 10/10/12) laments the “cost of long work days,” the relentless toll on body, mind and spirit.  Europeans are just as productive and they have at least six weeks of vacation a year.  The article sugfgests, again, that if workweeks were shorter, more people could work.

Happy voters

Apparently the election is to be decided in Ohio.  What’s this have to do with abusive bosses?  Bear with me.

Ohioans are an extremely important group to win over.   As I watch all the happy voters in Ohio cheering the man who saved their jobs with billions of taxpayer dollars (have they paid it back?), I cannot but point out that the root issue in the auto industry’s woes…is management (quality expert W. Edwards Deming said that quality is 85% management’s responsibility): boss-ocracy and face time, especially a cruelly repressive workplace environment (until quite recently) were the ultimate cause of GM’s distress and failures. 

The company bought the union’s compliance with lavish contracts and benefits but continued to practice the Shit Theory of Management: “I was treated like shit, so that’s how I’ll treat everybody who works for me.”

The Japanese, on the other hand, practiced a more participatory approach.  They built quality cars on American soil, with American workers!  Authority was still strong and hierarchical, but at least workers could take responsibility for quality instead of “shut up and get it out the door,” which was Detroit’s quality strategy for way too long.

Other scenarios

Auto industry jobs mean votes in crucial states, so there was no thought given to alternatives to bailing out the auto companies.  They could have broken up GM, as was suggested when GM was too successful for some people. 

Surely there would be buyers for the Cadillac and Chevrolet brands, for the components divisions, investors who could pare down these operations and make them successful as standalone companies (which they once were), instead of making the taxpayers foot the bill.  The industry could have sold off excess assets and given generous buyouts to anyone who wanted one.

I worked in the food industry, where acquisition, divestiture, and portfolio adjustments were ongoing.  We can’t make money in this (margarine, ice cream, etc.) business, but maybe somebody else can, so we’ll divest. 

Kraft Foods was independent for decades, then merged with General Foods, renamed Kraft, and spun off a decade after it was acquired by Philip Morris (renamed Altria). 

So there were other possibilities for GM – just not nearly so politically attractive.   But the company went bankrupt fundamentally because for too long they allowed cronyism, loyalty, tenure, and union contracts to replace competence. 

Reconnect with my boss?  I wonder how many takers they’ll get.