Description:
Educational Objectives:
*Sessions may be edited for content and to preserve confidentiality*
Outline:
Psychotherapy and Social Issues: Introduction and Initial Remarks
Ronald Laing critiques a U.S. law requiring therapists to report confessed illegal activity, reflecting on its chilling effect
Shares reactions from a San Francisco conference where professionals debated the implications of such laws
Mentions a New York social worker scandalized by child abuse, wife abuse, and incest, and the challenges in addressing them
Emphasizes the need to consider the social context in psychotherapy and its role in addressing societal issues
Historical and Cultural Context of Psychotherapy
Judd Marmor outlines how psychotherapy evolved alongside cultural and societal shifts
Highlights humanistic and existential therapies as reactions to overly mechanistic approaches
Notes Freud’s distaste for American culture, despite psychoanalysis flourishing in the U.S.
Discusses how views on sexuality, feminism, and abortion have shaped therapy models
Social and Economic Influences on Psychotherapy
Marmor points to the nuclear arms race as a key societal pressure impacting mental health
Notes how third-party payer systems drive the adoption of shorter, more accountable therapeutic models
Predicts that social and economic trends will continue to reshape psychotherapy’s structure and practice
Challenges and Limitations of Psychotherapy
Paul Watzlawick supports Marmor’s arguments but warns against therapists overreaching into sociopolitical domains
Argues for value-free therapy and cautions against imposing utopian solutions
Emphasizes respecting the therapeutic boundary while acknowledging the broader social context
Social Evils and Promises in Psychotherapy
Joseph Wolpe criticizes the practice of blaming patients for failed therapy and the overuse of ineffective long-term treatment
Shares a case where behavior therapy succeeded after nine years of unproductive psychoanalysis
Condemns therapists who ignore evidence-based treatments and sabotage alternatives
Highlights the promise of behavior therapy to address real social issues effectively
Interaction and Debate Among Panel Members
Marmor responds by urging a balanced perspective, noting that therapy outcomes depend on therapist-client interaction
Emphasizes that no therapy is universally effective and caution is needed in attributing blame
Watzlawick agrees and explores the pros and cons of assuming therapist failure as a default
Wolpe reiterates the ethical imperative for therapists to use methods backed by data
Social and Cultural Differences in Therapy
A participant raises the need to consider cultural and racial factors in therapy
Marmor stresses the importance of viewing the patient systemically—biological, intrapsychic, interpersonal, and social levels
Laing shares insights from Scotland, where social class and cultural identity shape the therapeutic process
Ethics and Social Responsibility in Therapy
A question arises about the ethics of sexual reorientation therapy
Wolpe supports such therapy if the client is motivated and consents
Marmor opposes forcing change but supports offering it as an option; emphasizes helping clients accept themselves if change fails
Conflict Resolution and Government Involvement
A participant asks about behavioral science in international diplomacy
Marmor references Pugwash conferences but laments the limited influence of behavioral science in politics
Watzlawick and Marmor note a growing systems awareness in corporations but highlight resistance in governmental structures
Representation and Accessibility in Psychotherapy
A question is raised about low representation of Black and Brown populations in psychotherapy
Marmor attributes this to systemic and financial barriers, not therapist disinterest
Watzlawick emphasizes the importance of addressing the broader ecosystem of inequality
Discussion affirms the need for wider access and greater inclusion
Final Remarks and Questions
A participant likens the nuclear arms race to a psychiatric symptom signaling deeper societal dysfunction
Watzlawick agrees but cautions against simplistic or overly idealistic goals
Wolpe reaffirms his critique of psychoanalysis, calling for evidence-based validation
The session closes with consensus on the importance of addressing social context in psychotherapy and a call for ongoing dialogue
Ronald David Laing, usually cited as R. D. Laing, was a Scottish psychiatrist who wrote extensively on mental illness – in particular, the experience of psychosis. R.D. received his M.D. from Glasgow University. Laing's name comes to mind when one thinks of practitioners who have been most effective at challenging prevailing medical thinking on schizophrenia. He has practices psychotherapy for more than 35 years and has authored 11 volumes.
Laing teaches and practices in London. Formerly he served as Chairman of The Philadelphia Association; was associated with the Tavistock Clinic; and was a Fellow of The Foundations Fund for Research in Psychiatry.
Judd Marmor, MD, was an American psychiatrist known for his role in removing homosexuality from the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. Judd was an adjunct Professor of Psychiatry at the University of California in LA, was Franz Alexander Professor of Psychiatry at the University of Southern California School of Medicine. he has practices medicine for more than 50 years, having graduated from Columbia University College of Physicians and Surgeons in 1933. He is past president of the American Psychiatric Association, American Academy of Psychoanalysis, and The Group for the Advancement of Psychoanalysis, and The Group for the Advancement of Psychiatry. He is recipient of the Bowis Award for Outstanding Achievements in Leadership in the Field of Psychiatry from the American College of Psychiatrists and the Founders Award from the American Psychiatric Association. Dr. Marmor served on the editorial board of 14 journals.He authored five books and co-authored one. He has written or co-written more than 300 scientific papers. Much of his writing has been on psychoanalysis and human sexuality.
Paul Watzlawick, received his Ph.D. from the University of Venice in 1949. He has an Analyst's Diploma from the C.G. Jung Institute for Analytic Psychology in Zurich. Watzlawick has practiced psychotherapy for more than 30 years. He was research associate and principal investigator at the Mental Research Institute. He was Clinical Professor at the Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center. Watzlawick is a noted family therapist; he is recipient of the Distinguished Achievement Award from the American Family Therapy Association. Also, he is author, co-author or editor of eight books on the topics of interactional psychotherapy, human communication and constructivist philosophy.
He formulated five axioms. They are:
Joseph Wolpe, MD, was a South African psychiatrist, one of the most influential figures in Behavior Therapy. Wolpe grew up in South Africa, attending Parktown Boys' High School. Joseph received his M.D. in 1948 from the University of Whitatersrand in Johannesburg, South Africa. He was Emeritus Professor fo Psychiatry and Former Director of Behavior Therapy Unity at Temple University Medical School. He was Professor of Psychiatry at the Medical College of Pennsylvania. One of the leading practitioners of behavior therapy, he has authored three books and co-edited two, and has more than 200 professional publications. He cofounded the Journal of Behavior Therapy and Experimental Psychiatry. He is receipient of the Distinguished Scientific Award for the Applications of Psychology from the American Psychological Association.