Backlash brewing?

PSYCHOTHERAPY

Will psychotherapy be the fall guy in an increasingly unsympathetic political climate? Psychotherapists are running scared that antipathy to the ideas that underlie psychotherapy is growing. Theirs is hardly just an ideological worry. They fear that any rise in hostility right now will keep them out of new reimbursement schemes as the nation undergoes de facto health care reform.

Here's what therapists dread will be held against psychotherapy:

o Psychotherapists have engaged in unscientific conduct by making false accusations of sexual abuse based on the implantation of "repressed" memories.

o Psychotherapy promotes self-interest at the expense of family and community.

o It has proved powerless against those who are most disordered and who now hold public life hostage--violent criminals. Indeed, the rise in violence has coincided with the growth of therapy and its belief in the possibilities for behavioral change.

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o Growing intramural debate about the efficacy of therapy, when heard outside, makes the whole enterprise sound silly.

o Add the perceived failure of an array of social programs, such as welfare, since, like psychotherapy itself, they are built on an optimistic appraisal of human nature.

o Proposed state and federal legislation against abuses of psychotherapy is billed as consumer protection legislation.

Political thinking is not the only thing getting conservative. A whole flank of the behavioral sciences is pitching rightward as it deemphasizes personal change in favor of investment in the rootedness of behavior in biology, particularly the deep Darwinian ooze. A belief that behavior is coded in ancient and selfish genes is a powerful rationale for shifting public funds away from programs that aim to change people by enriching their environment.

Tags: antipathy, behavioral sciences, budget cut, conservative, consumer protection legislation, false accusations, federal legislation, flank, health care reform, implantation, ooze, personal change, political climate, psychotherapists, repressed memories, self interest, selfish genes, therapy, violent criminals

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