The trouble with generic therapy is that it is all about copying. We can hardly deny this – we have after all made a virtue of copying, just as we have made a sin of deviance. To copy to be trustworthy and reliable, to deviate on the other hand is to be a loose cannon, an untrustworthy individualist. The idea is that when we all sing from the same hymn sheet then the effectiveness of the therapy will not be compromised. Moreover – and perhaps even more importantly – the organisation that you are working for can ‘stand over’ what you doing because it is guaranteed ‘best practice’. Best practice is what we are always hearing about. This then is what we are calling ‘generic therapy’ – it is a therapy that is fundamentally based on approved protocols and procedures.
This tends to sounds good to us – it certainly sounds good to organisations and to healthcare providers, but it isn’t by any means as good as it might sound. There is a very serious problem with it and that problem has to do with the way in which we are always ‘copying from a template’, which are of course what protocols and procedures are. Protocols and procedures are templates. If we base what we’re doing on a ‘model’ then this too, needless to say, is ‘copying from a template’. This again may not sound like a problem – templates are after all to a large extent essential in modern life (they are essential in all manufacturing and industrial processes, for example) but one place where templates for understanding and behaving are not useful is in the realm of mental health! Templates are not just ‘not useful’ here, they are a positive liability…
Templates are a liability when it comes to mental health because they represent the antithetical principle to consciousness. We may not consider that consciousness does have ‘an antithetical principle’ but it does and that antithetical principle is routine, or habit, or ‘acting on precedents’. Routine is something that we don’t think about but which we just ‘do’, just as a template is something that we don’t look at afresh each time, but which we just take guidance or direction from. A template is there to direct us, not to be questioned, not to be examined. What we are actually talking about here are rules therefore and rules are the quintessential antithetical principle to consciousness. Rules are the antithesis of consciousness because consciousness comes down to ‘freedom of attention’ whilst rules are – of course – the very absence of freedom.
When we follow a routine or act on the basis of a template then we are not looking at what we are doing and when we’re not looking at what we doing then we’re unconscious – our attention is following the channels that have been cut for it and this means that we are basically ‘seeing what we have been told to see’ (or ‘seeing what we have been influenced to see’) and seeing what we have been told to see (or seeing what we have been programmed to see) is not seeing! We could therefore talk in terms of ‘operating on the basis of the templates that we have been given’, or we could talk in terms of ‘copying’ – ‘copying’ clearly indicates that the authority is outside of us, it clearly indicates that the authority is not us. We could also express this idea by simply saying that we are ‘obeying rules’, and this brings us back to the point that we have just made about ‘rules being the antithesis of consciousness’. If it is consciousness that are studying therefore (or trying to ‘work with’ if we are counsellors or therapists) then using models and protocols and procedures and strategies is ‘using unconsciousness to work with consciousness’. We are required to be unconscious (i.e. operate merely as an unreflective tool of ‘the system of thought’) in order to work helpfully as a therapist!
When we follow rules (i.e. when we operate on the basis of models, theories, protocols and procedures) then everything is coming from outside of us and nothing is coming from the inside. Everything is come from the logical system/framework that we are working within. This of course is the modern way! What is essentially happening here is that ‘the inside’ is not being trusted, either by the system or organisation that we are working for, or by ourselves. We need our officially approved maps to follow, we need our state-sanctioned rules to obey. This actually annihilates the individual of course and so we are again confronted with the same self-contradiction that we have just highlighted. The self-contradiction that we’re talking about is nothing if not clear – mental health is where we are operating in the world on the basis of our own true individuality, and ‘compromised mental health’ – we might say – is where there are factors that are denying our true individuality and therefore causing us to be what we aren’t. Our true nature has been distorted, in other words. Somehow, therefore, we are expected to work effectively as therapists by abdicating our true individuality, by repressing it, by submerging it under a suffocating blanket of ‘generic responses’.
Another way of looking at this in terms of wisdom. Wisdom is a traditional term and as such it doesn’t really have very much currency in the modern world. It has become a rather ‘quaint’ or old-fashioned term – it’s almost as if the word only belongs within the context of fairy tales, legends and myths. Carl Jung might have talked about ‘the archetype of the wise old man’ but what has that archetype to do with this modern ‘scientific’ world of ours? We have put ‘experts’ on a pedestal it is true, but experts are a very different thing to wise men and wise women; experts are a different kettle of fish entirely! Experts work on the basis of ‘evidence’ and evidence always comes from the outside. We could say that ours is an ‘expert culture’ and although in common speech we will from time to time acknowledge a person we know or have heard of as ‘being wise’, this designation has no credibility within society itself. Wisdom is not something that is every officially recognised. There are no certificates for wisdom, after all; there is no professional body to regulate the ‘holders of wisdom’ and say whether they have a right to this title or not.
A huge (but nevertheless invisible) distortion has crept into our present-day culture therefore – a distortion that is particularly ironic in the field of mental health, as we have been saying. In one way of course it makes good sense to regulate the field of mental health and whatever therapies or approaches or professions there might be that claim to have relevance here – illness of any kind, when it’s chronic and not easily dealt with, has always drawn quacks and charlatans in their droves, a lot of them even managing convince themselves that they know what they are doing! When we take this too far however – as we have done – then it is undoubtedly a case of ‘throwing out the baby with the bathwater’. When there is no possibility of truly independent thought (or truly independent perception, which is to say, perception that is not guided by models and templates) then to use the word ‘therapy’ is both misleading and irresponsible. Whatever else is going on here, it isn’t therapy! In the absence of unfettered (or unconditioned) consciousness, there is nothing one human being can genuinely do for another, as far as mental health goes, at least. The blind cannot lead the blind – or if they do, then it is only in the direction of the nearest cliff-edge!
The world of therapy is just one example of what we have been talking about here however, albeit a rather pertinent one. In contemporary society everything ‘comes from the outside’ – our ways of looking at the world, our ways of understanding ourselves, our very way of ‘being in the world’ – all of these come from the outside, all of these are supplied by ‘the omnipresent external authority’. This is convenient in one way of cause but it is deadly in another – it is deadly as far as our actual individuality is concerned and our ‘actual individuality’ is who we are! When everything comes from the outside there is no wisdom. Rules are a substitute for consciousness, as Jung says. Instead of wisdom we rely on skills and strategies, tricks and manoeuvres, protocols and procedures, that we take out of our famous ‘toolbox’ as and when needed. This – we hope – will get us through life. Most of the time it does indeed seem that our ‘bag of tricks’ (our ‘collection of coping strategies’) will get us through life safely – it seems as if it will until one day something happens that isn’t just some ‘minor upset along the way’. That’s when things start (very quickly) to fall apart.
When something of a more major or long-lasting nature happens we discover (even though we might not know at the time that we are discovering it) that the answer doesn’t come ‘from the outside’. The responsibility is ours and it always was. We might go looking for experts or trained professionals to help us when this happens but – unfortunately – it is almost always the case that our experts are just as empty of individuality and wisdom as we are! That’s the way our society is set up. That’s the predicament we’re in – although none of our experts or trained professionals will ever admit it…
Art: Thomas Chamberlain, on goodfon.com