Path and Pathology: Some Philosophic Aspects of Psychotherapy

by Gary Borjesson

I came to psychotherapy from philosophy, first starting therapy in my forties while on sabbatical from St. John’s College. I was struck by its transformative power—so struck that I ultimately resigned my tenure and returned to graduate school to train as a therapist. But I’ve hardly left philosophy behind. Freud reminds me of Nietzsche. Socrates’ fingerprints are all over the motives and methods of psychoanalysis. Donald Winnicott and Erik Erikson bring to mind Hegel, and the list goes on.

Philosophy and psychotherapy (and the humanist tradition in general) see our lives as developmental journeys. In the spirit of Socrates, they view self-exploration and self-awareness as essential to self-actualization. This may seem obvious, but it’s easy to lose sight of. Which makes it remarkable that many academics don’t believe being a “philosopher” need include examining themselves. Yet, how could it not? After all, philosophy means the love of wisdom, and who would say of a true philosopher what Regan said of her father, King Lear, that “he hath ever but slenderly known himself.”

It’s equally remarkable that the Socratic spirit is often absent in therapists, in their own lives and in their work with clients. A variety of forces (not least insurance companies) lead many therapists and clients to focus on techniques and tools for reducing symptoms; this draws attention away from the person as a whole. There is nothing wrong with focusing on symptom-relief, as the advertised “evidence-based” “solution-focused” therapies like CBT do. After all, people vary in what they want and need from therapy, so we should welcome experimentation and a variety of approaches.

That said, if therapy is to encourage deeper self-exploration, it needs to go beyond symptoms to the whole person suffering them. Read more »