...
Show More
Seems really dated and simplistic, which, given all we've learned about depression since the advent of SSRI's, isn't all that surprising for a book almost 40 years old. I found it useful more for how it helps illustrate the evolution of psychotherapy and how it helped me understand certain things about how therapists I saw approached their practice than for any insight it offered into myself.
Re: the evolution of psychotherapy, I was struck by the focus on mothers and what they do wrong. You would think that most people have only a female parent, that fathers play almost no role in a child's life. This was really brought home to me in this passage:
Notice how she rushes to blame "devout women" for wanting to spoil the pleasure of "their husbands and sons." Did "devout women" in 1877 have much influence over art? Were they allowed to create it? Did they have time to create it when they were also probably busy raising families? Did they write and deliver the sermons about the evils of taverns?
NO. They didn't.
And here's another thing: women both devout and otherwise had good reason to fear when their husbands went to taverns and came home drunk, because drunkenness is a contributing factor to domestic violence against both wives and children. For women who had no independent income, no vote, no say in governance, and who could lose all custody of their children if they left an abusive husband, a primary way to try to keep their children safe from violence was to try to keep their husbands out of taverns.
But sure, the real problem was that these horrible women made four-year-olds feel bad about their unconscious desires to hang out in places full of drunk male adults.
That's just some straight-up misogyny. And considering that misogyny has been one of the things at the root of my depression, a book so steeped in it isn't likely to give me a lot of relief.
The insistence here that depression MUST BE ROOTED IN SOMETHING THAT HAPPENS IN EARLY CHILDHOOD, an idea more recent research undercuts, is also a problem. I had a therapist or two who followed that dogma in ways that probably caused a lot of harm.
A therapist told me the key to my healing was to discover my early childhood trauma. I was like, "Nah, I was a pretty happy little kid; the shit hit the fan around the time my body started changing and boys started getting mean and scary in sixth and seventh grade." She flat-out told me, "You were traumatized as a child, probably through a molestation, and you have to uncover the memory of the trauma."
I actually followed the visualizations she gave me and dutifully went into a meditative state to talk to my seven-year-old self, who told me, when I asked her what was wrong, that she couldn't help me fix the problem I wanted to address because it hadn't happened yet.
When I told my therapist that, she actually got upset at me and insisted I'd just done it wrong. She told me I better uncover a memory of being molested if I wanted to get better. I had very clear memories of my early childhood (something people who have repressed memories typically lack) and I also understand female biology enough to be confident of when certain events happened to me (hint: it was adulthood) and was therefore further confident that I was right about my life and she was wrong. So I fired her.
If someone did that shit now, they'd lose their license. It's completely unethical--and with good reason. While there are certainly people who have recovered memories of being molested in early childhood--one of my good friends experienced that, and it's the only thing that explains certain aspects of his life--there are others who invented memories to please aggressive therapists like the unethical, wrong-headed person I worked with.
In any event, we now know that puberty REALLY FUCKS WITH PEOPLE'S BRAINS. Adolescents are weird. They are super anxious, and there are biological reasons for this. That anxiety can be something they don't grow out of, and there can be biological reasons for that, too. It's not automatically because their parents fucked them up.
So all in all, with its misogyny and its erroneous insistence that adult depression has to be rooted in trauma inflicted by parents on children in early childhood, I think this book does as much harm as good. I'm glad it seems dated and simplistic, since that means psychotherapy is moving on from it.
Re: the evolution of psychotherapy, I was struck by the focus on mothers and what they do wrong. You would think that most people have only a female parent, that fathers play almost no role in a child's life. This was really brought home to me in this passage:
In the Zurich exhibition (1977) to commemorate the centennial of [Hermann] Hesse's birth [in 1877], a picture was displayed that had hung above the little Hermann's bed and that he had grown up with. In this picture, on the right, we see the "good" road to heaven, full of thorns, difficulties, and suffering. On the left, we see the easy, pleasurable road the inevitably leads to hell. Taverns play a prominent part on this road, probably because devout women hoped to keep their husbands and sons away from these wicked places with this threatening representation.[emphasis added]
Notice how she rushes to blame "devout women" for wanting to spoil the pleasure of "their husbands and sons." Did "devout women" in 1877 have much influence over art? Were they allowed to create it? Did they have time to create it when they were also probably busy raising families? Did they write and deliver the sermons about the evils of taverns?
NO. They didn't.
And here's another thing: women both devout and otherwise had good reason to fear when their husbands went to taverns and came home drunk, because drunkenness is a contributing factor to domestic violence against both wives and children. For women who had no independent income, no vote, no say in governance, and who could lose all custody of their children if they left an abusive husband, a primary way to try to keep their children safe from violence was to try to keep their husbands out of taverns.
But sure, the real problem was that these horrible women made four-year-olds feel bad about their unconscious desires to hang out in places full of drunk male adults.
That's just some straight-up misogyny. And considering that misogyny has been one of the things at the root of my depression, a book so steeped in it isn't likely to give me a lot of relief.
The insistence here that depression MUST BE ROOTED IN SOMETHING THAT HAPPENS IN EARLY CHILDHOOD, an idea more recent research undercuts, is also a problem. I had a therapist or two who followed that dogma in ways that probably caused a lot of harm.
A therapist told me the key to my healing was to discover my early childhood trauma. I was like, "Nah, I was a pretty happy little kid; the shit hit the fan around the time my body started changing and boys started getting mean and scary in sixth and seventh grade." She flat-out told me, "You were traumatized as a child, probably through a molestation, and you have to uncover the memory of the trauma."
I actually followed the visualizations she gave me and dutifully went into a meditative state to talk to my seven-year-old self, who told me, when I asked her what was wrong, that she couldn't help me fix the problem I wanted to address because it hadn't happened yet.
When I told my therapist that, she actually got upset at me and insisted I'd just done it wrong. She told me I better uncover a memory of being molested if I wanted to get better. I had very clear memories of my early childhood (something people who have repressed memories typically lack) and I also understand female biology enough to be confident of when certain events happened to me (hint: it was adulthood) and was therefore further confident that I was right about my life and she was wrong. So I fired her.
If someone did that shit now, they'd lose their license. It's completely unethical--and with good reason. While there are certainly people who have recovered memories of being molested in early childhood--one of my good friends experienced that, and it's the only thing that explains certain aspects of his life--there are others who invented memories to please aggressive therapists like the unethical, wrong-headed person I worked with.
In any event, we now know that puberty REALLY FUCKS WITH PEOPLE'S BRAINS. Adolescents are weird. They are super anxious, and there are biological reasons for this. That anxiety can be something they don't grow out of, and there can be biological reasons for that, too. It's not automatically because their parents fucked them up.
So all in all, with its misogyny and its erroneous insistence that adult depression has to be rooted in trauma inflicted by parents on children in early childhood, I think this book does as much harm as good. I'm glad it seems dated and simplistic, since that means psychotherapy is moving on from it.