Category Archives: Therapy

Sudden and gradual together

03 Sunday Dec 2023

Posted by in East Asia, Emotion, Mahāyāna, Mindfulness, Practice, Therapy, Virtue

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The past few years have taught me the wisdom in Daoist-influenced traditions of sudden liberation: in a certain way we can improve ourselves by not improving ourselves, through an acceptance of everything, including ourselves, in the present moment. Yet I had had good reason to be frustrated earlier with such traditions – for their rhetoric sometimes implies that that present-moment acceptance is easy, which it is not. It was a long and painful lesson for me learning how hard it is to be good. That made me a longtime advocate of what East Asian Buddhists would call the gradual path, but I increasingly also see the wisdom in its converse, the sudden. Can the two be reconciled?

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Of mental health and medical models

24 Sunday Apr 2022

Posted by in Early and Theravāda, Epicureanism, Flourishing, Health, Human Nature, Psychology, Skepticism, Stoicism, Therapy

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The concept of mental health – and even more so its converse of mental illness – has become ubiquitous in the modern West, and it deserves serious examination by philosophers. Many, probably most, cultures would not recognize the claim that a mind that sees demons or refuses to speak or commits suicide is in a condition analogous to a body with a fever or a broken limb.

The idea of mental health and illness is the central idea in the psychological approach that we typically refer to as the medical model. The term “medical model”, in its most basic sense, means that one approaches a given field of human endeavour in the manner associated with medicine: that field may then be considered a part of medicine, or simply analogous to it. I believe the term was coined by R.D. Laing, the prominent critic of psychiatry, and so it often takes on a negative cast, for the application of specific aspects of modern medicine in areas where it is inappropriate to do so.

It does not have to, though. Unless we reject modern medicine in its entirety (which would be a stupid idea), we are going to accept some aspects of the medical model for at least the practice of medicine itself. Modern medicine has accomplished a great deal, even in its application to phenomena of the mind: antipsychotics and antidepressants are not cure-alls by any means, but for a great many people, their mental lives are much improved as a result of these medicines.

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On delusions and their pragmatic efficacy

28 Sunday Jun 2020

Posted by in M.T.S.R., Mahāyāna, Metaphilosophy, Modernized Buddhism, Natural Science, Psychology, Supernatural, Therapy, Truth

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Continuing my response to Seth Segall, my greatest disagreements are with his second point. So I will begin by quoting that at length:

As a hospital pastoral care provider I minister to patients of all faiths, and I have been impressed at how their faiths shape their own understanding of the virtues and contribute to making their lives admirable. So, if you are a person who finds a belief in rebirth compelling, and if you find that a belief in rebirth inspires you to practice being more compassionate to others, I have no quarrel with you. Please continue. The only statement I am willing to make without hesitation is that a belief in rebirth (let’s just use “rebirth” here as a stand-in for all the parts of Buddhism I happen to disagree with) doesn’t work for me, and I expect it won’t work for the majority of modern Westerners. I don’t want to be imperialistic about my beliefs. My attitude is, “this is what works for me,” and if you are feeling the same kind of dissonance with aspects of the Buddhist tradition, see if it works for you, too. On the other hand, I would never want to tell the Dalai Lama that he is practicing Buddhism wrong.

I do recognize the importance of working with people as they are, especially in a difficult field like pastoral care. Still I am nervous about saying that false ideas – which I do take rebirth to be – constitute “the best model for” any given person. Continue reading →

Why I am a Buddhist

07 Sunday Jun 2020

Posted by in Buddhism, Faith, Family, Health, Humility, M.T.S.R., Metaphilosophy, Philosophy of Science, Prayer, Reading and Recitation, Therapy

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On Facebook, Seth Segall commented in response to my posts on Evan Thompson:

I agree with all the arguments you have made, but I think there is one maining major issue that divides you from Evan that transcends all the other issues. That is, as a “lover of all wisdom,” why would you define yourself as a Buddhist as opposed to someone who is informed by many wisdom traditions but holds a special place in his heart for Buddhism—in another words, how is your stance different from a more cosmopolitan one that is Buddhist-friendly, but not, strictly speaking, Buddhist?

I think I have answered this question before, but there is more to say on it. For a long time – including the first six years of writing this blog – I defined myself in just such a way, as Thompson does. Like Thompson, I went so far as to say I don’t identify as a Buddhist.

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Of psychological depths

18 Sunday Mar 2018

Posted by in Buddhism, Consciousness, Psychology, Therapy, Unconscious Mind

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In my previous post about the way the mind’s automatic processes get things wrong (and how that point is important to Buddhists), I turned to the experiments of Daniel Kahneman (and Amos Tversky) on false cognition. I claimed that the kind of automaticity they describe is a better explanation of what Freud would have called the unconscious mind, citing the quip that “the unconscious is unconscious not because it’s repressed but because it’s not conscious.”

Some excellent comments from Patrick O’Donnell took me to task for this claim. Patrick is pointing to the importance of the distinction between cognitivist approaches like Kahneman’s on one hand, and a very different kind of modern Western psychology on the other. Continue reading →

Of mindfulness meditation, Buddhist and otherwise

31 Sunday Jan 2016

Posted by in Health, Meditation, Mindfulness, Modernized Buddhism, Psychology, Serenity, Therapy

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Until I began my 9-to-5 job in 2011, I had only rarely had to get up before 8 or 9 in the morning on a regular basis, which suited me fine since I am a night person. Now I need get up at 6:45, and it is a struggle to get enough sleep – and so I started worrying ever more about how little sleep I was getting, which gave me insomnia.

Fortunately the job has a good health plan (essential in the USA), and I was able to seek treatment for my insomnia at the highly regarded Boston Medical Center. They suggested a number of interventions to deal with the insomnia, several of which slowly came to prove helpful. The most striking moment among these interventions, though, was when they prescribed – mindfulness meditation. Continue reading →

The practice of reading

07 Sunday Jun 2015

Posted by in Confucianism, Health, Hermeneutics, Mahāyāna, Meditation, Reading and Recitation, Self, Serenity, Therapy

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Calling myself a Buddhist, it turns out, was only the beginning. Buddhism was there for me in this dark time, not only as a way of focusing prayer, and certainly not merely as the resource for a hypothetical chaplain. The Buddhist ideas that taught me so much before were still there and a great comfort. And there was more still: I have now begun to practise Buddhism as I see it, on a far deeper level than I ever had before. Continue reading →

I am a Buddhist

10 Sunday May 2015

Posted by in Christianity, Death, Early and Theravāda, External Goods, Family, Flourishing, Grief, Health, Modernized Buddhism, Politics, Prayer, Therapy

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Last fall in my house we had some serious bad news: my wife was diagnosed with breast cancer. (There have been a number of ways in which I have hoped to emulate Ken Wilber, but this sure wasn’t one of them.) The good news is it was not a particularly severe variety as cancers go; with proper treatment it would not be life-threatening. But those treatments have been rough, with an extended recovery period.

It has, as you may imagine, been a difficult time for both of us. I am happy to say that things are much better than they were, but the hard times are not yet over. My wife’s story is hers to tell, and she has told it magnificently. On my side, something major has happened that I did not expect: for the first time, I have come to consider myself a Buddhist. Continue reading →

Can philosophy be a way of life? Pierre Hadot (1922-2010)

12 Wednesday May 2010

Posted by in Analytic Tradition, Christianity, Epicureanism, Faith, French Tradition, Greek and Roman Tradition, Health, Metaphilosophy, Mindfulness, Monasticism, Natural Science, South Asia, Stoicism, Therapy

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Skholiast recently pointed to a sad event that I’d been unaware of until he mentioned it: the death of Pierre Hadot. Skholiast’s involvement with Hadot, from the look of things, is deeper than mine – I’ve read some of his work and referred to him a couple of times on the blog, but I don’t think that he has (yet) had a deep effect on my thinking. Still, I find myself very much in sympathy with Hadot’s approach, and I think his loss is a real one, so I’d like to offer a few musings in memoriam.

The idea that I always associate with Hadot is encapsulated in the translated English title of one of his major works: philosophy as a way of life. Hadot, a scholar of ancient Greek and Roman philosophy, treats this philosophy as a way of life, a set of “spiritual practices,” and in so doing he helps remind us of the distance between ancient and modern philosophy. And I don’t just mean that he gives us yet another reason to critique contemporary philosophy departments, which (whether analytic or continental) typically seem far from any ancient ideal of the love of wisdom. I mean also that he reminds us why philosophy has so little place in contemporary Western culture. Continue reading →

Cross-cultural anorexia

13 Wednesday Jan 2010

Posted by in African Thought, French Tradition, Health, Patient Endurance, Psychology, Rites, Social Science, Therapy

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Great article by Ethan Watters in the New York Times last Friday, called The Americanization of Mental Illness, which deals with questions at the heart of cross-cultural philosophy. (Watters also has a book on the subject coming out, and a blog.) The article notes how “mental illness” remains a category far more culture-bound than psychological studies are typically willing to admit. The DSM, American psychologists’ scripture, has a seven-page appendix (pp. 897-903 in the DSM-IV-TR edition) for “culture-bound disorders,” such as amok (a condition in Malaysia where men get violently aggressive and then have amnesia) or pibloktoq (an Inuit condition involving a short burst of extreme excitement followed by seizures and coma). It’s telling that few of the disorders in this section are culture-bound to the United States; and those which are, are quite telling: “ghost sickness” is “frequently observed among members of many American Indian tribes”; locura, nervios and susto are found among Latinos; sangue dormido is found among Cape Verde Islanders and their immigrants to the US; “rootwork” and “spell” are “seen among African Americans and European Americans from the southern United States.” That is, the only “culture-bound disorders” to be found among white Americans are found among those weird Southern hillbillies who live beside black people. Normal white Americans, the kind who live in Cambridge, MA or in Manhattan, don’t get “culture-bound disorders.” Their disorders are just part of the universal human condition.
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