Abstract
After defining medicalization as having a “diagnose and treat” logic, I introduce tensions associated with medicalizing developments influencing counselling. Among the tensions examined will be: (a) counselling as a traditionally pluralistic profession in a mental health profession, (b) medicalization as a response to aspects of the human condition not previously considered medical, (c) medicalizing, counselling discourses , and everyday “self-help,” (d) counselling and pharmaceutical/biomedical responses to problems in living, and (e) social justice , discursive, and other non-medicalizing views of human concerns. The aim of this chapter is to lay out tensions associated with medicalizing counselling, tensions to be revisited in greater depth in later chapters.
The irony of biological reductionism in psychology and psychiatry is that it is essentially an attempt to … use the “de-valued” language of the physical sciences to explain the value-laden (and “messy”) world of human psychology from when they sprang in the first place.
(Thomas and Bracken 2011: 19)
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
APA (American Psychiatric Association). (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington: Author.
APA (American Psychiatric Association). (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: Author.
APA (American Psychiatric Association). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington: Author.
Arendt, H. (1959). The human condition. Garden City, NY: Doubleday Anchor.
Barad, K. (2007). Meeting the universe halfway: Quantum physics and the entanglement of matter and meaning. Durham, NC: Duke University Press.
Braidotti, R. (2013). The Posthuman. Cambridge: Polity Press.
Brinkmann, S. (2014). Languages of suffering. Theory & Psychology, 24(5), 630–648.
Burr, V. (2003). Social constructionism (2nd ed.). New York: Routledge.
Clarke, A. E., Mamo, L., Fosket, J. R., Fishman, J. R., & Shim, J. K. (Eds.). (2010). Biomedicalization: Technoscience, health and illness in the US. Durham, NC: Duke University Press.
Conrad, P. (2007). The medicalization of society. Baltimore: Johns Hopkins University Press.
Cooper, M., & McLeod, J. (2011). Pluralistic counselling and psychotherapy. Thousand Oaks, CA: Sage.
Corey, G. (2016). Theory and practice of counseling and psychotherapy (10th ed.). Boston: Cengage Learning.
Cushman, P. (1995). Constructing the self, constructing America: A cultural history of psychotherapy. Boston: Da Capo Press.
Dalsgaard, S., Nielsen, H. S., & Simonsen, M. (2013). Five-fold increase in national prevalence rates of attention-deficit/hyperactivity disorder medication for children and adolescents with autism spectrum disorder, attention-deficit/hyperactivity disorder, and other psychiatric disorders: A Danish register-based study. Journal of Child and Adolescent Psychopharmacology, 23(7), 432–439.
Danziger, K. (1997). Naming the mind: How psychology found its language. Thousand Oaks, CA: Sage.
Davis, W., & Strong, T. (2003, September/October). Healing culture. New Therapist, 27, 10–17.
Dobson, K. S. (2016). Clinical psychology in Canada: Challenges and opportunities. Canadian Psychology, 57(3), 211–219.
Duff, C. (2014). Assemblages of health: Deleuze’s empiricism and the ethology of life. London: Springer.
Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (Eds.). (2010). The heart and soul of change: Delivering what works in therapy (2nd ed.). Washington: American Psychological Association.
Eagleton, T. (1991). Ideology: An introduction. New York: Verso.
Foucault, M. (1973). The birth of the clinic: An archaeology of medical perception. London: Tavistock.
Foucault, M. (2003). Psychiatric power: Lectures at the collège de France, 1973–1974. New York: Picador.
Frances, A. (2013). Saving normal: An insider’s revolt against out-of-control psychiatric diagnosis, DSM-5, big pharma, and the medicalization of ordinary life. New York: William Morrow.
Furedi, F. (2004). Therapy culture: Cultivating vulnerability in an uncertain age. New York: Routledge.
Gadamer, H. G. (1988). Truth and method (2nd Rev. ed, J. Weinsheimer & D. G. Marshall, Trans.). London: Continuum.
Galison, P. (2004). Einstein’s clocks and Poincare’s maps: Empires of time. New York: W.W. Norton.
Gergen, K. J. (2005). Therapeutic realities: Collaboration, oppression and relational flow. Chagrin Falls, OH: Taos Institute Publications.
Gibson, J. J. (1979). The ecological approach to visual perception. London: Lawrence Erlbaum Associates.
Goffman, I. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Doubleday Anchor.
Hacking, I. (1983). Representing and intervening: Introductory topics in the philosophy of natural science. Cambridge: Cambridge University Press.
Henriques, J., Hollway, W., Urwin, C., Venn, C., & Walkerdine, V. (Eds.). (1984). Changing the subject: Psychology, social regulation and subjectivity. London: Methuen.
Horwitz, A. V., & Wakefield, J. C. (2007). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press.
Horwitz, A. V., & Wakefield, J. C. (2012). All we have to fear: Psychiatry’s transformation of natural anxieties into medical disorders. New York: Oxford University Press.
Illouz, E. (2008). Saving the modern soul: Therapy, emotions, and the culture of self-help. Berkeley: University of California Press.
Ingleby, D. (Ed.). (1980). Critical psychiatry: The politics of mental health. New York: Pantheon Books.
Insel, T. (2013). Post by former NIMH director Thomas Insel: Transforming diagnosis. Retrieved November 18, 2016, from https://www.nimh.nih.gov/about/directors/thomas-insel/blog/2013/transforming-diagnosis.shtml.
Jutel, A. G. (2011). Putting a name to it: Diagnosis in contemporary society. Baltimore: Johns Hopkins University Press.
Kramer, U., & Stiles, W. B. (2015). The responsiveness problem in psychotherapy: A review of proposed solutions. Clinical Psychology: Science and Practice, 22(3), 277–295.
Labov, W., & Fanshel, D. (1977). Therapeutic discourse: Psychotherapy as conversation. New York: Academic Press.
Lakoff, G., & Johnson, M. (1980). Metaphors we live by. Chicago: University of Chicago Press.
Latour, B. (2005). Reassembling the social: An introduction to actor-network-theory. Oxford: Oxford University Press.
Latour, B. (2013). An inquiry into modes of existence: An anthropology of the moderns. Cambridge, MA: Harvard University Press.
Levant, R. F. (2005). Report of the 2005 presidential task force on evidence-based practice. American Psychological Association. Accessed from https://www.apa.org/practice/resources/evidence/evidence-based-report.pdf.
Levitt, H. M., Neimeyer, R. A., & Williams, D. C. (2005). Rules versus principles in psychotherapy: Implications of the quest for universal guidelines in the movement for empirically supported treatments. Journal of Contemporary Psychotherapy, 35(1), 117–129.
Lock, A., & Strong, T. (Eds.). (2012). Discursive perspectives in therapeutic practice. New York: Oxford University Press.
Madsen, O. J. (2014). The therapeutic turn: How psychology altered western culture. New York: Routledge.
McLeod, J. (2013). An introduction to counselling (5th ed.). Maidenhead: Open University Press.
Mol, A. (2008). The logic of care: Health and the problem of patient choice. London: Routledge.
Morris, D. B. (1998). Illness and culture in the postmodern age. Berkeley: University of California Press.
Moses, I. (2000). Is it ethical to deceive managed care companies? A panel of the new editors of the journal of contemporary psychotherapy. Journal of Contemporary Psychotherapy, 30(3), 217–237.
Nylund, D. (2000). Treating huckleberry finn: A new narrative approach with kids diagnosed ADD/ADHD. San Francisco: Jossey-Bass.
Ogunfowora, B., & Drapeau, M. (2008). Comparing counselling and clinical psychology professionals: Similarities and differences on theoretical orientations revisited. International Journal for the Advancement of Counselling, 30(2), 93–103.
Paré, D. (2013). The practice of collaborative counseling and psychotherapy: Developing skills in culturally mindful helping. Los Angeles: Sage.
Pedowitz, R. T., & Lustig, S. L. (2014). Medical necessity review: History, innovation, and missed opportunity. Psychiatric Times, 31(6), 32.
Rogers, C. (1941). Counseling and psychotherapy: Newer concepts in practice. New York: Houghton Mifflin.
Rose, N. (1985). The psychological complex: Psychology, politics and society in England, 1869–1939. London: Routledge.
Rose, N. (1990). Governing the soul: The shaping of the private self. New York: Routledge.
Scheflen, A. E. (1973). Communicational structure: Analysis of a psychotherapy transaction. Bloomington: Indiana University Press.
Seligman, L. (2004). Diagnosis and treatment planning in counseling (3rd ed.). New York: Springer.
Stiles, W. B., & Shapiro, D. A. (1989). Abuse of the drug metaphor in psychotherapy process-outcome research. Clinical Psychology Review, 9(4), 521–543.
Strong, T. (2016). Discursive awareness and resourcefulness: Bringing discursive researchers into closer dialogue with discursive therapists? In M. O’Reilly & J. Lester (Eds.), Adult mental health: Discourse and conversation studies. London: Palgrave Macmillan.
Strong, T., & Paré, D. (2004). Furthering talk: Advances in the discursive therapies. New York: Kluwer Academic/Plenum.
Strong, T., Gaete, J., Sametband, I. N., French, J., & Eeson, J. (2012). Counsellors respond to the DSM-IV-TR. Canadian Journal of Counselling and Psychotherapy, 46(2), 85–106.
Strong, T., Ross, K. H., & Sesma-Vazquez, M. (2015). Counselling the (self?) diagnosed client: Generative and reflective conversations. British Journal of Guidance and Counselling, 43(5), 598–610.
Strong, T., Chondros, K., Job, C., & Vegter, V. (2017). Medicalizing Developments in Counsellor Education? Counselling and Counselling Psychology Students’ Views. Canadian Journal of Counselling and Psychotherapy, 57, 161–186.
Strong, T., Chondros, K., Vegter, V., & Job, C. (forthcoming-b). Medicalizing tensions in counsellor education? European Journal of Psychotherapy and Counselling.
Szasz, T. (1961). The myth of mental illness: Foundations of a theory of personal conduct. New York: Hoeber-Harper.
Thomas, P., & Bracken, P. (2011). Dualisms and the myth of mental illness. In M. Rapley, J. Moncrieff, & J. Dillon (Eds.), De-medicalizing misery: Psychiatry, psychology, and the human condition (pp. 10–26). London: Palgrave Macmillan.
Tomm, K., St. George, S., Wulff, D., & Strong, T. (Eds.). (2014). Patterns in interpersonal interactions: Inviting relational understandings for therapeutic change. New York: Routledge.
Turnbull, W. (2003). Language in action: Psychological models of conversation. New York: Psychology Press.
Wampold, B. E., Lichtenberg, J. W., & Waehler, C. A. (2005). A broader perspective: Counseling psychology’s emphasis on evidence. Journal of Contemporary Psychotherapy, 35(1), 27–38.
Zimmer-Gembeck, M. J., & Skinner, E. A. (2016). The development of coping: Implications for psychopathology and resilience. Developmental Psychopathology, 4(10), 1–61.
Zola, I. K. (1972). Medicine as an institution of social control. The Sociological Review, 20, 487–504.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2017 The Author(s)
About this chapter
Cite this chapter
Strong, T. (2017). Tensions in Medicalizing the Talking “Cure”. In: Medicalizing Counselling. Palgrave Studies in the Theory and History of Psychology. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-56699-3_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-56699-3_1
Published:
Publisher Name: Palgrave Macmillan, Cham
Print ISBN: 978-3-319-56698-6
Online ISBN: 978-3-319-56699-3
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)