Friday, November 13, 2015

Philosophy: The Bedrock of Civilization...and Modern Therapy


            All modes of considering the world, be they scientific or otherwise, are based on an underlying set of philosophical assumptions that drive the way acquisition of knowledge occurs.  Nowhere is that more true than in the development of psychology, and later, the specific therapy practices that we use today.  The ancient Greeks pioneered the Western idea of seeking to understand the natural world through non-supernatural means.  The two prevailing epistemologies, or methods of accepting validating ideas, were empiricism and metaphysics.  Empiricism is the basis of modern scientific thought and involves acquiring knowledge by using sensory observations.  Metaphysics refers to gaining understanding of existence through reason.  Both modes of exploration shaped the way that philosophers thought about human beings.

            Although empiricism is by far the most widely accepted epistemology in the Western world today, it is interesting to see how the two predominant methodologies parallel the two pieces of Cognitive Behavioral Therapy (CBT), one of the most common forms of therapy today.  Behaviorism is mechanistic in its approach, focusing on more easily observable biological methods of change, such as conditioning.  In contrast, the cognitive side of CBT relates to the mind; it involves correcting irrational beliefs that often underlie mental illnesses.  It is interesting to see how direct observation and reasoning have distinctive representative elements in both ancient and modern thinking.

            Behavioral therapy developed first.  Its foundation was the idea that reinforcement and punishment can change behavior patterns, and that exposing a person to something that they fear over a long period of time can lessen that fear.  Albert Ellis and other cognitive psychologists believed that ignoring a person's unobservable mental state neglected an important part of their difficulties.  Ellis' tried change the perspective of his patients so they could view themselves and their circumstances in a more functional way.  Aaron Beck created the cognitive therapy that is considered the main forerunner of modern practice, incorporating many of the elements of behavioral therapy to make it more integrative.

            Dr. Gantt, my History of Psychology professor, explained that he felt the materialist root of modern psychology naturally developed into the likes of behaviorism and evolutionary psychology, which are philosophically connected to determinism and moral relativism.  The consequences of ideas are modes of thinking that often directly contradict Gospel principles.  Navigating the modern field requires discernment and a willingness to question professional assumptions about human beings.  On one hand, Cognitive Behavioral Therapy can do a lot of good for many people.  On the other, we should not assume that it represents a perfect solution.


            While much has changed in psychology since Socrates and Plato were in their prime, in some ways it feels as though nothing has changed at all.  Although much different in its specific application, the same basic methods and assumptions that were active in ancient Greece are still viable today through the medium of the modern therapist, both for good and for ill.

Thoma, N,, Pilecki, B., & McKay, D. (2015). Contemporary cognitive behavior therapy: A review of theory, history, and evidence, Psychodynamic Psychiatry, 43(3) 423–462,
"Bonsai Rock Lake Tahoe," no changes made, by Joe Jiang. https://creativecommons.org/licenses/by-nc/2.0/legalcode

3 comments:

  1. It's interesting because, though psychological practices and theories have changed through history, human nature has not. It makes me wonder if the practices are all dependent on the individual rather than the community as a whole.

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  2. The idea of rewards and punishments being used to condition behavior is as old as time itself. Many of the first lessons we gain in mortality relate to this principle. I find it incredible that we can study and understand why these methods of persuasion work. Indeed, these two principles connect with almost everything any of us do: school, work, relationships, even religion.

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  3. I would definitely recommend reading "The Influencer" from VitalSmarts. They really goo through and take a psychological look at human behavior that goes so much deeper than the rewards/penalties system. Definitely a good read for anybody looking at influencing human behavior!

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