The Medicalization of Psychotherapy Practicing under the Influence [Hardcover]

The conditions of psychotherapy have changed significantly in the biomedical era. This useful and thoughtful book explains how those changes work from the inside, and how they alter the moral climate of care itself.Dr. Olney has captured the fundamental contradictions within the system of capitalistic health care. The economic powerhouses of insurance and pharmacy companies now drive everything from diagnoses, to treatment plans, to the personal philosophies of the practitioners in the direction of profit rather than the direction of healthy patients/clients. The managed care and best practices required by insurance companies and supported by pharmaceutical companies selectively ignore large areas of psychological research while emphasizing brief and biologically-based treatments. Interestingly, Olneys deeply probing interviews with mental health practitioners suggest that in spite of these powerful economic influences, a humanistic undercurrent continues to thrive as a kind of underground opposition. Her interviewees reveal their willingness to play the CBT/medication game for insurance reimbursement while believing that empathy, human connection, and self-awareness carry tremendous power for healing. The book provides a fascinating view of cynical practice being undermined by humanist care.This book is an ethnographic account of the practice of clinical psychology under the auspices of the reductionism of biomedicine. Sylvia Olney uses Peircean linguistic analyses to naturalize consciousness by validating the dimensions of mind and intention to restore psychotherapy to its place as a significant healing art.The Medicalization of Psychotherapy: Practicing under the Influence is an ethnographic account of the practice of clinical psychology under the reductionist auspices of biomedicine. Using Peircean semiotic analysis focusing in particular on modes in meaning-making, Sylvia Olney proposes that consciousness should be accorded the same conceptual and value statuslC‰