Bruno Bettleheim |
One of the lagniappes of psychoanalysis is the
philosophical attitude it takes towards mental illness. There is no cure for
life. In fact in Charlie Kaufman’s masterpiece Syndechoche, New York (2008) that is
precisely the mysterious illness that afflicts the main character, Caden Cotard, played by Philip
Seymour Hoffman. The DSM-5 offers a smorgasbord of
diagnoses that offer the illusion or delusion that there is some sort of cure
for mental states which is achieved by 1)naming them 2)medicating them and 3)making
them insurable. This is not to say that there aren’t severely ill patients who don’t benefit greatly from medication. But these days
every other person you talk to is either bipolar, ADHD or if their behavior is
more over the top, borderline. And having received one of these diagnosis a
buffet of medications awaits these sufferers. It’s not surprising that the Times
recently ran a front page piece about the abuse of attention deficit disorder diagnoses,
emphasizing the beneficial effect the diagnoses are having on the profits of
the drug companies (“The Selling of Attention Deficit Disorder,” NYT,
12/14/13). What’s most disturbing is that much of the medicating is being done
willy-nilly by the worst kind of practitioners, those suffering from the
arrogance of not knowing how little they know. Moliere would have had fun
writing a parody of these Tartuffe’s of psychiatry. Perhaps he might have
called it “Le docteur imaginaire.” When Bruno Bettleheim wrote Freud and Man’s Soul :An Important Reinterpretation of Freudian Theory back in l982, he was dealing with the American psychoanalytic establishment’s need to use language as way of making psychoanalysis more
scientific sounding. The fact is that while analysis may be quite helpful to
the small number of patients who have the time and money to afford it, it’s hardly
what one would classify as a scientific discipline. And that’s probably the
good part. Psychoanalysis might not be the cure for ADHD or bipolar disorder,
but it offers a broad view of human existence that attends to the one part of the human being that you can’t locate on an MRI or FMRI for that matter--the soul.
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