Adam Blatner

Words and Images from the Mind of Adam Blatner

Changes in “Therapy”

Originally posted on November 20, 2017

Moreno’s vision was for "all the world;" but psychotherapy has been becoming far, far more expensive—at least in the USA—pricing itself out of the market of anyone not diagnos-ably "sick" and helped by payments from health insurance. Happily, more de-facto “pseudo-therapists” in the guise of  “coaches” are cropping up with little quality control over qualifications. Psychotherapy may thus be pushed out of the treatment of mild psychological “problems,” and become more for used for complementing medication—i.e. adjunctively.

On the other hand, self-exploration, which requires “psychological-mindedness” is moving from the far periphery toward the center. (As of now, though, the center is rather non-psychologically minded. For many of them, the “leader” has the “answers!

Back within the boundaries of recognized “therapy,” various non-evidence-based therapies also are being excluded in favor of those few that work with Cognitive-Behavior Therapy (CBT)—or for really "sick" people, Dialectical Behavior Therapy (DBT)—or for addicts or food-aholics—Motiviational Interviewing (MI)—all scientifically proven to work, statistically, whereas the others “don’t work” for a broad population, statistically.

In other words, let’s deconstruct “psychotherapy” from being conducted along many separate schools of thought and instead make some efforts towards a united front. Psychotherapy should become an informal aggregate of efforts that are a sub-set of psycho-education!
Meanwhile, the various types of psychological-mindedness (including social-minded-ness and Moreno’s thoughts) should be recognized as making significant inroads into the medical model of therapist-patient setting. In general the non-psychotherapeutic efforts toward this end be more clearly acknowledged, including efforts aimed not at individuals but at society in general, through education, for example, and in-service training at work..magazine articles, etc. In other word, psychotherapy should become psycho-education and enter the mainstream from that directions.

A majority of people in general and even psychodramatists don’t appreciate how much of Moreno’s work is not aimed specifically at the sick role. This resonates with Freud’s venture into psychoanalysis and in the 1930s the extensions of depth psychology well beyond the medical model of doctor-patient individual psycho-therapy demanding huge fees.

The point is that perhaps Moreno’s methods should begin to more clearly and definitively prepare to begin to make the break of over-identification with psychodrama-as-psychotherapy for those who are in the sick role, and turn with more emphasis to psychodramatic methods being integrated with many approaches, in education, in religion, in business, etc.

As for me, I’m withdrawing from psychodrama as psychotherapy, which treats people who are fragile and require professionalism. I’m just not doing that any more. I’m more interested in psychodrama in business or education, recreation or religion, fields not hemmed in by strict professional identities and qualifications.

Although I was indeed highly qualified, I realize that psychodrama might easily be also called enhanced simulations, blending in with other creative arts approaches, transcending "therapy”— which is where psychodrama "grew up." But like so many youth today, it feels it  needs to declare independence from its parent who was professional identified with "doing therapy." Certainly, it’s an adventure of the mind for those who enjoy it. For those who don’t, some go along, some don’t. But I hereby renounce my role as ‘doctor’ or helper.


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