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Davies J 2006 A Unanimity of Purpose Som
Davies J 2006 A Unanimity of Purpose Som
Davies J 2006 A Unanimity of Purpose Som
JAMES DAVIES
One aim of writing a ‘response’ is to tease from the event reviewed its less
explicit aspects, to render implied themes overtly declared and thus, in short,
with the benefit of hindsight, to uncover that which was too ‘close up’ at the
time to be clearly discussed and examined. A response is therefore usually less
a summary or descriptive account than an exposé of an event, one that should
aspire to reveal from the observed event dimensions that would otherwise
remain concealed. It was with this thought in mind that the present
editorial committee considered whether an anthropological assessment of
the symposium might yield some novel reflections. Since I am both a social
anthropologist and a psychotherapist I was therefore asked, and, while due to
my dual position I claim neither any special impartiality nor any special ability
to achieve this task, I do admit to a certain desire to perform it, such was the
importance of the symposium’s theme and the thoughtfulness and ingenuity
of many of those who addressed it. I only hope what little I have to say might
be of some use.
Anyone who reads this current issue will quickly surmise that the
conference constituted one of the most comprehensive gatherings of different
therapeutic traditions assembled in recent years. And yet, as can be expected
from the meeting of such diverse representatives, enough themes emerged for
consideration to intimidate anyone who attempts in a short space a general
appraisal. Therefore, to avoid overwhelming both myself and my readers,
let me focus intimately on one theme alone, rather than pass cursorily
over many. The theme I have chosen, or, as I should say, the theme that has
them, are less able to have recourse. Newer trainings in recent years have
therefore sought legitimacy from alternative sources – i.e. synchronically.
They have appealed to higher-prestige, present-day institutes residing outside
the therapeutic community – e.g. either by establishing horizontal alliances
with universities which ratify courses or by adapting their research traditions
to current government-initiated REA regulations, etc. This search for
legitimacy from contemporary institutions makes them not only more
inclined to negotiate with the State (the State, after all, being the conferrer
of legitimacy par excellence), but better equipped to do so insofar as newer
schools are freer of the conservatism that can inhibit ready adaptation to
modern state preferences.
This more fluid position enjoyed by bodies that regulate newer trainings
places them in an interesting position in relation to those that regulate
more established institutes. As another conference delegate confessed to me
informally:
Many realize that there is kind of a class-structure in psychotherapy where the privileged,
the older traditions, have resisted change to a system which places them, in terms of prestige,
on top. The new bodies sense this and thus push for democratization by any means possible –
this conflict of interests creates tension in a system where certain parties want continuity
and others change.
Not that this tension need be wholly negative, for it has compelled
traditions reluctant to speak to each other into animated discussion. What is
more problematic is if what is feared becomes manifest, forcing, as Nick
Totton has phrased it, the ‘local knowledge’ of individual therapies to become
subordinate to an ‘expertise’ or ‘standardized’ model which suppresses
variations in practice and training (e.g. if the State mandates across the board
a practice particular to one tradition – e.g. the BACP’s that personal therapy
for trainees should not be mandatory). While such standardization will not
offend the party whose vision it privileges, it will generate vigorous opposition
and dissent from traditions whose values it contradicts. The fear that the
powerful will contrive a rigid structure into which all else are forced to submit,
is one realistic enough to prompt the pursuit of an alternative vision – and
indeed the State has offered one. It runs as follows.
medical culture, it lost its autonomy step by step, gradually handing over the
privilege of defining its practices and training procedures to the monolithic
culture of medicine. Psychoanalysis became solely identified as a ‘medical
cure for neurosis’, losing its moorings in Freud’s original vision of analysis
as a depth psychology concerned with inculcating a new radical vision of the
person and a pragmatic philosophy of self and life.
In Britain we are fortunate that medical pragmatics do not currently
determine the regulation of therapies and that the various traditions of our
community still retain some amicable relations. While this may offer some
cause for optimism, noticing how the push for regulation has developed
elsewhere offers a warning. The rush for recognition and security with
which most of our traditions are now occupied cannot be so powerful as to
blind them to the consequences of the ‘each against all’ mentality that has
dominated elsewhere. A fragmented community is a weakened community,
proliferating, for each separate component, its potential number of
antagonists.
That the conference proceedings suggested that the traditions of our
community could actually unite vis-à-vis the more powerful institution of the
State (e.g. by rejecting ‘state regulation’ for ‘statutory regulation’ – namely,
opting to govern ourselves under state sanction).3 Establishing this unity
is consistent with how the community in Britain has always functioned.
Throughout our history individual training institutes have continually formed
strategic alliances with other institutes whom at different times they have
opposed. For instance, the wrangling that once characterized relations
between different analytic institutes (e.g. the Institute of Psychoanalysis and
the Society for Analytical Psychology) has today receded to allow an amicable
alliance under the umbrella of the BPC. In fact, beneath this canopy now lie
a myriad of analytic schools that at one point resided in conflict. Unravelling
the problem of this change, this softening of enduring rivalries, is assisted by
noting that all such ‘segmentary alliances’ imply the proximity of a greater
external danger, for nothing better resolves the enmity of old adversaries
than a new, nearing and shared threat. As the threat today, as Nick Totton
phrased it, comes from an ‘expertise model’ that could be imposed from
without, our alliances could be extended to encompass the protection of the
traditions themselves. In other words, in addition to the protection that
our individual institutes now enjoy under their various accrediting bodies
(the BPC, UKCP, BACP, etc.), we might think of an informal overarching
body established with the sole purpose of protecting these traditions from the
forces of homogenization pressing upon us (we think here of the State’s
request that we enter the Health Professions Council, and thus concede
regulation to a state-run agency). This segmentary alliance, forged at a higher
level of abstraction, might be the best response to the challenges that we as a
community now face.
In the end, offering these general reflections I believe to be articulating
not only a private predilection, as well as a wider hope growing within
the community, but also a realistic option that may be preferable to the
alternatives outlined in this paper. Indeed, that the conference at Roehampton
The unanimity of purpose 443
University took place at all was evidence enough that our traditions can talk
and that some kind of unanimity of purpose can be established. This for me
was the true lesson of the conference, one that in this response I have worked
to highlight, for it is only by recognizing a latent possibility that we can begin
the arduous task of working to exploit its potential – a fact that all those who
work with patients/clients know only too well.
Notes
[1] The State’s resistance to heterogeneity is well-documented. As Abram
and Morgan-Jones stated, as early as 1975, ‘perceiving that there
was some conflict amongst psychotherapists. . .the DHSS stated that
legislation would not be possible until a coherent picture of psychother-
apy could be presented’ (Abram and Morgan-Jones, 2001, p. 34). This
message was again repeated in 1993: ‘Before official recognition can be
considered we will need to be satisfied that it represents all the major
psychotherapeutic approaches’ (Pokorny, 1995, quoted in Abram and
Morgan-Jones, 2001, p. 34).
[2] This feeling has been emphasized by the National Council of
Psychotherapists who write on their website: ‘Without open consultation
or discussion, the Department of Health has used £96,000 of public
money to selectively sponsor two of the field’s largest trade associations
in an attempt to overcome its frustrated efforts to regulate the field.
These associations [the BACP and UKCP] are effectively being given
the power to define job titles and roles, and deem what practitioners
training and qualifications will be acceptable’. See ‘Governments
Plans for Statutory Regulation are Furtive, Defy Research Evidence,
and Let Big Business Carve up the Field’ Available at: < http://
www.natcouncilofpsychotherapists.org.uk/warning.htm> (accessed July
2006).
[3] But it is not only the BACP and UKCP that are under suspicion. On the
website of the College of Psychoanalysts we read a passage written in
April 2006: ‘BPC continues to engage in discussions with the AP-PP
Section of UKCP. However, BPC still publishes nothing to the outside
world on its proposals in regard to state regulation. Almost a year ago
they launched their new website with a News section. In fact no news has
ever been posted there, other than the tantalising statement ‘‘This
section is currently being developed’’. There is still no indication
of whether they intend to make their own separate application
to HPC. . ..The question of state regulation remains a serious issue
and it is surely incumbent upon all the relevant voluntary regulatory
bodies to be open about their proposals, which are likely to have a lasting
effect on all practitioners.’ See, ‘Latest Developments towards
State Regulation’. Available at: < http://www.psychoanalysis-cpuk.org./
latest%20news.html l> (accessed July 2006).
444 J. Davies
Reference
Symington, N. (1986). The analytic experience: Lectures from the Tavistock. London: Free
Association Books.