A provocative look at America on the couch.In Psychotherapy as Religion, William Epstein sets out to debunk claims that psychotherapy provides successful clinical treatment for a wide range of personal and social problems. He argues that the practice is not a science at all but rather the civil religion of America, reflecting the principles of radical self-invention and self-reliance deeply embedded in the psyche of the nation. Epstein begins by analyzing a number of clinical studies conducted over the past two decades that purport to establish the effectiveness of psychotherapeutic treatments. He finds that each study violates in some way the standard criteria of scientific credibility and that the field has completely failed to establish objective procedures and measurements to assess clinical outcomes. Epstein exposes psychotherapy’s deep roots in the religious and intellectual movements of the early nineteenth century by demonstrating striking parallels between various types of therapy and such popular practices as Christian Science and spiritualism. Psychotherapy has taken root in our culture because it so effectively reflects our national faith in individual responsibility for social and personal problems. It thrives as the foundation of American social welfare policy, blaming deviance and misery on deficiencies of character rather than on the imperfections of society and ignoring the influence of unequal and deficient social conditions while requiring miscreants to undergo the moral reeducation that psychotherapy represents. This is a provocative, brilliantly argued look at America on the couch. Psychotherapy as Religion is essential reading for anyone interested in the history and current state of mental health.

William M. Epstein charges that most current social welfare programs are not held to credible standards in their design or their results. Rather than spending less on such research and programs, however, Epstein suggests we should spend much more, and do the job right.
     The American public and policymakers need to rely on social science research for objective, credible information when trying to solve problems of employment, affordable housing, effective health care, and family integrity. But, Epstein contends, politicians treat welfare issues as ideological battlegrounds; they demand immediate results from questionable data and implement policies long before social researchers can complete their analyses. Social scientists often play into the political agenda, supporting poorly conceived programs and doing little to test and revise them. Analyzing Aid to Families with Dependent Children (AFDC) and the recent welfare reform act, Food Stamps, Medicaid, job training, social services, and other programs, Epstein systematically challenges the conservative’s vain hope that neglect is therapeutic for the poor, as well as the liberal’s conceit that a little bit of assistance is sufficient.