To penetrate the opaque, to lift the weight and let the self escape its frozen image—this is the essence of psychotherapy, a process described with extraordinary grace and warmth in this book. In remarkably candid portraits of patients at odds with themselves, Leston Havens takes us through the wonders and rigors of psychological healing and shows us what it really means, in immediate, human terms, to come to life.
We are all captives of the images we carry with us—and those we inspire—and therapy seeks to expose the relation of these images to a deeper psychological life, to free the captive from labels and crippling assumptions. Havens views this process through the multiple lenses of literature, art, and psychiatry. In rich clinical portraits, short on jargon and rigid techniques and long on empathy and wisdom, we encounter ordinary people struggling with the trials of their own existence: marriage and divorce, sexual identity and fulfillment, illness and death. We meet a woman imprisoned by eager responses to her beauty and helpfulness, a proud lawyer in thrall to conventional expectations, a dying man becoming more and more alive as he approaches death.
Through these very personal stories, Havens explores the meaning of psychological health—how it can be recognized through the filter of images and ideas, protected from their distorting power, and encouraged to flourish. The result is a revealing and deeply moving explication of the process of self-discovery as it emerges from the life story that therapy can tell.
Since 1955, moving from early work in psychopharmacology to studies of clinical method and the psychiatric schools, Leston Havens has been working toward a general theory of therapy. It often seems that twentieth-century psychiatry, sect-ridden, is a Tower of Babel, as Havens once characterized it. This book is the distillation of long years of thought and practice, a bold yet modest attempt to delineate an “integrated psychotherapy.”
The boldness of this effort lies in its author’s willingness to recognize the best that each school has to offer, to describe it cogently, and to integrate it into a full response to today’s new kind of patient. Descriptive or medical psychiatry, psychoanalysis, interpersonal or behavioristic psychiatry, empathic or existential therapy-viewed in metaphors, respectively, of perceiving, thinking, managing, feeling-all have useful contributions to make to contemporary methods of treatment. But how? Havens’s modest answer is through appropriate language, and he demonstrates exactly what he means: when to ask questions, when to direct or draw back, when to sympathize.
Practitioners now must deal with less dramatic, but more stubborn, problems of character and situation; lack of purpose, isolation, submissiveness, invasiveness, deep yet vague dissatisfaction. Some kind of human presence must be discovered in the patient, and Havens gives concrete, absorbing examples of ways of “speaking to absence,” of making contact. The emphasis is on verbal technique, but the underlying broad, humane intent is everywhere evident. It is no less than to transform passivity, by means of disciplined therapeutic concern, into a state of being Human.
A psychiatrist writes a letter to a journal explaining his decision to marry a former patient. Another psychiatrist confides that most of his friends are ex-patients. Both practitioners felt they had to defend their behavior, but psychoanalyst Arnold Goldberg couldn’t pinpoint the reason why. What was wrong about the analysts’ actions?
In Moral Stealth, Goldberg explores and explains that problem of “correct behavior.” He demonstrates that the inflated and official expectations that are part of an analyst’s training—that therapists be universally curious, hopeful, kind, and purposeful, for example—are often of less help than simple empathy amid the ambiguous morality of actual patient interactions. Being a good therapist and being a good person, he argues, are not necessarily the same.
Drawing on case studies from his own practice and from the experiences of others, as well as on philosophers such as John Dewey, Slavoj Žižek, and Jürgen Habermas, Goldberg breaks new ground and leads the way for therapists to understand the relationship between private morality and clinical practice.
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