ABSTRACT

This book attempts to ‘shake up’ the current complacency around therapy and ‘mental health’ behaviours by putting therapy fully into context using Social Contextual Analysis; showing how changes to our social, discursive, and societal environments, rather than changes to an individual’s ‘mind’, will reduce suffering from the ‘mental health’ behaviours.

Guerin challenges many assumptions about both current therapy and psychology, and offers alternative approaches, synthesized from sociology, social anthropology, sociolinguistics, and elsewhere. The book provides a way of addressing the ‘mental health’ behaviours including actions, talking, thinking, and emotions, by taking people’s external life situations into account, and not relying on an imagined ‘internal source’. Guerin describes the broad contexts for current Western therapies, referring to social, discursive, cultural, societal, and economic contexts, and suggests that we need to research the components of therapies and stop treating therapies as units. He reframes different types of therapy away from their abstract jargons, offering an alternative approach grounded in our real social worlds, aligning with new thinking that challenges the traditional methods of therapy, and also providing a better framework for rethinking psychology itself. The book ultimately suggests more emphasis should be put on ‘mental health’ behaviours as arising from social issues including the modern contexts of extreme capitalism, excessive bureaucracy, weakened discursive communities, and changing forms of social relationships.

Practical guidelines are provided for building the reimagined therapies into clinics and institutions where labelling and pathologizing the ‘mental health’ behaviours will no longer be needed. By putting ‘mental health’ behaviours and therapy into a naturalistic or ecological social sciences framework, this book will be practical and fascinating reading for professional therapists, counsellors, social workers, and mental health nurses, as well as academics interested in psychology and the social sciences more generally.

part 1|89 pages

Dissecting current therapies

chapter 1|10 pages

Psychology, pop psychology, and common-sense psychology

Whatever were they thinking for 150 years?

chapter 3|23 pages

What do therapists say about what they do?

Theories and marketing of therapy

chapter 4|26 pages

What do therapists do, in general?

‘Applying treatments’ as a misleading metaphor

chapter 5|12 pages

How do therapists respond?

Implicit and explicit social relationships of therapies

part 2|25 pages

A new approach to stop pathologizing and exoticizing ‘mental health'

part 3|75 pages

Rethinking ‘mental health' as living in restrictive bad life situations

chapter 8|23 pages

Contextual models of ‘mental health' behaviours

Behaviours shaped by restrictive bad life situations

chapter 9|24 pages

How changing context can change action, talking, and thinking

Analysing collateral and legacy effects

chapter 11|20 pages

Reimagining ‘treatments' in their social and societal contexts

What do we do instead?