On Commodifying The Care of The Soul: A Critical Hermeneutic of Profiting in Therapeutic Practice
This dissertation seeks to critique psychotherapy as a commodified practice and is, thus, concerned with the ontological questions and concerns raised in understanding the lifeworld of profiting-as-process in the exchange of money and the collection of fees within psychotherapeutic care. As such, I seek to address the following question: has therapy become something other than its original practice or intention when it began to profit and be commodified? A phenomenologically rooted critical hermeneutic exploration of this process is employed to help reveal the hidden connections between the symbolic relations of money and profiting and the social networks of power that maintain psychotherapy as a commodified practice. This work is not concerned with the linear origins of the commodification of psychotherapy, per se. Rather, it seeks to trace the happenstance meeting of, and relational changes in, the forces that transformed psychotherapy into a service to be produced, marketed, purchased, and consumed. A phenomenological exploration of when and how therapy became paid, the historical-cultural contexts and situatedness of when this occurred, and what became of therapy will be utilized. This will include a phenomenological understanding of profiting in general and its presence in therapeutic practice in particular. This will unfold non-linearly in a genealogical analysis as proposed by Nietzsche, morphing in a Foucaultian understanding of this approach, and taking such forms as critical hermeneutics as proposed by Koegler, through metabletics. Lastly, the final chapter of this dissertation will explore the possibility of a non-commodified psychotherapy.
0622: Clinical psychology