Alternative therapies are sometimes associated with non-biological approaches, or practices that do not undergo rigorous testing or produce consistently repeatable results. In the 1970s, some alternative therapies also openly embraced spiritual dimensions that directly conflicted with a Western bio-medical paradigm, placing them within a category of new age medicine, suggesting that such therapies were both eclectic and outside the boundaries of orthodox clinical care. The timing and location of these therapies reveals a particular context that gave rise to treatments seeking non-orthodox approaches, and arguably for a set of conditions that also emerged out of a Cold War context of affluence, dissatisfaction, and cultural anxiety. Some of these alternative therapies overlapped, with founders and consumers borrowing principles from different therapies to produce an approach that itself might be considered alternative to orthodox or mainstream western bio-medical practice. Situated predominantly on the American west coast, in California, these alternative therapies are illustrative of a regional culture of therapy. One, in particular, that embraced elements of radicalism alongside a collision of individualistic and collective approaches to care and responsibility. This article examines four such therapies: psychedelics, primal scream, nude therapy, and sociodrama. It is argued that beyond the inherent differences among them and their common flirtations with orthodox biomedicine, these four sets of practices are also historically significant for what they reveal about the place of psychology as a discipline after the Second World War. With each of these therapies, their history reveals a tension with psychoanalysis that attempts to redefine the relationship between the therapist and the patient. Although none of these therapies endured in their original form into the 21st century, revisiting this history offers insight into the changing state of psychotherapy in the latter half of the 20th century, and a focus on alternative therapies helps to elucidate some of the professional and cultural tensions that fuelled subsequent changes in the therapeutic landscape.
Erika Dyck and Emmanuel Delille
S.P.J. van Alphen and S.M.J. Heijnen-Kohl
Personality disorders severely impact a person’s functioning in many ways. Although a person may have found ways to cope throughout life, at an older age underlying dysfunctional patterns can emerge and cause much distress both for the person and those around them. Why normal personality traits shift to abnormality is not easily understood. In literature there are many theories with different definitions. In this chapter a few of the prominent theories on the description of personality will be discussed. For example, some psychologists have described personality as a complex pattern that is deeply tied to psychological characteristics that are largely unaware, hard to wipe out, and expressed in all aspects of functioning. Other psychologists define personality as individual differences in the tendency to display consistent patterns of thoughts, feelings, and behaviors. The American Psychiatric Association (2013) defines personality traits as enduring patterns in the way someone perceives, relates to, and thinks about the environment and oneself and that these patterns are exhibited in a wide range of social and personal context. These definitions of personality are all concerned with unique and stable characteristics in different situations. These theories are not age-specific, but age-related changes and differences in manifestations do occur. This complicates diagnosis as measurements for older adults have barely been developed or validated. The feasibility of measurements and various information sources will be addressed. Descriptions and diagnosis have the ability to enhance treatment for patients with personality disorders. Known treatment forms have successfully been applied to older adults as well and differing treatment levels will be distinguished. Treatment of first choice can be aimed at changing personality characteristics or enhancing adaptation, but in some cases supportive treatment is the best fit. In clinical practice a variety of possible interventions is needed to provide the best care for different manifestations of personality disorders.
Sexual science or sexology arose in the last three decades of the 19th century when psychiatrists and neurologists began to study and treat deviant sexualities as sickly “perversions.” The new science of experimental psychology did not engage with this morally contested subject. Research into sexuality was rooted in a biomedical and clinical approach. All the same, in the late 19th and early 20th centuries, some medical experts increasingly explained perversion as well as regular sexuality in a psychological way. This trend was intertwined with the changing definition of sexuality as either a pushing or a pulling force, which pertained not only to biological versus psychological interpretations, but also to the contrast between nature and culture, male and female sexuality, and pessimistic and optimistic evaluations. All of this has contributed to the shaping of the modern concept and experience of sexuality and also to its sociopolitical regulation in the 20th-century Western world.
Gabriel Ruiz and Natividad Sánchez
Transnational historiography, which emerged in the 1990s, covers historical phenomena that transcend the boundaries of the nation-state, analyzing the processes of circulation, transformation and hybridization of scientific ideas and practices across national frontiers. When scientific knowledge flows between different countries, the ideas that emerge in one particular national context adapt to the new local contexts of their hosts, with their particular cultural, social, political and scientific traditions. In psychology, the transnational approach provides a productive theoretical framework capable of going beyond the traditional US-centered perspective that has dominated the historiography of psychology since the mid-20th century. This US-based historiography has, for example, interpreted the historical influence of I. P. Pavlov in terms of two main factors: his methodological contribution—the conditioned reflex—and the existence of a behaviorist tradition in the receptor psychology community. However, a more global analysis questions the need for these two elements and, at the same time, offers insights into the conditions that facilitated or hindered the flow of Pavlovian science beyond the United States. Thus, for example, between 1903 and 1970 the dissemination and appropriation of the Pavlovian science of conditioned reflexes took two different routes: in America, scientific aspects and factors dominated; whereas elsewhere, politics prevailed over science. This happened in countries such as China, Cuba, and Spain, with dictatorial regimes at different ends of the political spectrum, where Pavlov’s work arrived under the auspices of government programs to modernize scientific and clinical institutions. Once Pavlov’s ideas had been introduced through reform programs in each country, they were accepted or rejected depending on whether the sign of the regime in question converged with the ideology prevailing in the Soviet Union, which it did in China and Cuba, but not in Spain. In these countries, where psychology did not have strong institutional roots and behaviorism was not a dominant approach, Pavlovian ideas found a receptive audience among health professionals-doctors, psychiatrists, and clinical psychologists - keen to embrace new ideas and treatments for mental disorders. Thus, from a transnational perspective, the global repercussion of Pavlov’s ideas went far beyond the strictly methodological sphere.
Two different but related developments played an important role in the history of psychologists in the fields of mental health care in Germany during the 20th century. The first development took place in the field of applied psychology, which saw psychological professionals perform mental testing, engage in counseling and increasingly, in psychotherapy in practical contexts. This process slowly began in the first decades of the 20th century and included approaches from different schools of psychotherapy. The second relevant development was the emergence of clinical psychology as an academic sub-discipline of psychology. Having become institutionalized in psychology departments at German universities during the 1960s and 1970s, clinical psychology often defines itself as a natural science and almost exclusively focuses on cognitive-behavioral approaches. There are four phases of the growing relationship between psychology and psychotherapy in Germany in which the two developments were increasingly linked: first, the entry of psychology into psychiatric and psychotherapeutic fields from approximately 1900 until 1945; second, the rise of psychological psychotherapy and the emergence of clinical psychology after World War II until 1972, when the diploma-regulations in West Germany were revised; third, a phase of consolidation and diversification from 1973 until the pivotal psychotherapy law of 1999; and fourth, the shifting equilibrium as established profession and discipline up to the reform of the psychotherapy law in 2019. Overall, the emergence of psychological psychotherapy has not one single trajectory but rather multiple origins in the different and competing academic and professional fields of mental health care.