Psychotherapy | Page 4

Hugo Münsterberg
such statements as are afloat among the masses to-day is reached only by a juggling with words. That faith can cure appears to point towards the higher world, as the word faith has there the connotation of the faith in a religious sense; and yet the faith which really cures a digestive trouble, for instance, is the faith in the final overcoming of the intestinal disturbance, an idea which belongs evidently in the region of physiological psychology, but not in the region of the church. Yet, however clumsy such statements may be, they are surely controlled by the instinctive desire for a new idealistic order of our life, and the time will come when their unreasoning and unreasonable wisdom will be transformed into sound philosophy without losing its deepest impulse. The realistic conviction that even the mind is completely controlled by natural laws and the idealistic inspiration that the mind of man has in its freedom mastery over the body, are thus most curiously mixed in the popular psychotherapy of the day, and too few recognize that the real meaning of mind is an entirely different one in these two propositions.
Of course the one or the other of these two elements prevails in the systematic treatises on the subject; the realistic one in those written by the psychiatrists, the idealistic one in those written by clergymen or Christian Scientists. The literature indeed is almost entirely supplied from these two quarters: and yet it is evident that neither the one nor the other party can give to the problem its most natural setting. The student of mental diseases naturally emphasizes the abnormal features of the situation, and thus brings the psychotherapeutic process too much into the neighborhood of pathology. Psychotherapy became in such hands essentially a study of hypnotism, with especial interest in its relation to hysteria and similar diseases. The much more essential relation of psychotherapy to the normal mental life, the relation of suggestion and hypnotism to the normal functions seemed too often neglected. Whoever wants to influence the mind in the interest of the patient, must in the first place be in intimate contact with psychology. On the other hand, the minister's spiritual interest brings the facts nearer to religion than they really are. That a suggestion to get rid of toothache, or to sleep the next night, is given by a minister, does not constitute it as a religious suggestion. If the belief in religion simply lies alongside of the belief in most trivial effects, and both are applied in the same way for curing the sick, it is evident that not the spiritual meaning of religion is responsible for the cure, but the psychological process of believing. But if that is the case, it is clear that here again the psychologist, and not the moralist, will give the correct account of the real process involved. In short, it is psychology, psychology in its scientific modern form, which has to furnish the basis for a full understanding of psychotherapy. From psychology it cannot be difficult to bridge over to the medical interests, on the one side, to the idealistic ones on the other side.
Our task here is, therefore, to lay a broad psychological foundation. We must carefully inquire how the modern psychologist looks on mental life and how the inner experiences appear from such a psychological standpoint. The first chapters of this volume may appear like a long, tiresome way around before we come to our goal, the study of the psychotherapeutic agencies. And yet it is the only possible way to overcome the superficiality with which the discussion is too often carried on; we must understand exactly how the psychological analysis and explanation of the scientist differ from the popular point of view. After studying in this spirit the foundation of psychotherapy, we shall carefully examine the practical work, its methods and its results, its possibilities and its limitations. We shall inquire finally into the place which it has to take, looking back upon its history, criticising the present status and outlining the development which has to set in for the future, if a haphazard zigzag movement is not to destroy this great agency for human welfare by transforming it into a source of superstition and bodily danger.

PART I
THE PSYCHOLOGICAL BASIS OF PSYCHOTHERAPY

II
THE AIM OF PSYCHOLOGY
The only safe basis of psychotherapy is a thorough psychological knowledge of the human personality. Yet such a claim has no value until it is entirely clear what is meant by psychological knowledge. We can know man in many ways. Not every study of man's inner life is psychology and the careless mixing of different ways of dealing with man's inner life is largely responsible for the vagueness which characterizes the popular literature of psychotherapy. It is not enough to say
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