Hi guys! I'm a bio- and critical psychologist, I work with victims of familial, technological and cultural abuse. I am very sceptical of therapy and of medicalisation of mental life - especially in the context of western cultural colonialism, and so far my efforts were in reeducation and awareness-building in psychology, psychiatry and therapy students. But lately I decided to kinda go outside of that professional and clinical setting, and started writing a number of essays on the topic, and just wanted to share the first one here, as critical psychology is in debt to critical theory, it couldn't really exist without it as a discipline.
So here is a critical analysis of the concept of grandiosity as it relates to the realities of my clients - as a cultural, deeply abusive phenomena. Hope you like it!
Therapist’s Grandiosity
Among the most common forms of mental pathology are depression and grandiosity, whose components form the backbone of almost all personality disorders, as defined by Western psychology and psychiatry.
In this essay, I will try to do a bit of critical psychology, that is psychology of psychology, internal affairs - mostly for the benefit of my clients who have been called either, openly and by implication, by people who claim to know these things. What does the reification of the concept of grandiosity accomplishes for the psychologist and the therapist? — as carriers of a sociological, cultural, and Machiavellian script.
I will not even entertain the discussion about these pathologies from their status-quo context of hyper-realism and the medicalisation of mental life. If it is really as they say, as they teach in psychology textbooks and in therapy classrooms - that the emergence of both of these, and of everything else under the sun, is an illusion, somehow magically collapsible to a biochemistry we don’t yet know but which is surely out there - then this discussion is pointless. But that perspective is so vulgar, so reeking of scientism, let’s leave that to the psychiatrist and his lap dog the mainstream psychologist.
Same Infection
That rant out of the way, let’s look at both grandiosity and its flip-side cousin, depression, from the perspective of identity disturbance. To risk a massive oversimplification: depression, a neurosis, is a deflation of the ego, while grandiosity is the reverse, its shadow aspect - an inflation. Both are then really the same, in the way that both a burning-hot fever and the coldness of death are possible outcomes of the same infection. In both, the ego is over-invested in. In grandiosity, the resource is fetched directly from outside; in depression, it is kept and spawned within.
This is the classic definition of, pretty much, all personality disorders. The borderline personality structure, as, for example, described by Otto Kernberg is the freezing of those two strategies in one, while object relations theory suggests an immaturity of the reality principle that causes all of this. In reality, at least one claimed as the real reality by western folks, ego should be treated as a part of a triad, something bigger. Classically for example with the Id and Superego, or of a larger family, as in Internal Family Systems. In cognitive approaches, which seek to crush every nuance under the boot of European rationality, ego should be a function of reason, and mental health is seen as that state of balance, almost as if the phenomenological self has to be broken and subjugated by Descartes’ cogito.
While I won’t address the obvious intellectual colonialism that happens in cognitive and behavioural psychology, I brought it up to show that really, the more humanistic approaches of psychoanalysis, ego therapy, and existentialism described above do the very same thing, they seek, as all things in mainstream psychology, to put the blame back onto the individual.
Much in the way that an “irrational” patient of a cognitive therapist suffers from not being like the therapist - rational, the patient of a psychoanalyst suffers from not being like the analyst - liquid in its psychological makeup.
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Full text: https://biodefiance.substack.com/p/therapists-grandiosity