Jeremy Safran

“McMindfulness.” I came across this term for the first time today. I wish I had coined it. It would be nice to be able to make a claim to originality. But coming across the term is almost good enough. It provides a name for a phenomenon that I didn’t even know needed one, and it makes it real. I don’t think anyone knows who coined this term. It’s kind of like “neoliberalism.” Suddenly there is a name for something you know is a problem — an important problem that can be difficult to put your finger on.

Mindfulness practice is a meditative discipline, originating in Buddhism, that involves the cultivation of a type of present-centered, nonjudgmental awareness of the ongoing flow of one’s emerging experience. While mindfulness enjoyed some popularity in the 1960’s as a countercultural phenomenon …

These are troubling times for the mental health field in the United States. A variety of historical developments have paved the road to the current predicament. Following World War II, the federal government and growing mental health lobby began an unprecedented expansion of mental heath services. This expansion in may respects continued over the next 30 years. It was not until the 1970s that American psychiatry underwent its first major crisis in the post war era. This crisis was precipitated by a number of factors including: the growing evidence of the lack of reliability of psychiatric diagnosis, the anti-psychiatry movement that was in keeping with the counter-cultural ethos of the 1960s, and a growing crisis of confidence regarding psychiatry’s status as a genuine medical specialty. …

Over the last decade the field of positive psychology has become a burgeoning area of research within academic psychology. Well known figures in positive psychology include Martin Seligman (developer of the well known learned helplessness model of depression and past president of the American Psychological Association), Mihaly Csikszentmihalyi (creator of the construct of flow), and Daniel Gilbert (author of the widely acclaimed Stumbling on Happiness). The field of positive psychology focuses on developing a scientific understanding of positive human experiences and virtues. Important research areas include happiness, optimism, fulfillment, compassion, and gratitude. The field positions itself in contrast to traditional approaches to mental health, which focus on psychopathology and treating mental illness. The roots of positive psychology can be traced to the field of humanistic psychology, which peaked in popularity during the 1960s. Well known pioneers of humanistic psychology included Abraham Maslow, Carl Rogers, and Fritz Perls. …

A recent New York Times article reports that a new study published in the New England Journal of Medicine found that patients receiving one of the most commonly performed forms of knee surgery (arthroscopic surgery to repair a torn meniscus) did no better than those receiving a placebo treatment. In the study, patients with meniscus tears were randomly assigned either to the standard surgical procedure, or a sham surgical procedure, which involved making an incision without touching the meniscus. One year following treatment, the majority of patients in both genuine surgical and placebo conditions reported feeling better. Moreover, the majority of patients in both conditions said that they would undergo the same treatment again. The authors of the study conclude that their findings (taken together similar findings from previous studies) raise important questions regarding best practice standards of care for the treatment of knee problems.

From my perspective, the finding that the majority of patients in the placebo condition experienced the procedure as helpful, is just as important and perhaps more conceptually intriguing. …

For decades psychoanalysis dominated professional approaches to mental health in the United States and had an influential impact on our culture. Starting in the late 1960s, however, psychoanalysis has become increasingly marginalized. Here, I will argue that psychoanalysis has always contained both subversive and conservative threads. As the historian Nathan Hale argued, Americans modified psychoanalysis to solve a conflict between the more radical implications of Freud’s views and the conformist pulls of American culture. This process of domestication enabled Americans to enthusiastically embrace psychoanalysis for a period of time. But they did so at the cost of transforming psychoanalysis in ways that ultimately contributed to its decline. Yet, ironically, the current marginalizaton of psychoanalysis may contain the seeds of a more radical psychoanalysis that serve as a healthy and constructive counter-cultural force moving forward…