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Useful Untruths: Another Look at Pluralism in the Clinical Setting.
131 Washington Square West, PHA, New York, New York 10011.
The Psychoanalytic Quarterly
|March 21, 2022
Summary
Philosophers explore how we use single theories as useful fictions, even knowing more complete truths exist. This study applies this paradox to psychoanalysis, examining theoretical shifts and the nature of truth in clinical practice.
Area of Science:
- Philosophy of Science
- Psychoanalytic Theory
- Epistemology
Background:
- Hans Vaihinger's philosophy of fictions posits the use of simplified models for understanding complex realities.
- Kwame Anthony Appiah's work revisits Vaihinger's ideas on the utility of singular perspectives versus a multiplicity of models.
- The inherent paradox lies in cognitive limitations versus the need for diverse viewpoints to grasp fuller truths.
Purpose of the Study:
- To apply Vaihinger's and Appiah's philosophical concepts to the psychoanalytic clinical setting.
- To explore the analyst's tendency to shift between theoretical frameworks.
- To investigate the complex nature of truth within psychoanalytic interpretation.
Main Methods:
- Conceptual analysis drawing on philosophical texts.
- Application of philosophical paradoxes to clinical psychoanalytic scenarios.
- Exploration of theoretical shifts and truth in psychoanalytic practice.
Main Results:
- Psychoanalytic practice may involve the strategic use of theoretical "fictions" similar to Vaihinger's concept.
- Analysts may shift theoretical perspectives based on clinical needs or cognitive factors.
- The concept of "truth" in psychoanalysis is examined through the lens of multiple, potentially inexact, models.
Conclusions:
- The psychoanalytic clinician navigates a complex interplay between singular theoretical frameworks and a broader multiplicity of perspectives.
- Understanding these philosophical underpinnings can illuminate the dynamics of theoretical shifts and the pursuit of truth in therapy.
- This approach offers a novel perspective on the epistemological challenges within psychoanalytic practice.
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